{"hospital":{"ccn":"390163","name":"ACMH HOSPITAL","city":"KITTANNING","state":"PA","zip":"16201","phone":"724-543-8500","ownership":"Voluntary non-profit - Private","website_domain":"acmh.org","system":null},"version":2,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Generally, patients with family income of 200% of the Federal Poverty Level or less may be eligible for a discount of 100%.","source_id":"summary-dd622ebb0a418e19","checked_on":"2026-10-09","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":"For patients that have insurance coverage, financial assistance is limited to defined patient liabilities (deductible, coinsurance, co-pay) and non-covered services.","source_id":"fap-adcf05911e27db5c","checked_on":"2026-10-09","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":{"value":["proof_of_income"],"layer":"documented","quote":"All supporting documentation is required with the application form, including proof of income; and if applicant is over 200% of the Federal Poverty Guidelines, proof of assets","source_id":"fap-adcf05911e27db5c","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Write to the Financial Counselor at ACMH Hospital, One Nolte Drive, Kittanning, PA 16201"},{"kind":"in_person","detail":"Visit ourFinancial Counseling office atACMH Hospital, One Nolte Drive, Kittanning, PA 16201"},{"kind":"in_person","detail":"Stop at any registration area of the Hospital and request information on our Financial Assistance Program."},{"kind":"portal","detail":"Download and print the application from the Hospital’ website at www.acmh.org."}],"layer":"documented","quote":"You can obtain an application and additional information from any of the sources below:\n1. Phone a Financial Counselor at 724-543-8525 or 724-543-8521 between the hours of 7:30 a.m. and 4:30 p.m. Monday through Friday.\n2. Download and print the application from the Hospital’ website at www.acmh.org.\n3. Write to the Financial Counselor at ACMH Hospital, One Nolte Drive, Kittanning, PA 16201\n4. Visit ourFinancial Counseling office atACMH Hospital, One Nolte Drive, Kittanning, PA 16201\n5. Stop at any registration area of the Hospital and request information on our Financial Assistance Program.","source_id":"summary-09c03dbaad731839","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":{"value":240,"layer":"documented","quote":"ECA – Extraordinary Collection Actions that cannot be taken before expiration of 240 days or when there is an open/unprocessed FAP application.","source_id":"fap-adcf05911e27db5c","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":null,"hours":null,"languages":null},"coverage":{"facilities":{"value":["ACMH Hospital, One Nolte Drive, Kittanning, PA 16201"],"layer":"documented","quote":"Visit ourFinancial Counseling office atACMH Hospital, One Nolte Drive, Kittanning, PA 16201","source_id":"summary-09c03dbaad731839","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"billing-2c941ef28d3fa267","kind":"hospital_web","url":"http://www.acmh.org/Files/Admin/Billing%20%26%20Insurance/Financial-Assistance-Policy.pdf","title":"ACMH FINANCIAL ASSISTANCE POLICY PURPOSE","fetched_on":"2026-10-09","sha256":"2c941ef28d3fa2673fcaca4426f9cb605c33020f3d93cc3937dcd3ebef9c6fb4","effective_date":null},{"id":"fap-adcf05911e27db5c","kind":"hospital_web","url":"https://www.acmh.org/Files/Admin/7-1-26-ACMH-PMHA-Financial-Assistance-Policy--06.09.26.pdf","title":"Financial Assistance Policy","fetched_on":"2026-10-09","sha256":"adcf05911e27db5c3b362855903078d2bd69fac0c37ea9afdf09b225aa7c681a","effective_date":null},{"id":"summary-09c03dbaad731839","kind":"hospital_web","url":"http://www.acmh.org/Files/Admin/Billing%20%26%20Insurance/FINANCIAL-ASSISTANCE-PROGRAM-plain-language-summary--acmh---for-posting.pdf","title":"[PDF] FINANCIAL-ASSISTANCE-PROGRAM-plain-language-summary ...","fetched_on":"2026-10-09","sha256":"09c03dbaad731839d904391d92f28261c873e0706f62f2dd34e1edbca74b8791","effective_date":null},{"id":"summary-dd622ebb0a418e19","kind":"hospital_web","url":"https://www.acmh.org/Files/Admin/6-24-PLAIN-LANGUAGE-SUMMARY.PDF","title":"[PDF] ACMH - Financial Assistance Program - PLAIN LANGUAGE ...","fetched_on":"2026-10-09","sha256":"dd622ebb0a418e19876af81f390317267d0307fcbd882d40f7d7557e4fdbacd0","effective_date":null}],"accuracy":null}