Nashville, Tenn.-based HCA Healthcare CEO Sam Hazen has been paid between 254 and 420 times more than the system’s median employee since 2021, according to proxy statements filed with the Securities and Exchange Commission.
To identify the median compensated employee, the for-profit system uses a consistently applied compensation measure that includes total gross payroll wages received, according to proxy statements. Pay is annualized for permanent employees who were not employed for a full year.
Here is how the CEO-to-median-worker pay ratio has changed over the past five years:
2021
- Total CEO compensation: $20,635,260
- Median employee compensation: $56,044
- Ratio: 368 to 1
2022
- Total CEO compensation: $14,637,726
- Median employee compensation: $57,727
- Ratio: 254 to 1
2023
- Total CEO compensation: $21,315,984
- Median employee compensation: $59,816
- Ratio: 356 to 1
2024
- Total CEO compensation: $23,799,137
- Median employee compensation: $60,820
- Ratio: 391 to 1
2025
- Total CEO compensation: $26,456,606
- Median employee compensation: $62,955
- Ratio: 420 to 1
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