Table 1—

Hospital Financial Assistance Policies

Health System	Number of Hospitalsa	Eligibility Criteriab	Benefits
Panel A. Largest For-Profit Health Systems
HCA	185	Income < 200% FPL	100% write-off of emergency services costs
Healthcare		Income between 200 and 400% FPL	Cap out-of-pocket balances at 4% of annual income using a sliding scale
Community	105	Income < 200% FPL	Receive care for free
Health Systems		Income between 201 and 301% FPL	Receive care discounted to the amount generally billed to Medicare
Tenet Healthcare	65	Income < 200% FPL	100% charity care discount
Universal	26	Income < 200% FPL	100% discount off gross charges
Health Services		Income between 201 and 250% FPL	83.5% discount off gross charges
		Income between 251 and 300% FPL	67% discount off gross charges
Panel B. Largest Non-Profit Health Systems
Ascension Healthc	151	Income ≤ 250% FPL	100% discount off patient responsibility amounts
		Income between 250 and 350% FPL	75% discount off patient responsibility amounts
		Income between 351 and 400% FPL	67% discount off patient responsibility amounts
Trinity Health	92	Income below 250% FPL	100% discount on patient financial obligations
Providence Health	51	Income ≤ 300% FPL	100% write-off on patient responsibility amounts
		Income between 301 and 350% FPL	75% discount off patient responsibility amounts
Atrium Health	50	Income ≤ 200% FPL	100% discount on eligible services for 180 days
		Income between 201 and 300% FPL	75% discount on eligible services for 180 days
		Income between 301 and 400% FPL	50% discount on eligible services for 180 days
Kaiser Permanented	39	Income ≤ 350% FPL	100% discount on patient responsibility bills; may also include an eligibility period for follow up services

^aBased on information as of July 2019. See Appendix A for details for an expanded list and details on the construction of this table.

^bThe table lists income-based eligibility criteria only. The exact terms for each financial assistance program may include other eligibility requirements such as patient insurance status, medical expenditure incurred, and asset level, which in turn might be associated with different benefit terms.

^cEligibility criteria vary by state and by hospital. The policy here pertains to Lourdes Hospital in Binghamton, NY.

^dEligibility criteria vary by region. The policy here pertains to Kaiser Permanente Northern California.