Mayo Clinic Facts & Highlights

patient care

medical research

medical education

Mayo Clinic is the first and largest integrated, not-forprofit group practice in the world. Doctors from every medical specialty work together to care for patients, joined by common systems and a philosophy that the needs of the patient come first. Over 3,400 physicians and scientists and 48,200 allied staff work at Mayo, which has sites in Rochester, Minn., Jacksonville, Fla., and Scottsdale/Phoenix, Ariz. Mayo Clinic also serves 70 communities in the upper Midwest through Mayo Health System. Collectively, these locations treat more than half a million people each year. Mayo Clinic is governed by a 33-member Board of Trustees composed of public members and Mayo physicians and administrators. 2 0 07 p e r s o n n e l t ota l s

2 0 07 F i n a n c i a l I n f o r m at i o n

Revenue from Patient Care (in millions) Patient Care revenue $5,637 / Net from Patient Care



$293 / Total Assets $4,308 / Contributions, private grants and endowments from over 100,000



Staff physicians + scientists 3,456

donors $373 Education and Research Funding Sources (in millions) Government, foundations



and industry $364 / Mayo Clinic funds and benefactor gifts $346 / Total funding $710

Total 54,914

Residents, fellows + students 3,229 Allied health staff (clinic + hospitals) 48,229

our mi s s io n

Mayo Clinic will provide the best care to every patient every day through integrated clinical practice, education and research.

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Mayo Clinic, a model for medical practice throughout the

Mayo Clinic opened in Jacksonville, Fla., in 1986 and uses

world, took root and grew in the farm fields near Roches-

a team approach to provide medical diagnosis, treatment

ter, Minn. It combines a heritage of medical expertise with

and surgery.

careful attention to individual patient needs, resulting in a thorough and personal approach to health care.

As a tertiary care center in Jacksonville, Mayo Clinic offers patients access to medical, surgical and research staff who

Mayo Clinic, Rochester Methodist Hospital and Saint

concentrate on developing thorough knowledge of specific

Marys Hospital together form an integrated medical center

diseases and treatments. Mayo physicians represent more

dedicated to providing comprehensive diagnosis and treat-

than 43 medical and surgical specialties ranging from

ment in virtually every medical and surgical specialty.

transplant and neurology to urology and orthopedics.

Patient care at Mayo Clinic is supported by advanced

In April, 2008, Mayo Clinic opened its new hospital

programs in medical education and research. This interac-

on the San Pablo Road campus. The new 214-bed,

tion promotes higher standards of medical care, learning

650,000-square-foot hospital combines the best modern

and discovery within the institution and helps patients

technology with quality patient care and attention. It

live healthier, more productive lives.

offers an environment that merges the art of healing with the science of medicine.

Personnel Staff physicians + scientists............................................................ 1,925 Residents, fellows + students.......................................................... 2,701 Allied health staff (clinic + hospitals)............................................. 26,705 Total.............................................................................................. 31,331

Personnel Staff physicians + scientists...............................................................369 Residents, fellows + students............................................................ 334 Allied health staff (clinic + hospital)................................................4,547 Total................................................................................................ 5,250

• Approximately 80 percent of the patients who come to Mayo Clinic are treated as outpatients; 20 percent are hospitalized

• In 2007, physicians treated 84,938 patients and performed 12,894 surgical procedures

• In Rochester, Mayo Clinic occupies approximately 15 million square feet, about 2.9 times the size of the Mall of America

• Since it opened, more than 517,000 patients from 50 states and 134 countries have made 5.2 million visits to the clinic in Jacksonville

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m ayo h e a lt h s y s t e m

In Arizona, Mayo Clinic serves more than 100,000 patients

Mayo Health System is a network of clinics, hospitals

each year with an integrated, team-based approach. The

and other health care facilities serving 70 communities in

clinical practice is focused on adult specialty and surgical

Minnesota, Iowa and Wisconsin. It links the expertise of

care in more than 65 medical and surgical disciplines,

Mayo Clinic with health care providers in local communi-

supported by outstanding programs in medical education

ties to offer patients a full spectrum of health care options.

and research.

