Browsing by Author "Jenkins, Derek"
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Item Nonprofit Hospitals: Profits And Cash Reserves Grow, Charity Care Does Not(Project HOPE-The People-to-People Health Foundation, Inc., 2023) Jenkins, Derek; Ho, VivianUsing the National Academy of State Health Policy Hospital Cost Tool, we compared changes in hospital profits with changes in hospitals’ charity care and cash reserves between 2012 and 2019. We estimated substantial growth in nonprofit hospital operating profits and cash reserves in this period but no corresponding increase in charity care.Item The determinants of nonprofit hospital CEO compensation(Public Library of Science, 2024) Jenkins, Derek; Short, Marah N.; Ho, Vivian; Baker Institute for Public PolicyHospital CEO salaries have grown quickly over the past two decades. We investigate correlates of rising nonprofit hospital CEO pay between 2012 and 2019 by merging compensation data from Candid’s IRS 990 forms with hospital data from the National Academy for State Health Policy Hospital Cost Tool. Almost half of the measured increase in CEO compensation (44.5%) accrued to a “base case” CEO, who was leading a non-teaching hospital system or independent hospital with fewer than 100 beds that earned 0 profits and provided no charity care. Another 28.5% of the measured salary increase resulted from changes in the generosity with which observable metrics were rewarded, particularly the reward for heading a system with 500 or more beds. The remaining 27% resulted mostly from hospital systems or single hospitals that increased their profits or bed size over time. The increase in CEO compensation associated with leading larger healthcare systems and earning greater profits may explain the increase in healthcare system consolidation which has occurred over the last several years.Item towards silos and smokestacks for Orchestra(2013-09-16) Jenkins, Derek; Lavenda, Richard; Al-Zand, Karim; Brandt, Anthony K.towards silos and smokestacks takes its name from the Silos and Smokestacks Heritage Area. In 1996, the northeast third of Iowa became a federally designated heritage area to pass on the story of American agriculture to younger generations. I spent much of my childhood growing up in Iowa. On my many trips through the state, two contrary aspects in the surrounding landscape caught my fascination. First, there are the vast cornfields that expand outwards for miles fading off beyond the horizon. Second, this countryside is home to countless grain silos and billowing smokestacks of small Midwestern cities. These monoliths can be seen miles away like small islands within Iowa’s rolling agricultural oceans. As I drew closer to these structures, they would slowly grow into colossal pillars giving a vertical, albeit fleeting, dimension to the scenery before disappearing once again into the distance. This piece is an attempt to juxtapose this sense of vastness and the monoliths that interrupt the sprawling “amber waves of grain” through the use of spatial aspects and ever expanding register.