{"hospital":{"ccn":"451319","name":"CHRISTUS MOTHER FRANCES HOSPITAL- JACKSONVILLE","city":"JACKSONVILLE","state":"TX","zip":"75766","phone":"903-541-4500","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":{"value":true,"layer":"documented","quote":"Balance After Insurance: The amount owed by a patient or Guarantor after the insurance company submits its portion of the bill to the provider. Examples of Balance After Insurance include coinsurance, deductible, and copayments as defined by the insurance company, and amounts resulting from exhausted benefits, length of stay limitations, and lower reimbursement because patient’s plan is not contracted with the facility or because the patient is covered under a limited benefit insurance plan.","source_id":"fap-759dbf8a0e7dda6d","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"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","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 __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-42963455b3d3d093","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."},{"kind":"in_person","detail":"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":"800-756-7999","layer":"documented","quote":"If you have questions or need help, please contact a CHRISTUS financial counselor at 800-7567999.","source_id":"summary-31155357c793f917","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"hours":{"value":"Monday – Friday 8:00 AM to 5:00 PM (central)","layer":"documented","quote":"Sincerely, CHRISTUS Health 800-756-7999 Monday – Friday 8:00 AM to 5:00 PM (central)","source_id":"application-42963455b3d3d093","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"languages":{"value":["Spanish","Vietnamese"],"layer":"documented","quote":"These documents are also available in Spanish and Vietnamese.","source_id":"summary-31155357c793f917","checked_on":"2026-10-10","confidence":1.0,"support_count":0}},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"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","fetched_on":"2026-10-10","sha256":"759dbf8a0e7dda6d42afdae5183304fa3240be50d8d7c91e18675b23bf3cfb04","effective_date":null},{"id":"application-42963455b3d3d093","kind":"hospital_web","url":"https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/v2financial-assistance-application.ashx","title":"[PDF] To Our Valued Patient - CHRISTUS Health","fetched_on":"2026-10-10","sha256":"42963455b3d3d0933a6a4ff83f46f1429d9ed359b6dd6b23b61093242ba9ba45","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":"billing-3fe3b8db024c48b3","kind":"hospital_web","url":"https://careers.christushealth.org/opportunity/job-apply/patient-financial-specialist-senior-billing-202908-2","title":"Patient Financial Specialist Senior - Billing at CHRISTUS Trinity Mother Frances Health System (202908) | CHRISTUS Health Careers","fetched_on":"2026-10-10","sha256":"3fe3b8db024c48b3baab93ebd87628e84d0535ebd02252b3e1992bc5bbefb105","effective_date":null}],"accuracy":null}