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Abstract Society's growing attention to sustainability has also brought about major challenges for the healthcare sector. In particular, hospitals by virtue of their function are also called to incorporate social and environmental issues in the undertaking of their activities. In this scenario, hospitals must also provide a correct representation of these issues through an adequate sustainability disclosure. However, despite the relevance of the topic, it is still little explored in the academic field. This study aims to fill this important gap by investigating the determinants of online sustainability disclosure through a legitimacy theory perspective. The econometric analysis, conducted on a sample of the best hospitals in the world, highlights a low level of dissemination of sustainability information. Furthermore, it demonstrates a positive impact of the size, public status and teaching status of hospitals on the amount of sustainability information disclosed by these institutions through their website.
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