Black Health

Hospital Racial Equity Index

Hospital racial-equity scorecards, state by state

Every Medicare-certified US hospital, scored by CMS Hospital Compare, with a racial-equity overlay layered on top. We start from the public CMS data — overall star rating, mortality / safety / readmission / patient-experience measure groups, ownership, ER + birthing-friendly flags — then pair it with AHRQ disparity data, CDC PMSS state maternal-mortality figures, and state scorecards where they exist.

Where a hospital publishes its own equity report (Kaiser Permanente, Cleveland Clinic, Mass General Brigham, Johns Hopkins, Mayo Clinic), we link to the primary source. Where CMS, AHRQ, or a peer-reviewed study documents a disparity by race at a specific facility, we surface it. We don't fabricate equity claims about individual hospitals — that standard matters editorially and legally.

CMS Hospital Compare + AHRQ + CDC PMSS + state scorecards Every Medicare-certified hospital — 50 states + DC

All 50 states & DC

Alabama

Alabama Hospital Association

Black MMR: 64.3/100k

Alaska

Alaska State Hospital and Nursing Home Association

Arizona

Arizona Hospital and Healthcare Association

State scorecard Black MMR: 44.8/100k

Arkansas

Arkansas Hospital Association

Black MMR: 75.2/100k

California

California Hospital Association

State scorecard Black MMR: 41.4/100k

Colorado

Colorado Hospital Association

State scorecard Black MMR: 38.1/100k

Connecticut

Connecticut Hospital Association

State scorecard Black MMR: 42.6/100k

Delaware

Delaware Healthcare Association

Black MMR: 57.9/100k

Florida

Florida Hospital Association

State scorecard Black MMR: 56.4/100k

Georgia

Georgia Hospital Association

Black MMR: 66.6/100k

Hawaii

Healthcare Association of Hawaii

Idaho

Idaho Hospital Association

Illinois

Illinois Health and Hospital Association

State scorecard Black MMR: 72.1/100k

Indiana

Indiana Hospital Association

Black MMR: 70.5/100k

Iowa

Iowa Hospital Association

Kansas

Kansas Hospital Association

Black MMR: 56.2/100k

Kentucky

Kentucky Hospital Association

Black MMR: 58.3/100k

Louisiana

Louisiana Hospital Association

Black MMR: 69.4/100k

Maine

Maine Hospital Association

State scorecard

Maryland

Maryland Hospital Association

State scorecard Black MMR: 54.7/100k

Massachusetts

Massachusetts Health and Hospital Association

State scorecard Black MMR: 45.8/100k

Michigan

Michigan Health and Hospital Association

Black MMR: 69.3/100k

Minnesota

Minnesota Hospital Association

State scorecard Black MMR: 47.9/100k

Mississippi

Mississippi Hospital Association

Black MMR: 82.5/100k

Missouri

Missouri Hospital Association

State scorecard Black MMR: 82.4/100k

Montana

Montana Hospital Association

Nebraska

Nebraska Hospital Association

Nevada

Nevada Hospital Association

Black MMR: 51.8/100k

New Hampshire

New Hampshire Hospital Association

State scorecard

New Jersey

New Jersey Hospital Association

State scorecard Black MMR: 54.8/100k

New Mexico

New Mexico Hospital Association

New York

Healthcare Association of New York State (HANYS)

State scorecard Black MMR: 51.4/100k

North Carolina

North Carolina Healthcare Association

Black MMR: 55.1/100k

North Dakota

North Dakota Hospital Association

Ohio

Ohio Hospital Association

Black MMR: 73.6/100k

Oklahoma

Oklahoma Hospital Association

Black MMR: 63.4/100k

Oregon

Oregon Association of Hospitals and Health Systems

State scorecard

Pennsylvania

Hospital and Healthsystem Association of Pennsylvania

State scorecard Black MMR: 68.9/100k

Rhode Island

Hospital Association of Rhode Island

South Carolina

South Carolina Hospital Association

Black MMR: 57.2/100k

South Dakota

South Dakota Association of Healthcare Organizations

Tennessee

Tennessee Hospital Association

Black MMR: 60.5/100k

Texas

Texas Hospital Association

Black MMR: 61.3/100k

Utah

Utah Hospital Association

Vermont

Vermont Association of Hospitals and Health Systems

State scorecard

Virginia

Virginia Hospital and Healthcare Association

State scorecard Black MMR: 52.1/100k

Washington

Washington State Hospital Association

State scorecard Black MMR: 44.0/100k

West Virginia

West Virginia Hospital Association

Wisconsin

Wisconsin Hospital Association

State scorecard Black MMR: 67.0/100k

Wyoming

Wyoming Hospital Association

District of Columbia

District of Columbia Hospital Association

Black MMR: 70.8/100k

Methodology & data sources

The canonical source for every facility on this site is the CMS Hospital Compare Hospital General Information dataset, refreshed quarterly by the Centers for Medicare & Medicaid Services. We include acute-care, critical-access, and children's hospitals (approximately 4,500 facilities); we exclude psychiatric, long-term, Veterans Administration, Department of Defense, and Rural Emergency Hospitals because those categories sit outside the Hospital Compare overall star rating program.

Overall star rating (1–5) is CMS's composite across the five measure groups: mortality, safety of care, readmission, patient experience (HCAHPS), and timely & effective care. It is not stratified by patient race. Facilities that don't report enough measure groups to qualify for a star rating are flagged 'Not rated' rather than scored.

The racial-equity overlay pulls from four sources, in order of coverage: the AHRQ National Healthcare Disparities Atlas (state-level Black readmission rate, 35 states published, 16 suppressed for small-n); CDC Pregnancy Mortality Surveillance System (state-level Black maternal mortality ratio per 100k live births, 34 states published); state discharge scorecards from 20 states that publish beyond CMS (notably California HCAI, New York SPARCS, Massachusetts CHIA, Maryland HSCRC, Pennsylvania PHC4, Illinois Hospital Report Card, Washington WHQ, Minnesota MHQR); and The Leapfrog Group hospital safety grades where licensed for citation.

For any hospital where no race-stratified measure is published, we report the overall CMS data faithfully, cite the absence of race data as an absence, and don't interpolate. Refresh cadence: quarterly for CMS, annually for AHRQ + PMSS, monthly for Leapfrog.

Data refreshed: