HCA FLORIDA MERCY HOSPITAL

"In most cases, this will apply to patients who fall between zero and 200 percent of the [Federal Poverty Level](https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines). Patients who meet this qualification and can provide sufficient supporting documentation will have a 100 percent charity discount processed."

documented · checked 2026-10-11 · Financial Assistance | HCA Florida

"Any patient/responsible party unable to provide his/her most recent Federal Tax Return may provide two pieces of supporting documentation from the following list to meet this income verification requirement: * State Income Tax Return for the most current year * Most Recent Employer Pay Stubs * Written documentation from income sources * Copy of all bank statements for the last three months * Current credit report"

documented · checked 2026-10-11 · Financial Assistance | HCA Florida