Rank;Global Rank;Institution;Country;Sector 1;1;Harvard University *;USA;Universities 2;2;Harvard Medical School;USA;Universities 3;3;Brigham and Women's Hospital;USA;Health 4;4;Mayo Clinic *;USA;Health 5;5;Veterans Affairs Medical Centers *;USA;Health 6;6;Duke University *;USA;Universities 7;7;National Institutes of Health;USA;Health 8;9;Mount Sinai Health System *;USA;Health 9;10;Stanford University *;USA;Universities 10;12;Massachusetts General Hospital;USA;Health 11;13;Duke Medicine;USA;Health 12;14;Columbia University *;USA;Universities 13;15;Johns Hopkins University *;USA;Universities 14;17;University of Pennsylvania *;USA;Universities 15;18;Icahn School of Medicine at Mount Sinai;USA;Universities 16;19;Cleveland Clinic *;USA;Health 17;20;U.S. Department of Health & Human Services *;USA;Health 18;21;Columbia University Irving Medical Center;USA;Health 19;22;Emory University *;USA;Universities 20;23;University of Michigan, Ann Arbor *;USA;Universities 21;24;Cornell University *;USA;Universities 22;25;University of California, Los Angeles *;USA;Universities 23;26;Northwestern University, Evanston *;USA;Universities 24;30;University of Washington *;USA;Universities 25;31;Yale University *;USA;Universities 26;32;Stanford Medicine;USA;Health 27;33;University of Pennsylvania Health System;USA;Health 28;34;Johns Hopkins Medicine;USA;Health 29;37;Weill Cornell Medicine;USA;Universities 30;40;Cedars-Sinai Medical Center ;USA;Health 31;42;University of Toronto;CAN;Universities 32;45;Yale University Health & Medicine;USA;Health 33;48;Vanderbilt University *;USA;Universities 34;49;Woodruff Health Sciences Center;USA;Health 35;51;Baylor College of Medicine;USA;Universities 36;52;CareGroup Healthcare System *;USA;Health 37;54;National Heart Lung and Blood Institute;USA;Health 38;56;Beth Israel Deaconess Medical Center;USA;Health 39;57;University of California, San Francisco *;USA;Universities 40;60;Northwestern Medicine;USA;Health 41;63;University of California, San Diego *;USA;Universities 42;64;Washington University in Saint Louis *;USA;Universities 43;66;University Health Network *;CAN;Health 44;67;University of Alabama, Birmingham *;USA;Universities 45;68;University of Colorado, Denver *;USA;Universities 46;70;New York Presbyterian Hospital;USA;Health 46;70;University of Texas Southwestern Medical Center ;USA;Universities 48;71;University of Chicago *;USA;Universities 49;72;Regeneron Pharmaceuticals Inc;USA;Companies 50;73;Vanderbilt University Medical Center;USA;Health 51;75;New York University *;USA;Universities 52;76;Boston University *;USA;Universities 53;78;Massachusetts Institute of Technology *;USA;Universities 54;80;University of Minnesota, Twin Cities *;USA;Universities 55;81;University of Pittsburgh *;USA;Universities 56;85;University of Colorado, Anschutz Medical Campus;USA;Universities 57;86;UCLA Health System;USA;Health 58;87;The University of British Columbia;CAN;Universities 59;95;Cardiovascular Research Foundation;USA;Health 60;97;University of Virginia *;USA;Universities 61;101;Ohio State University, Columbus *;USA;Universities 62;102;Boston University Medical Campus ;USA;Health 63;104;The Rockefeller University *;USA;Universities 64;106;St Michaels Hospital Toronto;CAN;Health 65;107;Washington University Medical Center ;USA;Health 66;110;Sanofi, United States;USA;Companies 67;111;Montreal Heart Institute;CAN;Health 68;116;Children's Hospital Boston *;USA;Health 69;118;University of Florida *;USA;Universities 70;120;University of California, Berkeley *;USA;Universities 71;122;NYU Langone Medical Center;USA;Health 72;123;Medical University of South Carolina *;USA;Universities 73;124;Houston Methodist;USA;Health 74;127;Temple University *;USA;Universities 75;129;Montefiore Medical Center *;USA;Health 76;130;University of Wisconsin, Madison *;USA;Universities 77;131;University of Arizona *;USA;Universities 78;132;Virginia Commonwealth University *;USA;Universities 78;132;University of