Desk · Hospitals and health systems

Hospital leadership seats, before the search starts.

Every year, roughly one in six US hospitals changes its CEO, and each change moves the team around it. The hospitals and health systems desk shows your partners which seats are about to open, why, and who will make the hire.

Who we cover

Health systems, community hospitals and regional medical centers, critical access hospitals, children's hospitals, specialty hospitals (heart, orthopedic, cancer) and psychiatric hospitals.

The seats

CEO and president, hospital and market president, COO, CFO, chief nursing officer, chief medical officer and chief physician executive, chief quality officer, CIO and chief digital officer, CISO, CMIO and CNIO, CHRO, chief strategy officer and chief revenue cycle officer, plus the VP seats beneath them and board trustees.

What opens them

Who usually decides

The board chair for a health system or independent hospital CEO. System leadership, usually the system COO or a division president, for a hospital president inside a system. The CEO for the other C-suite seats. The owner's operating executive at a PE-backed or for-profit hospital.

Certificate of need filings, state by state: CON state directory

  • A leader leaves or retires. Especially when no successor or interim is named.
  • An interim steps in. An interim title confirms a permanent seat is coming.
  • A new leader arrives. New CEOs usually reshape the team beneath them within the first year.
  • Systems merge, affiliate or change hands. Including management agreements starting or ending.
  • A new hospital, campus or service line is approved or breaks ground. Its leadership is usually in place before it opens.
  • A new electronic health record goes in. Clinical informatics leadership usually comes first.
  • Financial pressure or a cyber incident. Finance, operations and security leadership come under scrutiny.

See who's about to hire on your desk.

FAQ

How often do hospital CEOs change?

Roughly one in six US hospitals changes its CEO every year. ACHE has tracked the rate between 13% and 20% a year since the 1980s.

What happens after a hospital CEO leaves?

Usually an interim within weeks, then a decision between an internal successor and an outside search. When the CEO comes from outside, the senior team beneath them is often reshaped within the first year, which opens further searches.

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