As nonprofit hospitals reap big tax breaks, states scrutinize their required charity spending

Abstract: And an April report by the Lown Institute, a health care think tank, said more than 1,350 nonprofit hospitals have “fair share” deficits, meaning the value of their community investments fails to equal the value of their tax breaks. “With so many Americans struggling with medical debt and access to care, the need for hospitals to give back as much as they take grows stronger every day,” said Vikas Saini, president of the institute.