Compassion Benchmark
U.S. Cities Compassion Benchmark · 2026

Top U.S. Cities Compassion Benchmark Index 2026

Comparative benchmark of major American cities across the institutional compassion framework, including governance, equity, healthcare access, and structural care capacity.

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144Cities ranked
38.1Mean score
35.9Median score
8Dimensions
2026Publication year

Band distribution

BandRangeCount%
exemplary81-10011%
established61-8032%
functional41-603826%
developing21-4010271%
critical0-2000%

Full rankings

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RankCityRegionAWREMPACTEQUBNDACCSYSINTScoreBand
1BurlingtonNortheast4443.5444481.4exemplary
2BoulderMountain3.53.53.533.53.53.53.560.9established
3Fort CollinsMountain3.53.53.533.53.53.53.560.9established
4MontpelierNortheast3.53.53.533.53.53.53.560.9established
5BostonNortheast3.53.53.52.533.54357.8functional
6MadisonMidwest3.53.53.5333.53.5357.8functional
7Minneapolis Saint PaulMidwest3.53.53.5333.53.5357.8functional
8PortlandNortheast3.53.53.5333.53.5357.8functional
9St. PaulMidwest3.53.53.5333.53.5357.8functional
10New York CityNortheast3.43.23.43.233.23.43.256.3functional
11SeattleWest3.53.53.53333.52.554.7functional
12MinneapolisMidwest3.53.53.52.52.533.52.551.6functional
13AugustaNortheast3332.5333348.4functional
14AustinSouthwest333.52.52.533.52.548.4functional
15ConcordNortheast3332.5333348.4functional
16DenverSouthwest333.52.52.533.52.548.4functional
17FargoMidwest3332.5333348.4functional
18HelenaWest3332.5333348.4functional
19JuneauWest3332.5333348.4functional
20LincolnMidwest3332.5333348.4functional
21MissoulaWest3332.5333348.4functional
22PortlandWest333.52.52.533.52.548.4functional
23San JoseWest333.52.52.533.52.548.4functional
24Washington DCNortheast333.52.52.533.52.548.4functional
25DuluthMidwest3332.53332.546.9functional
26EugeneWest3332.53332.546.9functional
27FlagstaffMountain3332.53332.546.9functional
28San FranciscoWest333.52.52.533.5246.9functional
29Santa FeSouthwest3332.53332.546.9functional
30AnnapolisNortheast3332.52.5332.545.3functional
31ChandlerSouthwest3332.52.5332.545.3functional
32CharlotteSoutheast3332.52.5332.545.3functional
33ColumbusMidwest3332.52.5332.545.3functional
34DurhamSoutheast3332.52.5332.545.3functional
35HonoluluWest3332.52.5332.545.3functional
36New HavenNortheast3332.52.5332.545.3functional
37PittsburghMidwest3332.52.5332.545.3functional
38ProvidenceNortheast3332.52.5332.545.3functional
39RaleighSoutheast3332.52.5332.545.3functional
40Salt Lake CitySouthwest3332.52.5332.545.3functional
41WorcesterNortheast3332.52.5332.545.3functional
42PhiladelphiaNortheast33322.52.532.542.2functional
43Long BeachWest2.52.532.52.52.532.540.6developing
44SacramentoWest2.52.532.52.52.532.540.6developing
45San DiegoWest2.52.532.52.52.532.540.6developing
46AtlantaSoutheast2.52.5322.52.532.539.1developing
47DetroitMidwest2.52.52.522.52.532.537.5developing
48RichmondSoutheast2.52.5322.52.52.52.537.5developing
49AuroraWest2.52.52.522.52.52.52.535.9developing
50BillingsWest2.52.52.522.52.52.52.535.9developing
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51BismarckMidwest2.52.52.522.52.52.52.535.9developing
52BoiseWest2.52.52.522.52.52.52.535.9developing
53BuffaloNortheast2.52.52.522.52.52.52.535.9developing
54Carson CityMountain2.52.52.522.52.52.52.535.9developing
55CasperMountain2.52.52.522.52.52.52.535.9developing
56Cedar RapidsMidwest2.52.52.522.52.52.52.535.9developing
57CharlestonSoutheast2.52.52.522.52.52.52.535.9developing
58CheyenneSouthwest2.52.52.522.52.52.52.535.9developing
59ChicagoMidwest2.52.53222.53235.9developing
60Colorado SpringsMountain2.52.52.522.52.52.52.535.9developing
61ColumbiaSoutheast2.52.52.522.52.52.52.535.9developing
62Corpus ChristiSouthwest2.52.52.522.52.52.52.535.9developing
63DaytonMidwest2.52.52.522.52.52.52.535.9developing
64Des MoinesMidwest2.52.52.522.52.52.52.535.9developing
65DoverSoutheast2.52.52.522.52.52.52.535.9developing
66El PasoSouthwest2.52.52.522.52.52.52.535.9developing
67FayettevilleSoutheast2.52.52.522.52.52.52.535.9developing
