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=== Current practice === Mayo Clinic rules mandate that its CEOs must be physicians and come from within Mayo Clinic.<ref name="MayoCEOs">{{cite news |title=Gianrico Farrugia selected to lead Mayo Clinic |url=https://www.medcitybeat.com/news-blog/2018/mayo-clinic-names-gianrico-farrugia-ceo |work=The Med City Beat |date=August 10, 2018 |access-date=April 26, 2019}}</ref> John H. Noseworthy, M.D., served as president and CEO from 2009 to 2019.<ref name="Newmarker"/> Under his leadership, Mayo Clinic was reorganized into a single operating company with a unified strategy and business plan, which helped the system expand.<ref name=Karnowski-081018/> This included the launch of the Destination Medical Center, a 20-year economic growth plan in Rochester.<ref name=Karnowski-081018/> During this time, annual revenue reached nearly $12 billion, and Mayo Clinic added 7,200 employees.<ref name="StarTribune-Snowbeck-200218">{{cite news |title=Mayo Clinic's CEO to retire at year's end |last1=Snowbeck |first1=Christopher |url=http://www.startribune.com/mayo-clinic-s-ceo-to-retire-at-year-s-end/474592633/ |newspaper=Star Tribune |date=February 20, 2018 |access-date=23 October 2018}}</ref> In 2018, Mayo Clinic announced that Gianrico Farrugia, M.D., a Mayo Clinic physician for more than 30 years, would replace Noseworthy as CEO.<ref name=ABC-NewCEO>{{cite news |title=Mayo Clinic names head of Florida campus as new CEO |last1=Karnowski |first1=Steve |url=https://abcnews.go.com/Health/wireStory/mayo-clinic-names-head-florida-campus-ceo-57135221 |work=[[The Associated Press]] |date=August 10, 2018 |access-date=23 October 2018}}</ref> Farrugia had served as CEO of Mayo Clinic in Florida since 2015.<ref name=Karnowski-081018 /> The replacement adhered to Mayo Clinic's tradition of leadership changes, where a new president or CEO is named every seven to ten years.<ref name="ModernHealthcare-Noseworthy">{{cite news |title=Mayo Clinic CEO Noseworthy to retire |last1=Kacik |first1=Alex |url=http://www.modernhealthcare.com/article/20180220/NEWS/180229996 |work=Modern Healthcare |date=February 20, 2018 |access-date=November 20, 2018}}</ref> By 2018, Mayo Clinic doctors saw approximately 1.3 million patients annually.<ref name=ABC-NewCEO />
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