More than ever, healthcare organizations are under pressure to let the sun shine in on their performance levels, clinically and financially. For example, not-for-profit hospitals and health systems, thanks to revamped reporting requirements from the Internal Revenue Service, are now providing more detail as to how much charity care they are giving patients to meet the community-benefit requirement of their tax exemption. Meanwhile, providers are also expected to come clean on their clinical numbers, as consumers are demanding more information to help them make informed decisions on selections of hospitals, physicians and others. The federal government has established the Hospital Compare website, which currently provides comparisons based on some 27 inpatient quality measures. The government is also offering incentives for hospitals to report their data on quality improvement by participating in pay-for-performance demonstration projects.