MINNEAPOLIS (WCCO) — Mayo Clinic in Rochester once again tops the list of the nation’s best hospitals.

U.S. News & World Report issued their 2019 rankings Tuesday, and the Rochester institution was ranked above all else.

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The rankings were determined by hospital service in 16 areas of “complex specialty care,” along with nine bellwether procedures.

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Mayo’s closest competition came from Massachusetts General Hospital in Boston, which ranked second, and third-place Johns Hopkins Memorial in Baltimore. Cleveland Clinic dropped from second to fourth.

“(Mayo Clinic) is nationally ranked in 15 adult and 6 pediatric specialties and rated high performing in 1 adult specialty and 9 procedures and conditions,” U.S. News & World Report said.

In Minnesota, the next-best ranked hospital was Allina Health’s Abbott Northwestern, followed by St. Cloud Hospital. Mercy Hospital dropped from third to fourth.

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For more on the rankings, click here.