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It recognizes the small number of hospitals that are unusually competent across a range of specialties, not just one or two. High ranking in a minimum of six specialties is required. In the 12 specialties that used objective data, a hospital had to be ranked in the top 20 to receive Honor Roll credit; in the reputation-only specialties, a hospital had to be ranked in the top 10. In addition to Honor Roll credit, points were awarded. A hospital earned two points if it ranked among the top 10 in a data specialty and one point if ranked from 11 through 20. In the reputational specialties, a hospital got two points if in the top 5 and one point if ranked from six through 10. The order of the Honor Roll was based first on total points, with ties broken by the number of specialties. No hospital ranked first in every specialty.