{"hospital":{"ccn":"050624","name":"HENRY MAYO NEWHALL  HOSPITAL","city":"VALENCIA","state":"CA","zip":"91355","phone":"661-253-8000","ownership":"Voluntary non-profit - Private","website_domain":"henrymayo.com","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"<\n$1,000\n$1,000 -\n$2,500\n$2,501 -\n$5,000\n$5,001 -\n$10,000\n$10,001 -\n$25,000\n$25,001 -\n$50,000\n$50,001 -\n$100,000 >$100,000\n\n0 - 200% FPL Net assets: \n<$100,000\n$100,000 -$150,000\n$150,001 - 250,000\n100% 100% 100% 100% 100% 100% 100% 100%\n85% 85% 85% 85% 100% 100% 100% 100%\n75% 75% 75% 75% 75% 100% 100% 100%","source_id":"fap-72005f2f88880818","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"discount_tiers":{"value":[{"min_fpl_exclusive":"200","max_fpl_inclusive":"400","discount_percent":75}],"layer":"documented","quote":"0 - 200% FPL Net assets: \n<$100,000\n$100,000 -$150,000\n$150,001 - 250,000\n100% 100% 100% 100% 100% 100% 100% 100%\n85% 85% 85% 85% 100% 100% 100% 100%\n75% 75% 75% 75% 75% 100% 100% 100%\n\n201 - 400% FPL Net \nassets: \n<$100,000\n$100,000 -$150,000\n$150,001 - 250,000\n75% 75% 75% 100% 100% 100% 100% 100%\n75% 75% 75% 75% 75% 75% 75% 75%\n50% 50% 50% 50% 50% 50% 50% 50%","source_id":"fap-72005f2f88880818","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Henry Mayo Newhall Hospital (HMNH) offers financial assistance to patients who are uninsured (self pay) or insured patients with high medical costs.","source_id":"billing-f2f53cbe7e0e2fb6","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":{"value":"https://www.henrymayo.com/app/files/public/c58f081d-fb12-47da-8686-bc4d345681be/Finanancial%20Assistance%20App%20English%20Final.docx","layer":"documented","quote":"Financial Assistance Application - [Click Here](https://www.henrymayo.com/app/files/public/c58f081d-fb12-47da-8686-bc4d345681be/Finanancial%20Assistance%20App%20English%20Final.docx)","source_id":"billing-f2f53cbe7e0e2fb6","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"form_version":null,"documents_required":null,"documents_reported":null,"submit_methods":null,"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"Application Period – The period during which HMNH must accept and process an application for financial assistance under the FAP. The application period begins on the first post discharge billing statement date and ends the 240th day after HMNH provides the first post discharge bi lling statement.","source_id":"fap-72005f2f88880818","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":{"value":180,"layer":"documented","quote":"HMNH shall not undertake an Extraordinary Collection Action at any time prior to 180 days after HMNH provides the first post discharge billing statement if HMNH is aware that the patient lacks coverage or if the patient has provided information that indicates that he or she may be a patient with high medical costs.","source_id":"fap-72005f2f88880818","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"661.200.1050","layer":"documented","quote":"Please visit the Patient Access Services Department in the Main Admitting area or call 661.200.1050 between the hours of 7:30 a.m. – 4 p.m., Monday through Friday.","source_id":"billing-f2f53cbe7e0e2fb6","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"hours":{"value":"7:30 a.m. – 4 p.m., Monday through Friday","layer":"documented","quote":"Please visit the Patient Access Services Department in the Main Admitting area or call 661.200.1050 between the hours of 7:30 a.m. – 4 p.m., Monday through