{"hospital":{"ccn":"050510","name":"KAISER FOUNDATION HOSPITAL","city":"SAN RAFAEL","state":"CA","zip":"94903","phone":"415-444-2000","ownership":"Voluntary non-profit - Private","website_domain":"kp.org","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"100% award for gross monthly household income at or below 200% of FPG","source_id":"fap-e7730467477c7500","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"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":"Received pension, retirement, annuities income | * Two most recent pay stubs * Pension/retirement disbursement statement * Recent W-2, 1099 statement * Tax return","source_id":"fap-e7730467477c7500","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":null,"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"Once we receive the completed application, we’ll send you a letter confirming the outcome within 30 business days.","source_id":"fap-e7730467477c7500","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":null,"hours":null,"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"fap-e7730467477c7500","kind":"hospital_web","url":"https://kp.org/mfa/mas","title":"Medical Financial Assistance | Kaiser Permanente","fetched_on":"2026-10-13","sha256":"e7730467477c7500f0dcf872b879e018ce4c6bf4a3ec6d6a6f06597dbf3ddde4","effective_date":null},{"id":"fap-39e6271615a237ff","kind":"hospital_web","url":"https://www.kp.org/help-paying-your-bill/medical-financial-assistance/documents","title":"download","fetched_on":"2026-10-13","sha256":"39e6271615a237ff71b23e38954adbe1149add61feb2839ea7fb2a7ba09426c1","effective_date":null}],"accuracy":null}