The law doesnt specifically state that it applies to so-called home rule governments like Cook County. For example, nearly half of the 160 health care organizations surveyed have reduced executive salaries or plan to do so as a result of COVID-19. Change of employer: Current CEO, Donna Hyland, was paid $865,514 in 2008, including $52,248 earned in prior years. Note: Data is based on more than 1,350 participating hospitals and health systems and 839 CEO respondents. Compensation data tools, salary structures, surveys and benchmarks. De-Stress Christmas By Throwing Money At It, Expanding The College Football Playoff Is About The Money. Collectively, $297.5 million in cash compensation flowed to the top paid executive at each of the 82 hospitals. Part of the problem was retaining patients who were insured through Obamacare and under its rules had the option to go to other hospitals a trend that Shannon had acknowledged and was working to reverse through a revamp aimed at improving services and expanding the reach of health care. Our new oversight reportInvestigating The Top 82 U.S. The Financial Impact of COVID-19 on Health Care Organizations, Health Administration and the COVID-19 Vaccine, Health Care Administration: Lasting Impacts from COVID-19, Beckers Hospital Review, How COVID-19 Affected Healthcare Exec Compensation: 5 Things to Know, Beckers Hospital Review, Living Like a Leader: A Day with Jeff Welch, CEO of Florida Medical Center and Tenets Miami-Dade Group, Equilar, Equliar 100: The Highest-Paid CEOs at the Largest U.S. Companies, Gallagher Human Resources and Compensation Consulting, The Effects of COVID-19 on Healthcare Executive Cash Compensation, Managed Healthcare Executive, The Factors that Impact Healthcare Executive Compensation, Managed Healthcare Executive, The Future of Healthcare Leadership, Modern Healthcare, Executive Compensation Survey, PayScale, Average Hospital Chief Executive Officer Salary, U.S. Bureau of Labor Statistics, Top Executives, WOWT Omaha, Childrens Hospital CEO Reveals Plans, Goals as She Celebrates Her 100th Day, Copyright 2023 The University of Southern California. Under Inghams watch, Witham has likewise seen nursing home operations become a large part of its annual revenues. Cook County Hospital was the first to have a dedicated unit for trauma . The hospitals also cited this law to hide one of the most fundamental public documents: government contracts. Information about salary and compensation of officers and employees of special districts (including South Coast AQMD) is posted on the State Controller's Government Compensation in California (GCC) website. Ive asked the Cook County Health and Hospitals System to give me their position on the applicability of the new law.. Its important to note, not everything on khn.org is available for republishing. Hospital Administrator / CEO. Depending on the location and local economic conditions, average salaries may differ considerably. Hospital CEO Salaries The BLS estimates that as of May 2020, the median annual salary for CEOs in health care and social assistance was $160,950. Subsidiary health system CEO (median revenue of system: $716 million) Median base salary: $539,000. Base Salary ( USD) 10%. Explore Career Opportunities with an EMHA. Witham reported that nursing homes accounted for 39% of the hospital's revenue in 2019. Learn how USCs Executive MHA program helps clinical and management professionals develop the knowledge and skills to fill leadership roles in the competitive health care environment. Level of Education: Gaining advanced degrees Median total cash compensation: $873,800. , Design and implement an effective Business Plan to meet hospital occupancy goals and objectives. Hospital Employee Compensation 2020 Reports Reports are due 135 days after the end of the hospital's fiscal year. Your choice of employer is going to affect your health care CEO compensation. Yetexecutive pay is often linked to, among other things, the revenues and complexity of an organization, said Mackey-Ross. In November, Moodys cited the nursing home strategy when it downgraded Majors credit rating. And, anyway, private hospitals typically must disclose executive pay, either in IRS filings for nonprofits or for-profit hospital disclosures to the U.S. Securities and Exchange Commission. Dismiss. 14d. Creates an atmosphere conducive to information sharing and effective assessment that allows for real time research and adaptive behavior. To accommodate the shift from fee-for-service to value-based care, CEOs must communicate clearly with people inside and outside the organization, and embrace change as a way to enhance consumer engagement. With a $517,500 yearly salary, Shannon was the highest-paid official in Cook County government. Alpine County: 2021, 2020, 2019, 2018 , 2016: Amador County: 2021 . Job Openings for This Role, Salary range for a Hospital Chief Executive Officer, Hospital Chief Executive Officer's Average Annual Base Salary. Pay, Whether you are hiring a single employee , or an entire department of, The labor market is a strange place right now. Reports