Northwest Community Hospital 1
Nonprofit acute care hospital in Arlington Heights, IL.
Verified from the hospital's own policy
Northwest Community Hospital 1 likely gives free care to households with a yearly income up to $31,920 for 1 person, $43,280 for 2, $54,640 for 3, $66,000 for 4, $77,360 for 5 or $88,720 for 6. It likely gives a discount to households with a yearly income up to $95,760 for 1 person, $129,840 for 2, $163,920 for 3, $198,000 for 4, $232,080 for 5 or $266,160 for 6.
The hospital makes the final decision.
| People in household | Free care up to | Discount up to |
|---|---|---|
| 1 | $31,920 | $95,760 |
| 2 | $43,280 | $129,840 |
| 3 | $54,640 | $163,920 |
| 4 | $66,000 | $198,000 |
| 5 | $77,360 | $232,080 |
| 6 | $88,720 | $266,160 |
Discount steps
- 0% to 200% of poverty level, you pay nothing (100% discount), insured or uninsured
- 201% to 400% of poverty level, you pay insured patients: 26% of the remaining self-pay balance (74% discount)
- 201% to 600% of poverty level, you pay uninsured patients: 26% of charges (74% discount), capped at 20% of yearly family income
How to apply
- Call (847) 618-4542 and ask for financial assistance.
- Application form
- Financial Assistance Policy (AD-1032)
- Plain language summary
- Bring proof of Illinois residency, most recent federal tax return or W-2, two most recent pay stubs, two most recent bank statements, proof of other income such as Social Security or unemployment letters.
- The policy gives 240 days to apply. Ask the billing office which date the count starts from.
- Residency
- Illinois resident (proof of Illinois residency is required)
- Very large bills
- Uninsured patients from 201% to 600% of the poverty level pay no more than 20% of yearly family income
- Languages
- English, Arabic, Assyrian, German, Japanese, Korean, Mongolian, Polish, Russian, Spanish, Vietnamese
If you have insurance
Insured patients can also apply for help with deductibles and copays. Keep your insurance. Financial assistance covers bills from this one place only.
What is covered
- Covered
- Emergency and medically necessary care at Northwest Community Hospital, including NCH Medical Group doctors.
- Not covered
- Elective care that is not medically necessary is not covered. Some independent doctors who work in the hospital bill separately and are not covered. A list is on the Endeavor Health financial assistance page.
State program in Illinois
Hospital Uninsured Patient Discount Act (210 ILCS 89), metro hospitals
Illinois law says hospitals in metro areas must help uninsured Illinois residents with medically necessary care. If your family income is at or below 200% of the federal poverty level, you may qualify for a free hospital bill for care over $150 per visit or stay. If your income is at or below 600%, you may qualify for a discount. The bill is cut to about 135% of what the care cost the hospital. For people who get the discount, the most a hospital can collect in 12 months is 20% of family income. Hospitals may ignore that cap for people with large assets, not counting a home or retirement savings. This state law covers uninsured patients only. If you have insurance, the hospital's own policy may still help with what you owe. You may have to apply for Medicaid or other public coverage first if you might be eligible. You must apply. The hospital decides.
Income levels in the program are free up to 200%, discount up to 600% of poverty level.
Applies to every Illinois hospital licensed under the Hospital Licensing Act or run under the University of Illinois Hospital Act that is not a Critical Access Hospital and is inside a metropolitan statistical area; uninsured Illinois residents only.
Ask the hospital's financial counseling or billing office for its financial assistance application. Apply within 90 days of discharge, the date of service, the hospital's screening, or a denial of Medicaid or other public coverage. The hospital may ask for proof of income (a tax return, W-2, two recent pay stubs, or an employer letter) and proof that you live in Illinois. If you have a problem, call the Illinois Attorney General's Health Care Hotline at 1-877-305-5145.
shall provide a charitable discount of 100% of its charges for all medically necessary health care services exceeding $150
Program source, checked 2026-11-11
Notes
Insured patients up to 400% of the poverty level can get 74% off what they still owe after insurance, if that balance is $150 or more. Uninsured patients must have medically necessary charges over $150. People on SNAP, WIC, LIHEAP, TANF and some other programs may get free care without a full application. Applicants must list bank account balances, but the policy sets no asset limit, so asset_test is left unknown. Expect a written decision within 45 days of a complete application. The policy says Endeavor does not use extraordinary collection actions such as lawsuits or credit reporting.
Sources
- Free care level
0% - 200% FPL ... Expected Patient Payment $0 PMT / 100% write-off
- Discount level
201% - 600% FPL ... AGB Percentage (see Exhibit 2)
- Discount steps
Northwest Community Hospital and Medical Group 26% 74%
- Insured patients
Patients may request financial assistance consideration for the balance remaining (i.e., self-pay balance) after their health insurance has paid
- Residency
eligibility for financial assistance is restricted to patients with Illinois residency and medically necessary charges exceeding $150.
- Very large bills
Annual Maximum Expected Patient Payment ... 20% of Annual Family Income
- Deadline
Financial assistance applications are due no later than 240 days after the date of the first billing statement
- Covered facility
For purposes of this policy, NS-EEH refers to the non-profit hospitals ... Northwest Community Hospital (NCH)
- Financial counseling phone
(847) 618-4542 for NCH
- Free care page
offers free care to qualifying patients whose income is at or below 200 percent of the Federal Poverty Level
Last checked. 2026-11-11
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