Scores on this criterion are based on information that has come to
HRC Foundation’s attention related to topics including but not limited
- Revoking LGBTQ-inclusive policies or practices;
- Facilitating the continued practice of healthcare providers that
provide or promote LGBTQ related treatment or services to that have been
discredited by mainstream medical and mental health organizations,
including, but not limited to, “conversion therapy”;
- Engaging in proven practices that are contrary to the facility's written LGBTQ patient or employment policies;
- Advocating for public policies or regulations that would be detrimental to LGBTQ equality and/or health;
- Directing charitable contributions or other public support to
organizations whose primary mission includes advocacy against LGBTQ
equality or care.
Prior to applying the point deduction, the HRC Foundation will make
every attempt to work with the organization to resolve the concerns. If
it is necessary to apply the point deduction, it may be reflected in a
current or future score, depending on the situation. If applied to a
current score, HEI Leader in LGBTQ Healthcare Equality status will be
suspended or revoked as necessary. If at any time after losing points on
this criterion, a healthcare facility changes course and satisfies the
HRC Foundation’s noted concerns, HRC Foundation will re-evaluate the
criterion for that facility.
HRC realizes that no institution is perfect and that situations may
arise where an individual or small group act in a way that is not in
alignment with the organization’s policies and commitment to LGBTQ
equality and patient care. This criterion is not intended to penalize an
organization in those situations where an isolated negative action
takes place, provided that the organization addresses the situation and
takes action to ensure that their commitment to LGBTQ patient care
In the cases where HRC would consider applying the responsible
citizenship deduction based on the actions of one individual employed by
the hospital, health system or affiliated university, we would only do
so after looking at the totality of the situation and considering the
- The breadth and depth of the action(s) by the employee and the potential damage that could be done to the LGBTQ community.
- The environment, context and history of the organization as it relates to the actions of the employee.
- The response of the organization and whether or not they have responded in a way to mitigate the harm caused by the actions.
This criterion is rarely used and only one hospital, Johns Hopkins Hospital, has received this point deduction.
Learn Why They Received the Deduction