The Ledger · by CashPayMed
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Know your hospital.

Find out who gets free care at your hospital. See how much free care it gives. See what it told the tax people about suing patients. See what it pays its bosses. Every number comes from the hospital’s own tax form.

Or type a hospital name. Free, no sign-up, nothing to install.

Need help with a hospital bill?

Find out if your bill can be cut or dropped. And the words to use when you ask.

Start here →

Investigate a hospital

Free care, unpaid bills, boss pay, and five years of tax forms.

Look one up →

At most nonprofit hospitals, a family of four earning $66,000 can get free care.

In one survey, most patients did not report getting any information about it from their hospital.
71%of patients who qualify for hospital financial assistance never receive it
52%did not report receiving any information about it from their hospital
$132ka family of four can earn and still get a discount at the typical hospital
Sources: Dollar For, The Bottom Line (2025) and The Path to Charity Care (2023 patient survey) · income figures from hospitals’ own IRS filings, converted using the 2026 HHS poverty guidelines. Each hospital picks its own income line. The law does not set it. The lines run from 40% to 600% of the poverty level. Half are at 200% or higher. Income is the first test, not the only one. Most hospitals also look at your savings. Nearly half ask you to live nearby. Most cover care you need, not care you choose.

This isn’t a favour. It’s the policy.

Nonprofit hospitals pay no federal income tax. Most pay no property tax either. In return, the law asks four things of them. Write down who gets help paying. Tell patients that help exists. If you qualify, charge you no more than they charge insured patients. And before they sue you, put a lien on your home, or take money from your paycheck, make a real effort to find out if you qualify first.

So asking for help is not asking for a favour. You are asking the hospital to use a plan it must have. Whether you qualify still depends on the line that hospital picked.

How to ask — the exact words to use →

What every nonprofit hospital reports

We read the tax form of every nonprofit hospital group that files one. That is 1,865 groups. Of those, 1,794 report a free-care number we can measure. We publish what they give. Every number links to the form it came from. One group can run several hospitals.

How we read the forms, and what they cannot tell you →

The research