Of the 50 lowest-scoring hospitals nationwide in those four measures, 30 were in the New York City area, which includes the five boroughs as well as neighboring communities in Westchester, Long Island, and New Jersey. And the five lowest-rated hospitals nationally were all here, too. Included in the bunch: Forest Hills Hospital. Equally distressing, only five hospitals in the whole area—all of them outside of New York City itself—scored at or above the national average. The highest scoring in the city, the NYU Langone Medical Center, was still 10 percent worse than the national average.