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Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2022-2023 (6/13/2023)
2014-2015 (5/5/2015)
2012-2013 (9/5/2013)
2012-2013 (12/31/2012)
2012-2013 (6/4/2012)
2012-2013 (6/4/2012)
2010-2011 (5/11/2010)
2008-2009 (6/12/2008)
2008-2009 (6/12/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
FAIRCHILD MEDICAL CENTER
444 BRUCE STREET
YREKA, CA 96097
http://fairchildmed.org
License:
General Acute Care Hospital
Total Beds:
28
Emergency Room:
Yes
more...
Contact:
Jody Gretzke
(530) 842-4121
OSHPD ID:
106474007
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
12/28/2007
Download:
Policy File
Federal Poverty Level for Free Care:
100%
Discount Payment Effective Date:
12/28/2007
Discount Payments
Discount Payment
1
FPL Range:
101
%-
200
%
Payment Basis:
Other: 60% to 40% disc. depending on total chgs.
Discount Payment
2
FPL Range:
201
%-
350
%
Payment Basis:
Other: 25% to 5% disc. depending on total chgs.
Discount Payment
3
FPL Range:
0
%-
0
%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
12/28/2007
Download:
Application File
Income Type Used:
Salary Received
Interest Received
Pension Received
Language Information
Available Languages:
English
Additional Information
Family
Size
100%
150%
200%
250%
300%
350%
400%
