The title identifies hospitals that have achieved excellence in using evidence-based developments proven to improve care. This distinction places Carolinas Medical Center-Mercy among the top 33% of all Joint Commission-accredited hospitals that reported accountability measure performance data for 2012 (Carolinas HealthCare Systems, 2012a, 2015a). Carolinas Medical Center-Mercy is committed to providing extraordinary care based on the highest clinical standards. CMC-Mercy has been recognized for its achievements across multiple sets of measures: heart attack, heart failure, pneumonia and surgical care. Authorized as a Top Performer, the hospital has achieved the highest levels of performance in providing evidence-based care for authorized measure sets. Evidence-based practices include administering aspirin upon arrival of heart attack patients and administering antibiotics one hour before surgery (Carolinas HealthCare Systems, 2012a; Carolinas HealthCare System, 2014, 2015). A common feature across all mechanisms of the Carolinas' health care system is a shared mission that includes a strong public service obligation and an all-encompassing outreach to all divisions of the population. Carolinas HealthCare System, with its