ACHE said the key driver for the higher rates was baby-boomer CEOs approaching retirement and recommended that hospitals engage in succession planning.
The national turnover rate stood at 14 percent in 2008, which is the latest year that ACHE broke out turnover rates by state.
States with the highest turnover rates in 2008 were Hawaii (40 percent), Nevada and Wyoming (35 percent), New Mexico and the District of Columbia (29 percent), Arizona (28 percent), Mississippi (26 percent), Delaware (20 percent) and Georgia and Tennessee (19 percent).
States with the lowest turnover rates in 2008 were New Hampshire, Puerto Rico and Massachusetts (4 percent), Utah (5 percent), Oregon (6 percent), Minnesota and Maryland (8 Percent), Illinois, Idaho and New York (9 percent).
Large states in the middle were Missouri and Florida (11 percent), Pennsylvania and North Carolina and Virginia (14 percent), California and Ohio (15 percent), and Texas, New Jersey and Michigan (17 percent).
Read the ACHE release on CEO turnover (pdf).
See yearly turnover rates and 2008 rates of CEO turnover by state (pdf).