THOT member hospitals represent just 4 percent of Texas reporting charity care (“uncompensated care”) to the state but provide 44 percent of the $7.9 billion in reported charity care costs in 2023. Even after all Medicaid payments are received to help offset some of the costs of this care, THOT members still have $2.1 billion of the $5 billion in unreimbursed costs for charity care provided.