2023 Winning Hospitals


Socially responsible hospitals serve everyone in their community

VIDEO: Our September 19, 2023 launch event featuring Dr. Uché Blackstock, CEO of Advancing Health Equity; Dr. Selwyn O. Rogers, Founding Director of the University of Chicago Medicine Trauma Center; Elena Mendez-Escobar, PhD, MBA, Co-Director of the Health Equity Accelerator at Boston Medical Center ; and Dr. Vikas Saini, president of the Lown Institute.

The Lown Institute Hospitals Index for Social Responsibility is the first rankings program to examine the racial inclusivity of America’s hospitals and determine their success at serving the people of color in their communities. This is the fourth year racial inclusivity results have been released and the first time that data from Medicare Advantage has been included along with traditional Medicare claims. (press release | methodology)

To create the rankings, the Institute assessed how well the demographics of a hospital’s Medicare patients matched the demographics of the hospital’s surrounding communities. Hospitals serving more patients from communities of color than expected got better rankings. Some of the most and least racially inclusive U.S. hospitals are located in the same cities.

Key Takeaways

  • Of the 3,142 hospitals included in the study, top and bottom performers were rare. Only 3% received 5 stars (highest score) and 6% received 1 star (lowest score).
  • Some of the most and least racially inclusive hospitals are concentrated in the same metro areas, reflecting segregation in the healthcare market.
  • Eleven metropolitan areas were identified by Lown as having significant hospital market segregation, with more than 20% of their hospitals ranked most or least inclusive. New Orleans, St. Louis, and Detroit top the list.
  • Many of the cities with segregated hospital markets also have large gaps in life expectancy by race. For example, white residents of St. Louis county live nearly 9 years longer than Black residents.

Media inquiries should be directed to Aaron Toleos, vice president of communications for the Lown Institute, at atoleos@lowninstitute.org.