HealthGrades 2023 list of America’s 250 Best Hospitals shows their choice for the top 50 hospitals and 100 best and top 250 hospitals in the US. List is based on clinical quality for Medicare patients over 3 years ending 2021. It shows which hospitals have held clinical excellence in consecutive years over “an extended period of time” (top 1%), and those in the top 2%. The 250 best hospitals (top 5%) were formerly known as receiving the Distinguished Hospital Award for Clinical Excellence. HealthGrades examined complication rates or survival rates for 32 diagnoses (such as heart failure, COPD, pneumonia, stroke, diabetes, pancreatitis, sepsis) or surgical procedures (such as hip or knee replacement, gall bladder removal, back surgery, bowel obstruction, prostatectomy, angioplasty, valve surgery, and heart bypass). Hospitals are listed by state; not all states had hospitals that ranked in the top 5%. Published Jan. 2023.