CASA COLINA HOSPITAL

"CHARITY CARE is defined as services customarily provided by Casa Colina, which are provided to patients who do not have available resources to pay and are at or below 200% of the federal poverty level."

documented · checked 2026-10-10 · CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE ...

"DISCOUNTED CARE is defined as services provided to patients who are either uninsured with higher income levels or are underinsured but whose income is at or below four hundred percent (400%) of the federal poverty level standard."

documented · checked 2026-10-10 · CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE ...

">  Pay stubs (most recent available) >  Most recent tax returns >  Completed and signed Financial Assistance Application >  Award letters for Social Security, SSI, Disability, Unemployment, General Relief, Alimony, etc. >  Employment status, both current and future; or, if self‐employed, current year‐to‐date profit and loss statement to determine current income >  Family size >  Last two months’ bank, brokerage and investment statements >  Copies of prior year’s 1099 for interest income, dividends, capital gains, etc. >  Other appropriate financial data if tax returns or pay stubs are not available. Certain assets—such as retirement plans, homes, and automobiles owned by the patient— are excluded. >  Rent verification >  Property/mortgage verification"

documented · checked 2026-10-10 · CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE ...

"Paper copies are also available in the Admitting and Registration Departments throughout the facility located at 255 E."

documented · checked 2026-10-10 · CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE ...

"All decisions will be communicated in writing to the requestor no later than 14 business days from final approval or denial date."

documented · checked 2026-10-10 · CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE ...

"If you have any questions, please contact our Patient Financial Services Department at 909/596‐7733, ext. 5558."

documented · checked 2026-10-10 · CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE ...

"The application is available in English and Spanish."

documented · checked 2026-10-10 · CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE ...