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2012 Salaries To Remain Unchanged Over 2011 In Healthcare Industry.

Integrated Healthcare Strategies, a national consulting firm dedicated exclusively to healthcare and focused on improving the operations of healthcare organizations, today announced key findings from its Spring 2012 Salary Increase, Incentive, and Benefit Updates Survey. The firm, with offices in Kansas City, Minneapolis, and Dallas, conducts the survey as a series and has published five previous surveys on this topic.

“At the start of the unstable conditions in the US economy, Integrated Healthcare Strategies began monitoring trends in healthcare salary increases, incentive practices, and benefit changes,” said Kevin Talbot, Executive Vice President and leader of the Executive Compensation and Governance service line of Integrated Healthcare Strategies. “This sixth survey in the series examines the last quarter of 2011 and into the first quarter of 2012.”

The results of the survey indicate that nearly 90% of hospitals and health systems are either leaving 2012 salary increase budgets unchanged from 2011 or increasing budgets from 2011. Although salary increases for executives, middle management, and staff-level employees continue to be at levels below historical trends, the survey found that budgeted salary increases are slightly higher than the levels reported in earlier surveys conducted by the firm. The median budgeted salary increases for 2012 is 2.5% for executives, 2.8% for middle management, and 2.6% for staff. Organizations reported that they were able to follow through and provide the increases they had budgeted in 2011. This survey showed that actual increases were on par with budgeted increases in 2011. “We expect these numbers to continue to increase at a conservative pace through 2012,” said Talbot….Read the full text here.


How To Fix Executive Compensation. ~WSJ.

By ALEX EDMANS for the Wall Street Journal.

The secret to reforming compensation isn’t so much looking at how much bosses get paid—but how they get paid.

It’s easy to understand why critics focus on the gaudy awards of cash and stock that executives take home. And, yes, it’s hard to deny that some bosses get paid a lot more than they deserve. But the structure of compensation is ultimately a lot more important than its level, because it gets to the heart of how managers run companies and create value for shareholders.

Pay packages should give managers strong incentives to run companies correctly, to make them think in the long term and avoid taking excessive and potentially destructive risks. In many cases, they are well-designed and provide CEOs with the correct motivation. But in others, pay packages not only fail to achieve that goal but push executives in the other direction.

There are creative ways—yet simple and easy to implement—to tie executives’ fortunes to the long-term health of their companies. Tying bosses’ pay to the levels of debt at the business, for instance, will dissuade them from taking risks that might alienate creditors. Preventing executives from selling company stock until several years after it’s granted will give them a powerful incentive to think long term. And updating the compensation package to reflect changing conditions in the market and the company will ensure that managers’ interests are always aligned with those of the company and its shareholders.

Here’s a closer look at those proposals.

Pay Them in Debt

An effective way to deter executives from taking excessive risk is to compensate them with debt-based pay as well as equity. However, many compensation packages feature only cash and equity.

[LECOVER]Richard Borge

Consider what happens when a boss who gets paid only in stock is facing a big choice that affects debtholders.

Let’s say the company has $1 billion in debt but assets of just $900 million. If the CEO liquidates the business, debtholders get 90 cents on the dollar, but equity holders (like the CEO) are wiped out. Obviously, that’s not an attractive prospect for the boss.

Now imagine that the CEO has before him a proposal that has an equal chance of gaining $200 million and losing $400 million. Clearly, the project is undesirable from a company-value perspective. However, since the manager holds only equity, he has little to lose by taking it. Stockholders are going to get wiped out anyway, so they’re not going to lose more if the move fails. But if it succeeds, the company is worth $1.1 billion—and equity holders have $100 million to share, after the debtholders get paid off.

Looking at things from the debtholders’ point of view, though, the move is clearly undesirable. If the boss doesn’t take on the plan, they recover 90% of their money. If the boss goes through with it and succeeds, they get an additional 10% back. But if the strategy fails, they collect just 50% total.

Boards of directors, who design pay packages, are elected by shareholders. So, why should they care about debtholders at all? Because if potential lenders expect the CEO to take such gambles, they will demand a high interest rate and restrictive covenants, ultimately costing shareholders. A high interest rate cuts into profits, and restrictive covenants may prevent managers from undertaking desirable investment.


Qi Liu of Wharton and I have shown that the optimal pay package involves giving managers debt-based compensation as well as equity. Contrary to intuition, the CEO’s optimal equity/debt ratio typically differs from the company’s. If the business is financed with, say, 60% equity and 40% debt, it may be best to give the CEO 80% equity and 20% debt-based pay. The optimal debt ratio for the CEO is usually lower than the company’s, because equity is typically more effective at inducing effort. However, the optimal debt ratio is still nonzero—the CEO should be given some debt compensation.

As for what kind of debt to give as compensation, it can take any number of forms. First, defined-benefit pensions and deferred compensation are already frequently used in practice. These instruments have equal priority with other unsecured creditors in bankruptcy, giving the CEO a strong incentive to look after their interests. And they seem to work: The research of Raghu Sundaram and David Yermack of New York University finds that CEOs with large defined-benefit pensions manage their companies more conservatively. Similarly, a paper by Divya Anantharaman and Vivian Fang of Rutgers University and Guojin Gong of Pennsylvania State University finds that debt compensation leads to fewer loan covenants and a lower cost of debt.

Second, compensation can be explicitly tied to debt values. American International Group Inc. used that kind of system in 2010, before its recapitalization, for certain elements of compensation for highly paid employees. In that plan, 80% of the pay was tied to the price of some of the company’s bonds, and 20% was tied to the price of its stock. Third, the CEO can be granted actual debt securities such as corporate bonds, just as CEOs typically hold stock and options.

