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Mercy Health via YouTube

I owe Norman Roth an apology. Last week I wrote that that the $2.9 million that Greenwich Hospital paid him for running the small southern Connecticut unit of the Yale New Haven Health System — which amounted to $56.40 for every night someone spent in his hospital — was the highest pay per patient day of any hospital CEO I had ever seen.

Well, it was until a disgruntled employee of the Mercy Health System, based in Janesville, Wisconsin, wrote to tell me about Mercy CEO Javon Bea. His $8,044,000 earnings for the fiscal year ending June 30, 2015 (which covers the latest Mercy report on file with the IRS) to run the mid-sized Mercy system amounted to a whopping $72.02 per patient day.

Bea declined to be interviewed, but Mercy's spokesperson Barb Bortner said the per patient day metric is not a good measure because "patient days really mean nothing these days. We do so much more than that."

Which is true. This metric has its limits, but as I explained in the earlier article, it does seem to be a good relative measure for comparing the scope and responsibilities of health system CEOs.

Another often-suggested measure — looking at CEO pay as a percent of the system's revenue — would also make Bea a standout. Chief executives at health systems with multiples of Mercy's revenue, such as the Cleveland Clinic, Trinity Health, New York Presbyterian, or the Mayo Clinic are paid significantly less than Bea. However, I hesitated to use revenue as a measure because people running non-profit organizations are supposed to be in the business of providing public service, not maximizing revenue.

Bea makes more than 35 times as much as Janesville's most prominent non-profit leader, House Speaker Paul Ryan.

Bea's earnings have occasionally been the subject of scrutiny in local newspapers. In 2011 he assured the Janesville Gazette that his then-$3 million payday "has no effect on healthcare costs," and noted that "I've taken Mercy's gross revenues from $33 million to over $1 billion."

So for now, Mr. Roth of Greenwich drops to number two and Javon Bea is our champion — unless another reader chimes in.

Go deeper

Updated 1 hour ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Health: Coronavirus deaths reach 4,000 per day as hospitals remain in crisis mode — CDC warns highly transmissible coronavirus variant could become dominant in U.S. in March.
  2. Politics: Biden says, "We will manage the hell out of" vaccine distribution — Biden taps ex-FDA chief to lead Operation Warp Speed amid rollout of COVID plan — Widow of GOP congressman-elect who died of COVID-19 will run to fill his seat.
  3. Vaccine: Battling Black mistrust of the vaccines"Pharmacy deserts" could become vaccine deserts — Instacart to give $25 to shoppers who get vaccine.
  4. Economy: Unemployment filings explode againFed chair: No interest rate hike coming any time soon —  Inflation rose more than expected in December.
  5. World: WHO team arrives in China to investigate pandemic origins.

NRA declares bankruptcy, says it will reincorporate in Texas

Wayne LaPierre of the National Rifle Association (NRA) speaks during CPAC in 2016. Photo: Saul Loeb/AFP via Getty Images

The National Rifle Association said Friday it has filed for Chapter 11 bankruptcy and will seek to reincorporate in Texas, calling New York, where it is currently registered, a "toxic political environment."

The big picture: The move comes just months after New York Attorney General Letitia James filed a lawsuit to dissolve the NRA, alleging the group committed fraud by diverting roughly $64 million in charitable donations over three years to support reckless spending by its executives.

4 hours ago - Politics & Policy

Biden: "We will manage the hell out of" vaccine distribution

Joe Biden. Photo: Chip Somodevilla / Getty Images

President-elect Joe Biden promised to invoke the Defense Production Act to increase vaccine manufacturing, as he outlined a five-point plan to administer 100 million COVID-19 vaccinations in the first months of his presidency.

Why it matters: With the Center for Disease Control and Prevention warning of a more contagious variant of the coronavirus, Biden is trying to establish how he’ll approach the pandemic differently than President Trump.