Becker's Hospital Review

September 2022 Issue of Becker's Hospital Review

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21 CFO / FINANCE State-by-state breakdown of 76 hospital closures By Ayla Ellison About 60 million people — nearly 1 in 5 Americans — live in rural areas and depend on their local hospitals for care. Nearly 80 of those hospitals have ended all services since 2011, according to the Cecil G. Sheps Center for Health Services Research. e number of rural hospital closures steadily increased over a four-year period, with a record-breaking 20 hospitals shutting down in 2020. ough rural hospitals continued to face many challenges, including low patient volume, heavy reliance on government payers and financial pressure tied to the COVID-19 pandemic, federal aid helped partially offset those challenges in 2021. Only two rural hospitals ceased inpatient care last year, according to the Sheps Center. Many of the hospitals that shut down since 2011 still provide some healthcare services, such as urgent care, primary care or long-term care. Listed below are the 76 rural hospitals that have completely closed since Jan. 1, 2011, as tracked by the Sheps Center. Alabama SouthWest Alabama Medical Center (omasville) Randolph Medical Center (Roanoke) Chilton Medical Center (Clanton) Georgiana Medical Center Arizona Florence Community Healthcare Cochise Regional Hospital (Douglas) Arkansas De Queen Medical Center California Adventist Health Feather River (Paradise) Coalinga Regional Medical Center Florida Campbellton-Graceville Hospital Regional General Hospital (Williston) Shands Lake Shore Regional Medical Center (Lake City) Georgia Hart County Hospital (Harwell) Charlton Memorial Hospital (Folkston) Stewart-Webster Hospital (Richland) Lower Oconee Community Hospital (Glenwood) Southwest Georgia Regional Medical Center (Cuthbert) Illinois Galesburg Cottage Hospital Kansas Horton Community Hospital Oswego Community Hospital Sumner Community Hospital (Wellington) Kentucky Nicholas County Hospital (Carlisle) Parkway Regional Hospital (Fulton) Average CEO pay by hospital type By Ayla Ellison N onprofit hospital CEOs make an average of eight times more than workers without advanced degrees, according to an analysis by the Lown Institute of more than 1,000 hospitals. The study, published in Health Affairs Feb. 10, found the gap between CEO pay and average worker pay varied widely. Some hospital CEOs were paid twice the rate of other workers, while the highest paid received 60 times the hourly pay of general workers. The analysis revealed a relationship between hospital size and executive compensation. "Although both CEO compensation and worker wage increase in a stepwise fashion as hospital size increases, increase in CEO compensation tends to exceed that of worker pay for larger hospitals, giving them a higher pay equity ratio," according to the authors of the study. The researchers found that urban location and teaching status were also associated with higher executive hourly compensation compared to general worker wages. Across all nonprofit hospitals, the average CEO compensation per hour was $249, and the average hourly worker wage was $29. Here is the average hospital CEO pay per hour by hospital type and the ratio of CEO wage to other workers wage: Major teaching hospital • Average hospital CEO compensation per hour: $529 • Ratio of CEO wage to other workers wage: 14:1 Minor teaching hospital • Average hospital CEO compensation per hour: $292 • Ratio of CEO wage to other workers wage: 9:1 Non-teaching hospital • Average hospital CEO compensation per hour: $197 • Ratio of CEO wage to other workers wage: 7:1 Urban hospital • Average hospital CEO compensation per hour: $319 • Ratio of CEO wage to other workers wage: 9:1 Rural hospital • Average hospital CEO compensation per hour: $160 • Ratio of CEO wage to other workers wage: 6:1 n

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