Chief Minister Alf Cannan has revealed the top 20 earners at Manx Care were paid £7.6 million before taxes, benefits and other deductions last year.
He was quizzed on the figures by Rushen MHK Juan Watterson in a question for written reply.
Mr Cannan said in total, the top 20 earners have made just under £7.7 million last year - and in the last six months they'd earned £3,389,200.
The data shows last year two staff earned more than half a million pounds - the top-paid made almost £548,000, while the second-highest earned more than £523,000.
Mr Cannan added the 20 were medical staff.
Driver cut from car after Mountain Road crash
Bus services could be cancelled later
Mountain Road shut after crash, say police
Watch out for horse riders today!
Airport stats show huge rise in cargo
Amber weather warning issued for today
St John Ambulance invites public to open day this weekend
Election meeting in Onchan tonight