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American Focus > Blog > Health and Wellness > Top Hospitals By State 2026: Methodology Summary
Health and Wellness

Top Hospitals By State 2026: Methodology Summary

Last updated: June 24, 2026 8:30 pm
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Top Hospitals By State 2026: Methodology Summary
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Finding top-notch healthcare, especially when you’re unwell, in need of urgent assistance, or unable to travel far, can be challenging. Relying on a few past experiences or online reviews often doesn’t provide the comprehensive insight necessary to choose the best hospital. In contrast, unbiased and verifiable healthcare metrics, which are meticulously compiled and calculated, can offer significant insights into the quality of care a hospital provides. With this in mind, we are introducing our data-driven inaugural list of Forbes Top Hospitals By State, set to be released in mid-July 2026.

This new state list is derived from our national Forbes Top Hospitals 2026 list and ratings system. This national list evaluated general acute-care hospitals across the United States using our unique methodology, and the state list is a subset of these national ratings.

Both the national and state hospital ratings by Forbes are based on a methodology that utilizes validated and vetted healthcare quality measures extracted from the Centers for Medicare and Medicaid Services (CMS) Provider Data Catalog (PDC). We concentrated on specific top-tier measures from this dataset that evaluate patient outcomes, best practices in hospitals, value, and patient experience. We emphasized the significance of clinical patient outcomes, such as mortality, infection, and readmission rates, by assigning greater weight to these outcome-related measures in our methodology.

A critical aspect of our methodology involved statistically adjusting the outcome measures for social drivers of health (SDOH), like socioeconomics and access to medical services. This adjustment was necessary because SDOH have been shown to impact risk of disease and patient outcomes. By considering these SDOH factors alongside clinical health risk factors, our ratings aim to offer a more thorough adjustment and equitable comparison of each hospital’s quality, despite variations in hospital locations and communities.

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To create the Forbes Top Hospitals By State 2026, we calculated the top 30% of hospitals in each state on average. To qualify for evaluation on this state list, hospitals needed to have earned 3, 4, or 5 stars on our national list. For details on our selection process, see these steps:

  • We identified hospitals in each state that received 3, 4, or 5 stars in the national ratings.
  • We used the Forbes Overall Hospital Quality Ratings (FOHQR) percentile as the basis for designating a hospital as a Forbes Top Hospital By State.
  • We then singled out the top 30% of hospitals per state. When hospitals had the same percentile, all hospitals with that percentile were included in the Forbes Top Hospitals By State designation.
  • Regardless of whether a hospital fell within the top 30% in its state, any hospital with an overall rating of 1 or 2 stars on our national list was excluded from our state list, while all hospitals with an overall rating of 5 stars were included.

The main objectives of this new state list: to assist patients in each state in making informed healthcare decisions, and to provide a benchmark for hospital leaders to compare their facility’s performance with others across their state.

Look forward to the release of the Forbes Top Hospitals By State 2026 list in mid-July 2026.


For a summary of our 2026 national hospital ratings methodology, click here. To see the full methodology along with our list of advisors—which includes healthcare measurement experts, clinicians, scientists, health policy researchers, and patient advocates—access the pdf here.

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For frequently asked questions about Forbes national hospital ratings, click here.

For the full national list of Forbes Top Hospitals 2026, click here.

Forbes Top Hospitals ratings are not medical advice. They can assist people in learning about different providers, but the ultimate choice for care should be made by the patient or their loved ones in consultation with their medical provider. In any emergency, call 911.


As with all Forbes lists, there is no fee to be considered or selected. For questions about this list, please email: TopHospitals [at] forbes.com.

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