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BillingFinancial Assistance
St. Mary's, St. Vincent and St. Nicholas Hospitals will make every effort to secure financial assistance to those who qualify. We will make available upon request an application for Community Care (charity) to any patient or responsible party. If you intend to apply for Community Care you will be required, at a minimum to furnish a copy of your most recent federal tax return to assist in identifying potential need. Contact Patient Financial Services at (920) 433-8122 for more information. 

Community Care Income Guidelines
March 2013 - March 2014

FAMILY SIZE100% DISCOUNT 
1$22,980 
2$31,020 
3$39,060 
4$47,100 
5$55,140 
6$63,180 
7$71,220 
8$79,260 
9$87,300 
10$95,340 


Community Care Brochure Financial Assistance English
Community Care Brochure Financial Assistance Spanish
Community Care Application English
Community Care Application Spanish


Hospital Sisters of the Third Order Regular of St. Francis Hospital Sisters Health System