{"hospital":{"ccn":"220084","name":"EMERSON HOSPITAL -","city":"W CONCORD","state":"MA","zip":"01742","phone":"978-369-1400","ownership":"Voluntary non-profit - Private","website_domain":"emersonhealth.org","system":null},"version":8,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Household MassHealth MAGI as % of FPG Discount – Charged Service Discount – Co-payment, Deductible\n0% to 200% 100% 100%","source_id":"fap-b0ea6e3613f8951d","checked_on":"2026-10-02","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":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","pay_stubs","bank_statements","other"],"layer":"documented","quote":"• If there has been a recent change in your income, include documentation such as recent check stubs (minimum 4), unemployment statements, bank/investment statements and/or social security statements.","source_id":"application-c6b25abbf589bfef","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Emerson Hospital Financial Assistance Department 133 ORNAC, Concord, MA 01742"},{"kind":"in_person","detail":"Return completed applications directly to our Financial Assistance Department"}],"layer":"documented","quote":"❑ Return completed applications directly to our Financial Assistance Department OR mail to:\nEmerson Hospital Financial Assistance Department\n133 ORNAC, Concord, MA 01742","source_id":"application-c6b25abbf589bfef","checked_on":"2026-10-02","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":"978-287-3432","layer":"documented","quote":"please contact our Financial Assistance Department at 978-287-3432.","source_id":"application-c6b25abbf589bfef","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"hours":{"value":"8 a.m. and 5 p.m., Monday through Friday","layer":"documented","quote":"Please call our financial counselors’ office at [978-287-3432](tel:978-287-3432) between 8 a.m. and 5 p.m., Monday through Friday.","source_id":"billing-4f88928e00fe0b87","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"languages":null},"coverage":{"facilities":{"value":["Emerson Hospital"],"layer":"documented","quote":"This financial assistance policy applies to Emerson Hospital and any entity that operates under the hospital’s license or tax ID number (such as our urgent care centers, for example).","source_id":"billing-4f88928e00fe0b87","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"application-c6b25abbf589bfef","kind":"hospital_web","url":"https://emersonhealth.org/wp-content/uploads/2025/03/Financial-Assistance-Application.pdf","title":"[PDF] Emerson Hospital Financial Assistance Application","fetched_on":"2026-10-02","sha256":"c6b25abbf589bfefd95f53c1095208c9f537a7bd7159d1690bf6d9fa00d57c45","effective_date":null},{"id":"billing-4f88928e00fe0b87","kind":"hospital_web","url":"https://emersonhealth.org/patients-visitors/insurance-financial/credit-collections-policy","title":"Credit & Collections Policy - Emerson Health","fetched_on":"2026-10-02","sha256":"4f88928e00fe0b878d42bb5628cd1fae63a9b89a65b47da453e94e2710a3fe23","effective_date":null},{"id":"fap-795b3cda1fdd8a37","kind":"hospital_web","url":"https://emersonhealth.org/patients-visitors/insurance-financial/financial-assistance","title":"Financial Assistance - Emerson Health","fetched_on":"2026-10-02","sha256":"795b3cda1fdd8a3714c695fc8259595009acc2d7cf53f2f587b16f445d2d5651","effective_date":null},{"id":"fap-b0ea6e3613f8951d","kind":"hospital_web","url":"https://emersonhealth.org/wp-content/uploads/2026/05/Financial-Assistance-Policy.pdf","title":"Financial Assistance Policy","fetched_on":"2026-10-02","sha256":"b0ea6e3613f8951d9075331b76e69b01e9cff58a776b97367973dbc424c29f25","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}