For Immediate Release
CHICAGO, AUG. 8, 2023 – Hospital CEO positions turned over at a rate of 16% for the third consecutive year in 2022, according to a recent report by the American College of Healthcare Executives.
The 16% turnover rate in 2022, 2021 and 2020 is the lowest the industry has seen since 2011, when it also was at 16%. Turnover among hospital CEOs has trended downward since hitting 20% in 2013, the highest since ACHE began tracking this data in 1981.
“As hospitals continue to wrestle with workforce and financial challenges, the value of strong and capable leaders in healthcare has never been more important,” says Deborah J. Bowen, FACHE, CAE, ACHE’s president/CEO. “That makes succession planning such a critical piece to ensuring that healthcare organizations have a pipeline of leaders who are well-prepared to address the challenges of tomorrow.”
The CEO turnover rates listed below 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 |
|---|---|---|
| 2022 | 16 | 4,377 |
| 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–August 2023
Annual CEO Turnover by State
Nonfederal, General Medical and Surgical Hospitals – Calendar Year 2022
| Rank | State | CEO Turnover Percent |
|---|---|---|
| (High-turnover states) | ||
| 1 | MONTANA | 30 |
| 2 | VERMONT | 29 |
| 3 | ALASKA | 26 |
| 4 | MISSOURI | 25 |
| 5 | MICHIGAN | 24 |
| 6 | ARKANSAS | 24 |
| 7 | HAWAII | 24 |
| 8 | NORTH DAKOTA | 24 |
| 9 | KANSAS | 23 |
| 10 | ALABAMA | 23 |
| 11 | NEVADA | 21 |
| 12 | OREGON | 21 |
| 13 | MARYLAND | 20 |
| 14-15 | IDAHO | 20 |
| 14-15 | NEBRASKA | 20 |
| 16 | TENNESSEE | 20 |
| 17 | CONNECTICUT | 19 |
| (Medium-turnover states) | ||
| 18 | MASSACHUSETTS | 18 |
| 19 | OKLAHOMA | 18 |
| 20 | FLORIDA | 17 |
| 21 | IOWA | 17 |
| 22 | ARIZONA | 17 |
| 23-24 | CALIFORNIA | 17 |
| 23-24 | DIST. OF COLUMBIA | 17 |
| 25 | WASHINGTON | 16 |
| 26-27 | KENTUCKY | 16 |
| 26-27 | WEST VIRGINIA | 16 |
| 28 | TEXAS | 16 |
| 29 | WYOMING | 15 |
| 30 | MAINE | 15 |
| 31 | MINNESOTA | 15 |
| 32 | PENNSYLVANIA | 15 |
| 33 | LOUISIANA | 14 |
| 34 | NEW MEXICO | 14 |
| 35 | GEORGIA | 14 |
| (Low-turnover states) | ||
| 36 | INDIANA | 13 |
| 37 | MISSISSIPPI | 12 |
| 38 | ILLINOIS | 12 |
| 39 | OHIO | 12 |
| 40 | NEW HAMPSHIRE | 12 |
| 41 | WISCONSIN | 11 |
| 42 | COLORADO | 11 |
| 43 | SOUTH DAKOTA | 10 |
| 44 | NEW YORK | 10 |
| 45 | VIRGINIA | 9 |
| 46 | SOUTH CAROLINA | 9 |
| 47 | NEW JERSEY | 8 |
| 48 | NORTH CAROLINA | 7 |
| 49-50 | PUERTO RICO | 2 |
| 49-50 | UTAH | 2 |
| 51-52 | DELAWARE | 0 |
| 51-52 | RHODE ISLAND | 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 management excellence. ACHE offers its prestigious FACHE® credential, signifying board certification in healthcare management. ACHE's established network of 76 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 Communications and Marketing
American College of Healthcare Executives
300 S. Riverside Plaza, Suite 1900
Chicago, IL 60606
(312) 424-9417
rliss@ache.org