{"hospital":{"ccn":"050407","name":"CHINESE HOSPITAL","city":"SAN FRANCISCO","state":"CA","zip":"94133","phone":"415-677-2480","ownership":"Voluntary non-profit - Private","website_domain":"chinesehospital-sf.org","system":null},"version":2,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Self-Pay Patients with family income: 200% or less of the Federal Poverty Level Zero","source_id":"summary-b031699fd977dac3","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":{"value":true,"layer":"documented","quote":"Additionally, SB 1276 stipulates that only 50% of monetary assets after the first $10,000 may be counted toward eligibility.","source_id":"summary-b031699fd977dac3","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"An insured patient with non-covered charges.","source_id":"billing-49e0df01865182ff","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["pay_stubs","tax_return"],"layer":"documented","quote":"For purposes of determining eligibility for Charity Care and/or Discount Payment, documentation of income shall be limited to recent paystubs or recent income tax returns.","source_id":"application-70fec38392abbb3e","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Your appeal must be made in writing, addressed to the Patient Financial Services Director and mailed to the address on this letter."}],"layer":"documented","quote":"If you believe this decision is an error, you have the right to submit an appeal. Your appeal must be made in writing, addressed to the Patient Financial Services Director and mailed to the address on this letter.\n\nIf you have any questions, please feel free to contact us at (415) 677-2314 during normal business hours.","source_id":"application-70fec38392abbb3e","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"(415) 677-2314","layer":"documented","quote":"If you have any questions, please feel free to contact us at (415) 677-2314 during normal business hours.","source_id":"application-70fec38392abbb3e","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"hours":null,"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"application-70fec38392abbb3e","kind":"hospital_web","url":"https://chinesehospital-sf.org/wp-content/uploads/2026/04/Financial_Assistance_Application_EN_4-10-26.pdf","title":"Financial Assistance Policy","fetched_on":"2026-10-10","sha256":"70fec38392abbb3e16e537114437bc0e58398ab3ffd0578080e7041bc9f4efc6","effective_date":null},{"id":"billing-49e0df01865182ff","kind":"hospital_web","url":"https://chinesehospital-sf.org/wp-content/uploads/2026/04/Debt_Collection_Policy_022026v2_EN_Tag.pdf","title":"DEBT COLLECTION POLICY","fetched_on":"2026-10-10","sha256":"49e0df01865182ff8421e66d6ac1d12ea28c4582bfc8f9f3118c414741c63bdc","effective_date":null},{"id":"fap-0221240ade0a95b4","kind":"hospital_web","url":"https://chinesehospital-sf.org/wp-content/uploads/2021/03/CHA_FAP_08132020_EN.pdf","title":"Chinese Hospital Financial Assistance Program Policy","fetched_on":"2026-10-10","sha256":"0221240ade0a95b4509041cbc52d6a5d53a771b7fe2193db7cee6646e7a94d26","effective_date":null},{"id":"summary-b031699fd977dac3","kind":"hospital_web","url":"https://chinesehospital-sf.org/wp-content/uploads/2021/03/CHA_Charity_Care_020819_EN.pdf","title":"policy summary/intent","fetched_on":"2026-10-10","sha256":"b031699fd977dac3a9731c32ac1e09f3260d4108adc0af18771f9ec852754453","effective_date":null}],"accuracy":null}