{"hospital":{"ccn":"450848","name":"MEMORIAL HERMANN SUGAR LAND HOSPITAL","city":"SUGAR LAND","state":"TX","zip":"77479","phone":"281-725-5000","ownership":"Voluntary non-profit - Private","website_domain":"memorialhermann.org","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"If an uninsured patient's Annual Gross Family Income is equal to or less than two hundred percent (200%) of the current Federal Poverty Guidelines, as set forth in the Gross Income Financial Assistance Eligibility Table (Exhibit C - Federal Poverty Guidelines), the patient (or other responsible party) will be entitled to free care (100% discount) and will not owe any portion of the account balance.","source_id":"fap-1321060eaa5e0858","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"discount_tiers":null,"assistance_ceiling_fpl":null,"asset_test":{"value":false,"layer":"documented","quote":"MHHS's FAP does not require documentation of assets or expenses.","source_id":"fap-1321060eaa5e0858","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Both uninsured and insured patients can apply for Financial Assistance","source_id":"fap-1321060eaa5e0858","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["Homeless or received care from a homeless clinic","Participation in Women, Infants and Children programs (WIC)","Food stamp eligibility","Supplemental Nutrition Assistance Program (SNAP)","Receipt of grant assistance for medical services","Mental incapacitation with no one to act on patient's behalf","Recent personal bankruptcy","Incarceration in a penal institution"],"layer":"documented","quote":"Uninsured patients meeting the following criteria will be considered Presumptively Eligible for a one hundred percent (100%) reduction of emergent or eligible service charges:\ni. Homeless or received care from a homeless clinic;\nii. Participation in Women, Infants and Children programs (WIC);\niii. Food stamp eligibility;\niv. Supplemental Nutrition Assistance Program (SNAP);\nv. Eligibility for other state or local assistance programs (e.g., Medicaid spend-down);\nvi. Low income/subsidized housing is provided as a valid address;\nvii. Receipt of grant assistance for medical services;\nviii. Mental incapacitation with no one to act on patient's behalf;\nix. Recent personal bankruptcy;\nx. Incarceration in a penal institution;\nxi. Patient is deceased with no known estate; or\nxii. As determined by an electronic scoring model (described below).","source_id":"fap-1321060eaa5e0858","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"state_programs":null},"apply":{"form_url":{"value":"http://www.memorialhermann.org/financialassistanceprogram/","layer":"documented","quote":"Free copies of the application are available for download on MHHS's website at: http://www.memorialhermann.org/financialassistanceprogram.","source_id":"fap-1321060eaa5e0858","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"form_version":null,"documents_required":null,"documents_reported":null,"submit_methods":null,"window_days_from_first_bill":null,"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"713.338.5502 or 1.800.526.2121, option 5","layer":"documented","quote":"Phone: 713.338.5502 or 1.800.526.2121, option 5","source_id":"summary-73b20cdfef94b39d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"hours":{"value":"Friday: 8am – 5pm Monday – Thursday: 8am – 7pm","layer":"documented","quote":"Friday: 8am – 5pm Monday – Thursday: 8am – 7pm","source_id":"summary-73b20cdfef94b39d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"languages":{"value":["English","Spanish","Amharic","Arabic","Bengali","Chinese","Farsi","Formosan","French","German","Gujarati","Hindi","Igbo","Japanese","Korean","Kru","Laotian","Malayalam","Nepali","Mon-Khmer","Portuguese","Russian"],"layer":"documented","quote":"A FREE copy of the Financial Assistance Application, Financial Assistance Policy, Plain Language Summary, and Billing & Collections Policy are available in English, Spanish, and other languages that meet the criteria described in the Financial Assistance Policy","source_id":"summary-73b20cdfef94b39d","checked_on":"2026-10-14","confidence":1.0,"support_count":0}},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"fap-46221e73bc05fb24","kind":"hospital_web","url":"https://memorialhermann.org/patients-visitors/patient-services/financial-care/financial-resources/financial-assistance-resources","title":"Financial Assistance Resources | Memorial Hermann","fetched_on":"2026-10-14","sha256":"46221e73bc05fb24b972b9581445cf8e75640c1a27946815ccaee9f3511f52b3","effective_date":null},{"id":"application-e87b61a54574682d","kind":"hospital_web","url":"https://memorialhermann.org/patients-visitors/patient-services/financial-care/forms-documents","title":"Forms and Documents | Memorial Hermann","fetched_on":"2026-10-14","sha256":"e87b61a54574682d968a05da5a38d740e5832243bd62b1ef14a8e35ccf113a7f","effective_date":null},{"id":"summary-73b20cdfef94b39d","kind":"hospital_web","url":"https://memorialhermann.org/-/media/memorial-hermann/org/files/patients-and-visitors/financial-assistance-program/english_patient-financial-assistance-summary.pdf","title":"Patient Financial Assistance Summary - Houston","fetched_on":"2026-10-14","sha256":"73b20cdfef94b39d8f014790aadad216df3adf63c2d2151f3006b7916d79bdd1","effective_date":null},{"id":"fap-1321060eaa5e0858","kind":"hospital_web","url":"https://memorialhermann.org/-/media/memorial-hermann/org/files/patients-and-visitors/financial-assistance-program/english_financial-assistance-policy.ashx","title":"Financial Assistance Policy PUBLICATION DATE","fetched_on":"2026-10-14","sha256":"1321060eaa5e08583e455bb8a05e28e94d20915e906bbb42b67b0aac2c1bf048","effective_date":null},{"id":"fap-e94674c3d9fcf0e3","kind":"hospital_web","url":"https://www.memorialhermann.org/patients-visitors/patient-services/financial-care/financial-assistance-program","title":"Financial Assistance Program","fetched_on":"2026-10-14","sha256":"e94674c3d9fcf0e32114b344a06883954ea4337aace4cd4b28f20c6677162d94","effective_date":null},{"id":"fap-0a011d97d030fe57","kind":"hospital_web","url":"https://www.memorialhermann.org/patients-visitors/patient-services/financial-care/financial-resources/financial-assistance-resources","title":"Financial Assistance Resources","fetched_on":"2026-10-14","sha256":"0a011d97d030fe57d03184f5f9e39c794bb12a2b178bba0847af9f31f180941c","effective_date":null}],"accuracy":null}