For decades, nonprofit hospitals have received large tax exemptions for investments in their communities. Currently, federal requirements do not define minimum spending by hospitals on community benefit programs nor are hospitals required to link community benefit dollars to identified health needs. With limited federal guidance, states are leading the way and establishing impactful community benefit policies. This slide deck outlines the levers states are using to hold nonprofit hospitals accountable for their investments in community health improvement. For more information, read NASHP’s blog, Now Is the Time for States to Hold Hospitals Accountable for their Community Benefit Expenditures.