Press Release

Hospital CEO Turnover Rate Shows Small Decrease


CHICAGO, Sept. 15, 2020
– Hospital CEO positions turned over at a rate of 17 percent in 2019, according to a recent report by the American College of Healthcare Executives. This represents a small decrease from turnover rates over the last five years, which have held steady at 18 percent. The past eight years is the longest period during which hospital CEO turnover rates were 17 percent or higher since the study began in the early 1980s. 

“Despite the slight drop in 2019, turnover rates in recent years remain at higher levels than in the past,” says Deborah J. Bowen, FACHE, CAE, ACHE's president/CEO. “Organizations are evolving to meet a changing healthcare environment, resulting in restructuring and the movement of CEOs to different positions within health systems. In addition, more CEOs are reaching retirement age. Our turnover data underline the importance of organizations maintaining a focus on succession planning and developing our new healthcare leaders.”

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
2019 17 4438
2018 18 4465
2017 18 4435
2016 18 4401
2015 18 4448
2014 18 4501
2013 20 4546
2012 17 4555
2011 16 4542
2010 16 4567
2009 18 4582
2008 14 4520
2007 15 4496
2006 15 4546
2005 14 4512
2004 16 4566
2003 14 4569
2002 14 4602
2001 15 4624
2000 17 4689
1999 18 4744
1998 17 4780
1997 16 4842
1996 16 4928
1995 17 4940
1994 14 5045
1993 14 5030
1992 15 5198
1991 17 5294
1990 13 5398
1989 16 5454
1988 18 5526
1987 18 5583
1986 17 5626
1985 16 5651
1984 15 5665
1983 13 5672
1982 14 5678
1981 14 5687

_________________________
*  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–April 28, 2020
Annual CEO Turnover by State
Nonfederal, General Medical and Surgical Hospitals – Calendar Year 2019
Rank State CEO Turnover Percent
  (High-turnover states)  
1 DELAWARE 40
2 ALASKA 33
3 ARIZONA 32
4 COLORADO 31
5 WYOMING 31
6 IDAHO 28
7 OREGON 26
8 ARKANSAS 26
9 FLORIDA 26
10 OKLAHOMA 23
11 NORTH DAKOTA 23
12 RHODE ISLAND 22
13 VERMONT 21
14 NEW JERSEY 21
15 PENNSYLVANIA 21
16 MONTANA 20
17 LOUISIANA 20
  (Medium-turnover states)  
18 TEXAS 20
19 HAWAII 19
20 MICHIGAN 18
21 NEW YORK 17
22-25 DIST. OF COLUMBIA 17
22-25 MASSACHUSETTS 17
22-25 MINNESOTA 17
22-25 NORTH CAROLINA 17
26 ILLINOIS 17
27 KANSAS 16
28 WEST VIRGINIA 16
29 CONNECTICUT 16
30 ALABAMA 16
31 NEVADA 16
32 VIRGINIA 16
33 MISSOURI 15
34 NEBRASKA 15
35 CALIFORNIA 14
    (Low-turnover states)  
36 TENNESSEE 14
37 GEORGIA 14
38 SOUTH CAROLINA 13
39 IOWA 12
40 OHIO 12
41 KENTUCKY 12
42 UTAH 12
43 WASHINGTON 11
44 MISSISSIPPI 10
45 INDIANA 10
46 MAINE 10
47 WISCONSIN 9
48 NEW MEXICO 9
49 NEW HAMPSHIRE 8
50 MARYLAND 7
51 PUERTO RICO 6
52 SOUTH DAKOTA 2
  US Total (50 states, DC, Puerto Rico) 17

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 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. For more information, visit ache.org.

Contact:
Frank Austin
Senior Vice President
Department of Marketing
American College of Healthcare Executives
300 S. Riverside Plaza, Suite 1900
Chicago, IL 60606-6698
(312) 424-9327
faustin@ache.org