{"hospital":{"ccn":"310001","name":"HACKENSACK UNIVERSITY MEDICAL CENTER","city":"HACKENSACK","state":"NJ","zip":"07601","phone":"551-996-2000","ownership":"Voluntary non-profit - Private","website_domain":"hackensackmeridianhealth.org","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"| less than or equal to 200% | 0% |","source_id":"fap-1062f2d2e0bb0f9b","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"discount_tiers":{"value":[{"min_fpl_exclusive":"200","max_fpl_inclusive":"225","discount_percent":80},{"min_fpl_exclusive":"225","max_fpl_inclusive":"250","discount_percent":60},{"min_fpl_exclusive":"250","max_fpl_inclusive":"275","discount_percent":40},{"min_fpl_exclusive":"275","max_fpl_inclusive":"300","discount_percent":20}],"layer":"documented","quote":"| less than or equal to 200% | 0% |\n| greater than 200% but less than or equal to 225% | 20% |\n| greater than 225% but less than or equal to 250% | 40% |\n| greater than 250% but less than or equal to 275% | 60% |\n| greater than 275% but less than or equal to 300% | 80% |","source_id":"fap-1062f2d2e0bb0f9b","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Compassionate Care III: Insured patients with income levels at or below 600% of the Federal Poverty Level (FPL) may be eligible for a 50% discount on cost-share amounts.","source_id":"fap-1062f2d2e0bb0f9b","checked_on":"2026-10-11","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":{"value":["photo_id","proof_of_residency"],"layer":"documented","quote":"driver’s license, copy of lease, utility bill, dated mail with your name and address issued prior to date of service","source_id":"application-9555a7c5af19c467","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Hackensack University Medical Center patients 100 First Street - Suite 30,0, Hackensack, NJ 07601"},{"kind":"in_person","detail":"Hackensack University Medical Center,100 First Street - Suite 300, Hackensack, NJ 07601"}],"layer":"documented","quote":"By stopping by the Financial Assistance Department in person (Monday through Friday, 8:00 AM-4:00 PM), located at the following address:","source_id":"fap-1062f2d2e0bb0f9b","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"Application Period: The applicant has up to one year from the date of service to apply for hospital assistance and provide the hospital with a completed application. At minimum, patients will be allowed 240 days from the first post-discharge billing statement to apply for Charity Care.","source_id":"fap-1062f2d2e0bb0f9b","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":{"value":120,"layer":"documented","quote":"Notification period: Hospitals shall notify the individual about the Collection, Payment, and Financial Assistance Policy before initiating any extraordinary collection actions to obtain payment and refrain from initiating extraordinary collection actions for at least 120 days from the date the patient is provided the first post-discharge billing statement for care","source_id":"billing-8e7faaf76ae586b2","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"732-902-7080","layer":"documented","quote":"[732-902-7080](tel:17329027080)","source_id":"fap-1062f2d2e0bb0f9b","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"hours":{"value":"8:00 AM-4:00 PM","layer":"documented","quote":"In Person: By stopping by the Financial Assistance Department in person (Monday through Friday, 8:00 AM-4:00 PM), located at the following address:","source_id":"fap-1062f2d2e0bb0f9b","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"languages":null},"coverage":{"facilities":{"value":["Hackensack University Medical Center"],"layer":"documented","quote":"Hackensack University Medical Center","source_id":"fap-1062f2d2e0bb0f9b","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-1062f2d2e0bb0f9b","kind":"hospital_web","url":"https://hackensackmeridianhealth.org/en/pay-bill/financial-assistance/financial-assistance-policy","title":"Financial Assistance Information | Hackensack Meridian Health","fetched_on":"2026-10-11","sha256":"1062f2d2e0bb0f9b7b8f577c478d2d72f636215cf003480cf1a1a907f360ab1d","effective_date":null},{"id":"application-380fb7000baf628d","kind":"hospital_web","url":"https://www.hackensackmeridianhealth.org/-/media/Project/HMH/HMH/shared/Files/Financial-Assistance-Languages/Charity-Care-Applications/Charity-Care-Application-English.pdf","title":"Charity Care/Financial Assistance Application Process","fetched_on":"2026-10-11","sha256":"380fb7000baf628db2bba39b441067be87c9140e8c8e290cbdc337a20f66baa4","effective_date":null},{"id":"summary-3f5dc56b645ce1cb","kind":"hospital_web","url":"https://hackensackmeridianhealth.org/en/pay-bill/financial-assistance/financial-assistance-policy-plain-language","title":"Financial Assistance for Healthcare | Hackensack Meridian Health","fetched_on":"2026-10-11","sha256":"3f5dc56b645ce1cb2f3dd58fc6121b922a53d8b37023e5ca5a8ed21d0c7feded","effective_date":null},{"id":"billing-8e7faaf76ae586b2","kind":"hospital_web","url":"https://www.hackensackmeridianhealth.org/-/media/project/hmh/hmh/public/pay-bill/hmh-hospitals--billing-and-collection-policy.pdf","title":"[PDF] Billing and Collection policy - Hackensack Meridian Health","fetched_on":"2026-10-11","sha256":"8e7faaf76ae586b2ce3d000e81c3e62d2f6d525fa2460e1b18cb414af392df0b","effective_date":null},{"id":"fap-938a8d6419431fba","kind":"hospital_web","url":"https://www.hackensackmeridianhealth.org/en/pay-bill/financial-assistance","title":"On our website","fetched_on":"2026-10-11","sha256":"938a8d6419431fba79a2e7e984c36a1b1eb66f54d406a788eef7700124c26c4f","effective_date":null},{"id":"application-9555a7c5af19c467","kind":"hospital_web","url":"https://www.hackensackmeridianhealth.org/-/media/project/hmh/hmh/public/pay-bill/charity-care-application-2026.pdf","title":"Charity Care Application","fetched_on":"2026-10-11","sha256":"9555a7c5af19c4673c0828c283d85a375d8802d2eda715ba70a13de01a7ebbb9","effective_date":null},{"id":"summary-168799171fa1cda3","kind":"hospital_web","url":"https://www.hackensackmeridianhealth.org/-/media/project/hmh/hmh/public/pay-bill/plain-language-financial-assistance-policy.pdf","title":"Plain Language Summary (“PLS”)","fetched_on":"2026-10-11","sha256":"168799171fa1cda31862cc8615016affef23802381dce97f1efcfe3139dda6ed","effective_date":null}],"accuracy":null}