James L. Madara - CEO, University of Chicago Medical Center
Total Compensation: $8.8 million (2008-09)
Details: There are many nonprofit hospital CEOs in major cities who earn pay approaching $2 million or even $3 million a year. As a matter of fact, Illinois is home to 18 nonprofit hospital executives who earn seven-figure incomes, representing about 12 percent of all CEO compensation in the state. However, Madara's hefty paycheck seems indifferent to the fact his hospital posted a stupendous loss. In 2008, the facility bled nearly $93 million, mostly due to investment losses That made Madara one of the Midwest's highest-paid hospital executives while simultaneously reporting the region's largest loss. The hospital rebounded in 2009, but Madara has moved on. His golden parachute: more than $7 million.