{"hospital":{"ccn":"330264","name":"MONTEFIORE ST LUKE'S CORNWALL","city":"NEWBURGH","state":"NY","zip":"12550","phone":"845-458-4900","ownership":"Voluntary non-profit - Private","website_domain":"montefioreslc.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"*   Patients with a demonstrated family income below 200% FPL are eligible for a 100% discount on any qualifying balances.","source_id":"fap-c2c1250c94028d23","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":{"value":false,"layer":"documented","quote":"Assets are not considered.","source_id":"fap-c2c1250c94028d23","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"**Un**insured and Underinsured patients: Patients residing within the Hospital’s primary service area receiving medically necessary services or emergency care (See Attachment A for Financial Aid Chart, Levels and covered primary service area).","source_id":"fap-c2c1250c94028d23","checked_on":"2026-10-14","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":["proof_of_income","social_security_letter","tax_return","pay_stubs","bank_statements"],"layer":"documented","quote":"Forms of documentation that can be used to support your Financial Assistance Application are as follows:\n\n* Most recent W2 and/or tax returns\n* Pension letters\n* Social Security Determination Letter\n* 3 months of most recent pay stubs/wages\n* Unemployment compensation statement\n* 3 months of Bank Statements","source_id":"application-0936a7cee873427f","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"The completed application and all necessary documents should be mailed to the following address: Montefiore St. Luke’s Hospital Attn: PFS Credit and Collections Department 70 Dubois St. Newburgh, NY 12550"},{"kind":"in_person","detail":"You may also apply in person by visiting Patient Financial Services at the address listed below."},{"kind":"email","detail":"We can be reached by phone at #845-458-4900 or you can email the Self-Pay Department directly at SLCselfpay@montefioreslc.org."}],"layer":"documented","quote":"Upon full or partial approval and / or denial you will receive a letter of determination. If you need further assistance, please visit or call Montefiore St. Luke’s Cornwall Hospital, Credit and Collections Department, located at 19 Laurel Avenue Cornwall, NY 12518. We are available to assist Monday through Friday between the hours of 8am- 4pm. We can be reached by phone at #845-458-4900 or you can email the Self-Pay Department directly at SLCselfpay@montefioreslc.org.","source_id":"fap-9c6f583dfc60f85e","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":null,"hours":{"value":"Monday through Friday between the hours of 8am- 4pm","layer":"documented","quote":"We are available to assist Monday through Friday between the hours of 8am- 4pm.","source_id":"fap-9c6f583dfc60f85e","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"languages":{"value":["English","Spanish"],"layer":"documented","quote":"Availability of Translations The Financial Assistance policy, application forms, and plain language summary can be offered in English and Spanish.","source_id":"summary-e18df0248a515343","checked_on":"2026-10-14","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["70 Dubois Street, Newburgh, NY","19 Laurel Avenue, Cornwall, NY 12518"],"layer":"documented","quote":"Financial aid offices where patients can apply for assistance are located at 70 Dubois Street, Newburgh, NY (Admitting Office) and 19 Laurel Avenue, Cornwell, NY 12518 (Business Office) 845-458-4900.","source_id":"fap-c2c1250c94028d23","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-c2c1250c94028d23","kind":"hospital_web","url":"https://www.montefioreslc.org/documents/2026-LD-1415-Charity-Care-Financial-Assistance.501R-Compliant)_Monte-update-2.26.docx","title":"Financial Assistance Policy","fetched_on":"2026-10-14","sha256":"c2c1250c94028d23b9bc2114ebd8e683a7d4312dc28ac59e991c0ba5973c59b5","effective_date":null},{"id":"application-0936a7cee873427f","kind":"hospital_web","url":"https://www.montefioreslc.org/patients/financial-assistance-application-form","title":"Financial Assistance Application","fetched_on":"2026-10-14","sha256":"0936a7cee873427fc72bb5b54c9f61fd8ad666c70df00cfb7c6ca8e534d8c48d","effective_date":null},{"id":"summary-e18df0248a515343","kind":"hospital_web","url":"https://www.montefioreslc.org/documents/3357-SLCH-Plain-Language-Summary-FAP.pdf","title":"Plain Language Summary","fetched_on":"2026-10-14","sha256":"e18df0248a51534305728abfa9f477e74fbbbc74a0c35efa9e96d7ecb2eecffc","effective_date":null},{"id":"billing-68fd1aff2f3d9dbe","kind":"hospital_web","url":"https://www.montefioreslc.org/images/CD-008-Billing-and-Collection-Policy-2.2021.pdf","title":"[PDF] 008 Billing and Collection Policy - Montefiore St. Luke's Cornwall","fetched_on":"2026-10-14","sha256":"68fd1aff2f3d9dbe76b5507fe947427099db78b4cd053af4c7fb1f36e7a7fc57","effective_date":null},{"id":"fap-269a7960dd5c28a4","kind":"hospital_web","url":"https://www.montefioreslc.org/documents/2026-LD-1415-Charity-Care-Financial-Assistance.501R-Compliant","title":"LD1415 Financial Assistance PDF","fetched_on":"2026-10-14","sha256":"269a7960dd5c28a48fb69a5bfb2048f6ff7d7599751b41d9aa6dc8494069c65f","effective_date":null},{"id":"fap-8583c3d78c87a114","kind":"hospital_web","url":"https://www.montefioreslc.org/documents/2026-Spanish-LD-1415-Charity-Care-Financial-Assistance.501R-Compliant","title":"LD1415 Financial Assistance 501 R Compliant Spanish Translation","fetched_on":"2026-10-14","sha256":"8583c3d78c87a114b7d54107bd2f50417db31f8a67cd45b93be5a7f3d9ac5b4d","effective_date":null},{"id":"fap-9c6f583dfc60f85e","kind":"hospital_web","url":"https://www.montefioreslc.org/documents/2288-Universal-NYS-Financial-Aid.pdf","title":"Financial Assistance App English","fetched_on":"2026-10-14","sha256":"9c6f583dfc60f85e0d95e5a16f7771fab052e3da2846d477ccdd75105c71178b","effective_date":null},{"id":"fap-2621eea55c97a011","kind":"hospital_web","url":"https://www.montefioreslc.org/documents/2288S-Universal-NYS-Financial-Aid-Spanish.pdf","title":"Financial Assistance App Spanish","fetched_on":"2026-10-14","sha256":"2621eea55c97a01103b949f6e4dd0f727874c01024c3fabf1bb3b27ecc73766b","effective_date":null}],"accuracy":null}