Report No. 1 · 2026 edition
By state
Median charity care as a share of expenses, by state. A system is counted in every state where it has a hospital (Schedule H Part V), so a system with hospitals in several states is counted in each. Click a state for its ranking.
| State | Systems | Median charity care, % of expenses |
|---|---|---|
| North Dakota | 29 | 0.38% |
| Hawaii | 11 | 0.41% |
| Iowa | 45 | 0.45% |
| Maine | 13 | 0.51% |
| Ohio | 63 | 0.56% |
| New Hampshire | 19 | 0.56% |
| South Dakota | 30 | 0.60% |
| Idaho | 12 | 0.60% |
| Minnesota | 58 | 0.62% |
| Arizona | 24 | 0.63% |
| Wisconsin | 57 | 0.63% |
| New Mexico | 11 | 0.69% |
| District of Columbia | 8 | 0.72% |
| Massachusetts | 28 | 0.72% |
| Pennsylvania | 81 | 0.74% |
| Rhode Island | 8 | 0.77% |
| Kentucky | 39 | 0.78% |
| California | 80 | 0.79% |
| Vermont | 16 | 0.81% |
| Arkansas | 37 | 0.85% |
| West Virginia | 26 | 0.90% |
| Kansas | 44 | 0.92% |
| Illinois | 69 | 0.96% |
| New York | 78 | 1.01% |
| Delaware | 6 | 1.03% |
| Michigan | 59 | 1.03% |
| Nebraska | 42 | 1.04% |
| Alaska | 7 | 1.04% |
| Montana | 42 | 1.10% |
| Louisiana | 27 | 1.14% |
| Indiana | 51 | 1.14% |
| Oregon | 21 | 1.17% |
| Washington | 19 | 1.21% |
| Virginia | 30 | 1.26% |
| Colorado | 24 | 1.40% |
| Nevada | 8 | 1.45% |
| Missouri | 37 | 1.45% |
| Connecticut | 24 | 1.53% |
| New Jersey | 26 | 1.53% |
| Utah | 7 | 1.70% |
| Oklahoma | 16 | 1.73% |
| Maryland | 34 | 2.13% |
| Alabama | 22 | 2.45% |
| South Carolina | 13 | 2.49% |
| Florida | 68 | 2.74% |
| Tennessee | 27 | 2.88% |
| Georgia | 56 | 2.94% |
| North Carolina | 39 | 3.12% |
| Mississippi | 25 | 3.70% |
| Texas | 81 | 4.25% |
| Puerto Rico | 8 | |
| Wyoming | 4 |
Nationally, the median system spent 1.06% of expenses on charity care. Filers with no hospital in the United States or Puerto Rico are listed on a separate page: outside the US (2).