Hospital CEO Salaries: Are The Big Bucks Justified?

In this current era of escalating healthcare costs, people have been scrutinizing the salaries, perks, and other forms of compensation that hospital CEOs receive. Are the big bucks justified? The intended purpose of this article is to further explore the hot topic of hospital CEO salaries. Nurses Activism Article

CEO is a widely used acronym in the corporate world that stands for 'chief executive officer.' The CEO of a hospital or healthcare system is the top executive in charge who bears the main responsibility for the organization's comprehensive operations and performance. In other words, the hospital CEO is the man or woman (typically a male) with the ultimate authority to make the big decisions regarding the manner in which the hospital will be run. The effects of the hospital CEO's decisions trickle down to all areas of the healthcare system in which he runs and can have lasting effects.

Healthcare expenditures in the United States have been escalating for quite some time. In this current era of rising healthcare costs, members of the public have been paying close attention to the compensation packages of hospital CEOs.

The 2010 national average salary and bonus for a hospital CEO is $517,000 and $909,000 for a health system CEO, according to consulting firm Integrated Healthcare Strategies, reports Georgia Health News (Cheung, 2011).

Furthermore, many hospital CEOs earn salary packages that greatly exceed the national average. Nine percent of nonprofit hospital chief executives in the Midwest are paid more than $1 million a year, according to a new report (Glenn, 2011). Additionally, some hospital CEOs are paid multimillion dollar salaries each year.

Javon Bea, president and CEO of Janesville, Wis.-based Mercy Health System, who made roughly $3.6 million in total compensation in 2009, is defending his salary, saying it has no effect on healthcare costs, according to a Janesville Gazette report (Herman, 2011).

Are these hefty salary ranges justifiable in this day and age?

I'm assured that almost any highly paid hospital CEO would argue that certain talents and a specific skill set are required to successfully run health systems. Surely, nonprofit hospitals wish their executive salaries wouldn't be held under such a public microscope, but that's the price of a tax exemption-and it's a price that to them apparently is ultimately worth it (Glenn, 2011).

Does it make any sense to have leaders of hospitals who earn salaries that are often many times more than the other employees' pay, especially when many healthcare facilities are going out of business? It's a difficult question to answer, and we cannot reasonably expect to use simple solutions to resolve complex problems. This is just some food for thought.

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There's a major differnce between being a military corpman in a military environment and a licensed nurse( LPN or RN) in the civilian world.

A corpman in the military doesn't translate into anlicensed independent practioner(PA, NP RN) or a Licensed Nurse(LPN) in civilian world. A corpman in the civilian world will have to take a Training course and a certification exam to become a medical technician/assistant(MT or MA) or a nursing assistance(CNA). I know this first hand - I worked as an RN in a MTF and many corpman I worked with tried to get LPN and RN licenses upon separation- the civilian world told them differently. Some even thought they could just apply to the BON and obtain Nursing licensure- where are they today- doing their time in nursing programs( and blogging on facebook how hard these programs are) just like the rest of us in civilian world had to do. The military medical/nursing world is regulated by the federal governemnt. The civilian medical/nursing world is regulated by the state. I also know for a fact( first hand ) that a Doctor of Vetinary medicine will be placed in a Human Family Practice Clinic and expected to see human patients. This is not a practice in civilian world.

Needless to say- the military service member can not sue the governemnt for any real or percieved medical errors. I also know military corpman are called "doc" on the battlefield. But life changes off that battlefield and into the civilian sector: in the area of independent practice, licensure regularions and legal accountability. Civilian patient's can and do sue in the civilian world. Patient's are programmed to sue the doctor or the nurse it's high time they started to sue the CEO and hold them responsible and accountable - the ones making the life altering decisions( staffing and budget cuts) in an industry they are not educationally prepared in.

Oh, I also know that the navy corpman are attached to marine units because the marine' s don't have a medical unit. Had to go through them to get my marine patient in for labs into the MTF. Not too much 'over head operating expenses out there on the battlefields. And medical Group Squadron Commanders don't make anything near what a civilan hospital CEO makes., yet the MTF's floors are clean, polished, carpeted and maintained, bathrooms clean and trash emptied better than any civilian hospital I've ever worked in- might it have something to do with the Congress stating to the military - "you only have "X" amount of dollars for the heathcare budget and allocating those dollars out to specific areas and once the money is spent that is it- tough luck til next fiscal year": Not the Squadron Commander scooping up 3/4 of the money pot for themself and running the joint with the 1/4 thats left over.

Specializes in Trauma.
There's a major differnce between being a military corpman in a military environment and a licensed nurse( LPN or RN) in the civilian world.

A corpman in the military doesn't translate into anlicensed independent practioner(PA, NP RN) or a Licensed Nurse(LPN) in civilian world. A corpman in the civilian world will have to take a Training course and a certification exam to become a medical technician/assistant(MT or MA) or a nursing assistance(CNA). I know this first hand - I worked as an RN in a MTF and many corpman I worked with tried to get LPN and RN licenses upon separation- the civilian world told them differently. Some even thought they could just apply to the BON and obtain Nursing licensure- where are they today- doing their time in nursing programs( and blogging on facebook how hard these programs are) just like the rest of us in civilian world had to do. The military medical/nursing world is regulated by the federal governemnt. The civilian medical/nursing world is regulated by the state. I also know for a fact( first hand ) that a Doctor of Vetinary medicine will be placed in a Human Family Practice Clinic and expected to see human patients. This is not a practice in civilian world.

Needless to say- the military service member can not sue the governemnt for any real or percieved medical errors. I also know military corpman are called "doc" on the battlefield. But life changes off that battlefield and into the civilian sector: in the area of independent practice, licensure regularions and legal accountability. Civilian patient's can and do sue in the civilian world. Patient's are programmed to sue the doctor or the nurse it's high time they started to sue the CEO and hold them responsible and accountable - the ones making the life altering decisions( staffing and budget cuts) in an industry they are not educationally prepared in.

Oh, I also know that the navy corpman are attached to marine units because the marine' s don't have a medical unit. Had to go through them to get my marine patient in for labs into the MTF. Not too much 'over head operating expenses out there on the battlefields. And medical Group Squadron Commanders don't make anything near what a civilan hospital CEO makes., yet the MTF's floors are clean, polished, carpeted and maintained, bathrooms clean and trash emptied better than any civilian hospital I've ever worked in- might it have something to do with the Congress stating to the military - "you only have "X" amount of dollars for the heathcare budget and allocating those dollars out to specific areas and once the money is spent that is it- tough luck til next fiscal year": Not the Squadron Commander scooping up 3/4 of the money pot for themself and running the joint with the 1/4 thats left over.

I know that the Corpsman rate does not make you eligible to move into a civilian nursing position. I knew this when I enlisted, hence why I am starting nursing school next month. The point I was making about Corpsmen and PA is after Vietnam the Corpsman coming back were actually over qualified to move into a nursing job. The PA programs were set up so the skills those people had were not wasted.

You don't think that hospitals have a budget they have to operate under? That budget is determined by how much money they have coming in, profits. They can't just go to congress and ask for more money next year if they need more. A CEO does not set his salary. It is set by a board of directors.

Part of the motive for these exoribitant pay rates is because if the CEO isn't paid a lot, it gives an image the company the CEO leads is not doing well.

At least that's what the people upstairs say.

I think the people upstairs will say anything to justify their actions.I helps them sleep at night and live with themelves. I don't think the people downstairs are buying it.

Specializes in Critical care, tele, Medical-Surgical.

I think the truly best hospitals have top management who respect the professional judgment of the nurses. Hospitals exist because people need nursing care.