ROCHESTER – Big projects and big price tags downtown are on the docket as Destination Medical Center (DMC) plans for large-scale construction over the next year.
The DMC Board on Thursday approved $40.8 million to support at least three key projects in Rochester — Mayo Clinic’s ongoing expansion, upcoming work on the 6th Street SE. bridge and the upcoming bus rapid transit line along 2nd Street SW.
The 2026 budget is slightly higher than normal, as DMC typically budgets around $40 million each year for infrastructure projects and operations. Yet DMC is switching to a two-year budget forecast, similar to what the city of Rochester does for its budget planning, and 2027’s preliminary budget looks to be even larger with more than $44 million planned.
The Minnesota Legislature approved $585 million in funding for DMC through 2035. Most of its annual budget comes from state infrastructure funds, while its operating budget mainly comes from city revenue.
Here’s what DMC is working on in 2026:
Downtown infrastructure improvements: $19.2 million
Mayo is spending $5 billion on five new buildings in downtown Rochester, so it stands to reason the medical giant wants running water, working electricity and decent streets for each of them. DMC is allocating about $19.2 million annually for 2026 and 2027 to support Mayo’s ongoing construction over 15 city blocks.
That includes intersection work and pedestrian improvements along 6th Avenue, as well as sewer work nearby. For those worrying about ongoing construction and traffic snarls, Mayo Clinic officials in late August said the most disruptive work is already done, though time will tell if that remains true in 2026.
‘Strategic development’: $3 million
DMC routinely gets requests to help redevelop certain parts of downtown for major projects, similar to how it helped fund infrastructure for Bryk on Broadway and the Loom Apartments. As such, DMC officials typically set aside about $3 million annually to help offset infrastructure costs for private developers or groups looking to finance non-public projects. These requests must go through both the DMC Board and the Rochester City Council for approval, however.