{"hospital":{"ccn":"360084","name":"AULTMAN HOSPITAL","city":"CANTON","state":"OH","zip":"44710","phone":"330-363-9911","ownership":"Voluntary non-profit - Other","website_domain":"aultman.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"100","layer":"documented","quote":"You must be at or below 100% of the Federal Poverty Income Guidelines.","source_id":"summary-182c1573c77e273f","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"discount_tiers":null,"assistance_ceiling_fpl":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Patients that are insured and their gross family income is at or below 200% of the Federal Poverty Income guidelines may be eligible to receive financial assistance.","source_id":"fap-79dbe70c35305609","checked_on":"2026-10-10","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":null,"documents_reported":null,"submit_methods":{"value":[{"kind":"email","detail":"Questions regarding this policy or the FAP Application should be directed to the Aultman Outreach Department at (330) 363-2200 or by email at patientoutreach@aultman.com."},{"kind":"in_person","detail":"The FAP Application can be obtained at the following website: http://aultman.org or at the following Aultman facilities: Aultman Hospital, 2600 Sixth Street S.W., Canton, Ohio."}],"layer":"documented","quote":"Questions regarding this policy or the FAP Application should be directed to the Aultman Outreach Department at (330) 363-2200 or by email at patientoutreach@aultman.com.","source_id":"fap-79dbe70c35305609","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":{"value":120,"layer":"documented","quote":"Refraining from engaging in any Extraordinary Collection Activities for a minimum of 120 days from the date of the first post-discharge billing statement unless a final eligibility determination has been made under this policy pursuant to a completed FAP Application.","source_id":"fap-79dbe70c35305609","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"(330) 363-2200","layer":"documented","quote":"Questions regarding this policy or the FAP Application should be directed to the Aultman Outreach Department at (330) 363-2200 or by email at patientoutreach@aultman.com.","source_id":"fap-79dbe70c35305609","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"hours":null,"languages":null},"coverage":{"facilities":{"value":["Aultman Hospital","Aultman Alliance","Aultman Orrville","Aultman Specialty Hospital","Aultman North","Aultman West","Aultman Carrollton","Aultman Woodlawn","Aultman Pain Management","Aultman Medical Group, Family Practice, and Internal Medicine Clinics"],"layer":"documented","quote":"This FAP applies to Aultman Hospital, Aultman Alliance, Aultman Orrville, Aultman Specialty Hospital, Aultman North, Aultman West, Aultman Carrollton, Aultman Woodlawn, Aultman Pain Management and Aultman Medical Group, Family Practice, and Internal Medicine Clinics.","source_id":"fap-79dbe70c35305609","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-79dbe70c35305609","kind":"hospital_web","url":"https://aultman.org/assets/About/Patient-Financial-Services/Financial-Assistance-Policy-Aultman-Hospital-2022.pdf","title":"TITLE: Financial Assistance Aultman ...","fetched_on":"2026-10-10","sha256":"79dbe70c3530560956b0c06871780b1b222c2ad8bbbe13a75368d34f70db9590","effective_date":null},{"id":"application-28decf5345113637","kind":"hospital_web","url":"https://aultman.org/assets/About/Patient-Financial-Services/Aultman-Financial-Assistance-Programs-Application.pdf","title":"[PDF] FINANCIAL ASSISTANCE APPLICATION - 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