{"hospital":{"ccn":"050444","name":"MERCY MEDICAL CENTER","city":"MERCED","state":"CA","zip":"95340","phone":"209-564-5000","ownership":"Voluntary non-profit - Private","website_domain":"commonspirit.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Up to 200% of the FPL – Any patient whose Family Income is at or below 200% of the FPL, including, without limitation, any Uninsured or Underinsured patient, is eligible to receive Financial Assistance up to a 100% discount from his or her account balance for eligible services provided to the patient after payment, if any, by any thirdparty(ies).","source_id":"fap-9af0e4b3becd626d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Financial Assistance is offered to insured patients to the extent allowed under the patient’s insurance carrier contract.","source_id":"fap-9af0e4b3becd626d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["Medicaid"],"layer":"documented","quote":"Medicaid patients who receive non-covered medically necessary services will be considered for Presumptive Financial Assistance.","source_id":"fap-9af0e4b3becd626d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income","tax_return"],"layer":"documented","quote":"In order for your application to be processed, you must: □ Provide us information about your family □ Provide us information about your family’s gross monthly income (income before taxes and deductions) □ Provide documentation for family income □ Provide documentation for family assets □ Attach additional information if needed □ Sign and date the form","source_id":"fap-403309ad0740384c","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Mercy Medical Center Merced, PO Box 3008, Rancho Cordova, CA 95741-3008"},{"kind":"fax","detail":"Fax: 877-691-1151"},{"kind":"in_person","detail":"Mercy Medical Center Merced, 333 Mercy Avenue, Merced, CA 95340"}],"layer":"documented","quote":"Mail or fax completed application with all documentation to: Mercy Medical Center Merced, PO Box 3008, Rancho Cordova, CA 95741-3008, Fax: 877-691-1151. Be sure to keep a copy for yourself. To submit your completed application in person: Mercy Medical Center Merced, 333 Mercy Avenue, Merced, CA 95340","source_id":"fap-403309ad0740384c","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"We will notify you of the final determination of eligibility and appeal rights, if applicable, within 30 calendar days of receiving a complete financial assistance application, including documentation of income.","source_id":"fap-403309ad0740384c","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"(209) 564-5105","layer":"documented","quote":"If you have questions or need help completing this application: You may obtain help for any reason, including disability and language assistance at: (209) 564-5105","source_id":"fap-403309ad0740384c","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"hours":{"value":"8am-4:30pm","layer":"documented","quote":"ATTENTION: If you need help in your language, please call (209) 564-5105 or visit the financial counselor office. The office is open 8am-4:30pm and located at Mercy Medical Center Merced, 333 Mercy Avenue, Merced, CA 95340.","source_id":"fap-403309ad0740384c","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"languages":{"value":["English","Spanish"],"layer":"documented","quote":"Select your preferred language below to review the financial assistance policy summary.\n* [Arabic](/content/dam/commonspiritorg/en/chime/sotg/finance/assistance/memorial-hospitals-financial-assistance-summary-ar.pdf)\n* [German](/content/dam/commonspiritorg/en/chime/sotg/finance/assistance/memorial-hospitals-financial-assistance-summary-de.pdf)\n* [Spanish](/content/dam/commonspiritorg/en/chime/sotg/finance/assistance/memorial-hospitals-financial-assistance-summary-es.pdf)\n* [English](/content/dam/commonspiritorg/en/chime/sotg/finance/assistance/memorial-hospitals-financial-assistance-summary-en.pdf)","source_id":"fap-5ceb228aacc010be","checked_on":"2026-10-14","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Mercy Medical Center Merced"],"layer":"documented","quote":"Mercy Medical Center Merced Financial Assistance Application Form Instructions This is an application for financial assistance at a CommonSpirit Health facility.","source_id":"fap-403309ad0740384c","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-403309ad0740384c","kind":"hospital_web","url":"https://www.commonspirit.org/content/dam/commonspiritorg/en/dhcva/cacv/finance/assistance/mmcm-financial-assistance-app-en.pdf","title":"Mercy Medical Center Merced Financial Assistance ...","fetched_on":"2026-10-14","sha256":"403309ad0740384cdd4b9c7cbcb969168ba523b36de10db5d8f587d34725af19","effective_date":null},{"id":"application-8e50fd9f69fb963d","kind":"hospital_web","url":"https://www.commonspirit.org/content/dam/commonspiritorg/en/dhsac/casa/finance/assistance/msjmc-financial-assistance-app-en.pdf","title":"[PDF] Mercy San Juan Medical Center Financial Assistance Application ...","fetched_on":"2026-10-14","sha256":"8e50fd9f69fb963d5cf74fdd16866ea37d9fc2f963eea31cdf8dfede021b7abb","effective_date":null},{"id":"billing-e8dbc529b8dcc6c8","kind":"hospital_web","url":"https://www.mountain.commonspirit.org/story/mercy-hospital-patient-billing","title":"Mercy Hospital on patient billing | CommonSpirit Health","fetched_on":"2026-10-14","sha256":"e8dbc529b8dcc6c8c110360bb53ffd2d4d27be56f835944f0a9601f0fa53331f","effective_date":null},{"id":"fap-513ea022e86be1a5","kind":"hospital_web","url":"https://www.commonspirit.org/patient-resources/financial-assistance","title":"Financial Assistance - 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