Chicago, Illinois — Pay raises for long-term care executives kept coming in 2025, but the pace eased again, according to newly released compensation data covering companies that operate nursing homes and other senior care businesses.
The latest multi-facility compensation report from Hospital & Healthcare Compensation Service found corporate executive salaries rose 3.36% in 2025. That was down from 3.52% in 2024 and 3.69% in 2023, a sign that compensation growth is still moving higher, just not as fast as it did a few years ago.
For finance leaders, the gap between smaller and larger organizations remained wide. Median base pay came in at $181,125 for companies with less than $50 million in revenue. It climbed to $311,000 for organizations with $50 million to $199.9 million in revenue, then jumped to $465,838 for operators above the $200 million mark.
When bonuses were included, total compensation increased to $200,842 for the smallest revenue group, $358,618 for the middle tier and $575,587 for the largest organizations in the survey.
The report also found that bonuses are most often tied to operating margin and quality measures, followed by mission-related goals and employee turnover. That matters for operators trying to balance retention, financial performance and care outcomes at the same time. It also fits with the broader slowdown in executive pay growth already showing up across senior care.
Who was included in the survey
The analysis covered compensation data from 110 multi-facility companies, including 47 long-term care organizations representing 441 nursing homes. It also included single-site providers with more than $20 million in revenue.
The report grouped employers by size: Category A included organizations below $50 million in revenue, Category B covered those from $50 million to nearly $200 million, and Category C represented companies above $200 million.
For nursing home operators, the findings offer another snapshot of where competition for senior leadership stands in 2026. Labor pressure is still real. Financial discipline is still front and center. But for now, the days of sharper annual jumps in executive compensation appear to be cooling.
