RT journal article T1 Online sustainability disclosure by Spanish hospitals: an institutionalist approach A1 Andrades Peña, Francisco Javier A1 Larrán Jorge, Manuel A1 Muriel de los Reyes, María José A1 Calzado Cejas, María Yolanda A1 Lechuga Sancho, Paula A2 Economía Financiera y Contabilidad K1 Sustainability disclosure K1 Legitimacy theory K1 Institutional theory K1 Stakeholders K1 Hospitals AB Purpose. This paper examines the level of sustainability disclosures provided by Spanish hospitals using exclusively the information revealed in their institutional websites. Based on different levels of disclosure, the authors try to find the possible reasons why some Spanish hospitals reveal more sustainability information than others. Design/methodology/approach – To achieve this goal, the authors conducted a content analysis of the official websites of all Spanish hospitals identified by the Ministry of Health, Social Services and Equality. Findings – The results reveal that Spanish hospitals seem to use sustainability disclosures for different legitimizing purposes. In general, the results indicate that Spanish hospitals may be driven by symbolic rather than substantive actions to achieve legitimacy from stakeholders. Originality/value – Due to the lack of empirical research on the hospital sector, more research is required to improve understanding of why hospitals disclose sustainability information or not. PB Emerald SN 0951-3558 YR 2021 FD 2021 LK http://hdl.handle.net/10498/37689 UL http://hdl.handle.net/10498/37689 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 06-nov-2026