{"hospital":{"ccn":"360131","name":"ALLIANCE COMMUNITY HOSPITAL","city":"ALLIANCE","state":"OH","zip":"44601","phone":"330-596-6000","ownership":"Voluntary non-profit - Private","website_domain":"aultmanalliance.org","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"100","layer":"documented","quote":"Individuals are eligible for medically necessary health care at no cost if their family does not exceed the Federal Poverty Income Guidelines.","source_id":"billing-13a2fc43c288335a","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"discount_tiers":null,"assistance_ceiling_fpl":null,"asset_test":{"value":false,"layer":"documented","quote":"Assets and employment status are not considered in qualifying for this program.","source_id":"fap-05f71caa4a8dee90","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Even if you have insurance, as long as you meet our income criteria, you will be eligible for financial assistance if:","source_id":"fap-05f71caa4a8dee90","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":"mail","detail":"Return the completed application to: Alliance Community Hospital Patient Financial Services -- Financial Counselors 200 E State St. Alliance, OH 44601"}],"layer":"documented","quote":"Return the completed application to: Alliance Community Hospital Patient Financial Services -- Financial Counselors 200 E State St. Alliance, OH 44601","source_id":"billing-13a2fc43c288335a","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":"330-596-7584","layer":"documented","quote":"Questions regarding financial assistance should be directed to the Patient Financial Services at 330-596-7584 between the hours of 8 a.m. and 4 p.m., Monday through Friday.","source_id":"billing-13a2fc43c288335a","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"hours":{"value":"8 a.m. – 3p.m.","layer":"documented","quote":"**The Financial Counseling office is open 8 a.m. – 3p.m., for patients that want to apply for HCAP and/or financial assistance.**","source_id":"billing-13a2fc43c288335a","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"languages":{"value":["English","Spanish"],"layer":"documented","quote":"[(En Espanol)](/assets/Uploads/Financial-Assistance/aultman-financial-assistance-spanish.pdf \"Financial Assistance Summary - Spanish\")","source_id":"billing-13a2fc43c288335a","checked_on":"2026-10-10","confidence":1.0,"support_count":0}},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"application-ed955f3b4b7746c1","kind":"hospital_web","url":"https://www.aultmanalliance.org/assets/Uploads/Financial-Assistance/HCAP-Application.pdf","title":"print off here","fetched_on":"2026-10-09","sha256":"ed955f3b4b7746c1adbfae2106081adf9a4b56c57d01009e229ef0eaa2344142","effective_date":null},{"id":"billing-0df48d113facb0f0","kind":"hospital_web","url":"https://aultmanalliance.org/patients-and-visitors/insurance-and-billing/patient-billing","title":"Hospital Patient Billing | Aultman Alliance » Aultman Alliance Community Hospital","fetched_on":"2026-10-09","sha256":"0df48d113facb0f04ee780c88e4991a9afc6efcfae6de49a8109db96de0e9d86","effective_date":null},{"id":"billing-13a2fc43c288335a","kind":"hospital_web","url":"https://aultmanalliance.org/patients-and-visitors/insurance-and-billing/financial-assistance","title":"Hospital Financial Assistance Program » Aultman Alliance Community Hospital","fetched_on":"2026-10-09","sha256":"13a2fc43c288335a05d3631f9409d536952e5f5cc1893fbc95209136926a3428","effective_date":null},{"id":"billing-3bb3e01479996d94","kind":"hospital_web","url":"https://www.aultmanalliance.org/patients-and-visitors/insurance-and-billing/financial-assistance/","title":"Financial Assistance","fetched_on":"2026-10-09","sha256":"3bb3e01479996d9415c109b82a794ad95d8bfd1003e9e5c28f0b0f4d0687afbd","effective_date":null},{"id":"billing-acd6c4b17816ee83","kind":"hospital_web","url":"https://aultmanalliance.org/patients-and-visitors/insurance-and-billing","title":"Insurance and Billing | Aultman Alliance Community Hospital » Aultman Alliance Community Hospital","fetched_on":"2026-10-09","sha256":"acd6c4b17816ee830c859a97226d1653a64bea496bb47de6052a066c3de7ff8b","effective_date":null},{"id":"fap-05f71caa4a8dee90","kind":"hospital_web","url":"https://www.aultmanalliance.org/assets/Uploads/Financial-Assistance/2022-Finance-brochure-AACH.pdf","title":"please see attached brochure.","fetched_on":"2026-10-09","sha256":"05f71caa4a8dee907eef8a469aedf4d65a965f379e33e25920e8bb85767fb067","effective_date":null},{"id":"fap-1ff9d1012e7e9757","kind":"hospital_web","url":"https://aultmanalliance.org/assets/Uploads/Financial-Assistance/2022-Finance-brochure-AACH.pdf","title":"2022-Finance-brochure-AACH.pdf","fetched_on":"2026-10-09","sha256":"1ff9d1012e7e975724ab364cf34cc3a90b4b6e18a9693f850f658caaee35da43","effective_date":null},{"id":"fap-514ad8bd86803e57","kind":"hospital_web","url":"https://www.aultmanalliance.org/assets/Uploads/Financial-Assistance/aultman-financial-assistance-spanish.pdf","title":"(En Espanol)","fetched_on":"2026-10-09","sha256":"514ad8bd86803e57f3f98bb2e2febf3e97834ab679c4b644b8b83622669a5562","effective_date":null}],"accuracy":null}