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Hospital Details


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General Information
VALLEY MEMORIAL HOSPITAL
1111 E. STANLEY BOULEVARD
LIVERMORE, CA  94550
https://stanfordhealthcare.org/
General Acute Care Hospital
Total Beds:  75
Emergency Room:  Yes
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Kristine Grajo, Director, PFS Self Pay
(650) 724-5286
Fair Pricing Policy Information  
8/1/2016
400%
8/1/2016
Discount Payments:

Discount Payment 1

FPL Range: 400%-400%
Payment Basis:
Medicare
Medi-Cal
Other Government Insurance

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:
Scenarios in which FPL is not a criteria for determining the patient's charity care discount is for Special Circumstance Financial Assistance cases: Financial assistance that provides a discount to eligible patients with annualized family income in excess of 400% of the Federal Poverty Guidelines and financial obligations resulting from medical services provided by any SHC entity or provider that exceed 10% of annualized family income. Details are included within the policy.
Application Form Information
4/20/2020
Salary Received
Interest Received
Pension Received
Other: Income Tax Returns
Language Information
English
Spanish
Vietnamese
Tagalog
Chinese
Russian
Additional Information
Charity Care FPL criteria has changed to 400% Application updated as Stanford-ValleyCare Revenue Cycle absorbed by Stanford Health Care. Financial Assistance Application is now standard for Stanford-ValleyCare and Stanford.