CareChex by Quantros lists the 2020 top hospital in each state for Medical Excellence. No methodology is shown at the website. (Some of your questions may be answered by a chatbox person.) 2020 awards are based on data from CMS (from Oct. 2015 to Sept. 2018; HCAHPS patient satisfaction scores may or may not be included in the scoring). In addition, five health system were selected for excellence. Winners were announced Oct. 31, 2019. CareChex is a division of Quantros, a for-profit software solutions company. The company appears to be a competitor to HealthGrades or Watson Health (Truven).