Patients receive quality health care at their local clinic or hospital and, when needed, can receive specialty care at

Since opening in Scottsdale in 1987, Mayo Clinic has

Mayo Clinic.

evolved into an integrated multi-campus system that includes the Mayo Clinic Building, the Samuel C. Johnson

By working together, sharing resources and knowledge,

Research Building and the Mayo Clinic Collaborative

and implementing new programs, services and technol-

Research Building on the Scottsdale campus. The Phoenix

ogy, Mayo Health System meets the highest standards for

campus includes the Mayo Clinic Specialty Building, a

medical care and health improvement.

new outpatient facility, and Mayo Clinic Hospital, where all physicians are members of the Mayo medical staff.

For people in Minnesota, Iowa and Wisconsin, Mayo Health System means quality health care close to home.

Rochester

Personnel Staff physicians + scientists............................................................... 412 Residents, fellows + students............................................................. 194 Allied health staff (clinic + hospital)................................................ 4,397 Total.................................................................................................5,003

Personnel Physicians.......................................................................................... 750 Allied health staff (clinic + hospital).............................................12,258 Total ............................................................................................13,008 • There are 17 owned hospitals and two hospital management contracts.

• In Arizona, Mayo Clinic serves more than 100,000 patients per year from all 50 states and many foreign countries • Mayo Clinic Hospital has 244 licensed beds

· There are nearly 1,000 staffed beds in Mayo Health System, with over 2.5 million patient visits each year

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2007

pat ie n t care

Mayo Clinic brings together teams of physicians, nurses and other allied health professionals to diagnose and treat medical problems. Thousands of patients come to all Mayo Clinic locations every day for accurate diagnosis and the highest-quality care. Most patients are treated on an outpatient basis. Most patients make their appointments themselves — in most cases, a doctor’s referral is not necessary.

• Mayo Clinic researchers in Jacksonville found that placing tiny, radioactive spheres directly into the liver halted the growth of tumors that had spread to the liver in 71 percent of patients in a clinical trial. The technique may be a treatment option for patients who develop tumors in their liver from cancer metastasis. • A Mayo Clinic patient became the first in Arizona to be implanted with a lightweight heart pump that will keep his heart beating at nearly full capacity and result in improved quality of life. The pump, called a left ventricular assist device (LVAD), was implanted along the patient’s heart to provide permanent long-term support for the patient, who was unable to get a transplant. • Mayo Clinic designed a new system to speed critical care to acute heart attack patients that saves both heart muscle and patient lives. The FAST TRACK protocol dramatically reduces the time that elapses before patients undergo a life-saving procedure — by as much as 45 percent, in some cases. • The Mayo Health System Practice-Based Research Network, a unique collaboration between community-based health care organizations and Mayo Clinic, was created. The initiative will help Mayo Clinic better understand the health care needs in surrounding communities, and help local practices provide research opportunities to community physicians and their patients. • In June 2007, the Mayo Clinic T. Denny Sanford Pediatric Outpatient Center opened its doors in the Mayo Building in Rochester. The new center brings together pediatric subspecialty staff and services into a single location dedicated to children. The center is funded by a $15 million gift from T. Denny Sanford, a South Dakota banker and businessman.

• Surgeons in Jacksonville began using a common heart artery procedure to help people with cerebral aneurysms. With the help of a stent, a tube-shaped mesh structure that fits snugly against the inside walls of a blood vessel, physicians are able to use the minimally invasive treatment option (coiling) rather than invasive surgery on more patients. • A Mayo Clinic study of a drug that had shown promise in treating sarcoma, lung and brain cancers showed that the drug may also be effective in treating and preventing the spread of breast cancer. Study authors feel that 2-methoxyestradiol, or 2ME2, has the potential to improve the prognosis of patients with advanced breast cancer. • In July 2007, Mayo Clinic installed a 3,800-cubicfoot, high-pressure hyperbaric system containing three specialized therapy rooms on its Rochester campus. The chamber allows up to 24 patients to be treated in an oxygen-rich environment at increased atmospheric pressures. The procedure is used primarily to heal chronic wounds that are not responding to conventional therapy. • A patient at Mayo Clinic in Arizona felt the beating of three different hearts in just 13 days, after being implanted with an artificial heart to replace her own damaged heart, and then with a donor heart. She was only the second patient in the Southwest and on the west coast to have been implanted with the TAH-t, a modern-day version of the artificial heart of the 1980s. • Researchers found that a review of Mayo Clinic patients showed cryoablation, a procedure that freezes and shrinks or destroys cancerous tumors in or near the bone, appears to be an effective treatment for cancerous kidney tumors.

