{"hospital":{"ccn":"360009","name":"LIMA MEMORIAL HEALTH SYSTEM","city":"LIMA","state":"OH","zip":"45804","phone":"419-998-4731","ownership":"Voluntary non-profit - Other","website_domain":"limamemorial.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"100","layer":"documented","quote":"offers emergency and other medically necessary hospital-level services free of charge if the patient is a resident of Ohio and the patient’s income is at or below 100% of the Federal Poverty Guidelines (the FPG)","source_id":"billing-511d1f580f76fef1","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":{"value":true,"layer":"documented","quote":"MEDICARE PATIENTS ONLY : IF YOU HAVE TRADITIONAL MEDICARE AS YOUR INSURANCE WE ARE REQUIRED BY THE FEDERAL PROGRAM TO PERFORM AN ASSET TEST.","source_id":"application-d7e21751df9653d7","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"In addition to HCAP, under LMHS’s Financial Assistance Policy, LMHS provides financial assistance for emergency and other medically necessary care as a discount from our gross hospital charges if the patient is a resident in the Hospital Service Area and meets one of the following criteria as determined by the patient’s insurance status: Insured vs. Uninsured o Insured. For those patients who have insurance and do not qualify for HCAP but fall within 101-200% of the FPG, they will be eligible for a 100% discount on any co-pay, co-insurance, and deductible after insurance.","source_id":"billing-511d1f580f76fef1","checked_on":"2026-10-13","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":["proof_of_income","social_security_letter"],"layer":"documented","quote":"Please provide all types of gross family income, such as employment, unemployment compensation, social security, pensions, self-employment, disability, workers compensation, alimony, child support, etc.","source_id":"application-d7e21751df9653d7","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Lima Memorial Patient Accounts Department\n1001 Bellefontaine Avenue\nLima, OH 45804"}],"layer":"documented","quote":"Financial Services (HCAP) 1001 Bellefontaine Ave Lima, OH 45804","source_id":"billing-511d1f580f76fef1","checked_on":"2026-10-13","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":"567-242-0460","layer":"documented","quote":"Questions? Call Lima Memorial Patient Accounts Department at [567-242-0460](tel:567-242-0460).","source_id":"fap-6b46bb477aafae3b","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"hours":null,"languages":{"value":["English","Spanish","Haitian Creole"],"layer":"documented","quote":"Download the [HCAP / Financial Assistance Form](http://www.limamemorial.org/media/d2je12il/charity-app-01-2025.pdf \"Charity App 01 2025\")\n\nDownload the [Spanish HCAP / Financial Assistance Form](http://www.limamemorial.org/media/f5hda02o/l74443-hcap-01-2025_spanish.pdf \"L74443 HCAP 01 2025 Spanish\")\n\nDownload the [Haitian Creole HCAP / Financial Assistance Form](http://www.limamemorial.org/media/qpblzjt0/l74443-hcap-01-2025_haitiancreole.pdf \"L74443 HCAP 01 2025 Haitiancreole\")","source_id":"fap-6b46bb477aafae3b","checked_on":"2026-10-13","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Lima Memorial Health System"],"layer":"documented","quote":"Lima Memorial Health System Patient Accounts | 1001 Bellefontaine Avenue, Lima, Ohio 45804 | 567-242-0460","source_id":"application-d7e21751df9653d7","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-6b46bb477aafae3b","kind":"hospital_web","url":"http://www.limamemorial.org/financial-assistance","title":"Health Care Financial Assistance at Lima Memorial Health System","fetched_on":"2026-10-13","sha256":"6b46bb477aafae3b689fcc93d7fddbcd87084d279392e6e607e859811ac1aad2","effective_date":null},{"id":"billing-511d1f580f76fef1","kind":"hospital_web","url":"https://www.limamemorial.org/media/1433/501-r-policy-with-proposed-edits-3.pdf","title":"Hospital Financial Assistance, Billing, and Collections Policy","fetched_on":"2026-10-13","sha256":"511d1f580f76fef1a7447e7703aae58068b5af3861718b452b844938968222ef","effective_date":null},{"id":"fap-6d2f4bbe7cf02e9c","kind":"hospital_web","url":"http://www.limamemorial.org/patient-resources/financial-assistance","title":"Health Care Financial Assistance at Lima Memorial Health System","fetched_on":"2026-10-13","sha256":"6d2f4bbe7cf02e9c0e1916ecd15b81b29d1ab4f537acfc9306144d07142123fa","effective_date":null},{"id":"fap-546e7ccf5b96942e","kind":"hospital_web","url":"https://limamemorial.org/patient-resources/financial-assistance","title":"Health Care Financial Assistance at Lima Memorial Health System","fetched_on":"2026-10-13","sha256":"546e7ccf5b96942edc1fd5a60b7704aace9d8e11508a0850a2ce7093f5298885","effective_date":null},{"id":"fap-4fbcde78789834b4","kind":"hospital_web","url":"http://www.limamemorial.org/patient-resources/financial-assistance/","title":"Financial Assistance","fetched_on":"2026-10-13","sha256":"4fbcde78789834b4cd4b40f35beeb434e4ef8afbc59b530ee6cebcc3c354293e","effective_date":null},{"id":"fap-88085bf72d18e045","kind":"hospital_web","url":"https://limamemorial.org/patient-resources/financial-assistance/","title":"Financial Assistance","fetched_on":"2026-10-13","sha256":"88085bf72d18e0453ab670bd79eb81ed61df3d8df8dbe93c14695bc64a9bbfb0","effective_date":null},{"id":"application-d7e21751df9653d7","kind":"hospital_web","url":"http://www.limamemorial.org/media/d2je12il/charity-app-01-2025.pdf","title":"HCAP / Financial Assistance Form","fetched_on":"2026-10-13","sha256":"d7e21751df9653d7532f21087d918490880661c8dcd46574fd1c5dbb28243ca4","effective_date":null},{"id":"application-71e6d7c7d1e0c1d6","kind":"hospital_web","url":"http://www.limamemorial.org/media/f5hda02o/l74443-hcap-01-2025_spanish.pdf","title":"Spanish HCAP / Financial Assistance Form","fetched_on":"2026-10-13","sha256":"71e6d7c7d1e0c1d69a758387f314e47e4be3e056ae2b26f32b881056ae1f65ce","effective_date":null}],"accuracy":null}