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GOOD SAMARITAN HOSPITAL-LOS ANGELES
1225 WILSHIRE BOULEVARD
LOS ANGELES, CA  90017
http://www.goodsam.org
General Acute Care Hospital
Total Beds:  408
Emergency Room:  Yes
more... Link to Atlas
Rewa Cooper
(562) 698-0811 Ext. 12310
106190392
3/29/2022
200%
11/1/2014

Discount Payment 1

FPL Range: 201%-400%
Payment Basis:
Other: Partial charity care discount on services

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:
Self Pay Patients whose family income is less than 200% of the FPL will be eligible for a full, 100% charity care discount on services rendered. Self Pay Patients whose family income is between 200% and 400% of the FPL will be eligible for a partial charity care discount on services rendered equal to 60% of applicable cash price -- see Cash Price Policy. A High Medical Cost Insured Patient is eligible for a 100% Discount on outstanding patient liability amounts if his or her family income is at or below 400% of the FPL, and his or her out-of-pocket medical expenses in the prior twelve (12) months (whether incurred in or out of any hospital) has exceeded 10% of his or her family income
12/13/2014
Salary Received
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The attached policy,which was originally written in 1999, was revised in August 2006 to comply with AB 774, effective 1/1/2007. It was again reviewed/revised in August 2007 and Board approved on 9/27/2007. Last revised on 11/14 and last approved by the board in November 2017,.It was again reviewed/revised in March 2022 and Board approved on 03/29/2022

 

Family
Size
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