INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA
BUTLER, PA · version 3 · published · JSON
eligibility.free_care_max_fpl250% of the federal poverty level"If your annual family income is 250% or less of the FPIG, you will be eligible for free care."
documented · checked 2026-10-13 · [PDF] Patient Financial Assistance and Discount Policy (PFAP)
programs.presumptiveLack of family support for incapacitated patientsHomeless
Mental incompetence as declared by a licensed professional
"Authorized staff within the Business Office will complete the form on the patient’s behalf and research evidence of indigence. If any of the criteria listed below are met, the patient may qualify for Presumptive Charity: 1. State or Federal assistance program enrollment (food stamps, family planning, etc.) 2. Low income housing resident, supported by a county appraisal district record 3. Lack of family support for incapacitated patients 4. Homeless 5. Mental incompetence as declared by a licensed professional 6. Low income as documented by third-party income verification services."
documented · checked 2026-10-13 · [PDF] Patient Financial Assistance and Discount Policy (PFAP)
apply.documents_requiredProof of incomeTax return
Bank statements
"Federal Tax return, applicant and spouse income for the last thirty days, number of dependents, and bank statements relevant to making a determination of financial need."
documented · checked 2026-10-13 · Charity Care / Financial Assistance | Independence Health System
apply.submit_methodsMail: Mail application to Butler Health System, PO Box 447, East Butler, PA 16029, ATTN: Financial ClearanceEmail: email to BHSFinancialClearance@butlerhealthsystem.org
"Please sign and return the form and documents as soon as possible to the address/email address below: Butler Health System 724-431-2947: Mail application to Butler Health System, PO Box 447, East Butler, PA 16029, ATTN: Financial Clearance or email to BHSFinancialClearance@butlerhealthsystem.org"
documented · checked 2026-10-13 · Financial Assistance Application (for Butler Memorial ...
contacts.phone877-247-9925"Call [877-247-9925](tel:877-247-9925) (8am-4pm, Monday through Friday) or email [pbdindependence@ensemblehp.com](mailto:pbdindependence@ensemblehp.com)."
documented · checked 2026-10-13 · Charity Care / Financial Assistance | Independence Health System
contacts.hours8am-4pm, Monday through Friday"Call [877-247-9925](tel:877-247-9925) (8am-4pm, Monday through Friday) or email [pbdindependence@ensemblehp.com](mailto:pbdindependence@ensemblehp.com)."
documented · checked 2026-10-13 · Charity Care / Financial Assistance | Independence Health System
coverage.facilitiesButler Memorial HospitalClarion Hospital
Butler Medical Providers
"### Butler Memorial Hospital, Clarion Hospital, and Butler Medical Providers:"
documented · checked 2026-10-13 · Charity Care / Financial Assistance | Independence Health System
Sources
Charity Care / Financial Assistance | Independence Health System — fetched 2026-10-13
Financial Assistance Application (for Butler Memorial ... — fetched 2026-10-13
click here. — fetched 2026-10-13
click here. — fetched 2026-10-13
click here. — fetched 2026-10-13
Charity Care / Financial Assistance — fetched 2026-10-11
Charity Care / Financial Assistance — fetched 2026-10-11
[PDF] Patient Financial Assistance and Discount Policy (PFAP) — fetched 2026-10-11