OSHPD - SyFPHR

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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

ORCHARD HOSPITAL
240 SPRUCE STREET
GRIDLEY, CA 95948
http://www.orchardhospital.com

License:

General Acute Care Hospital
Total Beds: 106
Emergency Room: Yes
more... Link to Atlas

Contact:

Elizabeth Gomez
(530) 846-9020

OSHPD ID:

106040802

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2015

Download:

Policy File

Federal Poverty Level for Free Care:

250%

Discount Payment Effective Date:

1/1/2015

Discount Payments:

Discount Payment 1

FPL Range: 250%-400%
Payment Basis:
Other: Up to 75% uncompensated care adjustment

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:
Other: Up to 50% uncompensated care adjustment

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

1/1/2015

Download:

Application File

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English
Spanish

Additional Information

Facility is using the Medi-Cal Poverty Level for determining a patient's financial eligibility for both charity care and discounted payments. The Medi-Cal Poverty Level is 250% of the Federal Poverty Level

Family Size	100%	150%	200%	250%	300%	350%	400%