{"hospital":{"ccn":"140125","name":"GATEWAY REGIONAL MEDICAL CENTER","city":"GRANITE CITY","state":"IL","zip":"62040","phone":"618-798-3000","ownership":"Voluntary non-profit - Other","website_domain":"gatewayregional.net","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Whose family incomes are at or below 200 percent of the most recent federal poverty level guidelines and","source_id":"fap-8d03992ad69d5282","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"discount_tiers":{"value":[{"min_fpl_exclusive":"200","max_fpl_inclusive":"300","discount_percent":80},{"min_fpl_exclusive":"300","max_fpl_inclusive":"400","discount_percent":68}],"layer":"documented","quote":"Reduced Fee Schedule\n\nFederal Poverty Guideline  200%  300%  400%\n\nFee Reduction  100%  80%  68%","source_id":"fap-8d03992ad69d5282","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"assistance_ceiling_fpl":null,"asset_test":null,"residency":{"value":["IL"],"layer":"documented","quote":"Care discounted at to 135% of hospital cost for uninsured Illinois residents with family incomes up to 600% FPL in urban areas, and 300% FPL in rural areas.","source_id":"fap-8d03992ad69d5282","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":{"value":"https://gatewayregional.net/wp-content/uploads/2024/12/Financial-Assistance-Forms3.pdf","layer":"documented","quote":"[>> Financial Assistance Process and Application](https://gatewayregional.net/wp-content/uploads/2024/12/Financial-Assistance-Forms3.pdf \"Clic to download\")","source_id":"billing-af5adbb265c41153","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"form_version":null,"documents_required":{"value":["proof_of_income","tax_return","pay_stubs","bank_statements","social_security_letter","other"],"layer":"documented","quote":"Proof of Income: Prior year income tax return, last 3 months bank statements, last 4 check stubs (if applicable), or a letter from employer, or letter from Social Security, etc… Other documents as requested.\n• Proof of Expenses: Copy of mortgage payment or rental agreement, copies of all monthly bills (including credit cards, bank loans, car loans, insurance payments, utilities, cable and sell phones.)\n• Other documents as requested.","source_id":"application-e3daf4654405ae03","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Please return your completed application with your supporting documentation to: Gateway Regional Medical Center Attn: Patient Financial Counselor Department 2100 Madison Avenue Granite City, Illinois 62040"},{"kind":"in_person","detail":"Patients will be instructed to complete the forms and return them by mail or in person to a Patient Accounts representative."}],"layer":"documented","quote":"Patients will be instructed to complete the forms and return them by mail or in person to a Patient Accounts representative.","source_id":"fap-8d03992ad69d5282","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"Notice of approval or denial of an application shall generally be sent to the patient within 30 days of receipt of application.","source_id":"application-8baea23265d3870c","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"(618) 798-3491 or (618) 798-3366","layer":"documented","quote":"Calling the Patient Financial Counselors (618) 798-3491 or (618) 798-3366","source_id":"application-8baea23265d3870c","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"hours":null,"languages":null},"coverage":{"facilities":{"value":["Gateway Regional Medical Center"],"layer":"documented","quote":"Gateway Regional Medical Center Attn: Patient Financial Counselor Department 2100 Madison Avenue Granite City, Illinois 62040","source_id":"application-8baea23265d3870c","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-8d03992ad69d5282","kind":"hospital_web","url":"https://gatewayregional.net/wp-content/uploads/2024/12/Gateway-Financial-Assistance-Policy2.pdf","title":"POLICY TITLE: Financial Assistance","fetched_on":"2026-10-11","sha256":"8d03992ad69d5282dd8fc7aed2fd0e1da0ddc2e24f3986a9e598434de5688d05","effective_date":null},{"id":"application-8baea23265d3870c","kind":"hospital_web","url":"https://gatewayregional.net/wp-content/uploads/2024/12/Financial-Assistance-Forms3.pdf","title":"Financial Assistance Process and Application Important","fetched_on":"2026-10-11","sha256":"8baea23265d3870c63b8b6d1a74c6e2210022eaf7106345a4021f21a7d8fc88e","effective_date":null},{"id":"billing-af5adbb265c41153","kind":"hospital_web","url":"https://gatewayregional.net/billing-insurance","title":"Billing & Insurance - Gateway Regional Medical Center","fetched_on":"2026-10-11","sha256":"af5adbb265c411537106024c8f80f48473b41937e7626c03a7c637f410df7f85","effective_date":null},{"id":"application-e3daf4654405ae03","kind":"hospital_web","url":"https://gatewayregional.net/wp-content/uploads/2022/11/Financial_Assistance_Application_Rev_10_14_19.pdf","title":"[PDF] Patient Financial Advocate - Gateway Regional Medical Center","fetched_on":"2026-10-11","sha256":"e3daf4654405ae0305fa76c4fa345f0a4314598097468b73d3bd407cc7147979","effective_date":null},{"id":"fap-3443ddb84630af2d","kind":"hospital_web","url":"https://www.gatewayregional.net/wp-content/uploads/2024/12/Gateway-Financial-Assistance-Policy2.pdf","title":">> Gateway Financial Assistance Policy","fetched_on":"2026-10-11","sha256":"3443ddb84630af2dbd1ad84dfb7b92f82374625b6643ab5b16f7bd6bdad15fb2","effective_date":null}],"accuracy":null}