Pay hole between hospital CEOs and staff on the rise: research

Editorial Team
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Dive Transient:

  • The pay hole between hospital executives and common staff is on the rise, even after a bump in some frontline staff’ wages throughout the early years of the COVID-19 pandemic, in response to a research printed this month in Well being Affairs. 
  • Nonprofit hospital CEOs had been paid 10.2 instances the typical wage of all hospital staff in 2009. That ratio elevated almost 18% to a 12-fold distinction by 2023, researchers discovered. 
  • General, the typical wage of hospital CEOs rose by 27.5% from 2009 to 2023, whereas the typical pay for all staff rose 9.8%.

Dive Perception:

The common annual wage for CEOs rose from $813,657.60 in 2009 to $1,037,182.70 in 2023, in response to the research, which evaluated pay at greater than 1,400 nonprofit hospitals. 

In the meantime, the typical pay of staff elevated from $76,837.30 to $84,370.50. 

Though CEO pay progress outpaced employee pay over the 14-year research interval, the ratio decreased throughout the pandemic, falling almost 8% in 2019 and 2020 earlier than rebounding over the following three years.

In the course of the pandemic, wages amongst nonphysician contract positions that present direct affected person care elevated probably the most — probably as a result of surge in journey nursing within the midst of the coronavirus pandemic, in response to the research. Hospitals spent extra to draw employees and contract labor throughout the pandemic as well being methods struggled with heightened turnover and chronic worker burnout.

Instructing hospitals and concrete services in addition to bigger chain hospitals had been linked to larger CEO wages and bigger discrepancies between CEO and employee pay in 2023.

Nonetheless, nonteaching, nonurban, smaller and nonchain hospitals noticed the biggest share will increase in government pay in contrast with the prepandemic interval, probably as a result of baseline pay at instructing, city, massive and chain hospitals was already elevated — making absolute will increase seem smaller in share phrases, the research discovered. 

Wage inequality at nonprofit hospitals ought to be a big concern, given the impression of low pay on these hospitals’ communities, researchers wrote. Nonprofits are exempt from most state and federal taxes, as these services have to offer care even when sufferers can’t afford companies.

Nonetheless, earlier analysis has discovered charity care insurance policies range broadly amongst nonprofit services, and the tax breaks obtained by hospitals could exceed the quantity they spend on charity care or neighborhood funding. 

In the meantime, hospitals are sometimes main employers of their communities — so depressed pay might have a big impression outdoors their partitions, in response to the newest Well being Affairs evaluation. 

“In mild of nonprofit hospitals’ favorable tax standing, measures of wage inequality could also be thought-about in broader discussions of nonprofit hospitals’ contribution to their communities, together with their impact on native financial inequality,” researchers wrote. 

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