{"hospital":{"ccn":"220052","name":"SIGNATURE HEALTHCARE BROCKTON HOSPITAL","city":"BROCKTON","state":"MA","zip":"02302","phone":"508-941-7000","ownership":"Voluntary non-profit - Other","website_domain":"signature-healthcare.org","system":null},"version":5,"status":"published","eligibility":{"free_care_max_fpl":{"value":"300","layer":"documented","quote":"between 0-300% of the Federal Poverty Level (FPL)","source_id":"fap-7a73d1a3e23d89dc","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"discount_tiers":null,"assistance_ceiling_fpl":null,"asset_test":{"value":false,"layer":"documented","quote":"There are no income or asset criteria requirements associated with this discount.","source_id":"fap-7a73d1a3e23d89dc","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"The hospital will help uninsured and underinsured individuals apply for health coverage or financial assistance through a public assistance program or through the hospital’s financial assistance program","source_id":"fap-7a73d1a3e23d89dc","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":{"value":[{"name":"Health Safety Net (Massachusetts)","how_to_apply":"Apply through the MassHealth application; a hospital financial counselor can file it for you. The hospital's own financial assistance and the Health Safety Net are separate programs."}],"layer":"documented","quote":"Important information you need to know about applying for MassHealth Limited and the Health Safety Net can be found on page 3.","source_id":"state-mass-cafb5ebe5d7f","checked_on":"2026-10-02","confidence":1.0,"support_count":0}},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income","tax_return","pay_stubs","other"],"layer":"documented","quote":"Documentation examples include pay stubs, income tax filings, unemployment benefit reports, alimony judgments, etc.","source_id":"fap-7a73d1a3e23d89dc","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Request copies to be mailed or sent electronically by calling (508) 941- 7919"},{"kind":"in_person","detail":"Visit our Financial Counseling office located adjacent to the Information Desk at 680 Centre St., Brockton, MA to get help filling out an application or with financial assistance."}],"layer":"documented","quote":"One may obtain a copy of our policy and application form free of charge in the following ways: • Brockton Hospital website: https://www.signature-healthcare.org/Patients-Visitors/Patient-Forms/Financial-Assistance • In our emergency department and out-patient registration areas • Request copies to be mailed or sent electronically by calling (508) 941- 7919 • Visit our Financial Counseling office located adjacent to the Information Desk at 680 Centre St., Brockton, MA to get help filling out an application or with financial assistance.","source_id":"fap-7a73d1a3e23d89dc","checked_on":"2026-10-03","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":"508-941-7919","layer":"documented","quote":"(508) 941-7919","source_id":"fap-7a73d1a3e23d89dc","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"hours":{"value":"Monday through Friday 7:00AM – 4:30PM, Monday through Friday 7:00AM – 11:30PM, Saturday and Sunday 8:00AM through 4:30PM","layer":"documented","quote":"between 7:00AM – 4:30PM, Monday through Friday or via telephone at (508) 941-7919, between7:00AM and 11:30PM, Monday through Friday, and 8:00AM through 4:30PM on Saturday and Sunday.","source_id":"fap-7a73d1a3e23d89dc","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"languages":{"value":["English","Spanish","Haitian Creole","Portuguese"],"layer":"documented","quote":"[Normas de asistencia financiera | PDF](https://signature-healthcare.org/pdf/Financial-Assistance-Policy-Rev-9-2019-%28Spanish%29.pdf) [Normas de crédito y cobranza | PDF](https://signature-healthcare.org/pdf/Credit-and-Collection-Policy-Rev-9-2019-%28Spanish%29.pdf) [Resumen simple de las normas de asistencia financiera | PDF](https://signature-healthcare.org/pdf/Plain-Language-Summary_Final_071218-%28Spanish%29.pdf)\n\n[Regleman sou asistans finansye | PDF](https://signature-healthcare.org/pdf/Financial-Assistance-Policy-Rev-9-2019-%28Haitian-Creole%29.pdf) [Regleman sou kredi ak rekouvreman | PDF](https://signature-healthcare.org/pdf/Credit-and-Collection-Policy-Rev-9-2019-%28Haitian-Creole%29.pdf) [Rezime regleman sou asistans finansye a nan yon langaj ki klè | PDF](https://signature-healthcare.org/pdf/Plain-Language-Summary_Final_071218-%28Haitian-Creole%29.pdf)\n\n[Políticas de Assistência Financeira | PDF](https://signature-healthcare.org/pdf/Financial-Assistance-Policy-Rev-9-2019-%28Portuguese%29.pdf) [Política de crédito e cobrança | PDF](https://signature-healthcare.org/pdf/Credit-and-Collection-Policy-Rev-9-2019-%28Portuguese%29.pdf) [Resumo da política de assistência financeira em linguagem simples | PDF](https://signature-healthcare.org/pdf/Plain-Language-Summary_Final_071218-%28Portuguese%29.pdf)","source_id":"fap-5c2985d0a1155a20","checked_on":"2026-10-03","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Brockton Hospital","Signature Medical Group","Brockton Hospital School of Nursing"],"layer":"documented","quote":"* [Brockton Hospital](/about/about-brockton-hospital/)\n* [Brockton Hospital School of Nursing](/bhson)","source_id":"fap-3856fd9b8e5b7f83","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-3856fd9b8e5b7f83","kind":"hospital_web","url":"https://signature-healthcare.org/Patients-Visitors/Financial-Assistance","title":"Financial Assistance | Signature Healthcare","fetched_on":"2026-10-02","sha256":"3856fd9b8e5b7f8381eeb485bd9510659a3f03a76c56ff0eed267d0b0704dcf8","effective_date":null},{"id":"fap-5a8db0b98836d245","kind":"hospital_web","url":"https://signature-healthcare.org/pdf/Financial-Assistance-Policy-Rev-9-2019-%28Haitian-Creole%29.pdf","title":"Regleman sou asistans finansye | PDF","fetched_on":"2026-10-02","sha256":"5a8db0b98836d24593e6e01d55692f3a378bfc675fa20421ed6f8f307a4ce4f3","effective_date":null},{"id":"fap-5c2985d0a1155a20","kind":"hospital_web","url":"https://signature-healthcare.org/patients-visitors/financial-assistance","title":"Financial Assistance | Signature Healthcare","fetched_on":"2026-10-02","sha256":"5c2985d0a1155a20ba4e6c480f798798400d666438fad327e0a183209b5e9e45","effective_date":null},{"id":"fap-7a73d1a3e23d89dc","kind":"hospital_web","url":"https://signature-healthcare.org/pdf/FAP-Policy-2023.pdf","title":"Financial Assistance Policy | PDF","fetched_on":"2026-10-02","sha256":"7a73d1a3e23d89dc9f8a820cd6310fae6a923ec865aedfad669a88f1498b105a","effective_date":null},{"id":"fap-f2928bb76aec18c9","kind":"hospital_web","url":"https://signature-healthcare.org/pdf/Financial-Assistance-Policy-Rev-9-2019-%28Spanish%29.pdf","title":"Normas de asistencia financiera | PDF","fetched_on":"2026-10-02","sha256":"f2928bb76aec18c988a0177579f35aac35d373d436d692b21e6e400a14ee254c","effective_date":null},{"id":"state-mass-cafb5ebe5d7f","kind":"state_repository","url":"https://www.mass.gov/doc/senior-guide-to-health-care-coverage-4/download","title":"download","fetched_on":"2026-10-02","sha256":"cafb5ebe5d7fd181e3c87567b6609c3aa6ee7fff9af006d521a3a53700a99472","effective_date":null}],"accuracy":null}