{"hospital":{"ccn":"360014","name":"OHIOHEALTH O'BLENESS HOSPITAL","city":"ATHENS","state":"OH","zip":"45701","phone":"740-593-5551","ownership":"Voluntary non-profit - Other","website_domain":"ohiohealth.com","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Substantial charity care guidelines that provide free care for individuals and families who earn less than 200 percent of the federal poverty level.","source_id":"billing-00ebf3ad15b3c660","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":null,"documents_reported":null,"submit_methods":null,"window_days_from_first_bill":null,"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":null,"hours":null,"languages":{"value":["Arabic","French","German","Japanese","Korean","Mandarin","Nepali","Russian","Somali","Spanish","Vietnamese","Cambodian"],"layer":"documented","quote":"Translated copies of the Financial Assistance Policy, this summary of the policy and the application form are available in Arabic.\nTranslated copies of the Financial Assistance Policy, this summary of the policy and the application form are available in French.\nTranslated copies of the Financial Assistance Policy, this summary of the policy and the application form are available in German.\nTranslated copies of the Financial Assistance Policy, this summary of the policy and the application form are available in Japanese.\nTranslated copies of the Financial Assistance Policy, this summary of the policy and the application form are available in Korean.\nTranslated copies of the Financial Assistance Policy, this summary of the policy and the application form are available in Mandarin.\nTranslated copies of the Financial Assistance Policy, this summary of the policy and the application form are available in Nepali.\nTranslated copies of the Financial Assistance Policy, this summary of the policy and the application form are available in Russian.\nTranslated copies of the Financial Assistance Policy, this summary of the policy and the application form are available in Somali.\nTranslated copies of the Financial Assistance Policy, this summary of the policy and the application form are available in Spanish.\nTranslated copies of the Financial Assistance Policy, this summary of the policy and the application form are available in Vietnamese.\nTranslated copies of the Financial Assistance Policy, this summary of the policy and the application form are available in Cambodian.","source_id":"summary-43a949df5becd8d7","checked_on":"2026-10-14","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Riverside Methodist Hospital","Grant Medical Center","Doctors Hospital","Grady Memorial Hospital","Dublin Methodist Hospital","Hardin Memorial Hospital","Marion General Hospital","O'Bleness Hospital","Mansfield Hospital","Shelby Hospital","Westerville Medical Campus","Pickerington Medical Campus","Physician Group (OPG)","Urgent Care Centers","Marion Area Physicians","Van Wert","Home Care","Ohio Health Morrow County Hospital"],"layer":"documented","quote":"OhioHealth Facility Where to call Where to send a completed application\nRiverside Methodist Hospital 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nGrant Medical Center 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nDoctors Hospital 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nGrady Memorial Hospital 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nDublin Methodist Hospital 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nHardin Memorial Hospital 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nMarion General Hospital 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nO'Bleness Hospital 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nMansfield Hospital 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nShelby Hospital 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nWesterville Medical Campus 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nPickerington Medical Campus 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nPhysician Group (OPG) 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nUrgent Care Centers 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nMarion Area Physicians 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nVan Wert 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nHome Care 614-566-1505 OhioHealth L-4312 Columbus, OH 43260-4123\nOhio Health Morrow County Hospital 419-946-5015 651 West Marion Rd. Mt. Gilead, Ohio 43338","source_id":"summary-43a949df5becd8d7","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-875f494986c61a81","kind":"hospital_web","url":"https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/somali/fap-somali.pdf","title":"Xeerka Caawinta Dhaqaalaha (“FAP”)","fetched_on":"2026-10-14","sha256":"875f494986c61a819bfad6a7fd7e6c44d1613eca5289e49fb58b912f13941c2c","effective_date":null},{"id":"application-939795c4300824ec","kind":"hospital_web","url":"https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/faa-instructions-obleness1.pdf","title":"Tips for Completing the Financial Assistance Application","fetched_on":"2026-10-14","sha256":"939795c4300824ecf3d54af428fbacfc75a7a200a841de1cb388a4a65a477e7a","effective_date":null},{"id":"summary-43a949df5becd8d7","kind":"hospital_web","url":"https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/fap-plain-language-summary-2025.pdf","title":"OhioHealth Financial Assistance Policy for Medical Needs","fetched_on":"2026-10-14","sha256":"43a949df5becd8d7a89ed74ceb074482bc7763591752f46b8685000c35c7fe46","effective_date":null},{"id":"billing-00ebf3ad15b3c660","kind":"hospital_web","url":"https://www.ohiohealth.com/siteassets/patients-and-visitors/preparing-for-your-visit/out-of-pocket-estimates/ohiohealth-billing-process.pdf","title":"OhioHealth Patient Billing Information","fetched_on":"2026-10-14","sha256":"00ebf3ad15b3c6608f4d5cd09e122b4e1039463edf568557e95ae81ddd6a47f9","effective_date":null}],"accuracy":null}