{"hospital":{"ccn":"450236","name":"CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS","city":"SULPHUR SPRINGS","state":"TX","zip":"75482","phone":"903-885-7671","ownership":"Voluntary non-profit - Private","website_domain":"christushealth.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"300","layer":"documented","quote":"Any patient whose gross family income is at or below 300% of the FPL will be extended a full 100% charity care discount for any Uninsured Balance or Balance After Insurance on patient responsibility for Covered Services prior to the application of the Uninsured Discount, if applicable.","source_id":"fap-759dbf8a0e7dda6d","checked_on":"2026-10-10","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":["photo_id","proof_of_income","social_security_letter","tax_return","pay_stubs","bank_statements"],"layer":"documented","quote":"YOU MUST PROVIDE AT LEAST 1 OF THE FOLLOWING: YOU MUST PROVIDE PROOF OF IDENTITY WITH Most recent and complete Income Tax Return AT LEAST 1 THE FOLLOWING: __3 most recent paycheck stubs __ Current Driver’s License __ Alien Registration __3 most recent checking/savings account statements __ Passport __State-Issued Identification Card __ Food Stamp or SSI/SSA/SSD award letter __If you report a $0 income, please attach a brief explanation of how you or the patient are meeting basic needs","source_id":"application-6ee205a8f6c645e2","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Completed applications, including all required information and documentation, should be submitted to the CHRISTUS Hospitals and CHRISTUS Clinics for eligibility determination. Completed applications may be: a. Submitted by mail to Customer Service using the address on the application;"},{"kind":"in_person","detail":"Completed applications, including all required information and documentation, should be submitted to the CHRISTUS Hospitals and CHRISTUS Clinics for eligibility determination. Completed applications may be: b. Delivered in person to the hospital admitting department."}],"layer":"documented","quote":"Completed applications, including all required information and documentation, should be submitted to the CHRISTUS Hospitals and CHRISTUS Clinics for eligibility determination. Completed applications may be: a. Submitted by mail to Customer Service using the address on the application; or b. Delivered in person to the hospital admitting department.","source_id":"fap-759dbf8a0e7dda6d","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":{"value":120,"layer":"documented","quote":"Under no circumstance will CHRISTUS Hospitals and CHRISTUS Clinics pursue an Extraordinary Collection Actions until 120 days after the date of the first post-discharge billing statement for the care at issue.","source_id":"fap-759dbf8a0e7dda6d","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"800-877-8623","layer":"documented","quote":"Calling Customer Service at 800-877-8623, Monday through Friday, 8 a.m. to 5 p.m. (central time);","source_id":"fap-759dbf8a0e7dda6d","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"hours":{"value":"Monday through Friday, 8 a.m. to 5 p.m. (central time)","layer":"documented","quote":"Calling Customer Service at 800-877-8623, Monday through Friday, 8 a.m. to 5 p.m. (central time);","source_id":"fap-759dbf8a0e7dda6d","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"languages":{"value":["English","Spanish","Vietnamese"],"layer":"documented","quote":"Plain Language Summary\n* [Plain Language Summary in English](/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2026/plain-language-summary-english.ashx)\n* [Plain Language Summary in Spanish](/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2026/plain-language-summary-spanish.ashx)\n* [Plain Language Summary in Vietnamese](/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2026/plain-language-summary-english-vietnamese.ashx)","source_id":"fap-df7f1ed360ffd068","checked_on":"2026-10-10","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs"],"layer":"documented","quote":"**CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs\n115 Airport Rd\nSulphur Springs, Texas 75482\n[List of Providers Accepting and Not Accepting Charity Care](/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/providers-accepting-and-not-accepting/use/501rchristustmfsulphursprings.ashx)","source_id":"fap-df7f1ed360ffd068","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-df7f1ed360ffd068","kind":"hospital_web","url":"https://christushealth.org/plan-care/bill-pay/financial-assistance","title":"Financial Assistance","fetched_on":"2026-10-10","sha256":"df7f1ed360ffd068c9b1e2cb32bd721096330010e777fd7af5a22d1f6f84c731","effective_date":null},{"id":"application-6ee205a8f6c645e2","kind":"hospital_web","url":"https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2026/financial-assistance-application.ashx","title":"[PDF] Financial Assistance Application - CHRISTUS Health","fetched_on":"2026-10-10","sha256":"6ee205a8f6c645e2ff4a6a9c8fd6b8cf76b6a600c7f23a153806cc3fef89ef6c","effective_date":null},{"id":"summary-31155357c793f917","kind":"hospital_web","url":"https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2021plainlanguagesummaryhospitalenglish.ashx","title":"2021PlainLanguageSummaryHospitalEnglish.pdf","fetched_on":"2026-10-10","sha256":"31155357c793f91762f9201842de2a38ce733a0882e545604ab433d99193c0bc","effective_date":null},{"id":"fap-9212f3c8700b6847","kind":"hospital_web","url":"https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/financial-assistance-policy-participating-lists-20221209/501r-christus-trinity-mother-frances-sulphur-springs-20221209.ashx","title":"[PDF] CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs","fetched_on":"2026-10-10","sha256":"9212f3c8700b684754419a007a7cddf343f1a23a1d9979d382a9eaac56344b84","effective_date":null},{"id":"fap-759dbf8a0e7dda6d","kind":"hospital_web","url":"https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2026/financial-assistance-policy.ashx","title":"Financial Assistance Policy in English","fetched_on":"2026-10-10","sha256":"759dbf8a0e7dda6d42afdae5183304fa3240be50d8d7c91e18675b23bf3cfb04","effective_date":null},{"id":"fap-3789a512e68a3779","kind":"hospital_web","url":"https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2026/financial-assistance-policy-spanish.ashx","title":"Financial Assistance Policy in Spanish","fetched_on":"2026-10-10","sha256":"3789a512e68a37790c80cc68e8232fdc1c2396790caae6c3a86009526b706c04","effective_date":null},{"id":"fap-a5a4ecfa83ec7976","kind":"hospital_web","url":"https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2026/financial-assistance-policy-vietnamese.ashx","title":"Financial Assistance Policy in Vietnamese","fetched_on":"2026-10-10","sha256":"a5a4ecfa83ec7976fab90c0e5b6a208ffa9e4f17159ea71b0907d1ba0f282e4b","effective_date":null},{"id":"fap-e54c3caf2321087a","kind":"hospital_web","url":"https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/providers-accepting-and-not-accepting/use/501rchristusstfrancescabrini.ashx","title":"List of Providers Accepting and Not Accepting Charity Care","fetched_on":"2026-10-10","sha256":"e54c3caf2321087a2a1f938092781996b2345e469c21fc34af448efb8ebbda15","effective_date":null}],"accuracy":null}