Charity and IGT Optimization

Charity care and Indigent Care Trust (IGT) programs sit at the intersection of compliance, access, mission, and revenue — and few areas of the revenue cycle are more misunderstood or underutilized. Spark RCM can assist health systems in navigating the complexity of charity policy design, federal poverty level (FPL) thresholds, and eligibility criteria to ensure policies are aligned with regulatory expectations while also delivering the maximum possible financial benefit to the organization. When structured thoughtfully, charity policy is not merely an obligation — it is a powerful strategic lever.

Our work focuses on helping organizations right-size their charity frameworks: calibrating FPL levels, standardizing eligibility workflows, and aligning operational execution with state and local reimbursement opportunities. Many systems unknowingly leave significant dollars on the table due to overly conservative policies, inconsistent application, or outdated assumptions. By aligning policy, process, and performance, Spark RCM helps organizations protect access, meet community commitments, and materially improve net revenue outcomes.