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MEDICAL RESEARC H

Biomedical research at Mayo Clinic includes outstanding programs in laboratory science, which lead to new treatments and a better understanding of disease, and clinical research, which helps Mayo translate research breakthroughs quickly to the care of patients. Most Mayo medical staff participate in research activities in addition to their medical practice.

• Mayo Clinic Cancer Center opened a new clinical trial testing an engineered measles virus against multiple myeloma, an incurable cancer of the white blood cells that currently has no cure. Mayo Clinic researchers also found that a new drug treatment for multiple myeloma provides newly diagnosed patients with a more frequent, rapid and deep response compared with earlier treatment options. • Researchers from Mayo Clinic’s Jacksonville campus discovered that the loss of the gene known as progranulin can lead to the buildup of toxic proteins in the brain, resulting in a common dementia. The findings may offer new routes for researchers looking for beneficial treatment.

• Findings of a Mayo Clinic study show that a computerized mail and phone reminder program can significantly increase the percentage of patients receiving preventive health services and improve the value of health care. • Researchers in Jacksonville are leading the U.S. arm of a global study that tests the ability of two drugs to treat early-stage HER-2 positive breast cancer, which is an aggressive form of the disease. This clinical trial, which compares lapatinib (Tykerb) and trastuzumab (Herceptin) used either separately or together, aims to establish a new model of international collaboration in which researchers worldwide work to continually improve breast cancer treatments.

• In Arizona, Mayo Clinic began collaborating with Sun Health Research Institute and the Arizona Parkinson’s Disease Consortium to examine how patients with Parkinson’s disease may transition to an intermediate stage of cognitive problems before they develop dementia, which can be a complication associated with Parkinson’s. This intermediate stage could provide clues about how cognitive ability can deteriorate in patients with Parkinson’s disease.

• Mayo Clinic researchers designed a cardiovascular treatment approach that supports the feasibility of developing a peptide-based drug that can be given in pill form to lower high blood pressure. In related research, investigators also developed a therapeutic hybrid molecule that helps improve both heart and kidney function.

• Researchers at Mayo Clinic designed a new strategy in the field of cancer vaccine research that proved to be successful in boosting T cells — the immune builders akin to a super defense force against cancer cells.

• Mayo Clinic researchers identified the first biomarker that appears to play a role in prostate cancer development and in predicting cancer recurrence and progression after surgery. The discovery will allow physicians to individualize treatment and observation plans for patients with prostate cancer.

• Mayo Clinic researchers and collaborators from the National Institutes of Health and University of Oslo, Norway, discovered that a miscue of the body’s genetic repair system may cause Huntington’s disease, a fatal condition that destroys the nervous system. The study is significant because little is known about Huntington’s, including how it begins.

• Collaboration between Mayo Clinic and IBM resulted in the technology to dramatically speed the processing of 3-D medical images. The advance aligns two medical images that were obtained separately in three-dimensional space, producing an image up to 50 times faster than an application running on a traditional processor configuration. This also helps a radiologist to easily detect structural changes, such as the growth or shrinkage of tumors.

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MEDICAL EDUCATION

Mayo Clinic offers educational programs and training opportunities on its three campuses to those pursuing careers in medicine, research and the health sciences. The College of Medicine at Mayo Clinic includes five schools.

Mayo School of Graduate Medical Education, the oldest of Mayo’s five schools, has trained more than 17,000 alumni in virtually all medical specialties since 1915. Clinical residents and fellows.................................. 1,443 Mayo Graduate School, in operation since 1917, focuses on six biomedical subspecialties. The school graduates around 50 master’s and Ph.D. students per year. The school also serves the educational needs of visiting predoctoral students and Summer Undergraduate Research students. Predoctoral and other students...................................257 Mayo Medical School has trained and graduated more than 1,000 students since 1972. The school enrolls 42 students per year, and it also trains visiting medical clerkship students and Summer Minority Medical Students. Medical and other special student categories...............203 Mayo School of Health Sciences was established in 1973, and has increased its enrollment to over 1,350 students annually. They provide training in 30 allied health science programs, offering associate, bachelor’s, certificate, master’s and Ph.D. level training, as well as clinical internships. Mayo School of Continuing Medical Education formally began in 1996. It offers approximately 257 courses and 7,000 hours of continuing medical education each year.

• Mayo Clinic’s Multidisciplinary Simulation Center became one of 11 advanced, comprehensive simulation centers in the United States to be accredited by the American College of Surgeons. This accreditation positions Mayo to offer medical education that will improve patient safety by increasing health care team members’ abilities to keep pace with rapidly changing technologies. • A gift of $10 million from the Stephen and Barbara Slaggie Family Foundation provided for an endowment that will fund the yearly operating expenses for the Cancer Education Center. The center serves 150 patrons per day, offering up-to-date information on prevention, diagnosis, treatment, nutrition, clinical trials, care giving, alternative and complementary therapies and end-of-life care. • Mayo Clinic continued to develop an enterprise learning system. The system is a sophisticated computer infrastructure — validated by Mayo Clinic experts — that will efficiently store, retrieve and distribute clinical knowledge. It will allow Mayo to address an explosion of medical information by filling the gap between existing knowledge and current practice. • Mayo Clinic reported excellent 2007 Match Day results for its medical students and its residency and fellowship training programs. Ninety-two percent of Mayo Medical School students matched to their top residency training program choice. • Richard Berger, M.D., Ph.D., professor of orthopedics and consultant in the Department of Orthopedic Surgery and the Department of Anatomy, was named dean of Mayo School of Continuing Medical Education.

m ay o c l inic hi s t or y

Dr. William Worrall Mayo emigrated from his native England to the United States in 1846. He became a doctor in 1850. In 1863, he was appointed a Civil War examining surgeon for the Union enrollment board, First Minnesota District. In 1864, the Mayos moved to Rochester where the enrollment board was headquartered. Dr. Mayo’s two sons began their medical training early, first by observing, and later by assisting their father on patient visits and with autopsies. Dr. Will said, “We came along in medicine like farm boys do on a farm,” learning as they went.

After graduating from medical school — Dr. Will from the

More than 8 million people have been treated at Mayo

University of Michigan Medical School in 1883 and Dr.

Clinic since its frontier founding. Through growth and

Charlie from Chicago Medical College of Northwestern

change, Mayo Clinic remains committed to its guiding

University in 1888 — both sons returned to Rochester and

principle, as articulated by Dr. Will, “The best interest of

joined their father’s practice.

the patient is the only interest to be considered.”

In 1883, a tornado swept through Rochester leaving in its wake many deaths and injuries. Temporary hospital quarters were hurriedly improvised in offices and hotels. Nuns from the Sisters of Saint Francis, a teaching order, were recruited as nurses. The experience inspired Mother Alfred Moes to request that the Drs. Mayo join with them to build the first general hospital in southeastern Minnesota. The 27-bed Saint Marys Hospital opened in 1889 as a result of this partnership. Pressed by the demands of their busy surgical practice and the exploding growth of medical knowledge, the Mayo brothers invited others to join their practice. Augustus Stinchfield, M.D., (1892); Christopher Graham, M.D., (1895); Melvin Millet, M.D., (1898); and Henry Plummer,

Dr. William Worrall Mayo, 1907

M.D., (1901) added diagnostic skills. Louis Wilson, M.D., (1905) came to develop the laboratories, Maud Mellish (1907) to develop editorial services for the staff, and local banker Harry Harwick (1908) to improve business procedures. The group was the beginning of a new way to practice medicine and was also a natural expression of the Mayo brothers’ personalities. As the practice grew along with its reputation, the group refined its new system of health care. One of the fruits of this new form of cooperative medicine, with its division of labor, was the organization of some of the nation’s first medical specialties: orthopedics in 1912, neurology in 1913, thoracic surgery in 1915, dermatology in 1916, pediatrics in 1917, neurologic surgery and proctology in 1919.

Drs. Will and Charlie Mayo

1864 Dr. William Worrall Mayo moves to Rochester to examine new recruits for the Union Army.

1883 + 1888 Dr. Mayo’s two sons, William J. and Charles H., join him in practice after finishing medical school.

1883 A tornado strikes Rochester. Mother Alfred Moes, of the Sisters of Saint Francis, proposes to build and staff a hospital if Dr. William Worrell Mayo and his sons will provide medical care. Saint Marys Hospital opens in 1889 with 27 beds.

1934 Edward Kendall, Ph.D., isolates cortisone, a hormone from the suprarenal cortex that will later be used to treat rheumatoid arthritis with dramatic results.

1944 First therapeutic application of streptomycin to treat tuberculosis. The patient is a 21-year-old woman in the last stages of pulmonary tuberculosis, and she is cured. Until then, the scientific community was convinced that nothing would ever kill tubercle bacilli in humans.

