Summarize: HEI PARTICIPANTS ARE GIVEN A SCORE BASED ON HOW many LGBTQ+ inclusive policies and practices they have in place in four different criteria. The first criteria consist of the foundational elements of LGBTQ+ patient-centered care. The three remaining criteria are Patient Services and Support, Employee Benefits and Policies, and Patient and Community Engagement. Participants that have earned the LGBTQ+ Healthcare Equality Leader designation have received the highest score in each criteria and have demonstrated that they offer transgender inclusive healthcare benefits to their employees to receive a top score of 100 points and earn this coveted designation. An impressive 496 (55%) of HEI 2022 participants met this higher standard and earned the LGBTQ+ Healthcare Equality Leader designation. The full HEI 2022 report features a list of the 496 HEI 2022 LGBTQ+ Healthcare Equality Leaders. In addition to being celebrated in the HEI report, LGBTQ+ Healthcare Equality Leaders receive a special logo and a toolkit of resources for outreach to LGBTQ+ residents in their service area