The relationships between disciplines and the institutions within which they are situated is a fertile area for researching the shaping of sociological knowledge. Applying theoretical insights from the sociology of knowledge, this article draws on an empirical study of research publications in the sociology of health and medicine to show which institutions in the Australian context are most likely to use sociological theory. When the institutions are positioned within the global university ranking system, an inverse association between sociological theory and the relative wealth and prestige of the originating institution becomes evident. Some of the implications of this finding are discussed with reference to the on-going viability of disciplines.