{"hospital":{"ccn":"360125","name":"ASHTABULA COUNTY MEDICAL CENTER","city":"ASHTABULA","state":"OH","zip":"44004","phone":"440-997-2262","ownership":"Voluntary non-profit - Private","website_domain":"armchealth.org","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"100","layer":"documented","quote":"Ashtabula County Medical Center will provide, to the individual, basic medically necessary hospital-level services to individuals are not recipients of the medical assistance program and whose income is at 100% or below the federal poverty guidelines.","source_id":"fap-56bd6ab91bf9e00b","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":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["Disability Assistance (DA)"],"layer":"documented","quote":"Recipients of the Disability Assistance (DA) program are also deemed to qualify for these services.","source_id":"fap-56bd6ab91bf9e00b","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":null,"documents_reported":null,"submit_methods":{"value":[{"kind":"in_person","detail":"hospital staff will complete the Charity application, over the telephone or in-person, on behalf of the responsible party."}],"layer":"documented","quote":"In the event the patient does not complete an application during the encounter, and as a result of the Charity communication, patient statements, or result of collection efforts, hospital staff will complete the Charity application, over the telephone or in-person, on behalf of the responsible party.","source_id":"fap-56bd6ab91bf9e00b","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":null,"collection_agencies":null},"contacts":{"phone":{"value":"440-997-6219","layer":"documented","quote":"440-997-6219","source_id":"application-4ff405ca2851f81a","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"hours":null,"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"fap-56bd6ab91bf9e00b","kind":"hospital_web","url":"https://res.cloudinary.com/dpmykpsih/raw/upload/acmc-site-340/media/1754/charity-care-policy-hospital.doc","title":"Financial Assistance Policy","fetched_on":"2026-10-10","sha256":"56bd6ab91bf9e00b3bbd1520d36910946a9a7565c9feaae6f821efddcfa084c1","effective_date":null},{"id":"application-4ff405ca2851f81a","kind":"hospital_web","url":"https://www.armchealth.org/media/7c6e66ecfac241678e0bd338425fce01/finanical-assistance-application-01-2024.pdf","title":"Financial Assistance Application","fetched_on":"2026-10-10","sha256":"4ff405ca2851f81a4c28e515bbda61ca66582a791227bdcc4c23c6d3ec6256dc","effective_date":null},{"id":"billing-d27c7c823efed9f0","kind":"hospital_web","url":"https://www.armchealth.org/patients-visitors/surprise-billing-notice","title":"Billing and Collections Policy","fetched_on":"2026-10-10","sha256":"d27c7c823efed9f0c12e5cdebece4283c7f70c39386f38dcbee5ca3879dfcf1c","effective_date":null},{"id":"billing-71bb6e8fb6ac3b02","kind":"hospital_web","url":"https://www.armchealth.org/media/317a09ab31dc499a813aeaee9d832be3/provider-based-billing.pdf","title":"Billing and Collections Policy","fetched_on":"2026-10-10","sha256":"71bb6e8fb6ac3b029b4a79bc23809837b4018e65eb0b5502de6e1fe046886b0f","effective_date":null}],"accuracy":null}