The city is not only known for the Mayo Clinic; it in fact grew out of the renowned medical center’s beginnings. Dr William Worrall Mayo came to the region in 1863 from England via Minnesota, going on to become the county doctor. Ultimately, after responding to a devastating tornado and at the urging of local nuns, he and his sons opened a permanent medical facility. About three million people visit Rochester every year, many of them for treatment at the Mayo Clinic. In addition to this economic powerhouse, advanced manufacturing and life sciences are other key sectors. (The home base of IBM, the city also has a highly skilled software workforce), It ranked equally high (#34) in both our People and Prosperity categories. Approximately 46% of residents have a bachelor’s degree or higher (ranking #25 for Educational Attainment), while 14% of the cities population is foreign born(#58). A leading city in our Fortune 500 category (home to Thermo Fisher Scientific, among others), Rochester ranked #16 for Household Income ($70,749). The largest private-public investment in the state’s history, Destination Medical Center will see more than $5-billion in projected private investments over a 20-year period.