{"hospital":{"ccn":"140120","name":"CARLE HEALTH PEKIN HOSPITAL","city":"PEKIN","state":"IL","zip":"61554","phone":"309-347-1151","ownership":"Voluntary non-profit - Private","website_domain":"carle.org","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"0-200% of FPIG: 100% discount off AGB","source_id":"fap-b10d2e17617aa892","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"discount_tiers":{"value":[{"min_fpl_exclusive":"200","max_fpl_inclusive":"225","discount_percent":65},{"min_fpl_exclusive":"225","max_fpl_inclusive":"250","discount_percent":45},{"min_fpl_exclusive":"250","max_fpl_inclusive":"300","discount_percent":25},{"min_fpl_exclusive":"300","max_fpl_inclusive":"400","discount_percent":5}],"layer":"documented","quote":"0-200% of FPIG: 100% discount off AGB\n201-225% of FPIG: 65% discount off AGB\n226-250% of FPIG: 45% discount off AGB\n251-300% of FPIG: 25% discount off AGB\n301-400% of FPIG: 5% discount off AGB","source_id":"fap-b10d2e17617aa892","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Financial Assistance will be offered for eligible patients to cover patient responsibility for uninsured patients as well as patients with balances remaining after insurance payment.","source_id":"fap-b10d2e17617aa892","checked_on":"2026-10-10","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":"Central Billing Office, ATTN: FA Team, P.O. Box 35758, Des Moines, IA 50315-4205"},{"kind":"email","detail":"FA_CBO_Request@unitypoint.org"},{"kind":"fax","detail":"(515) 362-5055"},{"kind":"in_person","detail":"Please complete this form and submit to the hospital in person, by mail, by electronic mail, or by fax to apply for free or discounted care within 60 days following the date of discharge or receipt of outpatient care."}],"layer":"documented","quote":"Please complete this form and submit to the hospital in person, by mail, by electronic mail, or by fax to apply for free or discounted care within 60 days following the date of discharge or receipt of outpatient care.","source_id":"fap-b10d2e17617aa892","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":"fap-4cbf7040e46e78f2","kind":"hospital_web","url":"https://dev.carle.org/X0873-eng","title":"Carle Financial Assistance Programs","fetched_on":"2026-10-10","sha256":"4cbf7040e46e78f2f2c649e3924596500277a247ce65e51202835a8da0eba52e","effective_date":null},{"id":"application-4a55c053178ba41f","kind":"hospital_web","url":"https://carle.org/getmedia/6306aaa2-aa24-472c-870a-3cd71e7fcd15/CFAPApplication25NHCS-Update.pdf","title":"Financial Assistance Programs","fetched_on":"2026-10-10","sha256":"4a55c053178ba41f39fa3492533b413a75ad2f4b66ea1c37311c18d8d37d8286","effective_date":null},{"id":"billing-e502db8b7f6fc3b3","kind":"hospital_web","url":"https://carle.org/patients-visitors/answers-to-billing-questions","title":"Answers to Frequently Asked Billing Questions - FAQs | Carle.org","fetched_on":"2026-10-10","sha256":"e502db8b7f6fc3b3981ed0b73f93e19b1a3eee57f49d25061f1867413d7d8070","effective_date":null},{"id":"fap-b10d2e17617aa892","kind":"hospital_web","url":"https://carle.org/getmedia/9e26c950-72c2-4b1f-9c81-433c1c9144c6/PeoriaFinancialAssistancePolicyEnglish-FINAL.pdf","title":"Title: Financial Assistance – Hospital Facilities 1.BR.34","fetched_on":"2026-10-10","sha256":"b10d2e17617aa8921dc19cbb76eaf81c2b20223f03b7aecf4cb71140370fd480","effective_date":null},{"id":"fap-bfcbef51a9f3799b","kind":"hospital_web","url":"https://carle.org/patients-visitors/financial-assistance","title":"**carle.org/FinancialAssistance**","fetched_on":"2026-10-10","sha256":"bfcbef51a9f3799b93bdc0d2e0cfdf6cbc7c3acea23cb2a71fe80de2e8813f37","effective_date":null}],"accuracy":null}