Methodology

To create the lists, researchers analyzed data from 2,644 short-term, acute care, non-federal U.S. hospitals. Information was collected from Medicare cost reports, Medicare Provider Analysis and Review data, and CMS' Hospital Compare website.

To measure performance, hospitals were evaluated in five domains:

• Clinical outcomes, including risk-adjusted IP mortality, risk-adjusted complications, healthcare associated infections, 30-day mortality, and 30-day readmissions
• Operational efficiency, including severity adjusted length of stay, Medicare spending per beneficiary, and adjusted inpatient expense per discharge
• Patient experience, which reflects the overall patient rating from the Hospital Consumer Assessment of Healthcare Providers and Systems survey tool
• Financial health, which considers an organization's adjusted operating profit margin
• Community health survey performance, which is based on a survey developed by the Bloomberg American Health Initiative and the Center for Health Equity at the Johns Hopkins Bloomberg School of Public Health

Hospitals were scored between one and five stars in each domain. Some hospitals in the top 100 also received the Everest Award for setting national benchmarks for both the fastest improvement rate and highest current year performance on the list's scorecard.

The top US hospitals

Fortune and PINC AI separated the final list of top hospitals into five categories: major teaching, teaching, large community, medium community, and small community.

(^ denotes an Everest Award winner; * denotes an Advisory Board member)

The top 15 major teaching hospitals are:

1. Baylor Scott & White Medical Center - Temple* (Temple, TX)
2. Trinity Health Ann Arbor Hospital (Ypsilanti, MI) (tie)
2. Baylor University Medical Center^* (Dallas, TX) (tie)
4. St. Luke's University Hospital - Bethlehem* (Bethlehem, PA)
5. University of Utah Hospital^* (Salt Lake City, UT)
6. NYU Langone Health - Tisch Hospital^ (New York City, NY)
7. Vanderbilt University Medical Center* (Nashville, TN)
8. Pennsylvania Hospital^ (Philadelphia, PA)
9. UCHealth University of Colorado Hospital (Aurora, CO)
10. Penn Presbyterian Medical Center (Philadelphia, PA)
11. St. Joseph's Hospital and Medical Center (Phoenix, AZ)
12. HCA Florida Aventura Hospital^* (Aventura, FL)
13. Houston Methodist Hospital (Houston, TX)
14. Geisinger Medical Center^* (Danville, PA)
15. UTMB Health Galveston Campus (Galveston, TX)

The top 25 teaching hospitals are:

1. Sky Ridge Medical Center* (Lone Tree, CO)
2. AdventHealth Redmond* (Rome, GA)
3. Wesley Medical Center^* (Wichita, KS)
4. Swedish Medical Center^* (Englewood, CO)
5. St. Luke's Anderson Campus* (Easton, PA)
6. Grand Strand Medical Center* (Myrtle Beach, SC)
7. The Medical Center of Aurora* (Aurora, CO)
8. McKay-Dee Hospital* (Ogden, UT)
9. Rose Medical Center* (Denver, CO)
10. Intermountain Medical Center^* (Murray, UT)
11. HCA Florida Trinity Hospital^* (Trinity, FL)
12. Doctors Hospital of Augusta* (Augusta, GA))
13. Rush Oak Park Hospital* (Oak Park, IL)
14. HCA Florida North Florida Hospital* (Gainesville, FL)
15. St. Mark's Hospital^* (Salt Lake City, UT)
16. HCA Florida Brandon Hospital* (Brandon, FL)
17. UChicago Medicine AdventHealth Hinsdale* (Hinsdale, IL)
18. Henry Ford West Bloomfield Hospital* (West Bloomfield, MI)
19. Medical City Denton^* (Denton, TX)
20. Geisinger Wyoming Valley Medical Center* (Wilkes-Barre, PA)
21. Southern Hills Hospital & Medical Center^* (Las Vegas, NV)
22. OhioHealth Doctors Hospital* (Columbus, OH)
23. UCHealth Poudre Valley Hospital (Fort Collins, CO)
24. UnityPoint Health - St. Luke's Hospital (Cedar Rapids, IA)
25. Medical City Fort Worth^* (Fort Worth, TX)

The top 20 large community hospitals are:

