For hospitals and health systems.

Help patients with unpaid bills. Public reports will keep patient names private.

We will buy medical debt and cancel it. We will never collect it, report it or sue.

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Two hands hold up a sheet of paper in front of a turquoise wall, with a yellow mug and a red folder on the table.

Getting ready for our first cancellation

Gifts to The Medical Bill, Inc. may not qualify for a federal income tax deduction. Our tax-exempt status is not confirmed yet.

Tax deductibility outside the United States depends on your local law.

Steps done: 1 of 8.

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Why it fits 501(r)

  • Section 501(r) of the federal tax code sets requirements for every nonprofit hospital facility, and one of them limits billing and collections.Source 1
  • A nonprofit hospital has to give patients time to apply for financial assistance, and notice in writing, before it takes an extraordinary collection action.Source 2
  • Selling a patient's debt counts as an extraordinary collection action, like reporting to a credit bureau or suing, unless the sale meets specific conditions.Source 2
  • A sale does not count as one when the buyer's contract bars collection actions, caps interest at the IRS underpayment rate and lets the hospital take an account back if the patient qualifies for financial assistance.Source 2
Our buyer terms will meet these conditions, and counsel will approve their wording before we sign any purchase. We will never collect, report or sue on an account we buy.

How it works for a hospital

We start by talking with your team and agreeing on what each side will do.
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  1. A first callWho is involved Your team and ours
  2. Review account information in privateWho is involved Our team, under data terms
  3. An agreementWho is involved Both sides, with counsel
  4. Cancel the debtWho is involved Our team
  5. A letter to each patientWho is involved Our team, by mail
  6. A public reportWho is involved Our team, in public

Data and privacy

We are setting up our data handling with counsel before our first purchase.

Patient data never touches our public website. We will sign business associate terms where the law requires them, and we publish only aggregate numbers.

What we publish

When we cancel debt, we will share these results on our impact page:

  • The date.
  • The medical debt cancelled.
  • How many people it reached.
  • The region, where enough people share it to keep each of them private.

Questions from hospitals

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Tell us about your organization and how you’d like to work together.

Keep patient details out of this form.

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What kind of organization is it?

Your contact details

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What you have in mind

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What would you like to talk about? (optional)

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Sources

  1. Note 1 IRS, "Requirements for 501(c)(3) Hospitals Under the Affordable Care Act - Section 501(r)". Published July 2, 2026. Last checked November 2, 2026.

  2. Note 2 IRS, "Billing and Collections - Section 501(r)(6)". Published July 2, 2026. Last checked November 2, 2026.