Box 13427 Springfield, IL 62791 Toll Free: 1 (877) 636 - 2261 Email: ILSBO@hshs.org As the philanthropic arm of HHA, Inc., the Highland Hospital Foundation Highland Hospital Foundation increases their donations and event participants with CiviCRM The Highland Hospital Foundation is the 501(c)3 fundraising organization of HHA, Inc. 619 19th Street South, QB102, Birmingham, AL 35249-6510 (205) 801-9910 - Fax (205) 996-0560 Please return the following information within thirty days so that we may process your application: 1) The completed Financial Assistance Program Application with this letter. Highland District Hospital also has a financial assistance program for patients whose income may be over the Federal Poverty Guidelines and need assistance resolving their hospital bills. Amount Received to Fund Financial Assistance: $5,773,225. The mission of the Foundation is to enable and assist HHA, Inc. in maintaining quality behavioral health treatment programs. in Year Last Reported: 2010. from the New York State Government to fund Financial Assistance/Charity Care activities. Highland Hospital, or the hospital group to which it belongs, received . This program may discount a percentage of the hospital bill, based on the households’ income, up to and financial assistance. Our Financial Assistance Policy, or FAP, exists to provide eligible individuals partially or fully discounted emergent or medically necessary hospital/physician care. Highland District Hospital also has a financial assistance program for patients whose income may be over the Federal Poverty Guidelines and need assistance resolving their hospital bills. Individuals seeking Financial Assistance must apply for the program, which is summarized below. HSHS St. Joseph's Hospital, Highland HSHS St. Joseph's Hospital, Breese HSHS Holy Family Hospital, Greenville HSHS Sleep Disorder Center Southern Illinois HSHS Imaging Center Belleville Patient Financial Services Attention: Financial Assistance Program P.O. Please return completed application along with required documentation to the locatations as listed below: SOUTHERN ILLINOIS HSHS St. Elizabeth’s Hospital – Belleville, IL HSHS St. Joseph’s Hospital – Highland… Failure to provide this information will be cause to deny financial assistance. This program may discount a percentage of the hospital bill, based on the households’ income, up to and including 200% of the Federal Poverty Guideline. Policy of financial assistance to support travel to and from hospital | Publication Date: 17/10/2016 Patient Travel Scheme - all NHS Scotland patients are entitled to help with travel costs if they are in receipt of certain income based benefits.