1. St. David's Medical Center* (Austin, TX)
2. St. David's North Austin Medical Center^* (Austin, TX)
3. Parkridge Medical Center^* (Chattanooga, TN)
4. Sharp Memorial Hospital* (San Diego, CA)
5. Houston Methodist Sugar Land Hospital^ (Sugar Land, TX)
6. Cape Coral Hospital^* (Cape Coral, FL)
7. Saint Mary's Regional Medical Center (Reno, NV)
8. Medical City Plano^* (Plano, TX)
9. Chippenham Hospital^* (Richmond, VA)
10. Olathe Medical Center (Olathe, KS)
11. St. Jude Medical Center* (Fullerton, CA)
12. El Camino Health - Mountain View Hospital^* (Mountain View, CA)
13. Northwestern Medicine Central DuPage Hospital* (Winfield, IL)
14. Edward Hospital* (Naperville, IL)
15. Genesis Hospital^ (Zanesville, OH)
16. Silver Cross Hospital (New Lenox, IL)
17. FirstHealth Moore Regional Hospital* (Pinehurst, NC)
18. AdventHealth Shawnee Mission* (Shawnee Mission, KS)
19. AdventHealth Daytona Beach* (Daytona Beach, FL)
20. HCA Florida West Hospital* (Pensacola, FL)

The top 20 medium community hospitals are:

1. East Liverpool City Hospital (East Liverpool, OH)
2. West Valley Medical Center^* (Caldwell, ID)
3. TriStar Hendersonville Medical Center^* (Hendersonville, TN)
4. OhioHealth Dublin Methodist Hospital* (Dublin, OH)
5. Mountain View Hospital - Payson^* (Payson, UT)
6. CHI Health Lakeside (Omaha, NE)
7. Wooster Community Hospital (Wooster, OH)
8. McLaren Northern Michigan* (Petosky, MI)
9. Timpanogos Regional Hospital^* (Orem, UT)
10. Houston Methodist West Hospital (Houston, TX)
11. AdventHealth Wesley Chapel* (Wesley Chapel, FL)
12. Orlando Health South Lake Hospital (Clermont, FL)
13. TriStar StoneCrest Medical Center* (Smyrna, TN)
14. Mercy Medical Center - Cedar Rapids (Cedar Rapids, IA)
15. Fairview Park Hospital* (Dublin, GA) (tie)
15. Advocate Good Shepherd Hospital* (Barrington, IL) (tie)
17. Medical City McKinney^* (McKinney, TX)
18. Logan Regional Hospital* (Logan, UT)
19. Maple Grove Hospital (Maple Grove, MN)
20. Houston Methodist The Woodlands Hospital (The Woodlands, TX)

The top 20 small community hospitals are:

1. American Fork Hospital* (American Fork, UT)
2. Alta View Hospital* (Sandy, UT)
3. Sutter Davis Hospital* (Davis, CA)
4. Brigham City Community Hospital* (Brigham City, UT)
5. Lone Peak Hospital* (Draper, UT)
6. Riverton Hospital* (Riverton, UT)
7. Trinity Health Chelsea Hospital (Chelsea, MI)
8. Layton Hospital* (Layton, UT)
9. Munson Healthcare Cadillac Hospital (Cadillac, MI)
10. Parkview Noble Hospital* (Kendallville, IN)
11. Aurora Medical Center - Manitowoc County* (Two Rivers, WI)
12. Cedar City Hospital* (Cedar City, UT)
13. Ashley Regional Medical Center* (Vernal, UT)
14. Mercy Health - Tiffin Hospital* (Tiffin, OH)
15. OhioHealth O'Bleness Hospital* (Athens, OH)
16. Lakeview Hospital* (Bountiful, UT)
17. Park City Hospital* (Park City, UT)
18. Medical City Alliance^* (Fort Worth, TX)
19. Ascension Via Christi Hospital St. Teresa (Wichita, KS)
20. AdventHealth Murray* (Chatsworth, GA)

Commentary

According to Fortune, the hospitals on the top 100 list "bested their peers on all measures, which included patient outcomes and experience, operational efficiency, financial health, and community impact." Of the hospitals, 51 appeared on the 2022 list of the top 100 hospitals.

An analysis from PINC AI also found that if all hospitals in the United States performed at the same level as the top 100 hospitals, over 272,000 additional deaths could have been averted, and more than 432,000 patients could have avoided care complications. Hospitals could have also saved $15.7 billion in inpatient costs. (2023 Fortune/PINC AI 100 Top Hospitals, 9/21; Fortune/PINC AI 100 Top Hospitals methodology, accessed 9/25; 100 Top Teaching Hospitals list, 9/21; 100 Top Community Hospitals list, 9/21; Dyrda/Kayser, Becker's Hospital Review, 9/22)

Download our cheat sheets for summaries on the methodology and metric categories used in some of the biggest hospital quality rating programs.