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For the second time, Thomson Reuters, a business information services company, put West Anaheim on the list based on federal data including death rates, safety, profitability and patient satisfaction. For the category of medium-sized community hospitals, West Anaheim was among 20 winners out of a field of 1,042 hospitals for 2011. "It speaks high volume that we do provide the highest quality of care," said Lex Reddy, chief executive officer for owner Prime Healthcare Services. "Prime has always had one or two hospitals on the list. It's the politics and the unions that have the issue."