Healthcare executive pay rose by 4.6% this year, consistent with last year's growth, with system-level executives seeing higher increases (5.2%) compared to subsidiary hospital executives (3.5%). Despite challenges like rising labor costs and cybersecurity threats, total cash compensation for system-level executives increased by 8.3%, driven by improved performance and incentive awards. Recommendations include enhancing compensation offers to attract talent and updating executive pay structures to reflect role criticality and market demands.