{"hospital":{"ccn":"360133","name":"KETTERING HEALTH DAYTON","city":"DAYTON","state":"OH","zip":"45405","phone":"937-723-3410","ownership":"Voluntary non-profit - Other","website_domain":"ketteringhealth.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"250","layer":"documented","quote":"Extended Financial Assistance-the individual’s household income must be at or below 250% of the current Federal Poverty Limits (FPL) to be eligible for 100% reduction from applicable charges.","source_id":"fap-567e6035974e0947","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"discount_tiers":{"value":[{"min_fpl_exclusive":"250","max_fpl_inclusive":"400","discount_percent":80}],"layer":"documented","quote":"KH Sliding Scale: PROGRAM % FPL DISCOUNT HCAP 0% - 100% 100% Financial Assistance – Extended 0% - 250% 100% Financial Assistance – Basic 251% - 400% 80%","source_id":"fap-a1d9262e99b6db62","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"This results in a full adjustment to billed charges for individuals with no insurance or a full adjustment to billed charges for individuals with insurance with a remaining patient responsibility after insurance pays.","source_id":"fap-567e6035974e0947","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":{"value":"https://cdn.ketteringhealth.org/wp-content/uploads/2026/08/26KH0009-0861-Patient-Application-for-Financial_Medication-Assistance-FNL-FNL.pdf","layer":"documented","quote":"Forward application and all applicable documents to: Kettering Health Financial Assistance P.O. Box 933310 Cleveland, OH 44193, Email: FinancialCounselors@ketteringhealth.org or fax (937) 522-9944.","source_id":"application-f3a01e1b01d5b7cf","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"form_version":null,"documents_required":{"value":["proof_of_income","social_security_letter","tax_return","pay_stubs"],"layer":"documented","quote":"Proof of income documentation accepted: check stubs, tax return/1099/W2’s, social security/pension/VA statements, court documents, and other documents for income proof as reported below.","source_id":"application-030c1f91f36e71e3","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Kettering Health Financial Assistance P.O. Box 933310 Cleveland, OH 44193"},{"kind":"email","detail":"FinancialCounselors@ketteringhealth.org"},{"kind":"fax","detail":"(937) 522-9944"}],"layer":"documented","quote":"Forward application and all applicable documents to: Kettering Health Financial Assistance P.O. Box 933310 Cleveland, OH 44193, Email: FinancialCounselors@ketteringhealth.org or fax (937) 522-9944.","source_id":"application-f3a01e1b01d5b7cf","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"Financial assistance application will be considered up to 240 days after the first post discharge billing statement.","source_id":"fap-a1d9262e99b6db62","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":{"value":120,"layer":"documented","quote":"KH or its authorized agents will not initiate any ECAs for at least 120 days from the date KH provides the first post-discharge billing statement.","source_id":"fap-a1d9262e99b6db62","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"937-914-7680","layer":"documented","quote":"For additional questions call: (937) 914-7680","source_id":"application-030c1f91f36e71e3","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"hours":null,"languages":{"value":["English","Spanish"],"layer":"documented","quote":"Financial Assistance Policy, Financial Assistance Application Form and Plain Language Summary of the Financial Assistance Policy are transparent and available to the individuals served in English and Spanish languages.","source_id":"fap-567e6035974e0947","checked_on":"2026-10-13","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Kettering Health Main Campus","Kettering Health Miamisburg","Kettering Health Dayton","Kettering Health Washington Township","Kettering Health Greene Memorial","Soin Medical Center","Kettering Health Hamilton","Kettering Health Troy"],"layer":"documented","quote":"KH adopts this policy for Kettering Health Main Campus, Kettering Health Miamisburg, Kettering Health Dayton/Kettering Health Washington Township, Kettering Health Greene Memorial, Soin Medical Center, Kettering Health Hamilton, Kettering Health Troy, all hospital off-sites, and KH Support Services.","source_id":"fap-567e6035974e0947","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-567e6035974e0947","kind":"hospital_web","url":"https://ketteringhealth.org/wp-content/uploads/2022/03/PF-KH-Financial-Assistance.pdf","title":"PF-KH FINANCIAL ASSISTANCE","fetched_on":"2026-10-13","sha256":"567e6035974e0947ca1433611d6b9a11bf02d19b84727577e3158b1fe36e3cf9","effective_date":null},{"id":"application-030c1f91f36e71e3","kind":"hospital_web","url":"https://cdn.ketteringhealth.org/wp-content/uploads/2022/03/Patient-Application-for-Financial-Assistance.pdf","title":"Patient Application for Financial/Medication Assistance","fetched_on":"2026-10-13","sha256":"030c1f91f36e71e3f76a7ae51225367f2572a47568b79037a76cb9412c060041","effective_date":null},{"id":"billing-91be5a3de2f34c92","kind":"hospital_web","url":"https://ketteringhealth.org/billing-insurance/financial-assistance","title":"Financial Assistance | Kettering Health","fetched_on":"2026-10-13","sha256":"91be5a3de2f34c9251c3012d5eed1d27bd147e77520add4fcf0534584244dbe8","effective_date":null},{"id":"fap-569d2abd7af1be5a","kind":"hospital_web","url":"https://ketteringhealth.org/billing-insurance/financial-assistance/financial-assistance-policy-english","title":"Financial Assistance Resources - English | Kettering Health","fetched_on":"2026-10-13","sha256":"569d2abd7af1be5a3c0988ab7c4366716a936c1485f3deca907bf2a2b8358022","effective_date":null},{"id":"fap-a1d9262e99b6db62","kind":"hospital_web","url":"https://cdn.ketteringhealth.org/wp-content/uploads/2026/01/New-Updated-F-KH-Financial-Assistance-Policy-6-25-2025.pdf","title":"Financial Assistance Policy","fetched_on":"2026-10-13","sha256":"a1d9262e99b6db6231fa3da56f2f7dd033617e65a90515bba4a88a18d4c10dbe","effective_date":null},{"id":"fap-0372400e1c01b988","kind":"hospital_web","url":"https://cdn.ketteringhealth.org/wp-content/uploads/2026/01/2026-Charity-Scale-.pdf","title":"2026 Charity Scale","fetched_on":"2026-10-13","sha256":"0372400e1c01b988c339de37a9ed4fdf19fd959da43128d39185f851460324f2","effective_date":null},{"id":"application-f3a01e1b01d5b7cf","kind":"hospital_web","url":"https://cdn.ketteringhealth.org/wp-content/uploads/2026/08/26KH0009-0861-Patient-Application-for-Financial_Medication-Assistance-FNL-FNL.pdf","title":"Patient Application for Financial/Medication Assistance","fetched_on":"2026-10-13","sha256":"f3a01e1b01d5b7cf90353357b00e77e3c86e3b3cd5be5696fbdbc468c537db24","effective_date":null}],"accuracy":null}