BACKGROUND AND PURPOSE: It is unclear whether disparities in mortality among stroke survivors exist long-term. Therefore, the purpose of the current study is to describe rates of longer term mortality among stroke survivors (i.e. beyond 30 days) and to determine whether socioeconomic disparities exist. METHODS: This analysis included 1,329 black and white participants, ages 45 and older, enrolled between 2003–2007 in the REasons for Geographic And Racial Differences in Stroke (REGARDS) study who suffered a first stroke and survived at least 30 days following the event. Long-term mortality among stroke survivors was defined in person-years as time from 30 days after a first stroke to date of death or censoring. Mortality rate ratios (MRRs) were used to compare rates of post-stroke mortality by demographic and socioeconomic characteristics. RESULTS: Among adults who survived ≥ 30 days post stroke, the age-adjusted rate of mortality was 82.3 per 1,000 person-years (95% CI: 75.4, 89.2). Long-term mortality among stroke survivors was higher in older individuals (MRR for 75+ vs. < 65: 3.2, 95% CI: 2.6, 4.1) and among men than women (MRR: 1.3, 95% CI: 1.1, 1.6). It was also higher among those with less educational attainment (MRR for < high school vs. college graduate: 1.5, 95% CI: 1.1, 1.9), lower income (MRR for < $20k vs. > 50K: 1.4, 95% CI: 1.1, 1.9), and lower neighborhood SES (MRR for low vs. high neighborhood SES: 1.4, 95% CI: 1.1, 1.7). There were no differences in age-adjusted rates of long-term post-stroke mortality by race, rurality, or US region. CONCLUSIONS: Rates of long-term mortality among stroke survivors were higher among individuals with lower socioeconomic status (SES) and among those residing in neighborhoods of lower SES. These results emphasize the need for improvements in long term care post-stroke, especially among individuals of lower SES.