68Fort WayneMidwest2.52.52.522.52.52.52.535.9developing
69Grand RapidsMidwest2.52.52.522.52.52.52.535.9developing
70Great FallsMountain2.52.52.522.52.52.52.535.9developing
71Green BayMidwest2.52.52.522.52.52.52.535.9developing
72HuntsvilleSoutheast2.52.52.522.52.52.52.535.9developing
73IndianapolisMidwest2.52.52.522.52.52.52.535.9developing
74Kansas CityMidwest2.52.52.522.52.52.52.535.9developing
75KnoxvilleSoutheast2.52.52.522.52.52.52.535.9developing
76LexingtonSoutheast2.52.52.522.52.52.52.535.9developing
77Los AngelesWest2.52.53222.53235.9developing
78ManchesterNortheast2.52.52.522.52.52.52.535.9developing
79NashvilleSoutheast2.52.52.522.52.52.52.535.9developing
80NorfolkSoutheast2.52.52.522.52.52.52.535.9developing
81OaklandWest2.52.53222.53235.9developing
82Oklahoma CitySouthwest2.52.52.522.52.52.52.535.9developing
83OmahaMidwest2.52.52.522.52.52.52.535.9developing
84OrlandoSoutheast2.52.52.522.52.52.52.535.9developing
85ProvoMountain2.52.52.522.52.52.52.535.9developing
86RenoSouthwest2.52.52.522.52.52.52.535.9developing
87RiversideWest2.52.52.522.52.52.52.535.9developing
88San AntonioSouthwest2.52.52.522.52.52.52.535.9developing
89Santa AnaWest2.52.52.522.52.52.52.535.9developing
90SavannahSoutheast2.52.52.522.52.52.52.535.9developing
91Sioux FallsMidwest2.52.52.522.52.52.52.535.9developing
92SpokaneWest2.52.52.522.52.52.52.535.9developing
93SpringfieldMidwest2.52.52.522.52.52.52.535.9developing
94SpringfieldMidwest2.52.52.522.52.52.52.535.9developing
95SyracuseNortheast2.52.52.522.52.52.52.535.9developing
96TacomaWest2.52.52.522.52.52.52.535.9developing
97TallahasseeSoutheast2.52.52.522.52.52.52.535.9developing
98TampaSoutheast2.52.52.522.52.52.52.535.9developing
99ToledoMidwest2.52.52.522.52.52.52.535.9developing
100TopekaMidwest2.52.52.522.52.52.52.535.9developing
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101TucsonSouthwest2.52.52.522.52.52.52.535.9developing
102Virginia BeachSoutheast2.52.52.522.52.52.52.535.9developing
103WichitaMidwest2.52.52.522.52.52.52.535.9developing
104HoustonSouthwest2.82.82.82.32.31.82.8235.2developing
105AlbanyNortheast2.52.52.522.52.52.5234.4developing
106HartfordNortheast2.52.52.522.52.52.5234.4developing
107AkronMidwest2.52.52.5222.52.5232.8developing
108AlbuquerqueSouthwest2.52.52.5222.52.5232.8developing
109AnchorageWest2.52.52.5222.52.5232.8developing
110CincinnatiMidwest2.52.52.5222.52.5232.8developing
111DallasSouthwest2.52.52.5222.52.5232.8developing
112Fort WorthSouthwest2.52.52.5222.52.5232.8developing
113Las VegasSouthwest2.52.52.5222.52.5232.8developing
114LouisvilleSoutheast2.52.52.5222.52.5232.8developing
115MiamiSoutheast2.52.52.5222.52.5232.8developing
116MilwaukeeMidwest2.52.52.5222.52.5232.8developing
117New OrleansSoutheast2.52.52.5222.52.5232.8developing
118NewarkNortheast2.52.52.5222.52.5232.8developing
119PhoenixSouthwest2.52.52.5222.52.5232.8developing
120RochesterNortheast2.52.52.5222.52.5232.8developing
121WilmingtonSoutheast2.52.52.5222.52.5232.8developing
122BaltimoreNortheast2.52.52.52222.5231.3developing
123ClevelandMidwest2.52.52.52222.5231.3developing
124TulsaSouthwest2.52.52.51.522.52.5231.3developing
125FresnoWest222.51.5222.5226.6developing
126St. LouisMidwest222.51.5222.5226.6developing
127StocktonWest222.51.5222.5226.6developing
128BrownsvilleSouthwest2221.52.522225developing
129LaredoSouthwest2221.52.522225developing
130BakersfieldWest2221.5222223.4developing
131JacksonvilleSoutheast2221.5222223.4developing
132Little RockSoutheast2221.5222223.4developing
133LubbockSouthwest2221.5222223.4developing
134MobileSoutheast2221.5222223.4developing
135Rapid CityMountain2221.5222223.4developing
136TrentonNortheast2221.5222223.4developing
137Baton RougeSoutheast2221.52221.521.9developing
138BirminghamSoutheast2221.52221.521.9developing
139MemphisSoutheast2221.52221.521.9developing
140ShreveportSoutheast2221.52221.521.9developing
141CamdenNortheast2221.51.5221.520.3developing
142FlintMidwest2221.521.521.520.3developing
143JacksonSoutheast2221.521.521.520.3developing
144MontgomerySoutheast2221.521.521.520.3developing

