Providence Holy Family Hospital

Nonprofit acute care hospital in Spokane, WA.

Verified from the hospital's own policy

Providence Holy Family Hospital likely gives free care to households with a yearly income up to $47,880 for 1 person, $64,920 for 2, $81,960 for 3, $99,000 for 4, $116,040 for 5 or $133,080 for 6. It likely gives a discount to households with a yearly income up to $63,840 for 1 person, $86,560 for 2, $109,280 for 3, $132,000 for 4, $154,720 for 5 or $177,440 for 6.

The hospital makes the final decision.

Discount steps

• 0% to 300% of poverty level, you pay nothing (100% write-off)
• 301% to 400% of poverty level, you pay 20% of original charges (80% discount), never more than AGB

How to apply

1. Call 1-855-229-6466 and ask for financial assistance.
2. Application form
3. Providence Financial Assistance (Charity Care) Policy, Washington (PSJH RCM 002 WA)
4. Plain language summary
5. Bring proof of income (W-2, recent pay stubs, last year's tax return, or a signed statement from an employer), a signed statement describing income if there is no proof, bank statements (only asked of Medicare patients who do not also have Medicaid).
6. The policy gives 240 days to apply. Ask the billing office which date the count starts from.

Savings and property

The policy counts savings or property, not only income.

Very large bills

Income at or below 400% of poverty level and Providence hospital bills in the last 12 months over 20% of yearly family income: one-time 100% write-off of what is owed

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, urgent and other medically necessary care at the hospital, including its inpatient and outpatient departments and clinics. Both uninsured and insured patients can apply, and help can go toward deductibles, coinsurance and copays.

Not covered

Cosmetic, experimental or research care and care for convenience are not covered. Doctors and groups that are not Providence employees bill separately and may not accept Providence financial assistance. Ask for the provider list.

State program in Washington

Notes

Help can cover what is left after insurance, like deductibles and copays. Apply within 240 days of the first bill after you leave the hospital, though the hospital may accept later applications. Washington law requires the hospital to screen patients and tell them if they may qualify. After applying, a decision comes within 14 days, and approval covers at least 9 months of care. Assets are not counted for households under 300% of the poverty level, except Medicare patients without Medicaid. Above 300%, some assets may be counted. Payment plans have no interest and are capped at 10% of monthly income after living costs. A denial can be appealed within 30 days.

Sources

• Free care level

  Annual family income, adjusted for family size, is at or below 300% of the current FPL guidelines,

• Discount level

  is between 301% and 400% of the current FPL guidelines,

• Discount steps

  The patient is eligible for a discount of 80% from original charges on patient responsibility amounts for Eligible Services,

• Asset test

  assets will not be considered for households under 300% of the federal poverty level, except for Medicare patients who do not also have Medicaid

• Very large bills

  in excess of 20% of their annual family income, adjusted for family size, for Eligible Services,

• Insured patients

  Financial assistance is available to both uninsured and insured patients if they meet the requirements of this policy.

• Deadline

  The FAP-Eligible Time Period for (i) hospital services is the 240-day period of time;

• Documents

  REMEMBER: You must include proof of income with your application.

• Financial counseling phone

  Speak with a Financial Counselor at 1-855-229-6466, Monday–Friday, 7 a.m. to 5:30 p.m.

• What is not covered

  Services performed by non-Providence employed providers will bill separately and may or may not accept Providence approved Financial Assistance.

• Covered facility

  Providence Holy Family Hospital

Last checked. 2026-11-11