I would like to know the organization which paid their CEO only twice the amount of "their employees". My guess is it is something like a boutique clinic which has an abundance of doctors and a handful of "staff".

I suspect that the CEOs in some chronic care/LTAC/Rehab settings get a multiple that is only several times what the average clinician gets. I think you are also right re: boutique clinics, etc.

FQHCs, IHSC, etc.

Hospital CEO compensation is set by the Board of Directors. The Board is packed with the CEO’s cronies, county club pals, corporate donors, etc. There is zero, and I mean, zero accountability between what these often inept leaders are paid and what they should be paid.

The CEO is more often than not hired from out of the area, so how is the Board packed with his/her cronies? I would also challenge the "zero accountability" comment. More often CEO's are akin to baseball managers, in that if financials aren't holding-up (winning) Boards send them packing. Turnover is high in a high stress position. Are some overpaid? Sure. That's true in any industry, but it's what the market bears and if you want a decent one, you have to pay.

Health Care System CEO median pay is just over $2mil, compared to health insurance company CEO's at $22mil. Where are the cash cows in health care..? Insurance company reimbursement to providers remains relatively stagnant when compared to premium increases. That won't change. Health care providers don't have the lobby in Washington that insurance giants do. Sad but true.

Get real. The average length of service for a nonprofit hospital CEO is 15 years. Gives them plenty of time to pack the board. Go on Guidestar and pull up the 990s for the 5-10 largest nonprofit hospitals in your area. Take a look at all of the executive leaders total compensation and then review the board composition. In our hospital (a large nonprofit) the CEO has been in her role for 30 years as have 50% of the BOD.

Real. I've been in health care for 33 years, and seen more CEO's come and go than any other position. And that's across the 5 different organizations I've worked for (2 for profit and 3 non-profit). You're fortunate (if she's any good) to have that kind of stability.