{"hospital":{"ccn":"450808","name":"NORTHWEST HILLS SURGICAL HOSPITAL","city":"AUSTIN","state":"TX","zip":"78731","phone":"512-346-1994","ownership":"Voluntary non-profit - Private","website_domain":"northwesthillssurgical.com","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"250","layer":"documented","quote":"Subject to the other provisions of this Financial Assistance Policy, Patients with income less than or equal to 250% of the Federal Poverty Level income (\"FPL\"), will be eligible for 100% charity care on that portion of the charges for services for which the Patient is responsible following payment by an insurer, if any, if such Patient determined to be eligible pursuant to presumptive scoring (described in Paragraph 5 below) or submits a financial assistance application (an \"Application\") on or prior to the 240th day after the Patient’s first discharge bill and the Application is approved by the Organization.","source_id":"fap-0f9a624776a7b3f8","checked_on":"2026-10-14","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":null,"documents_reported":null,"submit_methods":{"value":[{"kind":"in_person","detail":"The FAP Application and FAP Application Instructions are available on the Organization’s website or by request at the time of service."}],"layer":"documented","quote":"In each of the aforementioned accessible locations, the FAP Application and FAP Application instructions are available in English, Spanish, Chinese, Vietnamese, Korean, and Arabic.","source_id":"fap-0f9a624776a7b3f8","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"Patient will be eligible for up to 100% financial assistance if Patient submits the Application after the 240th day after the Patient’s first discharge bill, but then the amount of financial assistance available to a Patient in this category is limited to Patient’s unpaid balance after taking into account any payments made on Patient’s account.","source_id":"fap-0f9a624776a7b3f8","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"512-324-1125","layer":"documented","quote":"To request a copy of the documents by mail, Patients should call the Patient Financial Services department at 512-324-1125.","source_id":"fap-0f9a624776a7b3f8","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"hours":null,"languages":{"value":["English","Spanish","Chinese","Vietnamese","Korean","Arabic"],"layer":"documented","quote":"In each of the aforementioned accessible locations, the FAP Application and FAP Application instructions are available in English, Spanish, Chinese, Vietnamese, Korean, and Arabic.","source_id":"fap-0f9a624776a7b3f8","checked_on":"2026-10-14","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Northwest Hills Surgical Hospital"],"layer":"documented","quote":"• Northwest Hills Surgical Hospital","source_id":"fap-0f9a624776a7b3f8","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-0f9a624776a7b3f8","kind":"hospital_web","url":"https://northwesthillssurgical.com/assets/pdf/Financial%20Assistance%20Policy/FAA%20Policy/fap-en.pdf","title":"Financial Assistance Policy","fetched_on":"2026-10-14","sha256":"0f9a624776a7b3f855464362cbd0178aa880c3edecff5c1f721abb7122a40adf","effective_date":null},{"id":"summary-b1a0b101fb90b160","kind":"hospital_web","url":"https://northwesthillssurgical.com/assets/pdf/Financial%20Assistance%20Policy/FAA%20Summary/NWH_Financial%20Assistance%20Policy_Summary_FY21.pdf","title":"Summary of Financial Assistance Policy","fetched_on":"2026-10-14","sha256":"b1a0b101fb90b160a3abe297d0afe49dc2bec932a908077449fe33f09cc59228","effective_date":null},{"id":"billing-fe8305c95e53729b","kind":"hospital_web","url":"https://northwesthillssurgical.com/resources/insurance.html","title":"Insurance, Billing and Collections - Northwest Hills Surgical Hospital in Austin, TX","fetched_on":"2026-10-14","sha256":"fe8305c95e53729b0de64e97e6506051845ac5372d5f726125586fdc26ab71dc","effective_date":null}],"accuracy":null}