Dr. Nesse the Senior Medical Advisor to the Mayo Clinic Board of Governors for Payment Reform. On July 1st 2010 Dr. Nesse became the Chief Executive Officer of the Mayo Clinic Health System and served in this role until September 2015. From January 1st 2004- July 1st 2010, Dr. Nesse served as the President and Chief Executive Officer of the Mayo Clinic Health System—Franciscan in La Crosse, Wisconsin. In 2006 Dr. Nesse was elected to the Board of Directors of the American Medical Group Association and joined the AMGA Executive Committee in 2008. He served as the Chair of the AMGA Board of Directors in 2012 and completed his service in the AMGA Executive Committee on December 31, 2013. In 1996 Dr. Nesse joined the Mayo Clinic Rochester Board of Governors and served as Vice Chairman of the Board from 1999-2004. Dr. Nesse was a member of the Mayo Clinic Board of Governors and the Mayo Clinic Board of Trustees. He continues to serve as an ex-officio member of the Board of Governors. Dr. Nesse is a current member of the Management Executive Committee of Mayo Clinic and the Management Executive Operations Group for Mayo Clinic in the Midwest. He also is the Chair of the Board of Directors for Mayo Management Services. Dr. Nesse was the physician chair of the John Deere Clinic Development Committee and served on the steering committee that developed the Institute for Clinical Systems Integration in Minneapolis. On August 1, 1980, he joined the staff of Mayo Clinic, where he served as the residency program director for family medicine and was Vice Chair of the Mayo Clinic Department of Family Medicine. He received a B.A. degree from St. Olaf College in Northfield, Minnesota and received an M.D. degree from Wayne State University School of Human Medicine. Dr. Nesse completed residency training at Oakwood Hospital in Dearborn, Michigan and is board-certified in Family Medicine.