Calgary;CAN;Universities 80;136;Case Western Reserve University;USA;Universities 81;137;Siemens AG, USA;USA;Companies 82;144;UC San Diego Health System;USA;Health 83;151;Broad Institute of MIT and Harvard;USA;Health 84;152;University of Utah *;USA;Universities 85;153;Temple Health;USA;Health 86;154;University of North Carolina, Chapel Hill *;USA;Universities 87;157;University of Pittsburgh Medical Center ;USA;Health 88;160;Georgia Institute of Technology *;USA;Universities 89;161;University of Ottawa Heart Institute;CAN;Health 90;166;Toronto General Hospital;CAN;Health 91;179;Amgen, USA;USA;Companies 92;183;University of Southern California *;USA;Universities 93;185;Tufts Medical Center;USA;Health 94;186;US Food and Drug Administration;USA;Government 95;187;VCU Medical Center;USA;Health 96;188;University of Texas, Health Science Center at Houston;USA;Universities 97;191;University of Illinois, Chicago *;USA;Universities 98;194;University of Iowa *;USA;Universities 99;197;California Pacific Medical Center;USA;Health 99;197;Centers for Disease Control and Prevention;USA;Health 99;197;McMaster University;CAN;Universities 99;197;Providence Health Care;CAN;Health 103;198;Wake Forest University *;USA;Universities 104;199;Siemens Healthineers, USA;USA;Companies 105;204;Albert Einstein College of Medicine;USA;Universities 106;205;Saint Luke’s Mid America Heart Institute;USA;Health 107;206;University of Alberta;CAN;Universities 107;206;University of Michigan Health System;USA;Health 109;207;Rutgers, The State University of New Jersey;USA;Universities 110;208;City of Hope;USA;Health 111;209;University of Maryland, Baltimore;USA;Universities 112;213;University of Rochester *;USA;Universities 113;219;University of Miami *;USA;Universities 114;220;McGill University;CAN;Universities 115;221;Oregon Health & Science University *;USA;Universities 116;222;Los Angeles Biomedical Research Institute;USA;Health 117;224;University of Pittsburgh Health Sciences;USA;Universities 118;225;Bristol-Myers Squibb Company, United States;USA;Companies 119;226;City University of New York *;USA;Universities 120;227;VA Nebraska-Western Iowa Health Care System;USA;Health 121;228;University of California, Davis *;USA;Universities 122;230;Oklahoma Medical Research Foundation;USA;Health 123;231;Tufts University;USA;Universities 123;231;McGill University Health Centre;CAN;Health 125;236;Scripps Health;USA;Health 126;237;Pennsylvania State University *;USA;Universities 127;238;Janssen Biotech Inc;USA;Companies 128;239;Providence VA Medical Center;USA;Health 129;240;Population Health Research Institute;CAN;Health 130;241;Brown University;USA;Universities 131;242;Merck & Co Inc, United States;USA;Companies 132;243;Cincinnati Children's Hospital Medical Center;USA;Health 133;245;Howard Hughes Medical Institute *;USA;Health 134;247;University of Kentucky *;USA;Universities 134;247;University of Oklahoma *;USA;Universities 136;248;Wake Forest University Baptist Medical Center;USA;Health 137;251;Memorial Sloan-Kettering Cancer Center;USA;Health 138;252;George Washington University *;USA;Universities 139;257;State University of New York, Stony Brook *;USA;Universities 140;260;University of Minnesota Health and Medicine;USA;Universities 141;262;University of California, Irvine *;USA;Universities 142;265;University of Kansas *;USA;Universities 143;267;Indiana University-Purdue University Indianapolis;USA;Universities 144;268;University of Oklahoma Health Sciences Center;USA;Universities 145;269;J. David Gladstone Institutes;USA;Health 146;270;University of Western Ontario;CAN;Universities 146;270;University of Colorado, Boulder *;USA;Universities 148;274;Baylor Scott & White Health;USA;Health 148;274;Henry Ford Health System;USA;Health 148;274;University of Washington Medicine ;USA;Health 151;276;Laval University;CAN;Universities 152;281;Ohio State University Wexner Medical Center;USA;Health 153;286;Universite de Montreal;CAN;Universities 153;286;Indiana