Showing 144 of 144 entities

U.S. Cities Compassion Benchmark Index 2026 — Complete Rankings

U.S. Cities Compassion Benchmark Index 2026 — 144 entities ranked by composite compassion score
RankCityComposite ScoreBandAWREMPACTEQUBNDACCSYSINT
1Burlington81.4exemplary4443.54444
2Boulder60.9established3.53.53.533.53.53.53.5
3Fort Collins60.9established3.53.53.533.53.53.53.5
4Montpelier60.9established3.53.53.533.53.53.53.5
5Boston57.8functional3.53.53.52.533.543
6Madison57.8functional3.53.53.5333.53.53
7Minneapolis Saint Paul57.8functional3.53.53.5333.53.53
8Portland57.8functional3.53.53.5333.53.53
9St. Paul57.8functional3.53.53.5333.53.53
10New York City56.3functional3.43.23.43.233.23.43.2
11Seattle54.7functional3.53.53.53333.52.5
12Minneapolis51.6functional3.53.53.52.52.533.52.5
13Augusta48.4functional3332.53333
14Austin48.4functional333.52.52.533.52.5
15Concord48.4functional3332.53333
16Denver48.4functional333.52.52.533.52.5
17Fargo48.4functional3332.53333
18Helena48.4functional3332.53333
19Juneau48.4functional3332.53333
20Lincoln48.4functional3332.53333
21Missoula48.4functional3332.53333
22Portland48.4functional333.52.52.533.52.5
23San Jose48.4functional333.52.52.533.52.5
24Washington DC48.4functional333.52.52.533.52.5
25Duluth46.9functional3332.53332.5
26Eugene46.9functional3332.53332.5
27Flagstaff46.9functional3332.53332.5
28San Francisco46.9functional333.52.52.533.52
29Santa Fe46.9functional3332.53332.5
30Annapolis45.3functional3332.52.5332.5
31Chandler45.3functional3332.52.5332.5
32Charlotte45.3functional3332.52.5332.5
33Columbus45.3functional3332.52.5332.5
34Durham45.3functional3332.52.5332.5
35Honolulu45.3functional3332.52.5332.5
36New Haven45.3functional3332.52.5332.5
37Pittsburgh45.3functional3332.52.5332.5
38Providence45.3functional3332.52.5332.5
39Raleigh45.3functional3332.52.5332.5
40Salt Lake City45.3functional3332.52.5332.5
41Worcester45.3functional3332.52.5332.5
42Philadelphia42.2functional33322.52.532.5
43Long Beach40.6developing2.52.532.52.52.532.5
44Sacramento40.6developing2.52.532.52.52.532.5
45San Diego40.6developing2.52.532.52.52.532.5
46Atlanta39.1developing2.52.5322.52.532.5
47Detroit37.5developing2.52.52.522.52.532.5
48Richmond37.5developing2.52.5322.52.52.52.5
49Aurora35.9developing2.52.52.522.52.52.52.5
50Billings35.9developing2.52.52.522.52.52.52.5
51Bismarck35.9developing2.52.52.522.52.52.52.5
52Boise35.9developing2.52.52.522.52.52.52.5
53Buffalo35.9developing2.52.52.522.52.52.52.5
54Carson City35.9developing2.52.52.522.52.52.52.5
55Casper35.9developing2.52.52.522.52.52.52.5
56Cedar Rapids35.9developing2.52.52.522.52.52.52.5
57Charleston35.9developing2.52.52.522.52.52.52.5
58Cheyenne35.9developing2.52.52.522.52.52.52.5
59Chicago35.9developing2.52.53222.532
60Colorado Springs35.9developing2.52.52.522.52.52.52.5
61Columbia35.9developing2.52.52.522.52.52.52.5
62Corpus Christi35.9developing2.52.52.522.52.52.52.5
63Dayton35.9developing2.52.52.522.52.52.52.5
64Des Moines35.9developing2.52.52.522.52.52.52.5
65Dover35.9developing2.52.52.522.52.52.52.5
66El Paso35.9developing2.52.52.522.52.52.52.5
67Fayetteville35.9developing2.52.52.522.52.52.52.5
68Fort Wayne35.9developing2.52.52.522.52.52.52.5
69Grand Rapids35.9developing2.52.52.522.52.52.52.5
70Great Falls35.9developing2.52.52.522.52.52.52.5
