# Emanate Health Foothill Presbyterian Hospital

Hospital in Glendora, CA. Verified from the hospital's own policy.

Emanate Health Foothill Presbyterian Hospital likely gives free care to households with a yearly income up to $31,920 for 1 person, $43,280 for 2, $54,640 for 3, $66,000 for 4, $77,360 for 5 or $88,720 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.

| Household size | Free care if yearly income is up to | Discount if yearly income is up to |
|---|---|---|
| 1 | $31,920 | $63,840 |
| 2 | $43,280 | $86,560 |
| 3 | $54,640 | $109,280 |
| 4 | $66,000 | $132,000 |
| 5 | $77,360 | $154,720 |
| 6 | $88,720 | $177,440 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 200% of poverty level, patient pays $0 (entire hospital bill written off)
- 201% to 300% of poverty level, patient pays 75% of the hospital bill written off
- 301% to 400% of poverty level, patient pays 50% of the hospital bill written off
- 401% to null% of poverty level, patient pays May be written off with approval, or a payment plan of no more than 10% of monthly family income after essential living expenses

## How to apply

- Call (626) 732-3100 and ask for financial assistance.
- [Application form](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=546251c0-4383-43cf-bdbe-e0358039a16a)
- [Charity Care #A009 (effective 04/2026)](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=649bdf2a-4181-4f3b-a11b-b9908f07898e)
- We do not have the deadline yet. Apply as soon as you get a bill, and ask the billing office to pause collections while you apply.
- Bring recent pay stubs or income tax returns, the application asks for a tax return (1040), W-2, or 6 months of pay stubs.
- Savings and property. The policy looks at income only, not savings or property.
- Very large bills. Insured patients with high medical costs and family income at or below 400% of the poverty level (the policy does not define high medical cost)

## 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. Medically necessary hospital care at Queen of the Valley, Inter-Community, and Foothill Presbyterian hospitals.

Not covered. Emergency room doctors (Vituity) bill separately and have their own discount program, phone (800) 498-7157. Other outside providers may not be covered. Medi-Cal share of cost is not eligible.

## State program in California

### Hospital Fair Pricing Act (Health and Safety Code 127400 et seq.)

Every licensed general acute care, acute psychiatric, and special hospital in California must have a charity care policy and a discount payment policy. A patient can ask for help if they are uninsured (self-pay) or have high medical costs, and their family income is not more than 400% of the federal poverty level. Hospitals may choose to help people with higher incomes. With a discount, the bill is capped at about what Medicare or Medi-Cal would pay, whichever is greater. You can apply at any time, even after a bill goes to collections. Immigration status does not affect eligibility.

Income levels in the program are discount up to 400% of poverty level.

Applies to each licensed general acute care hospital, acute psychiatric hospital, and special hospital in California.

How to apply. Apply to the hospital's financial assistance office. Each hospital's policies and applications are posted on its website and on HCAI's Hospital Fair Pricing Policy Lookup (https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-fair-pricing-policy-lookup/).

> Is a self-pay patient OR a patient with high medical costs; AND Patient's family income is not more than 400 percent of the federal poverty

Source https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-bill-complaint-program/frequently-asked-questions/, checked 2026-11-10

### Hospital Bill Complaint Program (HCAI)

A free state program at HCAI. If a hospital wrongly denied you financial assistance, did not tell you about its programs, or sent you to collections the wrong way, you can file a complaint online (English and Spanish) or by mail (many languages). You must have applied to the hospital first for HCAI to review an eligibility decision. If HCAI finds you paid too much, the hospital must refund you within 30 days. It covers problems on or after January 1, 2022. It does not handle general billing disputes, price transparency, Good Faith Estimates, or bills from emergency room doctors.

Applies to complaints about any hospital covered by the Hospital Fair Pricing Act.

How to apply. File online through the Patient Complaint Portal (https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-bill-complaint-program/should-i-file-a-complaint/) or mail the Patient Complaint Form to Department of Health Care Access and Information, Hospital Bill Complaint Program, 2020 West El Camino Avenue, Suite 1101, Sacramento, CA 95833.

> If you believe you were wrongly denied financial assistance, you may file a complaint with the Hospital Bill Complaint Program.

Source https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-bill-complaint-program/, checked 2026-11-10

### Emergency physician discount rule

Most hospital policies cover only the hospital's own bill. Emergency room doctors often bill separately. California law also requires an emergency physician to give discounts to uninsured patients and patients with high medical costs whose family income is at or below 400% of the federal poverty level. Ask the doctor group's billing office for its discount policy. HCAI's complaint program does not handle emergency doctor bills.

Income levels in the program are discount up to 400% of poverty level.

Applies to emergency physicians who provide emergency medical services in a California hospital that provides emergency care.

How to apply. Ask the emergency physician group named on the bill for its discount payment policy.

> an emergency physician who provides emergency medical services in a hospital that provides emergency care is also required by law to provide discounted care

Source https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=c7bdd7eb-bcc0-4a84-bcab-a21b5e578d9c, checked 2026-11-10

## Notes

Free care at or below 200% of the poverty level. From 201% to 300% three quarters of the bill is written off. From 301% to 400% half is written off. The policy also says discounts must line up with Medicare or Medi-Cal rates, whichever is greater. Your savings do not count up to 400%. Above 400%, the part of the bill larger than your net worth may be written off with approval, or you can get a payment plan. The policy gives no deadline to apply and says help can be checked at any time. An approved application lasts 6 months. The application says missing papers must come in within 30 days. Disputes go to Patient Financial Services managers. The policy says emergency doctor services are covered in one place and tells you to call the emergency doctors' billing company in another, so call both if you get an ER doctor bill. The phone number is Emanate Health Business Services, open 8 a.m. to 4 p.m. weekdays.

## Sources

- Free care level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=649bdf2a-4181-4f3b-a11b-b9908f07898e
  > Patients with an income level at 200% or less of the FPL, will have the entire hospital bill written off
- Discount level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=649bdf2a-4181-4f3b-a11b-b9908f07898e
  > Patients with an income level of 201% to 400% of the FPL, will have a portion of the hospital bill written off
- Discount steps https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=649bdf2a-4181-4f3b-a11b-b9908f07898e
  > 201% - 300% = 75% write-off
- Insured patients https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=649bdf2a-4181-4f3b-a11b-b9908f07898e
  > applies to patients who are insured but have a high medical cost and with a family income at or below 400 percent
- Asset test https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=649bdf2a-4181-4f3b-a11b-b9908f07898e
  > regardless of net worth or size of bill
- Very large bills https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=649bdf2a-4181-4f3b-a11b-b9908f07898e
  > Eligibility for charity care also applies to patients who are insured but have a high medical cost
- What is not covered https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=546251c0-4383-43cf-bdbe-e0358039a16a
  > Any other providers of services outside of the areas mentioned above may not be covered under this program.
- Documents https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=649bdf2a-4181-4f3b-a11b-b9908f07898e
  > Recent paystubs or income tax returns are to be provided for the purposes of determining eligibility.
- Financial counseling phone https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=546251c0-4383-43cf-bdbe-e0358039a16a
  > Phone Number: 626-732-3100
- Facility list https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=649bdf2a-4181-4f3b-a11b-b9908f07898e
  > Queen of the Valley Hospital, Inter-Community Hospital, and Foothill Presbyterian Hospital

Last checked 2026-11-10.

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