{"hospital":{"ccn":"100151","name":"MAYO CLINIC","city":"JACKSONVILLE","state":"FL","zip":"32224","phone":"904-953-2000","ownership":"Voluntary non-profit - Private","website_domain":"mayo.edu","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"100% adjustment of the self-pay balance for applicants with household income of equal to or less than 200% of the Federal Poverty Guidelines","source_id":"fap-d064a735390023b2","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Financial assistance can be available regardless of insurance.","source_id":"summary-03326e9378b12ad2","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["Medicaid"],"layer":"documented","quote":"If you are currently enrolled in Medicaid or Medical Assistance, you may be presumed eligible for financial assistance.","source_id":"summary-03326e9378b12ad2","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"state_programs":null},"apply":{"form_url":{"value":"www.mayoclinic.org/financialassistance","layer":"documented","quote":"Applications for financial assistance are available at no charge at the following website: www.mayoclinic.org/financialassistance","source_id":"fap-d064a735390023b2","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"form_version":null,"documents_required":{"value":["tax_return","pay_stubs","bank_statements"],"layer":"documented","quote":"If you are not presumed eligible, you must fully cooperate with the application process, including submitting tax returns, bank statements, and pay stubs.","source_id":"summary-03326e9378b12ad2","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":null,"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"Application period: Begins on the date medical care is provided and ends 240 days after the first post-discharge billing statement or 30 days after the hospital or authorized third party provides written notice of extraordinary collection actions the hospital plans to initiate, whichever is later.","source_id":"fap-d064a735390023b2","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"decision_days":{"value":30,"layer":"documented","quote":"The application review process takes approximately 30 days.","source_id":"fap-d064a735390023b2","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"1-844-217-9591","layer":"documented","quote":"calling 1-844-217-9591, Monday through Friday, 8:00 am to 5:00 pm Mountain Time.","source_id":"fap-d064a735390023b2","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"hours":{"value":"Monday through Friday, 8:00 am to 5:00 pm Mountain Time","layer":"documented","quote":"calling 1-844-217-9591, Monday through Friday, 8:00 am to 5:00 pm Mountain Time.","source_id":"fap-d064a735390023b2","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"fap-d064a735390023b2","kind":"hospital_web","url":"https://mcforms.mayo.edu/mc5800-mc5899/mc5815-04.pdf","title":"[PDF] Financial Assistance Policy - Mayo Clinic","fetched_on":"2026-10-14","sha256":"d064a735390023b2a6b0b22e0063d05612cb60a6d7c20f2756fc5da9ab61fab0","effective_date":null},{"id":"summary-03326e9378b12ad2","kind":"hospital_web","url":"https://mcforms.mayo.edu/mc5800-mc5899/mc5815-26.pdf","title":"Financial Assistance Policy – Plain Language Summary - Mayo 2404-4521065_The_Cleveland_Foundation_FS_23-22_FINAL Mayo Clinic NonHospital Charitable Care Policy MC581552","fetched_on":"2026-10-14","sha256":"03326e9378b12ad26dfe4dc4b576afa4521ae6de3fddfdb9072879335534cfe5","effective_date":null},{"id":"fap-8c9da7996abac228","kind":"hospital_web","url":"https://mcforms.mayo.edu/mc5800-mc5899/mc5815-20.pdf","title":"[PDF] Financial Assistance Policy - Mayo Clinic","fetched_on":"2026-10-14","sha256":"8c9da7996abac22851353e24a1ca8bc8552aee379b9bd18a2d665d720e926605","effective_date":null},{"id":"fap-5f7f3338d3189a6f","kind":"hospital_web","url":"https://mcforms.mayo.edu/mc5800-mc5899/mc5815-18.pdf","title":"Financial Assistance Policy","fetched_on":"2026-10-14","sha256":"5f7f3338d3189a6f245541321b1004616ff71f8d59d65310e2c9f4994a6d1d5a","effective_date":null}],"accuracy":null}