{"hospital":{"ccn":"100361","name":"ASCENSION ST VINCENT'S ST JOHNS COUNTY","city":"ST. JOHNS","state":"FL","zip":"32259","phone":"904-450-6020","ownership":"Voluntary non-profit - Private","website_domain":"ascension.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"250","layer":"documented","quote":"Subject to the other provisions of this Financial Assistance Policy, Patients with income less than or equal to 250% of the Federal Poverty Level income (\"FPL\"), will be eligible for 100% charity care on that portion of the charges for services for which the Patient is responsible following payment by an insurer, if any, if such Patient determined to be eligible pursuant to presumptive scoring (described in Paragraph 5 below) or submits a financial assistance application (an \"Application\") on or prior to the 240th day after the Patient’s first discharge bill and the Application is approved by the Organization.","source_id":"fap-fd22e164cc9fb5f8","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"discount_tiers":null,"assistance_ceiling_fpl":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":{"value":"https://ascension.forms.r1rcm.com/stvincentsFL/fa","layer":"documented","quote":"[Start Application](https://ascension.forms.r1rcm.com/stvincentsFL/fa)","source_id":"fap-03526e8a56a74887","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"form_version":null,"documents_required":{"value":["tax_return"],"layer":"documented","quote":"* Copies of most recent yearly tax return (if self-employed, include all schedules) or verification of non-filing ([www.irs.gov/form](http://www.irs.gov/form) 4506-T)","source_id":"fap-03526e8a56a74887","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"in_person","detail":"trained financial counselors who can work with you one-on-one to understand your bill, your insurance coverage and assistance for which you may qualify."}],"layer":"documented","quote":"trained financial counselors who can work with you one-on-one to understand your bill, your insurance coverage and assistance for which you may qualify.","source_id":"fap-03526e8a56a74887","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"(904) 308-7381","layer":"documented","quote":"Customer Services at (904) 308-7381","source_id":"fap-fd22e164cc9fb5f8","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"hours":null,"languages":{"value":["English","Arabic","Cambodian","French","German","Haitian-French Creole","Hindi","Korean","Portuguese","Russian","Serbo-Croatian","Simplified Chinese","Spanish","Tagalog","Traditional Chinese","Vietnamese"],"layer":"documented","quote":"* [Danh Sách Các Nhà Cung Cấp Áp Dụng Theo Chính Sách Hỗ Trợ Tài Chính](/-/media/healthcare/financial-assistance/florida/fljac/covered-providers-list/runningfile_fljac_vietnamese_providers-covered-by-the-financial-assistance-policy.pdf)","source_id":"fap-03526e8a56a74887","checked_on":"2026-10-10","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Ascension St. Vincent's Riverside","Ascension St. Vincent's Southside","Ascension St. Vincent's Clay County","Ascension St. Vincent's St. Johns County"],"layer":"documented","quote":"These financial assistance documents cover services provided at:\n\n* Ascension St. Vincent's Riverside\n* Ascension St. Vincent's Southside\n* Ascension St. Vincent's Clay County\n* Ascension St. Vincent's St. Johns County","source_id":"fap-03526e8a56a74887","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-fd22e164cc9fb5f8","kind":"hospital_web","url":"https://healthcare.ascension.org/-/media/healthcare/financial-assistance/florida/fljac/fap/runningfile_fljac_english_financial-assistance-policy.pdf","title":"St. Vincent's Health System, Inc. FINANCIAL ASSISTANCE ...","fetched_on":"2026-10-10","sha256":"fd22e164cc9fb5f8dc2cf1780679a08da50167d700eb2ff50e4c39fc2aa88c30","effective_date":null},{"id":"fap-03526e8a56a74887","kind":"hospital_web","url":"https://healthcare.ascension.org/financial-assistance/florida-ascension-st-vincents-financial-assistance","title":"Financial assistance at Ascension St. Vincent’s in FL | Ascension","fetched_on":"2026-10-10","sha256":"03526e8a56a74887232e800e982369eb8185da6815f695b725a03a078926c2a6","effective_date":null}],"accuracy":null}