The Mass General Brigham CEO received a hefty 40% raise, the latest available tax records show, with the hospital system now saying it must roll out mass layoffs to quell a looming budget deficit.

Mass General Brigham (MGB) CEO and President Anne Klibanski saw her pay rocket from about $4.3 million in 2020 to $6 million in 2022, tax forms released through the watchdog site GuideStar show. The largest health care system in the Commonwealth, MGB includes Mass General Hospital and Brigham and Women’s Hospital along with 10 other specialty and community hospitals in the state.

Tax forms for 2023 and 2024 were yet to be posted on GuideStar as of last night.

MGB announced Monday they are planning mass layoffs to address a projected budget gap of $250 million expected over the next two years. The restructuring will result in hundreds of pink slips, though MGB did not give a number or estimate of how many. The hospital system says layoffs will focus on non-clinical and non-patient-facing roles.

“This reorganization will improve efficiency, simplify decision-making and empower staff with more direct access to leadership,” Klibanski wrote in the letter to employees Monday. “Importantly, it will allow us to continue with planned and future investments in support of our patients and our mission, and to improve the lives of our clinicians and researchers.”

MGB employs over 82,000 people and is one of the largest employers in Massachusetts, according to state data.

Within the reorganization, a MGB spokesperson said “roles impacted included leadership positions” in response to outreach Wednesday. The spokesperson declined to say which leadership roles will be impacted or how they will be impacted.

The representative also declined to provide updated tax documents, providing a link to the financial report for fiscal year 2024 publicly released by MGB in December.

The fiscal year 2024 financial report shows an overall gain of $2 billion, nearly all from nonoperating activity like investments and interest rate swaps. Despite the overall gain, MGB reported a loss from operations of $72 million or a -0.4% operating margin in 2024, excluding $118 million in revenue from prior year activity.

The most recent 2022 tax documents show 16 high-level MGB employees earning over a million dollars in yearly compensation. Of the eight who remained in the same positions from 2020 through 2022, all eight received pay bumps.

Among the highest paid in 2022 were the former Chief Investment Officer John Barker at $3.9 million, who stepped down in 2023, Chief Operating Officer Ron Walls at $2.9 million, and President of Community Division Gregg Meyer at $2.7 million.

Between 2020 and 2022, Walls received a 46% bump in compensation, according to tax documents. Meyer, who stepped into the position in 2021, saw about a 20% drop in compensation in 2022.

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Klibanski was appointed to her position as MGB president and CEO in 2019.

At the second largest Massachusetts hospital system, Beth Israel Lahey, president and CEO Kevin Tabb saw a reported 25% pay decrease between 2020 and 2022, according to tax documents reported through GuideStar. Though his compensation dropped to $2.8 million in 2022, it briefly spiked to $5.3 million in 2021.