There was a significant association between the status-adjusted medical urgency of candidates listed by each center (as measured by the risk of death on the waiting list) and the benefit of transplant measured by 5-year survival benefit (panel A). For every 10% decrease in expected candidate waiting list survival, there was an increase of 6.2% (95% CI, 5.2% to 7.3%) in estimated survival benefit associated with heart transplant. In contrast, there was no significant association between survival after transplant and center survival benefit (survival difference, 1.5% [95% CI, −3.8% to 0.83%]) (panel B).