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Lown Institute on the Highest Paid Nonprofit Hospital CEOs

How to Negotiate Your Salary in the Age of Pay Transparency Laws

Nonprofit hospital CEO salaries don’t tell us much, if anything, about the appropriateness of exempting nonprofit hospitals from taxation.  If salaries are commensurate with what other nonprofit and for profit hospitals pay their CEOs, the admittedly astronomical amounts prove nothing.  So the Lown Institute Report listing of the highest paid nonprofit hospital CEOs is probably entertaining for it voyeuristic qualities.  Here is some of it:

Nonprofit hospitals have been in the news for paying their executives millions amid layoffs and decreasing community investment. Why do nonprofit hospitals and systems pay their CEOs so much, and which organizations are paying the most? We took a look at the ten highest-paid hospital and system CEOs from 2021 in the Lown Hospitals Index to learn more.

Highest-paid nonprofit hospital CEOs, FYE 2021

Hospital (state)

CEO  Total compensation Notes
Froedtert Pleasant Prairie Hospital (WI) Richard Schmidt Jr $7.5 million Tax ID 390816845 
Includes deferred compensation returns paid out in fiscal year 2021
Covenant Medical Center Harrison (MI) Edward Bruff $5.2 m Tax ID 383369438
Includes deferred compensation from retirement plan
Cooper University Hospital (NJ) Anthony Mazzarelli, Kevin O’Dowd  $4.9 m Tax ID 210634462
Includes compensation for two co-ceo/presidents who served this year

. . .

Highest-paid nonprofit system CEOs, FYE 2021

Hospital system CEO  Total compensation Notes
Sentara Healthcare Howard Kern $33.2 m Tax ID 521271901
Includes distributions from Supplemental Executive Retirement Plan
CommonSpirit Health Kevin Lofton, Lloyd  Dean $32 m Tax ID 470617373
Includes compensation for Kevin Lofton, former CEO
Nuvance Health John Murphy $30.1 m Tax ID 834214573
Includes distributions from Supplemental Executive Retirement Plan
RWJBarnabas Health Barry Ostrowsky $17.3 m Tax ID 222405279
Includes distributions from Supplemental Executive Retirement Plan

In order to recruit and retain talent, nonprofit hospital boards have included incentives for executives such as supplemental retirement plans and long-term incentive plans, which contribute to the high payouts for many of these hospitals in 2021. 

Other executives received multi-million dollar bonuses or incentive payments, although the metrics behind those incentives can be vague. For example, Ascension’s tax form does not include how CEO incentive pay was structured, despite their CEO receiving more than $10 million in bonuses that year. White Plains Hospital Medical Center’s tax form is low on details for incentive pay, writing that bonuses were “based on the individual’s performance and accomplishments as determined by either the Compensation Board or management discretion.” Kaiser’s tax form has more information on incentives, including “quality of care and service, membership growth, operating income, per member expense trend, and community benefit” as organizational goals for potential bonuses. 

darryll k. jones