NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL

"An Applicant with Household Income equal to or less than 250% of the then current Federal Poverty Guideline applicable to the Applicant’s Family Size shall be eligible for Free Care."

documented · checked 2026-10-14 · NMHC’s Financial Assistance Policy

"NMHC provides Free Care as well as Discounted Care to Insured Patients as provided in this Appendix B."

documented · checked 2026-10-14 · NMHC’s Financial Assistance Policy

"Morate podnijeti potpuni zahtjev i popratne dokumente u roku od 240 dana nakon što ste otpušteni ili dobijete ambulantnu njegu."

documented · checked 2026-10-14 · Financial Assistance Application

"Morate podnijeti potpuni zahtjev i popratne dokumente u roku od 240 dana nakon što ste otpušteni ili dobijete ambulantnu njegu."

documented · checked 2026-10-14 · Financial Assistance Application

"Call Financial Counseling, toll free, at [**800.423.0523**](tel:8004230523) Monday through Friday."

documented · checked 2026-10-14 · Financial Assistance | Northwestern Medicine

"To meet with a financial counselor in person, call [**800.423.0523**](tel:8004230523), Monday through Friday, 8:30 am to 5:00 pm to arrange an appointment."

documented · checked 2026-10-14 · Financial Assistance | Northwestern Medicine

"English [Plain Language Summary](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/english/financial-assistance-plain-language-english.pdf) [Financial Assistance Policy](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/english/nmhc-financial-assistance-policy.pdf) [Financial Assistance Application](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/english/northwestern-medicine-financial-assistance-application-fillable.pdf) Spanish [ASISTENCIA FINANCIERA – RESUMEN EN LENGUAJE SENCILLO (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/spanish/financial-assistance-plain-language-spanish.pdf) [POLÍTICA FINANCIERA (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/spanish/nmhc-financial-assistance-policy-spanish.pdf) [Solicitud de Ayuda Financiera (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/spanish/northwestern-medicine-financial-assistance-application-spanish-fillable.pdf) Arabic [تلخيص لغة مبا ر شة بشأن المساعدة المالية (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/arabic/تلخيص-لغة-مبا-ر-شة-بشأن-المساعدة-المالية-plain-language-summary-arabic.pdf) [البوليصة المالية (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/arabic/nmhc-financial-assistance-policy-arabic.pdf) [طلب الحصول على المساعدة المالية (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/arabic/northwestern-medicine-financial-assistance-application-arabic-fillable.pdf) Bosnian [JEDNOSTAVNO FORMULIRANI REZIME FINANSIJSKE POMOĆI (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/bosnian/jednostavno-formulirani-rezime-finansijske-pomoći-plain-language-summary-bosnian.pdf) [FINANSIJSKA POLITIKA (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/bosnian/nmhc-financial-assistance-policy-bosnian.pdf) [Zahtjev za finansijsku pomoć (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/bosnian/northwestern-medicine-financial-assistance-application-bosnian-fillable.pdf) Chinese Simplified [经济援助简明语言总结 (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/chinese-simplified/经济援助简明语言总结-plain-language-summary-chinese-simplified.pdf) [财务政策 (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/chinese-simplified/nmhc-financial-assistance-policy-chinese-simplified.pdf) [经济援助申请表 (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/chinese-simplified/northwestern-medicine-financial-assistance-application-chinese-simplified-fillable.pdf) Chinese Traditional [財務援助淺白用語重點摘要 (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/chinese-traditional/財務援助淺白用語重點摘要-plain-language-summary-chinese-traditional.pdf) [財務政策 (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/chinese-traditional/nmhc-financial-assistance-policy-chinese-traditional.pdf) [財務援助申請 (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/chinese-traditional/northwestern-medicine-financial-assistance-application-chinese-traditional-fillable.pdf) Hindi [वित्तीय सहायता सादे भाषा सारांश (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/hindi/plain-language-summary-hindi.pdf) [वित्तीय नीतत (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/hindi/nmhc-financial-assistance-policy-hindi.pdf) [वित्तीय सहायता आवेदन (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/hindi/northwestern-medicine-financial-assistance-application-hindi-fillable.pdf) Korean [재정 지원 간단한 요약 (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/korean/재정-지원-간단한-요약-plain-language-summary-korean.pdf) [재정 정책 (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/korean/nmhc-financial-assistance-policy-korean.pdf) [재정 지원 신청서 (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/korean/northwestern-medicine-financial-assistance-application-korean-fillable.pdf) Polish [PODSUMOWANIE POMOCY FINANSOWEJ W PROSTYM JĘZYKU (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/polish/podsumowanie-pomocy-finansowej-w-prostym-języku-plain-language-summary-polish.pdf) [POLITYKA FINANSOWA (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/polish/nmhc-financial-assistance-policy-polish.pdf) [Wniosek o udzielenie wsparcia finansowego (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/polish/northwestern-medicine-financial-assistance-application-polish-fillable.pdf) Russian [КРАТКИЙ ОБЗОР ПРОГРАММЫ ФИНАНСОВОЙ ПОМОЩИ НА ДОСТУПНОМ ЯЗЫКЕ (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/russian/краткий-обзор-программы-финансовой-помощи-на-доступном-языке-plain-language-summary-russian.pdf) [ФИНАНСОВАЯ ПОЛИТИКА (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/russian/nmhc-financial-assistance-policy-russian.pdf) [Заявление на Получение Финансовой Помощи (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/russian/northwestern-medicine-financial-assistance-application-russian-fillable.pdf) Urdu [مالیاتی معاونت سادہ زبان میں خلاصہ (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/urdu/مالیاتی-معاونت-سادہ-زبان-میں-خلاصہ-plain-language-summary-urdu.pdf) [مالیاتی پالیسی (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/urdu/nmhc-financial-assistance-policy-urdu.pdf) [مالیاتی معاونت کی درخواست (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/urdu/northwestern-medicine-financial-assistance-application-urdu-fillable.pdf) Vietnamese [TÓM TẮT HỖ TRỢ TÀI CHÍNH BẰNG NGÔN NGỮ ĐƠN GIẢN (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/vietnamese/tóm-tắt-hỗ-trợ-tài-chính-bằng-ngôn-ngữ-đơn-giản-plain-language-summary-vietnamese.pdf) [CHÍNH SÁCH TÀI CHÍNH (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/vietnamese/nmhc-financial-assistance-policy-vietnamese.pdf) [Đơn xin Hỗ trợ Tài chính (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/vietnamese/northwestern-medicine-financial-assistance-application-vietnamese-fillable.pdf)"

documented · checked 2026-10-14 · Financial Assistance | Northwestern Medicine

"SCOPE: Applies to entities indicated below as well as their subsidiaries and affiliates NM – Northwestern Memorial Hospital NM – Lake Forest Hospital NM – Northwestern Medical Group - Academic Medical Center (AMC) NM – Central DuPage Hospital NM – Northwestern Medical Group - Northwestern Health Network (NHN) NM – Delnor Hospital NM – Regional Medical Group - Northwestern Health Network (NHN) NM – Valley West Hospital NM – Kishwaukee Hospital NM – Palos Community Hospital NM – Marianjoy Rehabilitation NM – System Functions / NMHC Employees NM – Huntley Hospital / NM – McHenry Hospital / NM – Woodstock Hospital Ambulatory Surgery Centers (Freestanding) NM – Surgery Center River North NM – Surgery Center Sycamore NM – Surgery Center Warrenville NM – Palos Health Surgery Center, LLC NM – Other **See “Scope/Persons/Areas Affected” Section below**"

documented · checked 2026-10-14 · NMHC’s Financial Assistance Policy