The top hospital administrators in Western New York took home more than $53 million in compensation during 2010, with four executives earning $1 million-plus paydays. Hospital presidents and chief executives at the region's two largest health systems were among the top earners, with James Kaskie, president and CEO of Kaleida Health, earning $2.36 million; and Joseph McDonald, president and CEO at Catholic Health, earning nearly $1.1 million.