Compare the public record
Start with the state picture, then inspect individual nonprofit filers one measure at a time. Medicaid expansion is shown as context beside each state; it is never part of the rank.
State charity-care share
What is measured: total reported charity care at cost divided by total expenses across scored nonprofit filers in the state.
This is one reported measure, not a combined score. States with fewer than 8 scored filers are shown but not ranked.
About this data
Where it comes from. Every figure is taken from a hospital’s own IRS Form 990, Schedule H, and links to the filing it came from. We report what hospitals reported. Where a hospital reported nothing, we say “not reported” — we never estimate, impute, or fill a gap.
What it is not. Where we say a hospital “attests” to something, that describes what it told the IRS. It is not a finding about its actual conduct, and it is not a court record. Figures are as filed for the fiscal year shown and may not reflect current policy or practice.
Draw your own conclusions — from the filings. This site exists so you can read the record yourself. It is published for general information only. It is not legal, medical, tax, or financial advice, it is not a recommendation about where to seek care, and it should not be relied on for any decision without confirming the underlying filing and checking with the hospital directly.
Corrections. If a figure here does not match the filing it links to, we want to know and we will correct it. cashpaymed.org