{"hospital":{"ccn":"140289","name":"ANDERSON HOSPITAL","city":"MARYVILLE","state":"IL","zip":"62062","phone":"618-288-5711","ownership":"Voluntary non-profit - Private","website_domain":"andersonhospital.org","system":null},"version":2,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Up to 200% of the Federal Poverty Guidelines 100% (free care)","source_id":"fap-5a802477e22cbca7","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"discount_tiers":{"value":[{"min_fpl_exclusive":"200","max_fpl_inclusive":"300","discount_percent":90},{"min_fpl_exclusive":"300","max_fpl_inclusive":"400","discount_percent":80},{"min_fpl_exclusive":"400","max_fpl_inclusive":"600","discount_percent":73}],"layer":"documented","quote":"Anderson Hospital: Family Income as percentage of FPL Discount Percentage Off Charges Up to 200% of the Federal Poverty Guidelines 100% (free care) 201% - 300% 90% 301% - 400% 80% 401% - 600% 73%","source_id":"fap-5a802477e22cbca7","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"asset_test":null,"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["Women, Infants and Children Nutrition Program (WIC)","Supplemental Nutrition Assistance Program (SNAP)","Illinois Free Lunch and Breakfast Program","Low Income Home Energy Assistance Program (LIHEAP)"],"layer":"documented","quote":"Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: a. Women, Infants and Children Nutrition Program (WIC) b. Supplemental Nutrition Assistance Program (SNAP) c. Illinois Free Lunch and Breakfast Program; d. Low Income Home Energy Assistance Program (LIHEAP);","source_id":"fap-5a802477e22cbca7","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"state_programs":null},"apply":{"form_url":{"value":"https://andersonhealthcare.myfa.app/","layer":"documented","quote":"[See If You Qualify and Apply Now](https://andersonhealthcare.myfa.app/)","source_id":"application-bc9242affc2683d9","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"form_version":null,"documents_required":{"value":["proof_of_income","tax_return","pay_stubs","other","bank_statements"],"layer":"documented","quote":"Proof of income for all income sources (previous year's tax return, last two months pay stubs, social security benefit letters, etc.) • Bank statements (last two months)","source_id":"application-2c000a169305764a","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"request to have an application mailed to you by calling 1-877-444-6382"},{"kind":"in_person","detail":"Visit our Financial Counselor in our Patient Access department located off the lobby at the hospital main entrance during the hours of 7:30am − 4pm"},{"kind":"in_person","detail":"Obtain a free paper financial assistance application at each hospital registration desk including the Emergency department"},{"kind":"phone","detail":"Contact our Financial Counselor by phone at 618−391−6920"},{"kind":"portal","detail":"Download a copy of the Financial Assistance Policy and Application via our website at www.andersonhospital.org/financialassistance"}],"layer":"documented","quote":"How to Apply – Financial Assistance Applications may be obtained as follows: Download a copy of the Financial Assistance Policy and Application via our website at www.andersonhospital.org/financialassistance Contact our Financial Counselor by phone at 618−391−6920 Visit our Financial Counselor in our Patient Access department located off the lobby at the hospital main entrance during the hours of 7:30am − 4pm Obtain a free paper financial assistance application at each hospital registration desk including the Emergency department If hospital services have been received and you have received a patient billing statement, request to have an application mailed to you by calling 1−877−444−6382.","source_id":"summary-7df454c2d2836a81","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"With respect to any care provided by Anderson Healthcare to an individual, the application period begins on the date the care is provided and ends on the 240th day after the date that the first post-discharge billing statement for the care is provided.","source_id":"fap-5a802477e22cbca7","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"decision_days":{"value":21,"layer":"documented","quote":"I. A determination letter is provided to every patient that applies for financial assistance within 21 days of