For Immediate Release
CHICAGO, May 23, 2022 – Hospital CEO positions turned over at a rate of 16 percent in 2021, according to a recent report by the American College of Healthcare Executives.
Turnover rates in 2021 remained consistent with those in 2020. Hospital CEO turnover in those years was lower than in the previous eight.
“Hospital leaders have played, and continue to play, a critical role in our recovery from the COVID crisis, and the value of strong, capable leaders has never been more evident,” says Deborah J. Bowen, FACHE, CAE, ACHE's president/CEO. “While continuing to address immediate patient needs, healthcare leaders have long been looking beyond the pandemic to position their organizations for the future. This includes succession planning and a focus on developing a pipeline of leaders equipped to address the challenges of tomorrow.”
The CEO turnover rates in this report are based on changes in an organization's CEO, as reported to the American Hospital Association and confirmed from ACHE data and public sources.
American College of Healthcare Executives
Hospital CEO Turnover*
| YEAR | (percent)** | NUMBER OF HOSPITALS |
|---|---|---|
| 2021 | 16 | 4,378 |
| 2020 | 16 | 4,399 |
| 2019 | 17 | 4,438 |
| 2018 | 18 | 4,465 |
| 2017 | 18 | 4,435 |
| 2016 | 18 | 4,401 |
| 2015 | 18 | 4,448 |
| 2014 | 18 | 4,501 |
| 2013 | 20 | 4,546 |
| 2012 | 17 | 4,555 |
| 2011 | 16 | 4,542 |
| 2010 | 16 | 4,567 |
| 2009 | 18 | 4,582 |
| 2008 | 14 | 4,520 |
| 2007 | 15 | 4,496 |
| 2006 | 15 | 4,546 |
| 2005 | 14 | 4,512 |
| 2004 | 16 | 4,566 |
| 2003 | 14 | 4,569 |
| 2002 | 14 | 4,602 |
| 2001 | 15 | 4,624 |
| 2000 | 17 | 4,689 |
| 1999 | 18 | 4,744 |
| 1998 | 17 | 4,780 |
| 1997 | 16 | 4,842 |
| 1996 | 16 | 4,928 |
| 1995 | 17 | 4,940 |
| 1994 | 14 | 5,045 |
| 1993 | 14 | 5,030 |
| 1992 | 15 | 5,198 |
| 1991 | 17 | 5,294 |
| 1990 | 13 | 5,398 |
| 1989 | 16 | 5,454 |
| 1988 | 18 | 5,526 |
| 1987 | 18 | 5,583 |
| 1986 | 17 | 5,626 |
| 1985 | 16 | 5,651 |
| 1984 | 15 | 5,665 |
| 1983 | 13 | 5,672 |
| 1982 | 14 | 5,678 |
| 1981 | 14 | 5,687 |
* Nonfederal short term, general medical and surgical hospitals.
** Rates before 2016 are statistically adjusted to correct for errors in reporting. Based on a telephone survey in 2017 using a sample of 300 hospitals, we determined that adjustment of the 2016 and later rates was not necessary.
American College of Healthcare Executives–May 23, 2022
Annual CEO Turnover by State
Nonfederal, General Medical and Surgical Hospitals – Calendar Year 2021
| Rank | State | CEO Turnover Percent |
|---|---|---|
| (High-turnover states) | ||
| 1 | PUERTO RICO | 50 |
| 2-3 | RHODE ISLAND | 33 |
| 2-3 | WYOMING | 33 |
| 4 | FLORIDA | 28 |
| 5 | ARIZONA | 27 |
| 6 | TENNESSEE | 24 |
| 7-8 | NORTH DAKOTA | 24 |
| 7-8 | WEST VIRGINIA | 24 |
| 9 | VIRGINIA | 23 |
| 10 | MISSOURI | 23 |
| 11 | LOUISIANA | 22 |
| 12 | PENNSYLVANIA | 21 |
| 13-14 | ALASKA | 20 |
| 13-14 | DELAWARE | 20 |
| 15 | COLORADO | 19 |
| 16 | WISCONSIN | 18 |
| 17 | MISSISSIPPI | 17 |
| (Medium-turnover states) | ||
| 18 | OKLAHOMA | 17 |
| 19 | MONTANA | 17 |
| 20 | KENTUCKY | 16 |
| 21 | GEORGIA | 16 |
| 22 | NEW HAMPSHIRE | 16 |
| 23 | IOWA | 16 |
| 24 | MARYLAND | 16 |
| 25 | ALABAMA | 16 |
| 26 | NEW MEXICO | 16 |
| 27 | NEW YORK | 16 |
| 28 | VERMONT | 15 |
| 29 | OHIO | 15 |
| 30 | MINNESOTA | 15 |
| 31 | NORTH CAROLINA | 15 |
| 32-33 | MASSACHUSETTS | 15 |
| 32-33 | SOUTH CAROLINA | 15 |
| 34 | CALIFORNIA | 14 |
| 35 | OREGON | 14 |
| (Low-turnover states) | ||
| 36 | TEXAS | 13 |
| 37 | SOUTH DAKOTA | 12 |
| 38 | WASHINGTON | 12 |
| 39 | ILLINOIS | 12 |
| 40 | ARKANSAS | 11 |
| 41 | NEW JERSEY | 11 |
| 42 | KANSAS | 9 |
| 43 | INDIANA | 9 |
| 44 | UTAH | 9 |
| 45 | MICHIGAN | 8 |
| 46 | CONNECTICUT | 8 |
| 47 | MAINE | 6 |
| 48 | NEBRASKA | 6 |
| 49 | IDAHO | 5 |
| 50 | HAWAII | 5 |
| 51 | NEVADA | 3 |
| 52 | DIST. OF COLUMBIA | 0 |
| US Total (50 states, DC, Puerto Rico) | 16 |
About the American College of Healthcare Executives
The American College of Healthcare Executives is an international professional society of more than 48,000 healthcare executives who lead hospitals, healthcare systems and other healthcare organizations. ACHE’s mission is to advance our members and healthcare leadership excellence. ACHE offers its prestigious FACHE® credential, signifying board certification in healthcare management. ACHE's established network of 77 chapters provides access to networking, education and career development at the local level. In addition, ACHE is known for its magazine, Healthcare Executive, and its career development and public policy programs. Through such efforts, ACHE works toward its vision of being the preeminent professional society for leaders dedicated to improving health. The Foundation of the American College of Healthcare Executives was established to further advance healthcare management excellence through education and research. The Foundation of ACHE is known for its educational programs—including the annual Congress on Healthcare Leadership, which draws more than 4,000 participants—and groundbreaking research. Its publishing division, Health Administration Press, is one of the largest publishers of books and journals on health services management including textbooks for college and university courses.
Contact
Randy Liss
Director of Communications
Department of Marketing
American College of Healthcare Executives
300 S. Riverside Plaza, Suite 1900
Chicago, IL 60606
(312) 424-9417
rliss@ache.org