University-Bloomington;USA;Universities 155;288;MedStar Health *;USA;Health 156;293;University of Cincinnati *;USA;Universities 157;294;Oakland University;USA;Universities 158;295;University of Missouri, Kansas City;USA;Universities 159;298;Children's Hospital of Philadelphia;USA;Health 160;299;University of Massachusetts Medical School;USA;Universities 161;301;University of Miami Health System;USA;Health 162;304;Eastern Virginia Medical School;USA;Universities 163;306;Arizona Health Sciences Center University of Arizona Tucson;USA;Health 164;307;Novartis Pharmaceuticals, United States;USA;Companies 165;309;Minneapolis Heart Institute Foundation;USA;Health 166;311;University of Texas, Austin;USA;Universities 167;312;West Virginia University *;USA;Universities 168;313;University of Virginia Health System;USA;Health 169;316;University of Rochester Medical Center;USA;Health 170;317;St Josephs Hospital and Medical Center ;USA;Health 170;317;University of Chicago Medical Center ;USA;Health 172;318;Thomas Jefferson University *;USA;Universities 173;320;Ochsner Healthcare *;USA;Health 173;320;Wayne State University;USA;Universities 175;321;University of Kansas Medical Center;USA;Health 176;322;Walter Reed National Military Medical Center;USA;Health 177;323;University of Missouri, Columbia *;USA;Universities 178;324;Queen's University;CAN;Universities 179;328;Center for Drug Evaluation & Research;USA;Government 180;330;Ochsner Medical Center-New Orleans;USA;Health 180;330;University of Florida Health Science Center;USA;Health 182;332;University of Southern California Health Sciences Campus;USA;Health 182;332;National Institute on Aging;USA;Health 184;333;Mount Sinai Hospital Joseph and Wolf Lebovic Health Complex;CAN;Health 185;337;Michigan State University;USA;Universities 186;338;University of Mississippi *;USA;Universities 187;342;Virginia Polytechnic Institute and State University;USA;Universities 188;344;Geisinger Medical System;USA;Health 189;345;University of Texas M.D. Anderson Cancer Center ;USA;Health 190;348;University of Louisville *;USA;Universities 191;355;Tulane University *;USA;Universities 192;356;Washington Hospital Center;USA;Health 193;357;Beaumont Health System;USA;Health 194;360;Ralph H. Johnson VA Medical Center ;USA;Health 195;361;Medical College of Wisconsin;USA;Universities 195;361;University of Vermont;USA;Universities 195;361;Minneapolis VA Health Care System;USA;Health 198;363;University of Ottawa;CAN;Universities 199;364;University of Delaware;USA;Universities 199;364;American Heart Association;USA;Non-Profit 201;373;Hospital for Sick Children;CAN;Health 202;375;VA Palo Alto Health Care System;USA;Health 203;377;Sunnybrook Health Sciences Centre;CAN;Health 204;379;National Institute of Health Clinical Center;USA;Health 205;384;Loma Linda University *;USA;Universities 205;384;National Cancer Institute;USA;Health 207;387;Harbor–UCLA Medical Center;USA;Health 208;388;San Francisco VA Medical Center;USA;Health 209;391;San Diego State University;USA;Universities 210;396;Boehringer Ingelheim, USA;USA;Companies 211;398;University Hospitals of Cleveland *;USA;Health 212;399;Dalhousie University;CAN;Universities 213;400;UC Davis Health System;USA;Health 214;405;University of Iowa Health Care;USA;Health 215;408;VA San Diego Healthcare System;USA;Health 215;408;University of Mississippi Medical Center;USA;Universities 217;409;University of South Florida;USA;Universities 217;409;Institut Universitaire de Cardiologie et de Pneumologie de Quebec;CAN;Health 219;410;University of South Florida System *;USA;Universities 220;412;Drexel University;USA;Universities 220;412;Hamilton Health Sciences;CAN;Health 222;413;University of Connecticut, Storrs *;USA;Universities 222;413;University of Wisconsin Health;USA;Health 224;416;Queen Elizabeth II Health Sciences Centre;CAN;Health 225;417;Dartmouth College *;USA;Universities 226;421;University of Manitoba;CAN;Universities 226;421;Yale New Haven Health System;USA;Health 