{"hospital":{"ccn":"050485","name":"MEMORIALCARE LONG BEACH MEDICAL CENTER","city":"LONG BEACH","state":"CA","zip":"90806","phone":"562-933-2000","ownership":"Voluntary non-profit - Other","website_domain":"memorialcare.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"250","layer":"documented","quote":"You may be eligible for free care if your household income is at or below 250% of the Federal Poverty Level.","source_id":"summary-c5359cdfd0fb7ddc","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":{"value":true,"layer":"documented","quote":"Monetary assets include assets that are readily convertible to cash such as bank accounts and publicly traded stock. Monetary assets do not include the following: (a) Primary residence and certain other tangible assets (b) The first $10,000 of monetary assets, and 50% of monetary assets after the first $10,000 (c) All retirement and deferred compensation funds","source_id":"fap-615436005f01778d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income","tax_return","pay_stubs"],"layer":"documented","quote":"Documentation of the patient’s household income will be limited to recent pay stubs or income tax returns.","source_id":"fap-615436005f01778d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"MemorialCare ATTN: FAA P.O. Box 20894 Fountain Valley, CA 92728- 0894"}],"layer":"documented","quote":"When ready to submit, please send the application with the required documents to:","source_id":"application-b38371adea41e607","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"In general, a Financial Assistance Program application will not be accepted if submitted more than 240 days after the initial post-discharge billing, except as otherwise provided by 26 C.F.R. § 1.501(r) 6(c).","source_id":"fap-615436005f01778d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"decision_days":{"value":10,"layer":"documented","quote":"Patients applying for financial assistance will be mailed a written notice approving or denying financial assistance within 10 business days from the date the MHS hospital receives a completed application with all necessary documentation.","source_id":"fap-615436005f01778d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":{"value":120,"layer":"documented","quote":"Patients in the process of qualifying for government financial assistance or the MHS hospital Financial Assistance Program will not be assigned to collections prior to 120 days from the date of initial post-discharge billing.","source_id":"fap-615436005f01778d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"877-323-0043","layer":"documented","quote":"call us at 1-877-323-0043.","source_id":"application-b38371adea41e607","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"hours":{"value":"7 days a week 8:00 a.m. – 5:30 p.m.","layer":"documented","quote":"Presenting to any of the admitting areas or Emergency Department offices below: Long Beach Medical Center/Miller Children’s & Women’s Hospital Long Beach 2801 Atlantic Avenue Long Beach, CA 90806 7 days a week 8:00 a.m. – 5:30 p.m.","source_id":"summary-c5359cdfd0fb7ddc","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"languages":{"value":["Spanish"],"layer":"documented","quote":"Translations of the policy, application and this Plain Language Summary are also available by reaching out to us as listed above. The translations are available in Spanish at all locations and online at www.memorialcare.org/financialassistance.","source_id":"summary-c5359cdfd0fb7ddc","checked_on":"2026-10-14","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Long Beach Medical Center","Miller Children’s & Women’s Hospital Long Beach","Orange Coast Medical Center","Saddleback Medical Center"],"layer":"documented","quote":"☒ Long Beach Medical Center ☒ Miller Children’s & Women’s Hospital Long Beach ☒ Orange Coast Medical Center ☒ Saddleback Medical Center","source_id":"fap-615436005f01778d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-615436005f01778d","kind":"hospital_web","url":"https://www.memorialcare.org/sites/default/files/_images/content/Patient-Financial-Services/Financial-Assistance-Policy.pdf","title":"Financial-Assistance-Policy.pdf","fetched_on":"2026-10-14","sha256":"615436005f01778d3efce241de99283c325cf289650613196b6555469d8a5976","effective_date":null},{"id":"application-b38371adea41e607","kind":"hospital_web","url":"https://www.memorialcare.org/sites/default/files/_images/content/Patient-Financial-Services/MHS_Financial_Assistance_Application_0125-English_Aug_6_2025.pdf","title":"Financial Assistance Application - MemorialCare","fetched_on":"2026-10-14","sha256":"b38371adea41e607f67dd6dca9e1bad8e2b33405c53686a4a515b0ced0e43086","effective_date":null},{"id":"summary-c5359cdfd0fb7ddc","kind":"hospital_web","url":"https://www.memorialcare.org/sites/default/files/_images/content/Patient-Financial-Services/MHS-Financial-Assistance-Program-Plain-Language-Summary-SBM_Aug_6_2025.pdf","title":"Financial Assistance Policy Plain Language Summary","fetched_on":"2026-10-14","sha256":"c5359cdfd0fb7ddc1c346d18a4ec032657b1f1c5edd2c75c6c3a4ba6b53b3027","effective_date":null},{"id":"summary-fa1bb965d41247cc","kind":"hospital_web","url":"https://www.memorialcare.org/sites/default/files/_images/content/Patient-Financial-Services/MHS-Financial-Assistance-Program-Plain-Language-Summary-OCM_July_9_2025.pdf","title":"MHS Financial Assistance Program - English - MemorialCare","fetched_on":"2026-10-14","sha256":"fa1bb965d41247cc74c5b06cf9489b9c1c24508489778e8e00698181534cbfaf","effective_date":null}],"accuracy":null}