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Providence Santa Rosa Memorial Hospital-Sotoyome — Financial Assistance & Charity Care
Santa Rosa, Sonoma County, CA
Under California law (the Hospital Fair Pricing Act), Providence Santa Rosa Memorial Hospital-Sotoyome must offer free or discounted care to patients who can't afford their bills. Here's who qualifies and how to apply — you can apply even if your bill already went to collections.
Do you qualify for FREE care?
Providence Santa Rosa Memorial Hospital-Sotoyome provides free (charity) care to patients at or below 300% of the Federal Poverty Level. If your yearly household income is at or below the amount for your household size, you likely qualify for 100% free care:
| Household size | Yearly income at or below | You likely qualify for |
|---|---|---|
| 1 person | $47,880/yr | 100% free care |
| 2 people | $64,920/yr | 100% free care |
| 3 people | $81,960/yr | 100% free care |
| 4 people | $99,000/yr | 100% free care |
| 5 people | $116,040/yr | 100% free care |
| 6 people | $133,080/yr | 100% free care |
| 7 people | $150,120/yr | 100% free care |
| 8 people | $167,160/yr | 100% free care |
Discounted care
Patients up to 400% of the Federal Poverty Level qualify for discounted care — you'd owe no more than the amount generally billed to insured patients:
| Household size | Yearly income at or below | You likely qualify for |
|---|---|---|
| 1 person | $63,840/yr | discounted care |
| 2 people | $86,560/yr | discounted care |
| 3 people | $109,280/yr | discounted care |
| 4 people | $132,000/yr | discounted care |
| 5 people | $154,720/yr | discounted care |
| 6 people | $177,440/yr | discounted care |
| 7 people | $200,160/yr | discounted care |
| 8 people | $222,880/yr | discounted care |
What you'll need to apply
- Recent pay stubs or income tax returns (income documentation limited to these; other forms may be accepted but not required)
- Asset information (only for Medicare beneficiaries who do not also have Medicaid, per CMS Medicare cost reporting)
How to apply
📞 1-866-747-2455When you call, say: “I'd like to apply for financial assistance (charity care) for a hospital bill. Can you send me the application and tell me which documents I need?”
Based on this hospital's policy effective 03/26/2025.
Not sure if you qualify?
Answer 3 quick questions and get a personalized plan plus a ready-to-send request letter — free, in your language.
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