228;422;University of New Mexico *;USA;Universities 229;424;State University of New York, Buffalo;USA;Universities 229;424;University of Tennessee Health Science Center;USA;Health 231;426;University of Alberta Hospital;CAN;Health 232;428;VA Eastern Colorado Health Care System;USA;Health 233;431;Louisiana State University, Health Sciences Center;USA;Universities 233;431;University of Texas Health Science Center at San Antonio ;USA;Universities 235;434;Boston Medical Center ;USA;Health 236;436;Central Arkansas Veterans Healthcare System;USA;Health 237;437;University of Arkansas for Medical Sciences;USA;Universities 238;438;Georgetown University *;USA;Universities 238;438;Kaiser Permanente, Oakland *;USA;Health 238;438;The North Shore-LIJ Health System *;USA;Health 241;440;University of California, Irvine Healthcare;USA;Health 241;440;George Washington The School of Medicine & Health Sciences;USA;Health 243;441;University of Utah Health Care;USA;Health 244;442;Dana Farber Cancer Institute ;USA;Health 245;449;Inova Heart and Vascular Institute;USA;Health 245;449;Allina Health;USA;Health 245;449;Hennepin County Medical Center;USA;Health 248;451;University of New Mexico Health Sciences Center;USA;Health 249;456;SUNY Downstate Medical Center;USA;Universities 250;457;New York Medical College;USA;Universities 251;461;Texas A&M University, College Station *;USA;Universities 252;464;U.S. Army *;USA;Government 252;464;UCSF Benioff Children's Hospital;USA;Health 252;464;Eli Lilly and Company, United States;USA;Companies 255;465;Rush University *;USA;Universities 256;467;Arizona State University;USA;Universities 257;476;Rush University Medical Center;USA;Health 258;479;Michael E. DeBakey VA Medical Center;USA;Health 258;479;Alberta Health Services;CAN;Health 260;482;Vancouver Coastal Health;CAN;Health 261;487;University of Illinois at Urbana-Champaign *;USA;Universities 262;492;University of Cincinnati Medical Center;USA;Health 262;492;Saint Louis University, Saint Louis *;USA;Universities 264;496;Richard L. Roudebush VA Medical Center;USA;Health 264;496;Toronto Rehab ;CAN;Health 266;497;BJC HealthCare;USA;Health 267;500;University of Georgia;USA;Universities 268;501;Texas Children's Hospital ;USA;Health 269;502;University of North Texas Health Science Center;USA;Health 270;503;University of Nevada-Reno;USA;Universities 271;507;Hackensack University Medical Center;USA;Health 272;508;East Carolina University;USA;Universities 273;509;Marshall University;USA;Universities 274;511;Emory Healthcare;USA;Health 274;511;Intermountain Healthcare;USA;Health 276;512;Rowan University;USA;Universities 277;513;Institute for Clinical Evaluative Sciences;CAN;Health 277;513;University of Illinois, College of Medicine at Chicago;USA;Health 279;514;Augusta University *;USA;Universities 280;517;Nationwide Children's Hospital ;USA;Health 281;519;Ottawa Hospital Research Institute;CAN;Health 282;520;The Ottawa Hospital *;CAN;Health 282;520;Children's Healthcare of Atlanta ;USA;Health 284;529;University of Nebraska Medical Center;USA;Universities 284;529;Mount Sinai Hospital;USA;Health 286;531;Northshore University HealthSystem;USA;Health 287;534;VA Boston Healthcare System;USA;Health 287;534;Hartford Hospital ;USA;Health 289;535;Centre Hospitalier Universitaire de Quebec;CAN;Health 290;536;VA Salt Lake City Health Care System;USA;Health 291;538;Detroit Medical Center;USA;Health 292;542;Jesse Brown VA Medical Center;USA;Health 293;543;Penn State Milton S. Hershey Medical Center;USA;Health 294;544;West Penn Allegheny Health System;USA;Health 295;545;Western University of Health Sciences;USA;Universities 296;551;Indiana University Health;USA;Health 297;553;Florida Atlantic University;USA;Universities 298;555;York University;CAN;Universities 299;563;VA Puget Sound Health Care System;USA;Health 300;568;National Institute of Neurological Disorders and Stroke;USA;Health 301;569;AstraZeneca, United States;USA;Companies 302;570;Colorado State University, Fort