Illinois Financial Assistance Information

Serving the Needs of Those in Our Area

As members of AdventHealth, our faith-based hospitals are committed to excellence in providing quality health care while serving the diverse needs of those living in our area. Financial assistance may be available to patients receiving non-elective (emergent) hospital services who are not covered by any form of insurance or government program. Verification of income and financial information is required.

This hospital limits charges for emergency and other medically necessary care provided to patients eligible for financial assistance to Amounts Generally Billed (AGB) to insured individuals. The amounts generally billed to insured individuals is determined by taking all accounts paid in full over a recent 12-month period, for Medicare, Medicare Advantage and contracted commercial insurance, and calculating the average discount given. Your financial responsibility is then calculated as follows:

Your Total Charges X Calculated Average Discount Percentage = Your Financial Responsibility

If you receive emergency or other medically necessary care and are eligible for assistance under our financial assistance policy, you will never be billed more than this amount. To request the actual percentage discount applicable to your hospital of choice, please refer to the contact information provided on the cover page of the financial assistance document packet or the contact information included on the financial assistance section of your hospital’s web page.

Per our financial assistance policy, to qualify for a 100% reduction in your financial responsibility, you must have received emergency or other medical necessary care and have an annual household income that does not exceed 200% (250% for Colorado and Illinois residents) of the Federal Poverty Guideline, according to the table below. An application and supporting documentation is required to qualify.

2024 Federal Poverty Guidelines

Household Size

100% of Poverty

200% of Poverty

250% of Poverty

































For family households more than 8 add $5,380

Financial Aid Policies and Applications

Financial Aid Documents

Find Additional Support by Hospital Location

For additional assistance and information, please contact:
Phone: 800-462-0490
Fax: 423-485-6627
Mail to:
PO Box 935979
Atlanta, GA 31193-5979

*Colorado patients may qualify for discounted care. Call to speak to a financial counselor for more information and to complete the application.

AdventHealth Avista: Call303-673-1037
AdventHealth Castle Rock: Call720-455-8105
AdventHealth Littleton: Call303-734-2054
AdventHealth Parker: Call303-269-4531
AdventHealth Porter: Call303-715-7163

Click here to view a sample of the application. Learn more about your rights and qualifications here: English | Spanish

The following addendums to our financial assistance policy lists physicians providing services in our hospital and indicates whether they participate in our financial assistance program. Please select the facility where you are seeking medical attention.

AdventHealth Altamonte Springs

AdventHealth Apopka

AdventHealth Avista*

AdventHealth Carrollwood

AdventHealth Castle Rock*

AdventHealth Celebration

AdventHealth Central Texas

AdventHealth Connerton

AdventHealth Dade City

AdventHealth Daytona Beach

AdventHealth DeLand

AdventHealth Durand

AdventHealth East Orlando

AdventHealth Fish Memorial

AdventHealth for Children

AdventHealth for Women

AdventHealth Gordon

AdventHealth Heart of Florida

AdventHealth Hendersonville

AdventHealth Kissimmee

AdventHealth Lake Placid

AdventHealth Lake Wales

AdventHealth Littleton*

AdventHealth Manchester

AdventHealth Murray

AdventHealth New Smyrna

AdventHealth North Pinellas

AdventHealth Ocala

AdventHealth Orlando

AdventHealth Ottawa

AdventHealth Palm Coast

AdventHealth Parker*

AdventHealth Porter*

AdventHealth Redmond

AdventHealth Rollins Brook

AdventHealth Sebring

AdventHealth Shawnee Mission

AdventHealth South Overland Park

AdventHealth Tampa

AdventHealth Waterman

AdventHealth Wauchula

AdventHealth Wesley Chapel

AdventHealth Winter Garden

AdventHealth Winter Park

AdventHealth Zephyrhills