{"hospital":{"ccn":"330162","name":"NORTHERN WESTCHESTER HOSPITAL","city":"MOUNT KISCO","state":"NY","zip":"10549","phone":"914-666-1200","ownership":"Voluntary non-profit - Private","website_domain":"northwell.edu","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Patients whose Family Income is at or below 200% of the FPG are eligible to receive Emergency Medical Care or Medically Necessary Services at no charge;","source_id":"fap-c8ce290e65cf1c26","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"discount_tiers":null,"assistance_ceiling_fpl":null,"asset_test":null,"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["tax_return","pay_stubs","bank_statements","proof_of_residency"],"layer":"documented","quote":"An Application; \n2. Proof of address; \n3. Prior year’s tax return(s); \n4. Minimum of two most recent pay stubs; \n5. Minimum of three most recent bank statements for savings and checking accounts;","source_id":"fap-c8ce290e65cf1c26","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":null,"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"Patients will receive a written notification of eligibility for Financial Assistance within thirty (30) days of submission of an Application.","source_id":"fap-c8ce290e65cf1c26","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":null,"hours":null,"languages":{"value":["English","Spanish","French","Arabic","Bengali","Albanian","Chinese","Greek","Haitian","Hindi","Italian","Korean","Polish","Russian"],"layer":"documented","quote":"Financial assistance policy\n* [Albanian](/sites/northwell.edu/files/2026-02/300.20-financial-assistance-policy-albanian-01-20-2026.pdf)\n* [Arabic](/sites/northwell.edu/files/2026-02/300.20-financial-assistance-policy-arabic-01-20-2026.pdf)\n* [Bengali](/sites/northwell.edu/files/2026-02/300.20-financial-assistance-policy-bengali-01-20-2026.pdf)\n* [Chinese](/sites/northwell.edu/files/2026-02/300.20-financial-assistance-policy-chinese-01-20-2026.pdf)\n* [English](/sites/northwell.edu/files/2026-05/300.20-financial-assistance-policy-english-05-29-2026.pdf)\n* [French](/sites/northwell.edu/files/2026-02/300.20-financial-assistance-policy-french-01-20-2026.pdf)\n* [Greek](/sites/northwell.edu/files/2026-02/300.20-financial-assistance-policy-greek-01-20-2026.pdf)\n* [Haitian](/sites/northwell.edu/files/2026-02/300.20-financial-assistance-policy-haitian-01-20-2026.pdf)\n* [Hindi](/sites/northwell.edu/files/2026-02/300.20-financial-assistance-policy-hindi-01-20-2026.pdf)\n* [Italian](/sites/northwell.edu/files/2026-02/300.20-financial-assistance-policy-italian-01-20-2026.pdf)\n* [Korean](/sites/northwell.edu/files/2026-02/300.20-financial-assistance-policy-korean-01-20-2026.pdf)\n* [Polish](/sites/northwell.edu/files/2026-02/300.20-financial-assistance-policy-polish-01-20-2026.pdf)\n* [Russian](/sites/northwell.edu/files/2026-02/300.20-financial-assistance-policy-russian-01-20-2026.pdf)\n* [Spanish](/sites/northwell.edu/files/2026-02/300.20-financial-assistance-policy-spanish-01-20-2026.pdf)","source_id":"fap-cb5a73fcc76761a3","checked_on":"2026-10-14","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Northern Westchester Hospital"],"layer":"documented","quote":"Northern Westchester Hospital\n* [Albanian](/sites/northwell.edu/files/2026-08/northern-westchester-appendix-b-july-2026-albanian.pdf)\n* [Arabic](https://www.northwell.edu/sites/northwell.edu/files/2026-08/northern-westchester-appendix-b-july-2026-arabic.pdf)\n* [Bengali](/sites/northwell.edu/files/2026-08/northern-westchester-appendix-b-july-2026-bengali.pdf)\n* [Chinese](/sites/northwell.edu/files/2026-08/northern-westchester-appendix-b-july-2026-chinese.pdf)\n* [English](/sites/northwell.edu/files/2026-08/northern-westchester-appendix-b-july-2026-english.pdf)\n* [French](/sites/northwell.edu/files/2026-08/northern-westchester-appendix-b-july-2026-french.pdf)\n* [Greek](/sites/northwell.edu/files/2026-08/northern-westchester-appendix-b-july-2026-greek.pdf)\n* [Haitian](/sites/northwell.edu/files/2026-08/northern-westchester-appendix-b-july-2026-haitian.pdf)\n* [Hindi](/sites/northwell.edu/files/2026-08/northern-westchester-appendix-b-july-2026-hindi.pdf)\n* [Italian](/sites/northwell.edu/files/2026-08/northern-westchester-appendix-b-july-2026-italian.pdf)\n* [Korean](/sites/northwell.edu/files/2026-08/northern-westchester-appendix-b-july-2026-korean.pdf)\n* [Polish](/sites/northwell.edu/files/2026-08/northern-westchester-appendix-b-july-2026-polish.pdf)\n* [Russian](/sites/northwell.edu/files/2026-08/northern-westchester-appendix-b-july-2026-russian.pdf)\n* [Spanish](/sites/northwell.edu/files/2026-08/northern-westchester-appendix-b-july-2026-spanish.pdf)","source_id":"fap-cb5a73fcc76761a3","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-cb5a73fcc76761a3","kind":"hospital_web","url":"https://www.northwell.edu/billing-and-insurance/financial-assistance-programs-policies/financial-assistance-policy","title":"Financial assistance policy - 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