Collins *;USA;Universities 303;573;Rhode Island Hospital ;USA;Health 303;573;University of Texas Medical Branch ;USA;Universities 305;574;Children's Hospital Los Angeles ;USA;Health 306;575;Children’s National Health System;USA;Health 307;576;MedStar Health Research Institute;USA;Health 307;576;Pfizer Inc, United States;USA;Companies 309;578;University of Missouri Health Care ;USA;Health 309;578;Robarts Research Institute;CAN;Health 311;581;Sir Mortimer B. Davis Jewish General Hospital;CAN;Health 312;583;Kaiser Permanente Southern California, Pasadena;USA;Health 313;587;University of Louisville Health Sciences Center;USA;Health 314;588;Cooper University Health Care;USA;Health 315;589;Lawson Health Research Institute;CAN;Health 316;591;Saint Louis University Care;USA;Health 317;592;University of Hawaii, Manoa *;USA;Universities 318;593;VA Connecticut Healthcare System;USA;Health 319;594;University of Kentucky HealthCare;USA;Health 320;598;Dartmouth-Hitchcock Health Care System;USA;Health 321;600; Centre Hospitalier de l'Universite de Montreal;CAN;Health 322;604;Purdue University;USA;Universities 323;605;London Health Sciences Centre;CAN;Health 324;607;Loyola University of Chicago *;USA;Universities 325;609;Philadelphia VA Medical Center;USA;Health 326;611;North Carolina State University;USA;Universities 327;613;East Tennessee State University;USA;Universities 328;616;West Virginia University Health Sciences Center;USA;Health 328;616;USF Health;USA;Universities 330;617;Texas Tech University Health Sciences Center;USA;Universities 331;619;Baystate Health System;USA;Health 332;623;University of Maryland Medical Center;USA;Health 333;625;VA Ann Arbor Healthcare System;USA;Health 333;625;Women's College Hospital;CAN;Health 335;626;University of Connecticut Health Center;USA;Universities 336;630;University of Waterloo;CAN;Universities 337;632;Ball State University;USA;Universities 338;634;Albany Medical Center *;USA;Health 339;636;Texas A&M University, Health Science Center;USA;Universities 340;637;Childrens Mercy Hospital ;USA;Health 341;638;University of South Carolina *;USA;Universities 342;643;National Jewish Health;USA;Health 343;646;VA Pittsburgh Healthcare System;USA;Health 344;648;University of Texas, Arlington;USA;Universities 345;652;Stony Brook University Medicine;USA;Health 345;652;Staten Island University Hospital;USA;Health 347;653;Children's Hospital Colorado;USA;Health 347;653;Lehigh Valley Health Network *;USA;Health 349;654;Fred Hutchinson Cancer Research Center;USA;Health 349;654;Toronto Western Hospital;CAN;Health 351;655;Phoenix Children's Hospital;USA;Health 352;656;Georgetown University Medical Center;USA;Health 353;658;Foothills Medical Centre;CAN;Health 354;660;The University of Vermont Medical Center;USA;Health 355;661;Spectrum Health;USA;Health 355;661;Kaiser Permanente Medical Center, Los Angeles;USA;Health 357;662;Boston College;USA;Universities 358;663;New York Methodist Hospital;USA;Health 359;664;Seattle Children's Hospital;USA;Health 360;667;Kingston General Hospital;CAN;Health 360;667;University of Massachusetts, Amherst;USA;Universities 362;669;University of Central Florida;USA;Universities 363;671;Pennington Biomedical Research Center;USA;Health 364;672;Loma Linda University Medical Center ;USA;Health 365;673;Ann & Robert H. Lurie Children s Hospital;USA;Health 365;673;Nemours Children's Health System;USA;Government 365;673;University of Toledo *;USA;Universities 365;673;University of Saskatchewan;CAN;Universities 369;674;Florida International University;USA;Universities 369;674;Georgia State University;USA;Universities 369;674;Uniformed Services University of the Health Sciences;USA;Universities 372;675;Birmingham VA Health Care System;USA;Health 373;677;University of South Dakota;USA;Universities 374;678;Atlanta VA Medical Center;USA;Health 375;679;Baylor University;USA;Universities 376;681;Northeastern University, USA;USA;Universities 377;683;University of Houston;USA;Universities 