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Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2016-2017 (12/12/2018)
2018-2019 (2/15/2018)
2018-2019 (2/14/2018)
2018-2019 (2/14/2018)
2014-2015 (5/5/2015)
2012-2013 (3/14/2012)
2010-2011 (12/24/2009)
2008-2009 (6/12/2008)
2008-2009 (6/12/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
HEALDSBURG DISTRICT HOSPITAL
1375 UNIVERSITY STREET
HEALDSBURG, CA 95448
http://www.nschd.org
License:
General Acute Care Hospital
Total Beds:
43
Emergency Room:
Yes
more...
Contact:
Matthew Thomas
(707) 431-6473
OSHPD ID:
106490964
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
4/1/2004
Download:
Policy File
Federal Poverty Level for Free Care:
199%
Discount Payment Effective Date:
4/1/2004
Discount Payments
Discount Payment
1
FPL Range:
200
%-
399
%
Payment Basis:
Other: Discount is a sliding scale (see policy)
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:
1/1/2018
Download:
Application File
Income Type Used:
Salary Received
Language Information
Available Languages:
English
Spanish
Additional Information
This is the biannual submission for 2022.
Family
Size
100%
150%
200%
250%
300%
350%
400%
