{"hospital":{"ccn":"331310","name":"ELLENVILLE REGIONAL HOSPITAL","city":"ELLENVILLE","state":"NY","zip":"12428","phone":"845-647-6400","ownership":"Voluntary non-profit - Private","website_domain":"erhny.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Is at 200% or below the FPL, they are entitled to a 100% discount.","source_id":"fap-cabbbbf6154584d0","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Underinsured: A patient who does have health insurance coverage with cost share, such as co-pays, coinsurance and deductibles.","source_id":"fap-cabbbbf6154584d0","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":["social_security_letter"],"layer":"documented","quote":"Recent pay stubs (4 if paid weekly, 2 if paid bi-weekly), unemployment benefits, award letter from Social Security Administration / Pension / Annuities.","source_id":"fap-cabbbbf6154584d0","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"you may also reach out to us at (845) 210-4930 to request the information be mailed to you free of charge."},{"kind":"in_person","detail":"you may also reach out to us at (845) 210-4930 to request the information be mailed to you free of charge. You can also ask to speak with our Financial Assistance Counselor if you have any additional questions."}],"layer":"documented","quote":"While we provide all of our Financial Assistance documentation on our website, including our policy & procedure, application and an easy to understand plan language summary of the program, you may also reach out to us at (845) 210-4930 to request the information be mailed to you free of charge. You can also ask to speak with our Financial Assistance Counselor if you have any additional questions.","source_id":"fap-73608d795abd057a","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"The hospital must approve or deny within 30 days of the completed application:","source_id":"fap-cabbbbf6154584d0","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"(845) 210-4930","layer":"documented","quote":"(845) 210-4930","source_id":"fap-73608d795abd057a","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"hours":null,"languages":{"value":["English","Spanish"],"layer":"documented","quote":"Financial Assistance Application- Click Here ([English](https://erhny.org/wp-content/uploads/2024/12/ERH-FA-APP-English.pdf) / [Spanish](https://erhny.org/wp-content/uploads/2024/12/ERH-FA-APP-Spanish.pdf) / [Polish](https://erhny.org/wp-content/uploads/2024/12/ERH-FA-APP-Polish.pdf) / [Ukrainian](https://erhny.org/wp-content/uploads/2024/12/ERH-FA-APP-Ukrainian.pdf) / [Russian](https://erhny.org/wp-content/uploads/2024/12/ERH-FA-APP-Russian.pdf))","source_id":"fap-73608d795abd057a","checked_on":"2026-10-11","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Ellenville Regional Hospital"],"layer":"documented","quote":"Ellenville Regional Hospital is committed to patient care as well as to serving the community.","source_id":"fap-73608d795abd057a","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-73608d795abd057a","kind":"hospital_web","url":"https://erhny.org/patient-guests/financial-assistance-program","title":"Financial Assistance Program and Medical Bill Help in Ellenville NY","fetched_on":"2026-10-11","sha256":"73608d795abd057a2ccbcae4268065504affa91b9ed627c50ae43cf113541be5","effective_date":null},{"id":"billing-b21c5850799e3c0a","kind":"hospital_web","url":"https://erhny.org/patient-guests/paying-for-your-care","title":"Medical Billing and Payment Plans in Ellenville Ny","fetched_on":"2026-10-11","sha256":"b21c5850799e3c0ae01d124f92bfd764d67e6c86cff3cacd91425ce0e782edac","effective_date":null},{"id":"fap-cabbbbf6154584d0","kind":"hospital_web","url":"https://erhny.org/wp-content/uploads/2024/12/Hospital-Financial-Assistance-FINAL-11.24.pdf","title":"[PDF] STATEMENT & PURPOSE: - Ellenville Regional Hospital","fetched_on":"2026-10-11","sha256":"cabbbbf6154584d0586887418369b4bcbc452fc42afecaf2179656962588226f","effective_date":null},{"id":"fap-5ba199dd34be7c53","kind":"hospital_web","url":"https://erhny.org/wp-content/uploads/2021/12/2021-ERH-Financial-Assistance-Policy-Procedure-English.pdf","title":"h","fetched_on":"2026-10-11","sha256":"5ba199dd34be7c533ae4d6866d72489699319e02a92eeddde4651d5ecef6f17a","effective_date":null},{"id":"fap-3f0c7e3feab0075a","kind":"hospital_web","url":"https://erhny.org/wp-content/uploads/2024/12/Hospital-Financial-Assistance-Spanish.pdf","title":"Spanish","fetched_on":"2026-10-11","sha256":"3f0c7e3feab0075a2649fe70e88a0df107514b3c911958b161ac9443fba43846","effective_date":null},{"id":"billing-27e8e8e15b2512d7","kind":"hospital_web","url":"https://erhny.org/wp-content/uploads/2024/12/Credit-and-Collections-FINAL-11.24.pdf","title":"English","fetched_on":"2026-10-11","sha256":"27e8e8e15b2512d726808a9f662e0f28d6f0eb03b692adf24217cb919e46dcab","effective_date":null}],"accuracy":null}