Racial and ethnic disparities in health outcomes constitute a crisis, one that requires the attention of health care providers, policymakers, and communities alike. In Seattle and across the nation, people of color suffer from higher rates of illness and mortality than their white counterparts. Health care institutions play a critical role in exacerbating or minimizing health disparities. This report analyzes the policies and practices of Seattle hospitals to determine how hospitals are serving, or failing to serve, people of color in our city.