{"hospital":{"ccn":"390219","name":"EXCELA HEALTH LATROBE HOSPITAL","city":"LATROBE","state":"PA","zip":"15650","phone":"724-832-4000","ownership":"Voluntary non-profit - Private","website_domain":"independence.health","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"250","layer":"documented","quote":"If your annual family income is 250% or less of the FPIG, you will be eligible for free care.","source_id":"fap-a97e53ad812b66e5","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["tax_return","bank_statements"],"layer":"documented","quote":"Eligibility for Financial Assistance will be determined through an application process which requires the patient or the patient’s guarantor to cooperate and supply the following documents: Federal Tax return, applicant and spouse income for the last thirty days, number of dependents, and bank statements relevant to making a determination of financial need.","source_id":"fap-5a68e327dc3ce7ac","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":""},{"kind":"in_person","detail":""}],"layer":"documented","quote":"All applications whether mailed or delivered in person will be forwarded to our PFAP counselor for evaluation and processing.","source_id":"fap-a97e53ad812b66e5","checked_on":"2026-10-11","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":null,"hours":null,"languages":null},"coverage":{"facilities":{"value":["Frick Hospital","Latrobe Hospital","Westmoreland Hospital"],"layer":"documented","quote":"Excela Health’s hospitals are considered tax-exempt charitable organizations in accordance with 501(c)(3) of the Internal Revenue Code. As such, patients who do not have the ability to pay for services provided by Excela Health hospitals; encompassing Frick Hospital, Latrobe Hospital and Westmoreland Hospital; may request financial assistance for emergency and medically necessary care.","source_id":"fap-a97e53ad812b66e5","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-a97e53ad812b66e5","kind":"hospital_web","url":"https://www.independence.health/documents/content/Patient-Financial-Assistance-and-Discount-Policy.PFAP)-Revised0722-I-802.pdf","title":"[PDF] Patient Financial Assistance and Discount Policy (PFAP)","fetched_on":"2026-10-11","sha256":"a97e53ad812b66e549563cf1b34669795cc91445316a3cf0a2e21419ee39c851","effective_date":null},{"id":"billing-f899237e21bf8659","kind":"hospital_web","url":"https://www.independence.health/patients-visitors/financial-services/billing-insurance","title":"Billing & Insurance | Healthcare Services in Western PA","fetched_on":"2026-10-11","sha256":"f899237e21bf8659ff76da3b7ce58b1f1f9b8b7090c9ab78c5b0cea1113d8c8c","effective_date":null},{"id":"billing-02d7ef226e0f0267","kind":"hospital_web","url":"https://independence.health/patients-visitors/financial-services/billing-insurance","title":"Billing & Insurance | Healthcare Services in Western PA","fetched_on":"2026-10-11","sha256":"02d7ef226e0f02672e6ceb4e5218dcd06454018faa8b190c4ed88a9298f12b9f","effective_date":null},{"id":"billing-c5ad8a986b8f90b8","kind":"hospital_web","url":"http://www.independence.health/patients-visitors/financial-services/billing-insurance","title":"Billing & Insurance | Healthcare Services in Western PA","fetched_on":"2026-10-11","sha256":"c5ad8a986b8f90b8b5ce468ad7720ee4b3ac80aaa5c0367f2523d0631ae8d115","effective_date":null},{"id":"fap-522b6ade4c1b70aa","kind":"hospital_web","url":"http://www.independence.health/patients-visitors/financial-services/charity-care-financial-assistance/","title":"Charity Care / Financial Assistance","fetched_on":"2026-10-11","sha256":"522b6ade4c1b70aae5312476c2b603fc938b13230a5d0c91e806abc1f1ff51ca","effective_date":null},{"id":"fap-5a68e327dc3ce7ac","kind":"hospital_web","url":"https://independence.health/patients-visitors/financial-services/charity-care-financial-assistance/","title":"Charity Care / Financial Assistance","fetched_on":"2026-10-11","sha256":"5a68e327dc3ce7acba11a1707b56749544224060e3787e8498e9289aa973d2bc","effective_date":null}],"accuracy":null}