{"hospital":{"ccn":"140015","name":"BLESSING HOSPITAL","city":"QUINCY","state":"IL","zip":"62301","phone":"217-223-1200","ownership":"Voluntary non-profit - Private","website_domain":"blessinghealth.org","system":null},"version":5,"status":"published","eligibility":{"free_care_max_fpl":{"value":"275","layer":"documented","quote":"Full Financial Assistance a. Patient has reported income below 275% of the Federal Poverty Income Guidelines at any Blessing location.","source_id":"fap-a914a6ce8e02e39f","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["Medicaid"],"layer":"documented","quote":"Presumptive eligibility may be determined on the basis of individual life circumstances that may include, but not limited to: 1. Full Medicaid benefits (non premium or spenddown programs or programs that exceed Blessing full financial assistance income guidelines)","source_id":"fap-a914a6ce8e02e39f","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income","social_security_letter","tax_return","pay_stubs"],"layer":"documented","quote":"Copy of your most recent filed Federal 1040 Income Tax Return including all schedules, W-2 Statements, and 1099 forms. If you did not file a Return for the most recent filing period, your application must include an explanation of the reason why no Return was filed. • Forms advising status of unemployment, worker's compensation, or Medicaid • Copy of most recent paycheck stubs from all jobs held in the current year showing year to date earnings in the absence of income, a letter of support and/or a declaration of no income from the patient and/or responsible party detailing how the individual's current living needs are being met • Proof of all income such as Social Security, unemployment, disability, pensions, child support, alimony or foster care.","source_id":"fap-a914a6ce8e02e39f","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"in_person","detail":"Visit the billing office at the hospital or clinic."},{"kind":"portal","detail":"Download the form at blessinghealth.org."}],"layer":"documented","quote":"To receive the financial assistance form: • Call or write Patient Financial Services. • Visit the billing office at the hospital or clinic. • Download the form at blessinghealth.org.","source_id":"summary-f7350e58edf8103a","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":null,"hours":null,"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"application-cf74bd0dcae21461","kind":"hospital_web","url":"https://www.blessinghealth.org/sites/default/files/users/user15/FOR_PATIENTS_Financial_Assistance_App_7-2023.pdf","title":"[PDF] Blessing Financial Assistance Application","fetched_on":"2026-10-10","sha256":"cf74bd0dcae21461cd5300b355966a83fe0c6c7cefb73ca784c4d0c757b7651d","effective_date":null},{"id":"billing-1ce6652c8e0adf13","kind":"hospital_web","url":"https://www.blessinghealth.org/sites/default/files/users/user15/BILLING_Non_Covered_Hospital_Providers_3-2026.pdf","title":"Non-Covered Hospital Providers","fetched_on":"2026-10-10","sha256":"1ce6652c8e0adf136db67c6d6240bcdc25782aacb937e29606595a088d9e303d","effective_date":null},{"id":"billing-d99f1e8eb50a325f","kind":"hospital_web","url":"https://www.blessinghealth.org/sites/default/files/users/user15/BILLING_Surprise_Billing_IL_3-2022.pdf","title":".","fetched_on":"2026-10-10","sha256":"d99f1e8eb50a325f6f9c09f51eaab8e2a389b2d49f7e0b48c12fb657135211ce","effective_date":null},{"id":"billing-f47bc48a1c8b5d53","kind":"hospital_web","url":"https://www.blessinghealth.org/sites/default/files/users/user15/BILLING_Partners_In_Care_Financial_Brochure_04-2026.pdf","title":"Read more in our Partners In Care pamphlet.","fetched_on":"2026-10-10","sha256":"f47bc48a1c8b5d5318afcaac85b963eba51496d1dcfaec5c3fe4782f29eaf7c1","effective_date":null},{"id":"billing-f7b5d8a9cd5c24fa","kind":"hospital_web","url":"https://www.blessinghealth.org/patients/billing-insurance/financial-assistance","title":"Financial Assistance | Blessing Health System","fetched_on":"2026-10-10","sha256":"f7b5d8a9cd5c24fa7d5fb43bd690236a6516a1c72d4e4153dfbc229fdd7f5cdf","effective_date":null},{"id":"fap-a914a6ce8e02e39f","kind":"hospital_web","url":"https://www.blessinghealth.org/sites/default/files/users/user168356/FINANCIAL_ASSISTANCE_Policy_09-2025.pdf","title":"Financial Assistance","fetched_on":"2026-10-10","sha256":"a914a6ce8e02e39f8e8bb662570a6c0248d1f55cbb3588821039c8a60b732449","effective_date":null},{"id":"fap-ac74be589b1d80d8","kind":"hospital_web","url":"https://www.blessinghealth.org/sites/default/files/users/user168356/FINANCIAL_ASSISTANCE_Guidelines_2026_03-2026.pdf","title":"Financial Assistance Guidelines","fetched_on":"2026-10-10","sha256":"ac74be589b1d80d804c74b11b19f46e660f5f230d393ca02fd40ce689057eaef","effective_date":null},{"id":"summary-f7350e58edf8103a","kind":"hospital_web","url":"https://www.blessinghealth.org/sites/default/files/users/user15/FINANCIAL_ASSISTANCE_Plain_Language_Summary_9_23.pdf","title":"[PDF] ASKING FOR HELP TO PAY A BLESSING HEALTH SYSTEM ...","fetched_on":"2026-10-10","sha256":"f7350e58edf8103a4b69f0f223e2ba0ba58ddbc8c9e489ffaac3bc12ec435fa5","effective_date":null}],"accuracy":null}