dill va serves on the board and -- dr. silva serves on the board. peer group salaries at similar hospitals. >> we're going look at a peer gripe of other public hospitals, some others as well at the same size. look what the their ceos get paid and we want to be breaux average. >> reporter: below average with generous bownouses totaling -- bonuses totaling 20 to 30%. are they linked to profit and growth or patient care? >> both, we have to have a target in materials of financial performance. >> reporter: the american hospital association reports one out of three hospitals is losing money, one reason why hospital finance experts insist high salaries are worth it. >> in some cases, those those hospitals are forced to merge or there not able to be successful in a marketplace because of bad decisions from the top. >> that is huge responsibility and you get paid according to what you do. >> reporter: rereviewed contracts at ohio's other public hospitals. toledo and ohio state they list salaries from $800,000 to more than $1 million. even sew, checks with d