{"hospital":{"ccn":"100057","name":"ADVENTHEALTH WATERMAN","city":"TAVARES","state":"FL","zip":"32778","phone":"352-253-3368","ownership":"Voluntary non-profit - Church","website_domain":"adventhealth.com","system":null},"version":4,"status":"published","eligibility":{"free_care_max_fpl":{"value":"250","layer":"documented","quote":"Per our Financial Assistance Policy, to qualify for a 100% reduction in your financial responsibility, you must have received emergency or medically necessary care and have an annual household income that does not exceed 250% of the Federal Poverty Guideline, according to the table below.","source_id":"fap-3de284069ff7d2f6","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"discount_tiers":{"value":[{"min_fpl_exclusive":"250","max_fpl_inclusive":"400","discount_percent":98}],"layer":"documented","quote":"Patients with household incomes that exceed two hundred fifty percent (250%) of the current Federal Poverty Guidelines but are less than four hundred one percent (401%) shall be granted the below discounts: ▪ Uninsured patients with household incomes between two hundred fifty-one percent (251%) and four hundred percent (400%) of Federal Poverty Guidelines would be granted a ninety-eight percent (98%) discount on applicable balances.","source_id":"fap-849172864f0b3d8d","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"asset_test":{"value":true,"layer":"documented","quote":"o In addition to evaluation of income level outlined above, an asset means test may also be applied to Medicare recipients only. This asset evaluation’s purpose is to determine eligibility for financial assistance for applicants who are retired with fixed incomes less than or equal to two hundred fifty percent (250%) of the Federal Poverty Guidelines up to the max asset limits provided by the Center’s for Medicare and Medicaid Services (CMS).","source_id":"fap-849172864f0b3d8d","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"The Policy provides guidelines for financial assistance, based on financial need, to eligible self- pay individual patients and eligible insured individual patients with balances remaining from emergent or other medically necessary services.","source_id":"fap-849172864f0b3d8d","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":null,"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"AdventHealth\nPO Box 935979\nAtlanta, GA 31193-5979"},{"kind":"fax","detail":"[423-485-6627](tel:+1-423-485-6627)"}],"layer":"documented","quote":"**For additional assistance and information, please contact:**   **Phone:** [800-462-0490](tel:+1-800-462-0490)   **Fax:** [423-485-6627](tel:+1-423-485-6627)   **Mail to:**   AdventHealth   PO Box 935979   Atlanta, GA 31193-5979","source_id":"fap-3de284069ff7d2f6","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"Identification of Potentially Eligible Individuals. Requests for financial assistance will be honored up to two hundred forty (240) days after the date of the first post-discharge billing statement, sent by mail or electronically to the patient, for the care provided.","source_id":"fap-849172864f0b3d8d","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":{"value":120,"layer":"documented","quote":"Actions that may be taken in the event of non-payment: o One hundred twenty (120) days from the date the entity provides the first post-discharge billing statement for the care provided, AdventHealth may engage in ECAs including but not limited to selling debt to a third party (see section D of this policy for more information regarding debt sale) only after the following notifications have been provided to the individual at least thirty (30) days before initiating any ECAs:","source_id":"fap-849172864f0b3d8d","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"800-462-0490","layer":"documented","quote":"**For additional assistance and information, please contact:**   **Phone:** [800-462-0490](tel:+1-800-462-0490)","source_id":"fap-3de284069ff7d2f6","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"hours":null,"languages":{"value":["English","Arabic (العربية)","Chinese (中文)","Greek (ελληνικά)","Gujarati (ગુજરાતી)","Haitian Creole (kreyòl ayisyen)","Korean (한국어)","Portuguese (Português)","Russian (русский)","Spanish (Español)","Tagalog (Filipino)","Vietnamese (Tiếng