Financial Assistance

Financial Assistance

Financial assistance information

In keeping with the non-profit, charitable mission of Samaritan Health Services, financial assistance will be provided to uninsured and insured patients with demonstrated financial need. Medical care will be provided to individuals presenting with emergency medical conditions, without discrimination, regardless of their ability to pay for those services or their eligibility for financial assistance.

Financial assistance documents

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Financial Assistance Policy

Financial Assistance Policy Summary
Financial Assistance Application
Federal Poverty Guidelines
Proof of Income Fact Sheet

Politica de Asistencia Financiera
Resumen de la Politica de Asistencia Financiera 
Aplicaciòn de Asistencia Financiera
Directrices Federales de Pobreza
Prueba de Folleto de Ingresos

Financial assistance for urgent or emergent health care

Samaritan Health Services will not deny necessary urgent or emergent health care to any individual regardless of his/her ability to pay. A determination of ability to pay shall be made after all relevant financial factors have been examined, evaluated and found to be valid. 

Financial assistance may be allowed in full or at a reduced amount depending upon the evaluation of the patient’s ability to pay. Financial assistance is based on the Federal Poverty Guidelines published by the U.S. Department of Health & Human Services. Any and all possible sources of payment must be considered before a financial assistance allowance is granted. Payments sources include:

  • Any insurance coverage the patient may have
  • Any third-party coverage, i.e. crime victim
  • Application to Oregon Health Plan, Senior & Disabled Services, or other state and federal programs.


A complete financial questionnaire along with the following documentation will be required:

  • Most recent federal tax return
  • Current proof of income
  • Bank statements
  • Financial aid award letter and transcripts for students
  • Proof of state assistance, i.e. food stamp letter, WIC approval, National School Lunch Program letter (only counts as proof for student it applies to)


All information submitted with financial assistance requests will be kept confidential and will take no more than 30 days to process. Upon final review and processing, Samaritan Health Services will notify all patients of the final determination.

Uninsured discount program

With the growing number of uninsured patients seeking care, we recognize the strain of paying medical bills without insurance coverage. Therefore, we have developed a discount program for our patients who do not have health insurance. Regardless of economic status, self-paying uninsured patients will receive a 10 percent discount. This discount will appear on your Samaritan Health Services billing statement.