Friday.","source_id":"billing-f2f53cbe7e0e2fb6","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"languages":{"value":["English","Spanish"],"layer":"documented","quote":"Financial Assistance Program (FAP) - [Click Here](https://www.henrymayo.com/app/files/public/20d39782-b017-48fa-b4af-e043d2ef3bd4/Financial%20Assistance%202024%20Final.pdf)\n\nPrograma de Asistencia Financiera en Español - [Clic Aqui](https://www.henrymayo.com/app/files/public/f7efee72-f823-4182-9230-4004b12caeb6/Financial%20Assistance%202024%20Final_Spanish.pdf)","source_id":"billing-f2f53cbe7e0e2fb6","checked_on":"2026-10-13","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Henry Mayo Newhall Hospital"],"layer":"documented","quote":"Henry Mayo Newhall Hospital (HMNH) offers financial assistance to patients who are uninsured (self pay) or insured patients with high medical costs.","source_id":"billing-f2f53cbe7e0e2fb6","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-72005f2f88880818","kind":"hospital_web","url":"https://www.henrymayo.com/app/files/public/20d39782-b017-48fa-b4af-e043d2ef3bd4/Financial%20Assistance%202024%20Final.pdf","title":"Financial Assistance 2024 Final.pdf","fetched_on":"2026-10-13","sha256":"72005f2f88880818e5e9a546fc1867f8b5788a620204a942ce44dab09a48506f","effective_date":null},{"id":"billing-f2f53cbe7e0e2fb6","kind":"hospital_web","url":"https://www.henrymayo.com/patients-visitors/billing-insurance-and-financial-assistance/help-paying-your-bill","title":"Help Paying Your Bill","fetched_on":"2026-10-13","sha256":"f2f53cbe7e0e2fb63b7185d892de3ad2969983e9add9d58f2df47b335b94a244","effective_date":null},{"id":"billing-fbe519158946d8dc","kind":"hospital_web","url":"https://www.henrymayo.com/patients-visitors/billing-insurance-and-financial-assistance/financial-policies","title":"Financial Policies | Henry Mayo Newhall Hospital","fetched_on":"2026-10-13","sha256":"fbe519158946d8dc92d454216343c10fed8aa5086c3c486790cf272c3c8ee7a9","effective_date":null},{"id":"billing-5ae1659702794e75","kind":"hospital_web","url":"https://www.henrymayo.com/patients-visitors/billing-insurance-and-financial-assistance","title":"Billing, Insurance and Financial Assistance","fetched_on":"2026-10-13","sha256":"5ae1659702794e75a4eea5f41d757f76b9cee7f4819e9448768218654b54d86e","effective_date":null},{"id":"application-6f0f19eb4bf05491","kind":"hospital_web","url":"https://www.henrymayo.com/app/files/public/d6cc943e-020f-4905-b76b-fc76d1a9917f/Financial%20Assistance%20Program%2010.10.2022%20Application.pdf","title":"requested documents","fetched_on":"2026-10-13","sha256":"6f0f19eb4bf0549160f5f321bfc7548888cfae8dec04226d19d69e2b5d7401f5","effective_date":null},{"id":"billing-4d937e4e684fe341","kind":"hospital_web","url":"https://www.henrymayo.com/patients-visitors/billing-insurance-and-financial-assistance/","title":"Billing and Insurance","fetched_on":"2026-10-13","sha256":"4d937e4e684fe34192d71a0454c9da4fac69d597cb405c13882316d1229f9e09","effective_date":null},{"id":"billing-266ec9d9644873e9","kind":"hospital_web","url":"https://www.henrymayo.com/patients-visitors/billing-insurance-and-financial-assistance/financial-assistance/","title":"Help Paying Your Bill","fetched_on":"2026-10-13","sha256":"266ec9d9644873e9646ca4d79d8ed5d033d18c6e4abe554554378cd8a307dcbe","effective_date":null},{"id":"billing-786ce937396d6815","kind":"hospital_web","url":"https://www.henrymayo.com/patients-visitors/billing-insurance-and-financial-assistance/accepted-insurance/","title":"Accepted Insurance","fetched_on":"2026-10-13","sha256":"786ce937396d681569ef92671c362b38dce2a9e943f0b659caf7621347a754bf","effective_date":null}],"accuracy":null}