Việt)"],"layer":"documented","quote":"* English\n\n  [View PDF](/sites/default/files/assets/financial-assistance-plain-language-summary-2026.pdf \"financial-assistance-plain-language-summary-2026.pdf\")\n\n  [View PDF](/sites/default/files/assets/short_financial_form-english.pdf \"short_financial_form-english.pdf\")\n\n  [View PDF](/sites/default/files/assets/cw-f-50.1-financial-assistance-05282026.pdf \"cw-f-50.1-financial-assistance-05282026.pdf\")\n* Arabic (العربية)\n\n  [View PDF](/sites/default/files/assets/2025-summary_arabic.pdf \"2025-summary_arabic.pdf\")\n\n  [View PDF](/sites/default/files/assets/short_financial_form-arabic.pdf \"short_financial_form-arabic.pdf\")\n\n  [View PDF](/sites/default/files/assets/adventhealth_financial_assistance_packet-2025_arabic.pdf \"adventhealth_financial_assistance_packet-2025_arabic.pdf\")\n* Chinese (中文)\n\n  [View PDF](/sites/default/files/assets/25-corp-1722901425-patient-finance-policy-summary-table-adjustment-chinese_edit-f1.pdf \"25-corp-1722901425-patient-finance-policy-summary-table-adjustment-chinese_edit-f1.pdf\")\n\n  [View PDF](/sites/default/files/assets/short_financial_form-chinese.pdf \"short_financial_form-chinese.pdf\")\n\n  [View PDF](/sites/default/files/assets/adventhealth_financial_assistance_packet-2025_chinese.pdf \"adventhealth_financial_assistance_packet-2025_chinese.pdf\")\n* Greek (ελληνικά)\n\n  [View PDF](/sites/default/files/assets/25-corp-1722901425-patient-finance-policy-summary-table-adjustment-greek_edit-f1.pdf \"25-corp-1722901425-patient-finance-policy-summary-table-adjustment-greek_edit-f1.pdf\")\n\n  [View PDF](/sites/default/files/assets/short_financial_form-greek.pdf \"short_financial_form-greek.pdf\")\n\n  [View PDF](/sites/default/files/assets/adventhealth_financial_assistance_packet-2025_greek_0.pdf \"adventhealth_financial_assistance_packet-2025_greek_0.pdf\")\n* Gujarati (ગુજરાતી)\n\n  [View PDF](/sites/default/files/assets/25-corp-1722901425-patient-finance-policy-summary-table-adjustment-gujarati_edit-f1.pdf \"25-corp-1722901425-patient-finance-policy-summary-table-adjustment-gujarati_edit-f1.pdf\")\n\n  [View PDF](/sites/default/files/assets/short_financial_form-gujarati.pdf \"short_financial_form-gujarati.pdf\")\n\n  [View PDF](/sites/default/files/assets/adventhealth_financial_assistance_packet-2025_gujarati.pdf \"adventhealth_financial_assistance_packet-2025_gujarati.pdf\")\n* Haitian Creole (kreyòl ayisyen)\n\n  [View PDF](/sites/default/files/assets/25-corp-1722901425-patient-finance-policy-summary-table-adjustment-haitian_edit-f1.pdf \"25-corp-1722901425-patient-finance-policy-summary-table-adjustment-haitian_edit-f1.pdf\")\n\n  [View PDF](/sites/default/files/assets/short_financial_form-haitian.pdf \"short_financial_form-haitian.pdf\")\n\n  [View PDF](/sites/default/files/assets/adventhealth_financial_assistance_packet-2025_haitian.pdf \"adventhealth_financial_assistance_packet-2025_haitian.pdf\")\n* Korean (한국어)\n\n  [View PDF](/sites/default/files/assets/25-corp-1722901425-patient-finance-policy-summary-table-adjustment-korean_edit-f1.pdf \"25-corp-1722901425-patient-finance-policy-summary-table-adjustment-korean_edit-f1.pdf\")\n\n  [View PDF](/sites/default/files/assets/short_financial_form-korean.pdf \"short_financial_form-korean.pdf\")\n\n  [View PDF](/sites/default/files/assets/adventhealth_financial_assistance_packet-2025_korean.pdf \"adventhealth_financial_assistance_packet-2025_korean.pdf\")\n* Portuguese (Português)\n\n  [View PDF](/sites/default/files/assets/25-corp-1722901425-patient-finance-policy-summary-table-adjustment_portuguese_edit-f1.pdf \"25-corp-1722901425-patient-finance-policy-summary-table-adjustment_portuguese_edit-f1.pdf\")\n\n  [View PDF](/sites/default/files/assets/short_financial_form-portuguese.pdf \"short_financial_form-portuguese.pdf\")\n\n  [View PDF](/sites/default/files/assets/adventhealth_financial_assistance_packet-2025_portuguese.pdf \"adventhealth_financial_assistance_packet-2025_portuguese.pdf\")\n* Russian (русский)\n\n  [View PDF](/sites/default/files/assets/25-corp-1722901425-patient-finance-policy-summary-table-adjustment-russian_edit-f1.pdf \"25-corp-1722901425-patient-finance-policy-summary-table-adjustment-russian_edit-f1.pdf\")\n\n  [View PDF](/sites/default/files/assets/short_financial_form-russian.pdf \"short_financial_form-russian.pdf\")\n\n  [View PDF](/sites/default/files/assets/adventhealth_financial_assistance_packet-2025_russian.pdf \"adventhealth_financial_assistance_packet-2025_russian.pdf\")\n* Spanish (Español)\n\n  [View PDF](/sites/default/files/assets/25-corp-1722901425-patient-finance-policy-summary-table-adjustment-tagalog_spanish_edit-f1.pdf \"25-corp-1722901425-patient-finance-policy-summary-table-adjustment-tagalog_spanish_edit-f1.pdf\")\n\n  [View PDF](/sites/default/files/assets/short_financial_form-spanish.pdf \"short_financial_form-spanish.pdf\")\n\n  [View PDF](/sites/default/files/assets/adventhealth_financial_assistance_packet-2025_spanish.pdf \"adventhealth_financial_assistance_packet-2025_spanish.pdf\")\n* Tagalog (Filipino)\n\n  [View PDF](/sites/default/files/assets/25-corp-1722901425-patient-finance-policy-summary-table-adjustment-tagalog_edit-f1.pdf \"25-corp-1722901425-patient-finance-policy-summary-table-adjustment-tagalog_edit-f1.pdf\")\n\n  [View PDF](/sites/default/files/assets/short_financial_form-tagalog.pdf \"short_financial_form-tagalog.pdf\")\n\n  [View PDF](/sites/default/files/assets/adventhealth_financial_assistance_packet-2025_tagalog.pdf \"adventhealth_financial_assistance_packet-2025_tagalog.pdf\")\n* Vietnamese (Tiếng Việt)\n\n  [View PDF](/sites/default/files/assets/25-corp-1722901425-patient-finance-policy-summary-table-adjustment-vietnamese_edit-f1.pdf \"25-corp-1722901425-patient-finance-policy-summary-table-adjustment-vietnamese_edit-f1.pdf\")\n\n  [View PDF](/sites/default/files/assets/short_financial_form-vietnamese.pdf \"short_financial_form-vietnamese.pdf\")\n\n  [View PDF](/sites/default/files/assets/adventhealth_financial_assistance_packet-2025_vietnamese.pdf \"adventhealth_financial_assistance_packet-2025_vietnamese.pdf\")","source_id":"fap-3de284069ff7d2f6","checked_on":"2026-10-09","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["AdventHealth Waterman"],"layer":"documented","quote":"[AdventHealth Waterman](/locations/hospitals/waterman \"AdventHealth Waterman\") | 1000 Waterman Way, Tavares, FL 32778 | [AdventHealth Waterman](/sites/default/files/assets/waterman.pdf \"waterman.pdf\")","source_id":"fap-3de284069ff7d2f6","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-3de284069ff7d2f6","kind":"hospital_web","url":"https://www.adventhealth.com/legal/financial-assistance","title":"Financial Assistance | AdventHealth","fetched_on":"2026-10-09","sha256":"3de284069ff7d2f6e99f5fa8c968a1a9e107262e435a3da301152d4ad5538cbf","effective_date":null},{"id":"billing-db1dd1547b08ead2","kind":"hospital_web","url":"https://www.adventhealth.com/billing-and-financial-assistance-faq","title":"Billing and Financial Assistance FAQs","fetched_on":"2026-10-09","sha256":"db1dd1547b08ead29042a0aafb15294a848a3e4d5b2feec226687b35cd22a5b4","effective_date":null},{"id":"fap-46db02eea5566072","kind":"hospital_web","url":"https://www.adventhealth.com/sites/default/files/assets/adventhealth-waterman-physician-financial-assistance-addendum-2022-q2.pdf","title":"Physician Financial Assistance Addedum","fetched_on":"2026-10-09","sha256":"46db02eea5566072592483b55a60afdc9bd1c9643a7ed5def0ff9b4a4f381a0e","effective_date":null},{"id":"billing-e3f03e4e00d4190a","kind":"hospital_web","url":"https://www.adventhealth.com/patient-resources/billing-and-financial-services","title":"Billing and Financial Services | AdventHealth","fetched_on":"2026-10-09","sha256":"e3f03e4e00d4190ae997da799fccc5b10974618e7b52d44725486ce4e10e4700","effective_date":null},{"id":"fap-29ba6cd1821c6108","kind":"hospital_web","url":"https://www.adventhealth.com/legal/financial-assistance-illinois","title":"Learn More about \"Financial Assistance Illinois\"","fetched_on":"2026-10-09","sha256":"29ba6cd1821c61089f804d6a212ec5218a2f658a6d257a49fa49eaff65349573","effective_date":null},{"id":"fap-849172864f0b3d8d","kind":"hospital_web","url":"https://www.adventhealth.com/sites/default/files/assets/cw-f-50.1-financial-assistance-05282026.pdf","title":"View PDF","fetched_on":"2026-10-09","sha256":"849172864f0b3d8d562b8631d6773b9b1e4e964e71953797204dd3f33f357548","effective_date":null},{"id":"fap-ed4fd4f9a2ec7211","kind":"hospital_web","url":"https://www.adventhealth.com/sites/default/files/assets/adventhealth_financial_assistance_packet-2025_arabic.pdf","title":"View 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