COMMUNITY BENEFIT · SCHEDULE H

Charity care & community benefit

Nonprofit hospitals earn their tax exemption by providing community benefit — charity care, unreimbursed Medicaid, and community-health spending — reported on IRS Form 990 Schedule H. Here's who gives back the most, and least, relative to their size. Across 335 reporting organizations, $2.33B in charity care.

Most charity care provided

By total dollars (latest filing)
#OrganizationStateCharity careRevenue% of revenue
1Bjc Health SystemMO$197.1M$6.74B2.9%
2Hackensack Meridian Health IncNJ$172.3M$7.47B2.3%
3Rwj Barnabas Health IncNJ$128.3M$7.07B1.8%
4WakemedNC$116.0M$2.07B5.6%
5Novant Health IncNC$111.6M$4.02B2.8%
6Mass General Brigham Incorporated And Affiliates Group RtnMA$110.9M$22.73B0.5%
7Prisma Health UpstateSC$109.1M$2.85B3.8%
8Wellstar Atlanta Medical Center IncGA$74.5M$67.3M110.6%
9Northwestern Memorial HealthcareIL$67.5M$9.15B0.7%
10Cumberland County Hospital System IncNC$54.3M$1.26B4.3%
11Childrens Healthcare Of Atlanta IncGA$52.0M$2.55B2.0%
12Mount Sinai HospitalNY$50.3M$3.95B1.3%
13Texas Health Presbyterian Hospital DallasTX$45.2M$788.7M5.7%
14Mayo Clinic Group ReturnMN$37.8M$13.97B0.3%
15Long Island Jewish Medical CenterNY$33.2M$4.14B0.8%
16Homestead Hospital IncFL$30.6M$458.5M6.7%
17Sutter Valley HospitalsCA$29.2M$4.66B0.6%
18North Shore University HospitalNY$26.6M$3.69B0.7%
19Orlando Health Central IncFL$24.7M$388.9M6.3%
20Floyd Healthcare Management IncGA$22.4M$652.8M3.4%
21St Lukes Roosevelt Hospital CenterNY$21.9M$1.63B1.3%
22Lenox Hill HospitalNY$21.7M$1.95B1.1%
23Kaiser Foundation Health Plan Of WashingtonWA$21.1M$4.20B0.5%
24Covenant Medical CenterTX$20.9M$510.1M4.1%
25Texas Health Presbyterian Hospital PlanoTX$20.5M$551.6M3.7%

Gives back the most, relative to size

Highest charity care as a share of revenue (≥ $100M revenue)
#OrganizationStateCharity careRevenue% of revenue
1Wyoming Medical Center IncAZ$17.4M$260.0M6.7%
2Homestead Hospital IncFL$30.6M$458.5M6.7%
3Texas Health Huguley IncTX$19.5M$294.1M6.6%
4Methodist Healthcare Olive Branch HospitalTN$7.0M$106.1M6.6%
5Orlando Health Central IncFL$24.7M$388.9M6.3%
6Texas Health Presbyterian Hospital DallasTX$45.2M$788.7M5.7%
7WakemedNC$116.0M$2.07B5.6%
8Texas Health Presbyterian Hospital DentonTX$15.2M$289.9M5.2%
9Southeastern Regional Medical CenterNC$15.8M$304.1M5.2%
10Insight Chicago IncMI$6.6M$129.6M5.1%
11Fort Sanders Regional Medical CenterTN$17.8M$399.3M4.4%
12Cumberland County Hospital System IncNC$54.3M$1.26B4.3%
13Covenant Medical CenterTX$20.9M$510.1M4.1%
14Prisma Health TuomeySC$8.2M$207.8M3.9%
15Prisma Health UpstateSC$109.1M$2.85B3.8%
16Texas Health Presbyterian Hospital PlanoTX$20.5M$551.6M3.7%
17Richmond Medical CenterNY$15.2M$436.3M3.5%
18Floyd Healthcare Management IncGA$22.4M$652.8M3.4%
19Mariners Hospital IncFL$3.6M$105.1M3.4%
20Memorial Health Systems IncFL$18.0M$543.8M3.3%
21Rush Medical FoundationMS$5.5M$167.2M3.3%
22Doctors Hospital IncFL$9.4M$302.4M3.1%
23Houston Hospitals IncGA$8.6M$282.6M3.0%
24Bjc Health SystemMO$197.1M$6.74B2.9%
25West Kendall Baptist Hospital IncFL$15.6M$551.2M2.8%

Gives back the least, relative to size

Lowest charity-care share among large hospitals (≥ $500M revenue) that report Schedule H
#OrganizationStateCharity careRevenue% of revenue
1South Nassau Communities HospitalNY$1.6M$760.6M0.2%
2Sutter Valley Medical FoundationCA$4.8M$2.01B0.2%
3Mayo Clinic Group ReturnMN$37.8M$13.97B0.3%
4Mchs Hospitals IncWI$4.5M$1.46B0.3%
5Community Health Network IncIN$7.5M$2.18B0.3%
6Corewell HealthMI$10.3M$2.93B0.4%
7Sharp Memorial HospitalCA$6.6M$1.54B0.4%
8Bon Secours Charity Health System Affiliated GroupNY$3.0M$636.4M0.5%
9Mass General Brigham Incorporated And Affiliates Group RtnMA$110.9M$22.73B0.5%
10Kaiser Foundation Health Plan Of WashingtonWA$21.1M$4.20B0.5%
11Yuma Regional Medical CenterAZ$4.4M$832.4M0.5%
12St Joseph Health Northern California LlcCA$8.2M$1.50B0.5%
13Corewell HealthMI$7.5M$1.35B0.6%
14Sutter Valley HospitalsCA$29.2M$4.66B0.6%
15Mary Washington HealthcareVA$6.2M$937.2M0.7%
16Advocate Health Care NetworkIL$3.9M$592.0M0.7%
17North Shore University HospitalNY$26.6M$3.69B0.7%
18Northwestern Memorial HealthcareIL$67.5M$9.15B0.7%
19Newyork Presbyterian QueensNY$8.5M$1.08B0.8%
20Long Island Jewish Medical CenterNY$33.2M$4.14B0.8%
21Hospital Of Central Connecticut At New Britain General And Bradley MeCT$6.0M$740.9M0.8%
22St Lukes Hospital Of Kansas CityMO$10.3M$1.16B0.9%
23Carilion Medical CenterVA$15.7M$1.74B0.9%
24Valley Hospital IncNJ$11.2M$1.15B1.0%
25Lenox Hill HospitalNY$21.7M$1.95B1.1%

Source: IRS Form 990 Schedule H, latest filing per organization. Charity care is the cost (not charges) of free/discounted care to patients who qualify under the hospital's financial-assistance policy. Rankings include only organizations that report Schedule H charity care; a blank does not necessarily mean zero — some filers don't complete Schedule H. Figures lag by 1–2 years and reflect the filing organization (which may be a system parent, not a single facility).