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The Johns Hopkins Hospital fell a notch to fourth place in the nation on the latest rankings from U.S. News and World Report, an important assessment where the Baltimore hospital for years ranked in first place.

Mayo Clinic ranked number one this year.

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The rankings released Tuesday pushed Hopkins down the ranks beginning in 2012 when the magazine changed its methodology to put less emphasis on reputation. The change ended Hopkins 21-year run at the top spot.

The Baltimore hospital ranked number 1 in The U.S. News and World Report comparison of Maryland hospitals.

Ten specialties at the hospital ranked among the top five in the nation and14 specialties in the top 10.

In a note to Johns Hopkins employees, Dr. Paul B. Rothman,  dean of the medical faculty and CEO of Johns Hopkins Medicine, and Ronald R. Peterson, president of the Johns Hopkins Health System and executive vice president of Johns Hopkins Medicine, credited the hospital's entire medical staff for the accomplishment.

"It is thanks to our employees that Johns Hopkins' legacy of clinical excellence and patient- and family-centered care continues to flourish," they wrote. "The Johns Hopkins Hospital's record as a U.S. News & World Report Best Hospital over the past 27 years is unparalleled."

The hospital earned the highest ranking for 22 years, including an unprecedented 21 years in a row from 1991 to 2011.

Rothman and Peterson also congratulated Mayo Clinic.

"We are honored to be among all the hospitals that made the list and, like us, continue to improve care for the people in our local communities and around the world," they said.

amcdaniels@baltsun.com

Twitter.com/ankwalker

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