CEO compensation

Nurses Activism

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The other day, our CNO and VP of Human Resources came to our unit to discuss issues and concerns we have regarding our unit, the hospital and our jobs. I brought up the topic of CEO compensation.

Over a six year period, our wages have been flat with inflation taken into account. Over a similar six the CEO of our health system saw a nearly 23% increase in compensation which is anywhere from 65 to 9% above the rate of inflation, depending on how it is calculated. Initially, the answer I got simply left me gobsmacked.

In regards to the issue raised regarding CEO compensation and flat associate wages, she stated, in effect, that "The organization has done well financially," and that the "CEO is driving that ship". She further stated that "the CEO has got to be rewarded". Now, if the organization has done so well, why have the benefits of this not been seen in the form of higher wages...beyond mere cost-of-living increases...and a better health insurance plan?

What really gave me pause though, was what she said about the work of the CEO being a "high stakes game". Initially, I was stunned, then angry, but now it's just a lingering sadness about how distorted the system has become. After all, on a daily basis we deal deal with the suffering of patients and their families in acute and critical care settings. Our every action is fraught with consequences to the lives of our patients and their families. How much higher can the stakes be than the lives of our patients and their families?

If you think it is so easy being a CEO then nobody is stopping you from becoming one yourself.

Specializes in Med Surg - Renal.
The other day, our CNO and VP of Human Resources came to our unit to discuss issues and concerns we have regarding our unit, the hospital and our jobs. I brought up the topic of CEO compensation.

Over a six year period, our wages have been flat with inflation taken into account. Over a similar six the CEO of our health system saw a nearly 23% increase in compensation

Your CEO kept your wages flat and put the savings in his pocket.

Specializes in Med Surg - Renal.
If you think it is so easy being a CEO then nobody is stopping you from becoming one yourself.

Please do some research on the background of wealthy CEOs. You can't just pick one and go, "Look, a poor slave from Elbonia can be a CEO!" Look at ALL of them.

Hint: people have already done this and found that while anybody theoretically CAN become a CEO, not "just anybody" actually does for a variety of reasons. Start your research at "The Fundamental Attribution Error."

I'll wait here.

Specializes in Med/Surg/Tele.

I understand how you feel, but from a business perspective her answers are correct. A CEO is responsible for the entire business. While we all would like to think that we could run a hospital or entire healthcare system, it is not that easy. Just one bad decision on his/her part can literally cause the downfall of an entire corporation. 1 bad choice could bankrupt the company, cause 100's of layoffs.

Also, keep in mind that a CEO is not an employee at will. They have a contract that specifies pay, raises, bonus structure, benefits, perks, etc. So the company must comply with the contract or risk losing a large amount of money in court fighting a breech of contract lawsuit. Most CEO contracts are written for 5 or 10 year terms so what is happening now might not have been foreseen when the contract was drafted.

How irreplaceable are you? For the answer I like to look to who has to show up during inclement weather.

Does being a good CEO take talent and strong business skills? Absolutely. Are those talents and skills is so rare that it requires the exorbitant compensation packages that CEOs are able to demand? Not even close.

I agree that CEO's do hard work but really, million dollar salaries and outrageous bonuses while the workers are barely making a living. Greed, greed, greed. It is why our country is in economic turmoil right now. CEO's could cut their salaries to more realistic number and then use that money to hire more workers and give raises to the current workers.

Specializes in nursing education.
I understand how you feel, but from a business perspective her answers are correct.....

I always though healthcare was more than "a business." I think that's the worldview from which a lot of this ire stems.

Specializes in Med/Surg/Tele.
I always though healthcare was more than "a business." I think that's the worldview from which a lot of this ire stems.

Lol, very well said! Healthcare SHOULD be more than just a business. It should be about HEALTHCARE only.

The unfortunate reality is that it is very expensive to provide the level of healthcare that we have come to expect in the United States. From the cost of drugs (another conversation altogether) diagnostic equipment and supplies, to the cost of the expertise of the people that use the equipment, provide a diagnosis etc. Not to mention general overhead costs such as utilities, maintenance etc.

I have a Bachelor's in Business so I understand that side of the situation which is why I commented. While I understand the foundations of business and the scope of responsibilities of the CEO, COO, CFO etc I also have trouble understanding why companies waste so much money on upper management salaries, bonuses and perks. These upper management positions should be compensated for their expertise and skills but not at such astronomical rates.

Specializes in Dialysis, Hospice, Critical care.
I agree that CEO's do hard work but really, million dollar salaries and outrageous bonuses while the workers are barely making a living. Greed, greed, greed. It is why our country is in economic turmoil right now. CEO's could cut their salaries to more realistic number and then use that money to hire more workers and give raises to the current workers.

The real rub here is that our health system is a non-profit, yet our CEO's compensation package tops out an nearly $2million and has readily exceeded inflation for six years, while the wages for nurses, techs, therapists and other hourly workers have remained flat. And this reflects the larger trend in society. We have received two "market raises" over that same time period which were promptly eaten up by corresponding raises in the monthly costs of our health care benefits package.

It's not just the corporate culture in the healthcare industry that needs to change...the whole social paradigm needs to shift. That's why I'll be on the lines with the 99% and OWS working aid stations at rallies and marches. We are more than just advocates for our patients. We are advocates for our communities and social justice as well.

We've now lost getting any pay for sitting and waiting for them to call us when they won't let us come to work because of low census. No more pay to sit at home on call. It wasn't much money. But that's the point. Not much money, and yet they had to take even THAT from us. Let's play, "What has our CEO given up this week?"

Specializes in Dialysis, Hospice, Critical care.

It's actions like this that are leading me to the point I'm ready to start organizing for a union.

Anyone of you complaining of CEO compensation could have chosen that career path, but instead you choose nursing. You could have been the one making the big salary. So in reality, why are you getting mad at the CEO, when they were smart enough to choose that path?

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