{"hospital":{"ccn":"050760","name":"KAISER FOUNDATION HOSPITAL - ANTIOCH","city":"ANTIOCH","state":"CA","zip":"94531","phone":"925-813-6500","ownership":"Voluntary non-profit - Private","website_domain":"kaiserpermanente.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Federal Poverty Level Guidelines Financial Assistance Discount From To 0% - 200% 100% Discount (Full)","source_id":"fap-383c90d10feb741b","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":{"value":false,"layer":"documented","quote":"Assets are not considered income.","source_id":"fap-383c90d10feb741b","checked_on":"2026-10-13","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":["tax_return","pay_stubs"],"layer":"documented","quote":"Information submitted by patients for MFA eligibility determinations (e.g., recent paystubs or tax returns) will not be used for collection activities.","source_id":"fap-383c90d10feb741b","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":null,"decision_days_reported":null},"collections":{"eca_wait_days":{"value":240,"layer":"documented","quote":"The patient has been provided at least 240 days from the first billing statement to apply for MFA.","source_id":"fap-383c90d10feb741b","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"1-800-390-3507","layer":"documented","quote":"Counselors are available by telephone to provide information, determine MFA eligibility, and assist a patient to apply for MFA. Counselors can be reached at: Telephone: 1-800-390-3507","source_id":"fap-383c90d10feb741b","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"hours":null,"languages":null},"coverage":{"facilities":{"value":["KFH Antioch"],"layer":"documented","quote":"Kaiser Foundation Hospitals in Northern California include: KFH Antioch KFH Fremont KFH Fresno KFH San Leandro KFH Manteca KFH Modesto KFH Oakland KFH Richmond KFH Roseville KFH Redwood City KFH Sacramento KFH Santa Clara KFH San Francisco KFH San Jose KFH San Rafael KFH Santa Rosa KFH South Sacramento KFH South San Francisco KFH Vacaville KFH Vallejo KFH Walnut Creek","source_id":"fap-383c90d10feb741b","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-383c90d10feb741b","kind":"hospital_web","url":"https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/mfa/northern-california/english-ncal/mfa-policy-and-addendum-ncal-english-ada.pdf","title":"POLICY TITLE Medical Financial Assistance","fetched_on":"2026-10-13","sha256":"383c90d10feb741baa3098b55717404ed2c8186c5c401c8186ff9f99352e3d4b","effective_date":null}],"accuracy":null}