The data to support these criticisms has been cataloged and quantified by the Lown Institute, a nonpartisan think tank interested in “bold ideas for a just and caring system for health.” It’s abundantly clear that “nonprofit” is now a misnomer when referring to hospitals. The fair share deficit — the disparity between what a hospital provides its community and what it receives from the American taxpayer — reached an all-time high of $25.7 billion in 2024. Yet fully 80% of “no-profit” hospitals claimed to be “in the red.
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The Lown Institute has released its highly anticipated index of America's Most Socially Responsible Hospitals. This year's honor roll comes at a critical time, as hospitals work to maintain equitable care amid potential Medicaid cuts, rising costs and ongoing workforce challenges. Duke Regional Hospital topped this year's acute care ranking, marking its fifth year on the list.
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Lown, a nonpartisan healthcare think tank, annually evaluates hospitals nationwide on more than 50 metrics pertaining to equity, value and health outcomes. Out of more than 2,700 acute care hospitals nationwide, Lown recognized 125 “Honor Roll” hospitals for achieving the highest scores in its latest 2025-2026 rankings.
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“We're in the business of meeting people where they are,” Jason Carter [president and chief operating officer of Duke Regional] said. “So for us, access is the best indicator for downstream care. How can we care for our community, not in episodes of care, but creating systems of care? And that will only happen when we create trust with our community and do things, and engage in ways that people know it is safe to come seek their care with us.”
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