. ♪ >> john noseworthy is here. he is the president and ceo of the mayo clinic in rochester.o clinic was named the best mayo clinic was named the best hospital in the nation this year. it is celebrating its 180th anniversary. it is undergoing major changes, including a 20 year, $6 billion plan to make rochester a destination medical center. i'm pleased to have you at his table. >> it's a privilege to be here. >> i think everyone has an appreciation that mayo clinic is a first rate institution. that reputation precedes you. what is it in your judgment? >> we were the first and now the largest integrated multidisciplinary group practice of medicine. we are rooted in research and education. essentially, the guiding purpose of the clinic is the needs of the patient come first, and we do our work with teamwork. that is essentially what we have done for 150 years. we have a staff completely dedicated to patients. and we move forward to predict the future needs of where health care needs to go. we have some unusual features, as i am sure you know. our physicians are salary. the inst