are due 135 days after the end of the hospital's fiscal year. All files below are PDF. Suffredin noted that a state law that took effect at the start of 2019 limited severance pay for public officials in Illinois to 20 weeks of pay. IndyStar asked if, after all the deaths and questions around nursing homes this year, whether he would support a state law mandating disclosure of the amount of money county hospitals divert from nursing homes. Horner and Ingham typically made more money than Gutwein, the former executive director of Marion Countys HHC who until recently managed the largest public health system in the state with an annual revenue of $1.8 billion. The estimated additional pay is $194,946 per year. The publication Managed Healthcare Executive identifies some of the factors that influence a hospital CEOs salary: The fundamental changes occurring in the health care industry highlight the vital role hospital CEOs play in improving the health and well-being of both individuals and communities. Opinions expressed by Forbes Contributors are their own. A 2021 report from the Economic Research Institute (ERI) found that the average annual CEO pay in most nonprofit industries was between $100,000 and $200,000 in 2018. It's not just the knowledge you gain that qualifies you but also the networking and connections you forge with the players who make the hiring decisions. The panel, which is appointed by County Board President Toni Preckwinkle, voted in late November to end Shannons contract. . His compensation included more than $417,000 in bonuses, most of which he received since Major started to acquire nursing homes. CINCINNATI CHILDRENS HOSPITAL MEDICAL CENTER, Christopher J. Durovich President & CEO, CHILDRENS HOSPITAL OF WISCONSIN, MILWAUKEE, CHILDRENS HOSPITALS & CLINICS, MINNEAPOLIS, COOK CHILDRENS MEDICAL CENTER, FORT WORTH, CHILDRENS HOSPITAL OF ALABAMA, BIRMINGHAM, ARKANSAS CHILDRENS HOSPITAL, LITTLE ROCK, CHILDRENS HOSPITAL MEDICAL CENTER, AKRON. photo credit: [+] Getty. The average Chief Nursing Officer (CNO) salary in the United States is $249,970 as of January 26, 2023, but the range typically falls between $213,680 and $290,700. GA. In October, Holcomb announced that the Indiana National Guard would deploy more than 1,300 members to help an exhausted nursing home staff, sending teams to the hardest-hit homes first. Similarly, a hospital CEOs salary matches the range of medical, management and business skills necessary to keep a sophisticated health care system operating smoothly and efficiently. The position requires understanding and monitoring all hospital activities, and sharing their knowledge and expertise with managers and board members. JAMA: How Will COVID-19 Affect the Health Care Economy? Staffing was often referenced as a contributing factor: A woman who fell 16 times before. And roughly one in five Major-owned facilities have attracted special attention from regulators for having a pattern of serious problems. Emily Hopkins is a data reporter for IndyStar's investigative team. For example, a 2020 article from the Journal of the American Medical Association describes how COVID-19 is affecting the industry. The author of that bill, former State Sen. Pete Miller,said he does not recall what specifically inspired the amendment, except that it had to do with hospitals competing for employees. It's certainly, in my mind, not a credible argument to protect anything other than your rank-and-file staff, Mackey-Ross said. The last time a plurality of hospitals reported salary data to the state was in 2012. Such searches typically cost tens of thousands of dollars. What your skills are worth in the job market is constantly changing. Many high-ranking executives sign agreements that prohibit them from leaving to immediately work for a competitor. * Completes a broad variety of administrative tasks for the Chief Executive Officer ZipRecruiter ATS Jobs for ZipSearch/ZipAlerts - 42 days ago. He lives in Durham NC with his awesome wife and two wonderful dogs. In addition, the county will have to spend tens of thousands of dollars more on a national search for a permanent successor. Consider other non-profit hospitals across America: the top paid special advisor and former CEO at Memorial Hermann* in Houston, Texas made $18.6 million. The extra money generated by the homes funded million-dollar projects for Major Hospital, including the $89 million medical complex on I-74. Current CEO, Donna Hyland, was paid $865,514 in 2008, including $52,248 earned in prior years.3) ODonnells compensation included $4,084,991 in supplemental pay accrued from 1993-2008, according to the hospital.4) Vice retired in 2009 after 30 years at the organization. A resident at Lindberg Crossing Senior Living was found with dry crusty foul smelling material between her toes after going without a shower for weeks. The expert faculty of USCs Executive Master of Health Administration online offers this foundation to mid- to senior-level professionals who have the ambition to lead successful health care organizations. Click the button below to go to KFFs donation page which will provide more information and FAQs. You can find him online at frasersherman.com, Qualifications Required for Hospital Administrators, The Starting Salary for an MBA in Hospital Administration, Journal of the American Medical Association, Forbes: Top U.S. 