What was the cause of death and how long was he in the hospital?
Hospitals typically do whatever they can to find and notify next of kin, but hospitals don't have police powers or access to police tools. Unless they've got ID on the person AND an obvious link to a next of kin to notify (like being able to find someone with the same last name listed at the same address in the phonebook, or something on the victim or in the victim's possession that would point them to the correct persons to notify), there's little they can do to accomplish notification - as opposed to law enforcement agencies, where, for example, we have immediate access to driver license databases where people often register an emergency contact or where we have the ability to send an officer to try to make contact at the victim's listed residence (assuming their identification like a driver's license SHOWS the correct info, which often it doesn't). The medical examiner's office IS a type of law enforcement aency and they can get access to this info as part of their investigation, so they are frequently the agency making first contact (depending on the circumstances). Unless the situation involved him completing some paperwork on arrival that would point them to who to contact, hospital staff are pretty limited in ability and time to contact next of kin.
Other considerations surround the cause of death - there are many scenarios where speed in getting him to the M.E.'s office would be important for investigative or community health reasons.
If you can shed further light, we can evaluate more accurately.
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