Marshall Foundation for Community Health Logo

Bridging the Gap

Bridging The Gap Request Form

This fund, established through Marshall Foundation for Community Health, is designed to assist Marshall Medical Center patients and families, including Home Care patients, as well as Marshall Employees and families, with short-term crisis funding situations, when all other avenues for assistance have been exhausted. Please return this form to Marshall Foundation for Community Health, 1124 Sherman St., Placerville, CA 95667 or FAX to 530-295-1150. For further information, please call 530-642-9984 or email: jjohnson1@marshallmedical.org.
  • Bridging The Gap Guidelines: This fund, established through Marshall Foundation for Community Health, is designed to assist Marshall Medical Center patients and families, including Home Care patients, as well as Marshall Employees and families, with short-term crisis funding situations, when all other avenues for assistance have been exhausted. Parameters of the Bridging the Gap Fund designate a split of resources between Marshall Medical Center patients and employees with 80% reserved for employee use per fiscal year. 1. Assistance will be given in the form of direct payment to the business (i.e., rent or utilities) orvouchers for goods and services unless special circumstances exist. a. Goods and services include but are not limited to: transportation (gasoline, etc),housing, utilities, prescriptions (Robinson’s Pharmacy) and food vouchers (Safeway). b. Auto repairs, auto payments or vehicle purchases are not eligible for funding. c. Medical bills are generally not eligible for funding but may be considered on a case bycase basis. d. Veterinary bills are generally not eligible for funding but may be considered on a case bycase basis (i.e. service animals). 2. Cash may be disbursed only in special circumstances when none of the above goods or servicesapply. 3. Bridging the Gap assistance is available through Marshall Foundation, Marshall Hospital’s SocialServices, Administration, Solution Station, and Employee Services departments. 4. Applicants seeking Bridging the Gap assistance shall assist in completing a confidentialapplication outlining the nature of the request and submit the application to one of the fourdepartments listed in #3. Your application will be reviewed within 72 hours. This group reviewsand approves applications for assistance, except where immediate patient prescriptions orother patient needs arise that need immediate approval via request from Marshall Hospital’sSocial Services department. 5. The intent of the Bridging the Gap Fund is episodic, crisis intervention. This program is notdesigned to address reoccurring, unfortunate circumstances. Applicants awarded Bridging theGap funds are eligible twice during their employment at Marshall Medical Center unless“extremely” unusual circumstances exist. A third request would need special review by theCommittee. 6. A committee consisting of representatives from Marshall Foundation, Home Health, Social Services, Administration, Emergency department, Fiscal Services,Employee Services and the Solution Station developed these guidelines. 7. A maximum of $200.00 per “general” request allows the fund to continue to help those in needwithout draining the resource. A maximum of $100.00 is allowed for prescription requests forhospital patients. The Committee may approve a modest amount above the maximum allowedif special circumstances apply. 8. In “special circumstances,” this fund allows Marshall Medical Center employees to apply forspecial assistance of no more than 20% of the annual funds allowed for employees. Examplesof “special circumstances” include, but are not restricted to: fire or other destruction ofhousing; catastrophic family illness; etc. The application for “special circumstances” would bethe same as listed in #4. Revised by Board of Trustees July 2018