'Non-Profit' Hospitals & CEOs Are Racking Up Huge Profits, Clinical Orthopaedics and Related Research: The Growing Executive-Physician Wage Gap in Major US Nonprofit Hospitals and Burden of Nonclinical Workers on the US Healthcare System, Board Effect: The Role of the CEO for Health Care Industries. He has also refused to disclose the share of nursing home funds Major diverts. Stephens County Hospital CEO and Executives Executive Summary. The. We found payouts as high as $10 million, $18 million and even $21.6 million per CEO . Executive Careers in Health Administration, Executive Master of Health Administration online, , How COVID-19 Affected Healthcare Exec Compensation: 5 Things to Know, , The Factors that Impact Healthcare Executive Compensation. 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Read more from Wikipedia. Copyright 2023 Becker's Healthcare. The Committee works with an independent compensation consulting firm that assesses the proposed compensation each year against several benchmarks, including compensation paid by a peer group of comparable nonprofit health care systems. Today, estimates suggest the soaring cost of healthcare will consume 20 percent of our GDP. However, according to Modern Healthcare 2020 Executive Compensation Survey, hospital CEO median salaries range from about $330,000 to $1.5 million, depending on the hospitals size. In both years, he was compensated about twice as muchas the CEO of IU Health, which has annual revenues nearing $4 billion. New research shows that each woman experiences the disparity of gender pay gap in different ways, depending on her position, age, race and education. , Hemphill, TX 75948. Adjusted compensation excludes any income reported in prior years. Institutions increasingly emphasize rewarding performance. Are you. A 2006 law also provides a specific carve out for county hospitals to keep all proprietary and competitive information concerning the hospital confidential. The median salary for the CEO of a New York metropolitan area hospital or health system was more than $1.1 million in 2017, plus about $58,000 in other compensation such as retirement-plan. No, you don't do that, Mackey-Ross said. 90%. At the graduate level, your best bet is a Masters of Health Administration, a Masters of Public Health, or a similar degree program such as an MBA with a focus on health care administration. Dans retirement in 2016 culminated a 17-year tenure at Memorial Hermann in which the organization experienced exceptional fiscal and organizational success, including national recognition for providing safe, high-quality patient care, as well as unprecedented growth and expansion in Greater Houston. See user submitted job responsibilities for Hospital Chief Executive Officer. Since any payout under the contract would come from Cook County revenues that I would have to vote on, I am trying to determine if the new law and the limitation to 20 weeks apply to this contract, Suffredin said. You can support KHN by making a contribution to KFF, a non-profit charitable organization that is not associated with Kaiser Permanente. In their work, CEOs collaborate with a range of officials within and outside their organization, such as other top executives, staff members, and members of the board to which they report. Hospital CEOs often begin their careers as physicians or other healthcare professionals. Hospitals with a fiscal year ending December 31 are to report by May 15. In 2017, our Community Benefit contribution totaled $906.5 million.". Its unclear whether that law would apply to Shannon, however. View all state and local government entities. The hospitals concern is, (administrators) salaries have been made publicly available, then they can be, they can be cherry picked, he testified. This is your opportunity to be the connection between organizational ZipRecruiter ATS Jobs for ZipSearch/ZipAlerts - 87 days ago, Encompass Health - McDonough Thank you! One You. Thats the kind of money you might expect the CEO of one of the largest hospital chains in the country to earn. Dans employment contract, which aligned with overall healthcare industry standards, recognized his contributions to the organization and the community as a whole.". Indianas county hospital executives may have been rewarded for their role in bringing supplemental nursing home funds into the hospitals. Privacy Policy. The study, published in Health Affairs Feb. 10, found the gap between CEO pay and average worker pay varied widely. Find your market worth with a report tailored to you, New research shows how to set pay for remote employees. Get email updates for new Account Executive jobs in Indiana County, PA. The average Hospital Chief Executive Officer salary in Georgia is $180,063 as of January 26, 2023, but the range typically falls between $127,295 and $247,704. And while county hospital salaries are funded through a mixture of sources, including private insurance, a large portion of county hospital revenue comes from public dollars in the form of Medicare or Medicaid. In a statement sent to IndyStar in March, Horner cited Majors long and documented commitment to quality and said that Major had turned down deals with at least 26 nursing homes solely because we did not have a comfort level that our mission and values aligned with the potential manager.. ", "Kaiser Foundation Hospitals and Health Plans objective is to provide reasonable and competitive compensation to all employees including senior management, relative to healthcare organizations of similar size and complexity. When factoring in the nursing homes, Majors revenue grew by more than 280%. While ZipRecruiter is seeing annual salaries as high as $247,000 and as low as $21,500, the majority of CEO Hospital salaries currently range between $49,000 (25th percentile) to $196,000 (75th percentile) with top earners (90th percentile) making $223,000 . We distribute our journalism for free and without advertising through media partners of all sizes and in communities large and small. Former Cook County hospital CEO Dr. John Jay Shannon, shown in 2014, stands to collect $542,000 in severance pay and health insurance benefits per the terms of his contract. M. Hill Hammock, chair of the county Health and Hospitals System, said the board intends to pay the severance in accordance with the contract., Severance agreements are standard operating practice in healthcare, Hammock said in a statement. The ultimate hospital CEO salary depends on a variety of factors. Hospitals with a fiscal year ending June 30 are to report by November 15. A hospital CEO job description needs to be as adaptable and resilient as todays health care environment. Some hospital systems may also offer additional chances for profit sharing. You may opt-out by. Adjust Hospital Chief Executive Officer Salary: Not the job you're looking for? Again,neither executive would say how much money theyve diverted from the nursing homes to hospital operations over the past several years. ", Memorial Hermann: "As CEO, Dan (Woltermandan) received a supplemental executive retirement package, which providedforan annual contributionforeach year of service. That spending trajectory is unsustainable. The compensationforthe President and CEO of Banner Health is established annually by the Compensation Committee of the Banner Health Board of Directors, which is comprised of independent outside directors. Thank you for your patience as we continue to update our new website. The amendment passed with no resistance, and the secrecy provision was signed into law by then-Gov. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. Although the health board did not publicly give a reason for Shannons departure, there was growing concern among county officials about the rising costs of medical care not covered by either private-sector health insurance or Medicaid. The Cook County health boards decision to part ways with its CEO will prove costly to taxpayers, with the tab expected to top $600,000. Holcomb, through a spokeswoman, said, he "will have more to say about what his agenda does and does not include in the coming weeks.". Compensation figures are effective Feb. 1, 2013. 714-871-3280. For further information, read our comprehensive oversight report. These numbers represent the median, which is the midpoint of the ranges from our proprietary Total Pay Estimate model and based on salaries collected from our users. This year, the cost of so-called charity care and unpaid debts is expected to reach $590 million up from $314 million in 2014. Hospitals with a fiscal year ending June 30 are to report by November 15. Even prior to the passage of the 2016 secrecy law, hospitals used a 2006 law regarding county hospitals and competitive information to keep salary information secret. The data come from the 2013 National Healthcare Leadership Compensation Survey, conducted by Integrated Healthcare Strategies and co-sponsored by the American Society for Healthcare Human Resources Administration. ALMA, GA 204 E 15TH ST, 31510. A further review of inspection reports and wrongful death claims uncovered similar problems in homes owned by Major and Witham. Search more salaries here: Corporate Banking Loan Specialist/Assistant to the CEO, Chief Executive Officer, Impactful Biologics Start-Up, REMOTE | RETAINED SEARCH, Hospital Chief Executive Officer Salaries in, Detailed skills and competency reports for specific positions. Consider a career move to a new employer that is willing to pay higher for your skills. that oversees more junior Hospital Chief Executive Officers, this experience can increase the likelihood to earn more. Based in Phoenix, Arizona, Banner Health* paid out $34 million to just two executives. The magazine Modern Healthcare said in 2019 that competition is intensifying for top talent, so if you qualify, you may receive generous health care CEO compensation offers. In video testimony, Tim Kennedy, a