Home
Sign In
SyFPHR
Search
>
Results
>
Details
Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2022-2023 (9/16/2022)
2020-2021 (7/24/2020)
2018-2019 (1/28/2020)
2020-2021 (12/10/2019)
2014-2015 (6/18/2015)
2014-2015 (5/20/2015)
2014-2015 (1/5/2015)
2012-2013 (6/6/2012)
2012-2013 (6/6/2012)
2010-2011 (3/14/2012)
2010-2011 (3/8/2012)
2008-2009 (6/17/2008)
2008-2009 (6/17/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
PETALUMA VALLEY HOSPITAL
400 NORTH MCDOWELL BOULEVARD
PETALUMA, CA 94954
http://stjosephhealth.org/
License:
General Acute Care Hospital
View License Information...
Contact:
Linda Harvey
(971)358-9401
OSHPD ID:
106491001
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
12/1/2021
Download:
Policy File
Federal Poverty Level for Free Care:
300%
Discount Payment Effective Date:
1/1/2015
Discount Payments
Discount Payment
1
FPL Range:
301
%-
400
%
Payment Basis:
Medicare
Other: Sliding scale discount of Medicare payments
Discount Payment
2
FPL Range:
0
%-
0
%
Payment Basis:
Discount Payment
3
FPL Range:
0
%-
0
%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
5/1/2019
Download:
Application File
Income Type Used:
Salary Received
Interest Received
Pension Received
Other: See application for details
Language Information
Available Languages:
English
Spanish
Additional Information
Family
Size
100%
150%
200%
250%
300%
350%
400%