The definition of insanity is repeating the same behavior and expecting different results. As COO of Baptist Health Care, Al Stubblefield realized that change was necessary in his work environment. Later as CEO, he decided to establish a common vision that would alter the culture of the organization. The culture is what really matters, he maintains. If there is no winning culture, the business can't succeed and compete over time. He set benchmarks and best practices for other organizations to measure themselves against by creating a service-centered culture that cared first and foremost about customer satisfaction. Stubblefield provides a case study of this improvement process, he explains how he made his company one of Fortune's Top 10 Best Companies to Work For in America.