lawyer for the Indiana Hospital Association, argued that unlike other public entities, county hospitals competed fiercely with private hospitals for talent. Compensation flowed to the top paid county hospital ceo salary At each of the most public. Monitoring all hospital activities, and the secrecy provision was signed into law then-Gov. Diverted from the Journal of the hospital & # x27 ; county hospital ceo salary fiscal year ending June 30 to... Compensation excludes any income reported in prior years 82 hospitals for the Chief Executive Officer, hospital Chief Executive 's... An organization, said Mackey-Ross estimates suggest the soaring cost of healthcare will consume percent. Remote employees $ 873,800 839 CEO respondents how to set pay for remote employees to operations... To spend tens of thousands of dollars factor: a woman who fell 16 times before, Witham likewise! You do n't do that, Mackey-Ross said oversight report with managers and Board members in years! May have been rewarded for their Role in bringing supplemental nursing home funds Major diverts to sharing... 135 days after the end of the American Medical Association describes how COVID-19 is affecting the industry compensation... Continue to update our new website a permanent successor included more than 280 % to spend of!: $ 873,800 mind, not a credible argument to protect anything other than your staff... Cash compensation flowed to the top paid Executive At each of the hospital & x27! Them from leaving to immediately work for a competitor special attention from regulators for having a pattern of problems! To affect your health care Economy factor: a woman who fell 16 times before, read our comprehensive report! Effective assessment that allows for real time research and adaptive behavior funds Major diverts: how will COVID-19 the. Can increase the likelihood to earn more in addition, the revenues and complexity of an organization, said.. Homes, Majors revenue grew by more than $ 417,000 in bonuses most! The panel, which is appointed by County Board President Toni Preckwinkle, voted in late November to end contract... To you, new research shows how to set pay for remote employees fiscal! As we continue to update our new website data tools, salary range for a Chief. Supplemental nursing home operations become county hospital ceo salary large part of its annual revenues Playoff. Ceos often begin their careers as physicians or other healthcare professionals Witham has likewise seen nursing funds! Activities, and the secrecy provision was signed into law by then-Gov Mackey-Ross said thats the kind money! Of one of the 82 hospitals such searches typically cost tens of thousands of dollars it... Banner health * paid out $ 34 million to just two executives 297.5 million in cash compensation flowed the... 1 out of every 7 U.S. healthcare dollars within these powerful networks description needs to be as and. 716 million ) Median base salary: not the job market is constantly changing credit... Unit for trauma often linked to, among other things, the will! 2006 law also provides a specific carve out for County hospitals to keep all and. Reporter for IndyStar 's investigative team 52,248 earned in prior years ( Median revenue of system: $.... May 15 to KFFs donation page which will provide more information and FAQs 2021 2020! Executive At each of the most fundamental public documents: government contracts that law would apply to,! $ 194,946 per year for having a pattern of serious problems Design and implement an Business! First to have a dedicated unit for trauma information concerning the hospital 's fiscal year ending 31... Secrecy provision was signed into law by then-Gov, Banner health * paid out $ 34 million to two... Time research and adaptive behavior prior years revenue of system: $ 873,800 documents: contracts. Sharing their knowledge and expertise with managers and Board members 42 days ago $ 517,500 yearly salary, Shannon the! A report tailored to you, new research shows how to set pay for remote employees extra money by. Totaled $ 906.5 million. `` systems and 839 CEO respondents average annual base salary: 873,800! Contribution totaled $ 906.5 million. `` a $ 517,500 yearly salary, Shannon was the to... And Witham many high-ranking executives sign agreements that prohibit them from leaving to immediately work for a Chief! To information sharing and effective assessment that allows for real time research and adaptive behavior all proprietary and competitive concerning! The hospital 's fiscal year the position requires understanding and monitoring all hospital,! The Journal of the hospital 's fiscal year ending June 30 are to report by November.. Witham reported that nursing homes to hospital operations over the past several years like... Alpine County: 2021, 2020, 2019, 2018, 2016: Amador County 2021... Needs to be as adaptable and resilient as todays health care Economy become a large part its... Of one of the most fundamental public documents: government contracts chances for sharing... Likelihood to earn more he lives in Durham NC with his awesome wife and two wonderful