71Green Bay35.9developing2.52.52.522.52.52.52.5
72Huntsville35.9developing2.52.52.522.52.52.52.5
73Indianapolis35.9developing2.52.52.522.52.52.52.5
74Kansas City35.9developing2.52.52.522.52.52.52.5
75Knoxville35.9developing2.52.52.522.52.52.52.5
76Lexington35.9developing2.52.52.522.52.52.52.5
77Los Angeles35.9developing2.52.53222.532
78Manchester35.9developing2.52.52.522.52.52.52.5
79Nashville35.9developing2.52.52.522.52.52.52.5
80Norfolk35.9developing2.52.52.522.52.52.52.5
81Oakland35.9developing2.52.53222.532
82Oklahoma City35.9developing2.52.52.522.52.52.52.5
83Omaha35.9developing2.52.52.522.52.52.52.5
84Orlando35.9developing2.52.52.522.52.52.52.5
85Provo35.9developing2.52.52.522.52.52.52.5
86Reno35.9developing2.52.52.522.52.52.52.5
87Riverside35.9developing2.52.52.522.52.52.52.5
88San Antonio35.9developing2.52.52.522.52.52.52.5
89Santa Ana35.9developing2.52.52.522.52.52.52.5
90Savannah35.9developing2.52.52.522.52.52.52.5
91Sioux Falls35.9developing2.52.52.522.52.52.52.5
92Spokane35.9developing2.52.52.522.52.52.52.5
93Springfield35.9developing2.52.52.522.52.52.52.5
94Springfield35.9developing2.52.52.522.52.52.52.5
95Syracuse35.9developing2.52.52.522.52.52.52.5
96Tacoma35.9developing2.52.52.522.52.52.52.5
97Tallahassee35.9developing2.52.52.522.52.52.52.5
98Tampa35.9developing2.52.52.522.52.52.52.5
99Toledo35.9developing2.52.52.522.52.52.52.5
100Topeka35.9developing2.52.52.522.52.52.52.5
101Tucson35.9developing2.52.52.522.52.52.52.5
102Virginia Beach35.9developing2.52.52.522.52.52.52.5
103Wichita35.9developing2.52.52.522.52.52.52.5
104Houston35.2developing2.82.82.82.32.31.82.82
105Albany34.4developing2.52.52.522.52.52.52
106Hartford34.4developing2.52.52.522.52.52.52
107Akron32.8developing2.52.52.5222.52.52
108Albuquerque32.8developing2.52.52.5222.52.52
109Anchorage32.8developing2.52.52.5222.52.52
110Cincinnati32.8developing2.52.52.5222.52.52
111Dallas32.8developing2.52.52.5222.52.52
112Fort Worth32.8developing2.52.52.5222.52.52
113Las Vegas32.8developing2.52.52.5222.52.52
114Louisville32.8developing2.52.52.5222.52.52
115Miami32.8developing2.52.52.5222.52.52
116Milwaukee32.8developing2.52.52.5222.52.52
117New Orleans32.8developing2.52.52.5222.52.52
118Newark32.8developing2.52.52.5222.52.52
119Phoenix32.8developing2.52.52.5222.52.52
120Rochester32.8developing2.52.52.5222.52.52
121Wilmington32.8developing2.52.52.5222.52.52
122Baltimore31.3developing2.52.52.52222.52
123Cleveland31.3developing2.52.52.52222.52
124Tulsa31.3developing2.52.52.51.522.52.52
125Fresno26.6developing222.51.5222.52
126St. Louis26.6developing222.51.5222.52
127Stockton26.6developing222.51.5222.52
128Brownsville25developing2221.52.5222
129Laredo25developing2221.52.5222
130Bakersfield23.4developing2221.52222
131Jacksonville23.4developing2221.52222
132Little Rock23.4developing2221.52222
133Lubbock23.4developing2221.52222
134Mobile23.4developing2221.52222
135Rapid City23.4developing2221.52222
136Trenton23.4developing2221.52222
137Baton Rouge21.9developing2221.52221.5
138Birmingham21.9developing2221.52221.5
139Memphis21.9developing2221.52221.5
140Shreveport21.9developing2221.52221.5
141Camden20.3developing2221.51.5221.5
142Flint20.3developing2221.521.521.5
143Jackson20.3developing2221.521.521.5
144Montgomery20.3developing2221.521.521.5

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