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Web tracking technologies are pervasive and operated by a few largetechnology companies. This technology, and the use of the collected data hasbeen implicated in influencing elections, fake news, discrimination, and evenhealth decisions. Little is known about how this technology is deployed onhospital or other health related websites. The websites of the 210 publichospitals in the state of Illinois, USA were evaluated with a web trackeridentification tool. Web trackers were identified on 94% of hospital webssites, with an average of 3.5 trackers on the websites of general hospitals.The websites of smaller critical access hospitals used an average of 2 webtrackers. The most common web tracker identified was Google Analytics, found on74% of Illinois hospital websites. Of the web trackers discovered, 88% wereoperated by Google and 26% by Facebook. In light of revelations about how webbrowsing profiles have been used and misused, search bubbles, and the potentialfor algorithmic discrimination hospital leadership and policy makers mustcarefully consider if it is appropriate to use third party tracking technologyon hospital web sites.

Prevalence of web trackers on hospital websites in Illinois