378;684;Clemson University;USA;Universities 379;689;Atrium Health *;USA;Health 380;691;Southern Illinois University, Carbondale *;USA;Universities 381;693;State University of New York, Albany;USA;Universities 382;698;Loyola Medicine;USA;Health 382;698;VA Long Beach Healthcare System;USA;Health 384;699;Roswell Park Cancer Institute;USA;Health 385;700;San Francisco General Hospital;USA;Health 385;700;North Texas VA Health Care System ;USA;Health 387;703;North Florida-South Georgia Veterans Health System;USA;Health 388;704;Princess Margaret Cancer Centre;CAN;Health 389;705;University of Nebraska, Omaha;USA;Universities 390;706;H. Lee Moffitt Cancer Center and Research Institute;USA;Health 391;709;University of Northern Colorado *;USA;Universities 392;711;Rady Children's Hospital-San Diego;USA;Health 393;713;Inova Fairfax Hospital;USA;Health 393;713;University of Guelph;CAN;Universities 393;713;VA NY Harbor Healthcare System;USA;Health 396;714;Southern Illinois University School of Medicine;USA;Universities 397;715;Denver Health Medical Center;USA;Health 397;715;Hofstra University *;USA;Universities 397;715;Creighton University;USA;Universities 397;715;Iowa City VA Health Care System;USA;Health 401;716;VA Maryland Health Care System;USA;Health 402;719;VA Greater Los Angeles Healthcare System;USA;Health 402;719;Jefferson Health System;USA;Health 404;720;University of Wisconsin, Milwaukee;USA;Universities 405;722;University of California, Riverside;USA;Universities 406;726;Colorado School of Public Health;USA;Universities 407;727;VA Northeast Ohio Healthcare System;USA;Health 407;727;University of Toledo Medical Center;USA;Health 409;729;UCSF Medical Center;USA;Health 410;730;Children's Hospital of Wisconsin;USA;Health 411;731;Tennessee Valley Healthcare System;USA;Health 412;733;Donald and Barbara Zucker School of Medicine at Hofstra/Northwell;USA;Universities 413;734;Howard University *;USA;Universities 413;734;Albany Medical College;USA;Universities 415;735;MetroHealth System ;USA;Health 416;738;Carolinas Medical Center ;USA;Health 417;740;Scripps Research Institute;USA;Health 417;740;Mount Sinai Beth Israel;USA;Health 419;742;Kaiser Permanente Medical Center, San Francisco;USA;Health 420;744;Sherbrooke University;CAN;Universities 421;747;Centre Hospitalier Universitaire Sainte-Justine;CAN;Health 421;747;Maimonides Medical Center;USA;Health 423;749;Western Michigan University;USA;Universities 424;754;Portland VA Medical Center;USA;Health 425;755;Stollery Children's Hospital Foundation;CAN;Health 425;755;Children's Medical Center Dallas;USA;Health 427;756;Center for Devices and Radiological Health;USA;Government 428;757;Jackson Health System;USA;Health 429;758;Jacobi Medical Center;USA;Health 430;761;Le Bonheur Children's Hospital;USA;Health 431;767;Athinoula A Martinos Center for Biomedical Imaging;USA;Health 431;767;Memorial University of Newfoundland;CAN;Universities 433;769;Hunter Holmes McGuire VA Medical Center;USA;Health 434;772;University of Tennessee, Knoxville *;USA;Universities 434;772;State University of New York Upstate Medical University *;USA;Universities 434;772;Morehouse School of Medicine;USA;Universities 434;772;BC Children's Hospital and Sunny Hill Health Centre for Children Vancouver;CAN;Health 438;780;Durham VA Medical Center ;USA;Health 439;781;Christiana Care Health System;USA;Health 440;788;Rosalind Franklin University of Medicine and Science;USA;Universities 441;789;Miriam Hospital ;USA;Health 442;790;University of Nevada-Las Vegas;USA;Universities 443;795;Arkansas Children's Hospital ;USA;Health 444;798;Texas Tech University;USA;Universities 445;802;University of North Carolina Health Care;USA;Health 446;816;Central Michigan University;USA;Universities 447;817;Children's Hospital of Eastern Ontario;CAN;Health 448;824;James A Haley Veterans Hospital;USA;Health 449;828;Philadelphia College of Osteopathic Medicine;USA;Universities 450;833;Milwaukee VA Medical Center;USA;Health