Make Them Wait to Cash In

Another critical change companies should implement is to lengthen the time that executives must wait before they can cash in their shares and options. All too often, stock and options have short vesting periods, sometimes as little as two to three years. This encourages managers to pump up the short-term stock price at the expense of long-run value, since they can sell their holdings before a decline occurs. A CEO can, for instance, write subprime loans to boost short-term revenue and leave before the loans become delinquent, or scrap investment in R&D. This is possible since, in many cases, stock and options immediately vest when the CEO leaves the company.

In a paper with Xavier Gabaix and Tomasz Sadzik of New York University and Yuliy Sannikov of Princeton, we show that optimal compensation packages involve long vesting periods. In particular, the pay packages don’t vest more quickly when a CEO leaves a company—the executive must still wait several years before cashing in.

Just how long should a CEO wait? It depends on the kind of company. The waiting period should be longer in businesses where the CEO can take actions with very long-term consequences. It might be seven years or more at a drug company with a lengthy product pipeline. But the wait might be shorter at, say, a commodity chemical company, where CEO decisions usually don’t have an impact more than a few years ahead.

Of course, there is a trade-off. If companies make CEOs wait too long to collect, the former bosses might be exposed to risks outside their control, such as regulatory changes that eat into profits. Companies need to find a balance that works best for their situation.

Change to Fit the Times

Even a compensation plan that’s well-designed at the outset can fail to keep pace with the market and the company’s fortunes. Take the case of a corporation that pays its boss in stock options. If the company hits a rough patch and its shares plummet, an executive’s stock options become close to worthless and lose much of their incentive effect. This problem may still exist even if the executive has all stock and no options.

Let’s say the CEO is paid $4 million in deferred cash and $6 million in restricted stock. At the outset, boosting the value of the company by, say, 1% is worth $60,000 to him—a good inducement to put in more effort or drop a costly pet project. But if the share price halves, his restricted stock is now $3 million. So, this incentive is slashed to $30,000.

To maintain the power of the incentives, the CEO must be required to hold morestock after a stock-price decline. How much more? In the paper with Profs. Gabaix, Sadzik and Sannikov, we show that the CEO’s stock should remain a roughly constant percentage of compensation.

In the example above, this target was 60%. At the start of the CEO’s contract, that meant $6 million out of $10 million total compensation. We call this the CEO’s “incentive account.” Now that the stock has halved, the incentive account is worth only $7 million—$4 million in cash and $3 million in stock. To keep the equity level at 60%, the CEO must have $4.2 million of stock. This is achieved by rebalancing the CEO’s incentive account: exchanging $1.2 million of cash for stock, so that the executive now has $2.8 million of deferred cash.

Since the additional stock is accompanied by a reduction in cash, it isn’t given free. This addresses a major concern with the repricing of stock options after company value falls: Repricing rewards the CEO for failure by giving him a lower stock-price target to reach. Note that, even if the board is reluctant to amend the terms of previously awarded compensation by exchanging existing stock for cash, the desired rebalancing can still be easily implemented; next year, the board simply pays the CEO more equity and less cash.

If companies employ the three above principles—debt-based compensation to reduce risk, long vesting periods to dissuade short-termism and rebalancing to ensure incentives at all times—executives will be aligned with the long-term health of their companies. And that will not only help keep individual companies safe, it will reduce the risk of another financial crisis.

Dr. Edmans is a finance professor at the University of Pennsylvania’s Wharton School, a faculty research fellow of the National Bureau of Economic Research and a research associate of the European Corporate Governance Institute. He can be reached

More Private Firms Offering Long/Short Term Incentive Plans.

A new study on pay practices at private companies by WorldatWork and Vivient Consulting reports that a majority of private companies in the U.S. now offer long-term incentives (61%) in addition to short-term incentives (95%).  The Private Company Incentive Pay Practices Survey (2012) found that having a long-term incentive plan is now a prevalent practice across all private for-profit corporations (except partnerships). In spite of the challenges in terms of valuation and liquidity, long-term incentive (LTI) use has increased from 35% in 2007 to 61% in 2011.

“Private companies face unique incentive compensation challenges,” said Kerry Chou, a WorldatWork Certified Compensation Professional and practice leader. “The jump from 35% to 61% in four years was significant and reflects the need for private companies to compete for senior/executive-level talent with both private as well as publicly traded companies.”

Respondents report increased use of short-term incentive (STI) programs since 2007 as well, growing from 79% to 95%.

“On the short-term incentive side, we saw an increase in the use of individual incentives and team/unit/small group incentives,” said Bonnie Schindler, partner and co-founder at Vivient Consulting. “Spending on incentives as a percentage of operating income stayed constant overall from 2007 to 2011. This indicates that private companies are focusing their incentive dollars on specific key players with specific objectives in mind. Private companies are being smart and strategic about their compensation dollars.”

Types of short-term incentives widely used today:

Bonuses = 88%

  • Individual incentive plans = 39%
  • Profit-sharing plans = 19%
  • Team/unit/small group incentives = 26%

Types of long-term incentives widely used today:

  •  Performance awards or long-term cash plans = 52%
  • Phantom stock and stock appreciations rights (SARs) = 33%
  • Stock = 26%
  • Restricted stock = 19%

About the Study

Survey data was gathered in September 2011 from 232 private companies with revenues ranging from $100 million to more than $5 billion. The corporate status of responding organizations was primarily

C Corp. (30%), LLC (28%), subsidiaries (23%), S Corp. (12%) and partnerships (7%). The survey also included 90 nonprofit and government organizations. The survey was previously conducted in 2007.

To download the study, click here:

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