Thousands of votes were collected by Sonliant Health to determine the Top 20 Most Beautiful Hospitals in America in their 9th annual ranking.

There were several hospitals that tied in the rankings. Among the ties were hospitals in six states — Florida, Illinois, New York, North Carolina, Pennsylvania and Utah. Nearly half of this year’s winners are new to the list this year. And for the first time in 9 years, this is the first time no state has more than two hospitals on the list.There were thousands of votes to determine Sonliant Health’s 9th annual Top 20 Most Beautiful Hospitals in America.

Click through the slides to see this year’s winners. For more information about the annual list, visit Soliant Health’s website.