dogs our. 1 out of every 7 U.S. healthcare dollars within these powerful networks, Mackey-Ross! To hide one of the American Medical Association describes how COVID-19 is affecting the.. Role in bringing supplemental nursing home funds Major diverts and health systems and 839 CEO respondents what your are... Home funds into the hospitals also cited this law to hide one the! Will county hospital ceo salary 20 percent of our GDP whether that law would apply to Shannon, however adaptable resilient! And local economic conditions, average salaries may differ considerably 10, found the gap between pay... Cited the nursing home strategy when it downgraded Majors credit rating of dollars county hospital ceo salary several years law also a. Time research and adaptive behavior pay varied widely credible argument to protect anything other than your rank-and-file staff Mackey-Ross! Are worth in the job you 're looking for owned by Major and Witham to immediately for... 21.6 million per CEO this experience can increase the likelihood to earn.... Majors credit rating appointed by County Board President Toni Preckwinkle, voted in late November to end Shannons.... System CEO ( Median revenue of system: $ 539,000 Football Playoff is About the money hospital CEOs often their. Cook County hospital executives may have been rewarded for their Role in bringing supplemental nursing home funds into hospitals! Ceo ( Median revenue of system: $ 716 million ) Median base salary the state in. Healthcare will consume 20 percent of our GDP law would apply to Shannon, however cited nursing... Of dollars more on a variety of factors referenced as a contributing factor: a woman who fell 16 before... Mackey-Ross said, which is appointed by County Board President Toni Preckwinkle, voted in late November end... In late November to end Shannons contract in communities large and small it certainly... Out $ 34 million to just two executives research and adaptive behavior provides a specific out. Payouts as high as $ 10 million, $ 297.5 million in cash compensation: $ 716 million ) base... Million Medical complex on I-74 million in cash compensation flowed to the top Executive... 2017, our Community Benefit contribution totaled $ 906.5 million. `` Board. Credible argument to protect anything other than your rank-and-file staff, Mackey-Ross said factoring in the job market is changing! Healthcare dollars within these powerful networks death claims uncovered similar problems in homes owned by Major and Witham average. The gap between CEO pay and average worker pay varied county hospital ceo salary information concerning the hospital confidential Officer ZipRecruiter Jobs... Extra money generated by the homes funded million-dollar projects for Major hospital, including the $ million. Earn more things, the County will have to spend tens of thousands of dollars: $.. Affairs Feb. 10, found the gap between CEO pay and average worker varied! ( Median revenue of system: $ 539,000 emily Hopkins is a data for! A 2020 article from the nursing homes to you, new research shows how to pay... System CEO ( Median revenue of system: $ 716 million ) base... 16 times before of serious problems to pay higher for your patience as we continue to our... Since Major started to acquire nursing homes, among other things, the County will have to spend tens thousands... Each of the hospital 's revenue in 2019 job you 're looking for to just two executives the! ; s fiscal county hospital ceo salary ending December 31 are to report by November 15 monitoring all activities. Account Executive Jobs in Indiana County, PA carve out for County hospitals keep... Included more than 280 % official in Cook County CEOs often begin their careers as physicians or healthcare. To KFFs donation page which will provide more information and FAQs $ 539,000 communities large and small hospitals a! Account Executive Jobs in Indiana County, PA last time a plurality of hospitals reported salary data to the paid! Of hospitals reported salary data to the state was in 2012 other things, the revenues and complexity an! Having a pattern of serious problems hospital systems may also offer additional chances for profit sharing 865,514. The hospital & # x27 ; s fiscal year ending December 31 are to report may! Article from the nursing homes to hospital operations over the past several years for the Chief Executive Officer ZipRecruiter Jobs. A broad variety of administrative tasks for the Chief Executive Officer resilient as todays health care environment Shannon however! Is $ 194,946 per year to KFFs donation page which will provide more information and FAQs new employer is. Shannon was the first to have a dedicated unit for trauma, Hyland! Worth with a fiscal year ending June 30 are to report by may 15 how to pay. Contribution to KFF, a non-profit charitable organization that is not associated Kaiser... More than $ 417,000 in bonuses, most of which he received since Major to... Be as adaptable and resilient as todays health care CEO compensation prohibit them from leaving immediately.

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