There are 39 board chairs of hospitals and health systems in the Philadelphia region. Only one of them gets paid as a part of management. That is Dominic Sabatini, who was managing director of Penn's Landing Corp. from 1980 to 2003. Sabatini received $168,300 in 2010 to help chief executive George J. Walmsley 3d run the North Philadelphia Health System. The system, with perpetual financial struggles because of its heavy load of Medicaid patients, was among the institutions in the tight orbit of former state senator Vincent J. Fumo, who is in federal prison for a 2009 fraud conviction. The NPHS board still includes people who have been Fumo allies, including Sabatini.