the completed application.","source_id":"fap-38327a9cd59388c3","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":{"value":120,"layer":"documented","quote":"Extraordinary Collection Actions (ECA’s) A. Anderson Healthcare or authorized party may not initiate ECA’s against an individual whose financial assistance eligibility has not been determined before 120 days after the first post-discharge billing statement, provided the required notifications and reasonable efforts have","source_id":"fap-38327a9cd59388c3","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"618-391-6920","layer":"documented","quote":"Contact our Financial Counselor by phone at 618−391−6920","source_id":"summary-7df454c2d2836a81","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"hours":{"value":"7:30am − 4pm","layer":"documented","quote":"Visit our Financial Counselor in our Patient Access department located off the lobby at the hospital main entrance during the hours of 7:30am − 4pm","source_id":"summary-7df454c2d2836a81","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"languages":{"value":["English and Spanish"],"layer":"documented","quote":"Below you will find our Financial Assistance documents in English and Spanish:","source_id":"application-bc9242affc2683d9","checked_on":"2026-10-09","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Anderson Hospital","Anderson Medical Group","Community Hospital of Staunton","Community Clinic of Staunton"],"layer":"documented","quote":"This policy applies to Anderson Hospital, Anderson Medical Group, Community Hospital of Staunton and Community Clinic of Staunton (together “Anderson Healthcare”).","source_id":"fap-5a802477e22cbca7","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-5a802477e22cbca7","kind":"hospital_web","url":"https://andersonhospital.org/wp-content/uploads/2023/10/2023-updated-FA-policy.pdf","title":"Financial Assistance Policy","fetched_on":"2026-10-09","sha256":"5a802477e22cbca71d9d011e4f1f83996334a9af0c5bd7acb4d7d59104ab3b91","effective_date":null},{"id":"application-bc9242affc2683d9","kind":"hospital_web","url":"https://andersonhospital.org/patient-visitor-information/financial-assistance","title":"Financial Assistance | Anderson Hospital","fetched_on":"2026-10-09","sha256":"bc9242affc2683d9f5add626a36f53da1f0630e420b756d89383360398158be2","effective_date":null},{"id":"billing-082e1cd5f0387e17","kind":"hospital_web","url":"https://andersonhospital.org/wp-content/uploads/2023/07/Billing__Collections_Policy.pdf","title":"Billing & Collections Policy","fetched_on":"2026-10-09","sha256":"082e1cd5f0387e17f3ac6c63ae26d74e1bef4e380bbe45586800007fb32f8cf7","effective_date":null},{"id":"fap-38327a9cd59388c3","kind":"hospital_web","url":"https://andersonhospital.org/wp-content/uploads/2023/07/2022-financial-assistance-policy-anderson-healthcare.pdf","title":"Process Owner: PO Both - Anderson Hospital","fetched_on":"2026-10-09","sha256":"38327a9cd59388c31c3fa93c2013ef85a83714e225bfd1f40e3a63586ce720f1","effective_date":null},{"id":"fap-3ef1b7d4808e98bc","kind":"hospital_web","url":"https://www.andersonhospital.org/wp-content/uploads/2023/07/2018_Financial_Assistance_Policy_Spanish.pdf","title":"Política de Ayuda Financiera","fetched_on":"2026-10-09","sha256":"3ef1b7d4808e98bcf05c8a8b7627c32773e92cc76e324bad5dbc3cd4818cbf68","effective_date":null},{"id":"application-2c000a169305764a","kind":"hospital_web","url":"https://www.andersonhospital.org/wp-content/uploads/2024/08/Anderson-Healthcare-FA-App-Temp-IL-Client-Copy.pdf","title":"Financial Assistance Application","fetched_on":"2026-10-09","sha256":"2c000a169305764a17c3b88e0597cfcc7be37a9c2a150ae7d10ba0644165f453","effective_date":null},{"id":"application-874b30203092d6f8","kind":"hospital_web","url":"https://www.andersonhospital.org/wp-content/uploads/2023/07/SP_Financial_Aid_Application.pdf","title":"Solicitud de Ayuda Financiera","fetched_on":"2026-10-09","sha256":"874b30203092d6f8f2a5e6ffb0837ab521fe29646edb012b310d68a055cf32d7","effective_date":null},{"id":"summary-7df454c2d2836a81","kind":"hospital_web","url":"https://andersonhospital.org/wp-content/uploads/2023/08/pls_of_fap_english2.pdf","title":"Plain Language Summary of Financial Assistance Policy","fetched_on":"2026-10-09","sha256":"7df454c2d2836a816d2ac979bbdadca8e6760ad492f372ee195596d71c30f463","effective_date":null}],"accuracy":null}