May 27, 2025

Is your executive compensation committee on the right path for 2025?

Help them navigate the year ahead with timely insights from our experts!


As executive compensation committees navigate an increasingly complex governance and regulatory environment, a focused agenda is critical to ensuring organizational performance, mission alignment, and compliance.

Leaders from SullivanCotter and McDermott Will & Emery identified the following top 10 priorities for executive compensation committees in 2025:

1. Establishing appropriate incentive goals in an evolving health system

Committees must adapt incentive measures and goals to reflect financial, operational, and strategic shifts, while accounting for continuing uncertainty and the health system’s charitable mission.

2. Prioritizing executive succession planning and leadership development

With highly competitive talent markets and a focus on building talent from within, health systems should regularly assess talent needs and pipelines and align compensation with talent strategies.

3. Keeping apprised of regulatory and market trends

Ongoing monitoring of federal enforcement and policy shifts, market volatility, and developments in executive compensation and talent needs is essential for effective decision-making.

4. Ensuring flexibility and defensibility in committee approval processes

When approving time-sensitive matters between meetings or adapting programs mid-year to address market volatility, decisions should be well-documented, legally sound, and supported by market practices.

5. Aligning key governance documents to fulfill committee fiduciary duties

Clear charters, compensation philosophies, and annual calendars that are adapted to today’s priorities help ensure effective oversight, decision-making and recordkeeping.

6. Evaluating committee reporting and coordination with other board committees

Regular updates to the board and planned coordination with other board committee (e.g., Quality, Audit) strengthens goal setting and governance.

7. Considering appropriate compensation models for for-profit and not-for-profit ventures and subsidiaries

As health systems expand into new ventures, innovate and look for commercialization opportunities, committees should assess the use of tailored compensation models to recruit and reward leaders of those businesses.

8. Considering board compensation trends in not-for-profit health systems

As board responsibilities and demands on members are increasing, more health systems are using compensation to attract and retain qualified members.

9. Evolving the composition of the executive compensation committee

Committees should regularly assess required member skills and overall membership to meet the growing demands of their oversight role.

10. Addressing executive compensation scrutiny

Regulatory compliance and transparent processes, through documentation, governance best practices, and proactive preparation are key to addressing any potential regulatory and public scrutiny.


Looking for more? Check out our related insights!

  • PODCAST | Governing Health: 2025 Executive Compensation Committee: Tune in for the latest insights from our experts! Tim Cotter, Kathy Hastings, and Bruce Greenblatt recently joined McDermott Will & Emery to help untangle many of the complex technical, operational and strategic issues that health care boards are currently confronting. This includes top priorities for executive compensation committees in 2025. If you’re a health care executive, board member or strategic legal advisor – you won’t want to miss this!
  • Q&A | Setting the 2025 Agenda for the Executive Compensation Committee: What's shaping the executive compensation landscape in 2025? Make sure your board stays ahead of the curve! In this  Q&A published by the American Health Law Association, thought leaders from SullivanCotter and McDermott Will & Emery break down the evolving priorities facing executive compensation committees — from incentive goal-setting and succession planning to committee composition and addressing scrutiny. Read the full discussion to equip your board with the latest insights and actionable strategies!
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