Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Minnesota · Wisconsin · Florida · Arizona · Ranked 54 of 1033 by CEO pay.

Mayo Clinic

Gianrico Farrugia MD, Director/CEO/President. Fiscal year ending 2024-12.

$4.9M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.61%
of expenses spent on charity care
Schedule H Part I line 7a
5.6%
CEO pay as a share of all charity care

Also listed with a chief executive title in the same filings: Thielen MD Kent R, Director/Chair/CEO Fl, $3,206,799; Gray MD Richard J, Dir/Chair/CEO Az/Former Key, $3,202,023. Where a chief executive retired during the year, the filing reports the final-year payout.

§1The filing

Total revenue
$14,891,458,272
Total expenses
$14,325,143,800
Net assets
$8,675,937,713
Employees
65,470
Hospitals covered
19 facilities across 1 filing
Charity care, net
$87,322,768
Bad debt
$167,237,036
Medicare surplus (shortfall), as filed
($435,958,506)
CEO pay from the organization (Part VII col. D)
$4,822,235
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$65,861
CEO total compensation (D+E+F)
$4,888,096 to Gianrico Farrugia MD

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Mayo Clinic, EIN 38-3952644, fiscal year ending 2024-12, as published by the IRS. CEO identification: ceo title multiple.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$878.1M Of which charity care to patients who could not pay (line 7a)$87.3M (10%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($167.2M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Mayo Clinic: CEO pay $4.9M, charity care 0.61% of expenses