1950 Edward Kendall, Ph.D., and Philip Hench, M.D., are awarded the Nobel Prize for the isolation and first clinical use of cortisone.

1892 The first partner is added to the Mayo family practice. More physicians are invited to join, thus beginning the concept of an integrated group practice. The team approach naturally leads to a division of labor, specialists in different fields working together.

1955 Mayo is among the first to perform successful open heart surgery to repair congenital heart abnormalities after refining the Gibbon heart-lung bypass machine (known as the Mayo-Gibbon heart-lung bypass machine).

1905 Louis Wilson, M.D., develops a rapid way to diagnose surgical specimens (quick-frozen tissue stained with methylene blue), which allows Mayo surgeons to explore, diagnose and repair all in one operation.

1969 The first Food and Drug Administration-approved total hip replacement in the United States is performed, heralding the advent of joint replacement.

1907 Patient registration number one is given out. Five thousand patients register at “the Mayo’s clinic,” as it has come to be known.

1973 Mayo introduces the first CT scanner in North America.

1986 Mayo Clinic in Jacksonville, Fla. opens. 1915 Doctors come from all over the world to observe and learn, leading to the organization of one of the world’s first formal graduate training programs for physicians, the Mayo Graduate School of Medicine.

1914 Mayo isolates thyroxin, the principal active component of the thyroid gland — only the second time a pure hormone has been isolated.

1987 Mayo Clinic in Scottsdale, Ariz., opens, and St. Luke’s Hospital, Jacksonville, Fla., becomes part of Mayo Clinic.

1992 Mayo begins to form Mayo Health System, a regional network of clinics and hospitals. Decorah (Iowa) Medical Associates is the first practice acquired by Mayo.

1920 Mayo develops a system for grading cancer on a numerical basis that is adopted worldwide and still used today. 1998 Mayo Clinic Hospital opens in Phoenix, Ariz.

2000 Mayo Clinic Transplant Center opens in Rochester, providing a single setting where patients receive all of their transplant services — from evaluation to follow-up.

2002 Mayo Clinic is the first multicenter clinic to receive “comprehensive cancer center” designation for its entire cancer program.

2005 Mayo Clinic has one of the largest Electronic Medical Record systems in the world, providing efficient, coordinated, safe and highquality care.

1919 The Mayos turn over the assets of Mayo Clinic to the nonprofit Mayo Properties Association, the forerunner of Mayo Foundation.

To learn more history of Mayo Clinic, visit www.mayoclinic.org/tradition-heritage

People have always come to Mayo Clinic for answers, for diagnoses, for treatments, for cures. Thanks to benefactor support, people can continue to rely on the excellence of Mayo Clinic.

Philanthropic support touches virtually every aspect of life at Mayo Clinic, and its benefits reach far beyond our walls. Every day, Mayo is at work — researching and teaching, sharing innovations, caring for patients and consulting with medical professionals around the world. A gift to Mayo is an investment in people.

“At Mayo, there is true concern for you as an individual. The doctors, the nurses — everyone — goes out of the way to be helpful.” Pete + Fr an G eor geson

Today, more than ever, philanthropy is essential to making progress in patient care through research and education at Mayo Clinic. Benefactor support enriches our programs and helps keep Mayo on the cutting edge of medical science. Our benefactors are partners in our mission. Their generosity helps nurture our commit-

“People from all over the world come to Mayo when they’ve failed to be treated

ment to provide the best care to every patient every day

elsewhere. When I go to Mayo, I know

through practice, education and research.

I’m going to receive the best care possible.

Together we are making a difference in the lives

There’s a human touch that you just don’t

and the hopes of so many in need.

get anywhere else.”

www.mayoclinic.org/development

Helen Houle

“We support Mayo now to help others. We give to multiple myeloma research in the hopes of one day finding a cure.” Tom + Linda Garret t

And here is another important Highlight: This is the first Mayo Clinic Facts & Highlights to use paper made with fiber sourced from wellmanaged forests, and is independently certified to meet Forest Stewardship Council (FSC) standards. This has been handled in an environmentally friendly manner in each manufacturing step, from raw forest material to the final printed piece.

To learn more about the Mayo Clinic Model of Care, take a virtual tour of our campuses, request an appointment, read our latest news releases, subscribe to our various podcasts and web feeds, or read our patient stories, please visit www.mayoclinic.org. Cert no. SW-COC-1782

It’s a good way to get more acquainted with Mayo Clinic.

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