{"hospital":{"ccn":"391306","name":"ENDLESS MOUNTAINS HEALTH SYSTEMS","city":"MONTROSE","state":"PA","zip":"18801","phone":"570-278-3801","ownership":"Voluntary non-profit - Private","website_domain":"endlesscare.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"100","layer":"documented","quote":"1. Patients whose family income is at or below 100% of the FPL are eligible to receive free care;","source_id":"fap-a6eb1e0734f40fcc","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":{"value":["State-funded prescription programs","Homeless or received care from a homeless clinic","Participation in Women, Infants and Children programs (WIC)","Food stamp eligibility","Subsidized school lunch program eligibility"],"layer":"documented","quote":"Presumptive eligibility may be determined on the basis of individual life circumstances that may include: 1. State-funded prescription programs; 2. Homeless or received care from a homeless clinic; 3. Participation in Women, Infants and Children programs (WIC); 4. Food stamp eligibility; 5. Subsidized school lunch program eligibility; 6. Eligibility for other state or local assistance programs that are unfunded (e.g., Medicaid spend-down); 7. Low income/subsidized housing is provided as a valid address; and 8. Patient is deceased with no known estate.","source_id":"fap-a6eb1e0734f40fcc","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income"],"layer":"documented","quote":"Section Three: Verification of Income Please attach proof of income from the past 30 days to this application. Please verify all income listed in Section One.","source_id":"application-5f6d05b145c4f862","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Mail completed applications (including all required supporting documentation) to: Endless Mountains Health Systems, Attn. Credit Mgr., 100 Hospital Drive, Montrose, PA 18801."},{"kind":"in_person","detail":"Please request a copy of the application from any of the following areas:\n\nEMHS Admissions Staff\n\nEMHS Emergency Department Reception Desk\n\nPatient Financial Services Representatives\n\nCall 570-278-3801 xt. 1199\n\nMail – Credit Mgr. 100 Hospital Drive, Montrose, PA 18801"},{"kind":"portal","detail":"visiting our website at www.endlesscare.org."}],"layer":"documented","quote":"**How do I receive a copy of the Financial Assistance Policy?** You may request your free copy of the Financial Assistance Policy by calling 570-278-3801 xt. 1199, mailing Credit Mgr. 100 Hospital Drive, Montrose, PA 18801, or visiting our website at [www.endlesscare.org](http://www.endlesscare.org/).\n\n**If you need assistance:** For assistance with the Financial Assistance Policy and/or application process, please call 570-278-3801 xt. 1199, or speak with a patient financial services representative.\n\n**HOW DO I APPLY?**Please request a copy of the application from any of the following areas:\n\nEMHS Admissions Staff\n\nEMHS Emergency Department Reception Desk\n\nPatient Financial Services Representatives\n\nCall 570-278-3801 xt. 1199\n\nMail – Credit Mgr. 100 Hospital Drive, Montrose, PA 18801\n\n**Mail completed applications (including all required supporting documentation) to: Endless Mountains Health Systems, Attn. Credit Mgr., 100 Hospital Drive, Montrose, PA 18801.**","source_id":"summary-2dc62360be7c1793","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"Requests for charity shall be processed promptly and EMHS shall notify the patient or applicant in writing within 30 days of receipt of a completed application.","source_id":"fap-a6eb1e0734f40fcc","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"570-278-3801 Ext. 3105","layer":"documented","quote":"**Sally Emmons, Revenue Cycle Team Leader, at 570-278-3801 Ext. 3105**","source_id":"fap-cda85617dc3118f7","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"hours":null,"languages":null},"coverage":{"facilities":{"value":["Endless Mountains Health Systems, 100 Hospital Drive, Montrose, PA 18801"],"layer":"documented","quote":"A paper application may also be picked up at the Registration Desk at Endless Mountains Health Systems, **100 Hospital Drive, Montrose, PA  18801**","source_id":"fap-cda85617dc3118f7","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-cda85617dc3118f7","kind":"hospital_web","url":"https://www.endlesscare.org/financial-assistance","title":"Financial Assistance | Get Help Today - Affordable Care Solutions — Endless Mountains Health Systems","fetched_on":"2026-10-11","sha256":"cda85617dc3118f7339d05476912a836554c5b2f306d000d4f24c9d397a08bfb","effective_date":null},{"id":"billing-30d0afc807f2117a","kind":"hospital_web","url":"https://www.endlesscare.org/billing-insurance2","title":"Billing & Insurance | Streamline Your Payments Today — Endless Mountains Health Systems","fetched_on":"2026-10-11","sha256":"30d0afc807f2117ae3e2c2a24ec7e600cd3c45684d008fb0ca97540a07b53d74","effective_date":null},{"id":"billing-039f2d53ea41d9ec","kind":"hospital_web","url":"https://www.endlesscare.org/about","title":"About | Streamline Your Billing & Insurance Process — Endless Mountains Health Systems","fetched_on":"2026-10-11","sha256":"039f2d53ea41d9ec86f7be413721ef40cb75829f61f3a53ba999f53de77961a9","effective_date":null},{"id":"fap-a6eb1e0734f40fcc","kind":"hospital_web","url":"https://www.endlesscare.org/s/Financial-Assistance-Policy-FAP-Final-V-1-1212022.pdf","title":"Financial Assistance Policy","fetched_on":"2026-10-11","sha256":"a6eb1e0734f40fccb9f4d983ef3b96b316d3f924f70a74f83a279815df5ad3b3","effective_date":null},{"id":"application-5f6d05b145c4f862","kind":"hospital_web","url":"https://www.endlesscare.org/s/Financial-Assistance-Application-Current.pdf","title":"Financial Assistance Application","fetched_on":"2026-10-11","sha256":"5f6d05b145c4f862bfa6971f7350459f71472cb31192f00e42154dc3c268bce3","effective_date":null},{"id":"summary-2dc62360be7c1793","kind":"hospital_web","url":"https://www.endlesscare.org/s/FAP-COVERSHEET.docx","title":"Financial Assistance – Plain Language Summary","fetched_on":"2026-10-11","sha256":"2dc62360be7c17936a19a3f0857a75a1666e236112c41e2547a7f2ecf4b96c63","effective_date":null}],"accuracy":null}