People all over the world regard it as one of the best places to treat any illness, and it has routinely come in at the top of hospital rankings.

We've already written about the Clinic's plan to spread that knowledge worldwide, but we also spoke to CEO Dr. John Noseworthy about how the clinic built its reputation, attracts the world's best doctors, and manages to stay at the top.

 Our conversation has been edited for length and clarity:

What's it like leading such a large and well-known institution in the aftermath of the Affordable Care Act?