{"hospital":{"ccn":"331305","name":"O'CONNOR HOSPITAL","city":"DELHI","state":"NY","zip":"13753","phone":"607-746-0300","ownership":"Voluntary non-profit - Private","website_domain":"bassett.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Below 200% FPL Waive all charges","source_id":"fap-01316164d46a2453","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Underinsured individuals within federal poverty levels of 201-400% and with paid out-of-pocket medical expenses that are greater than ten (10) percent of their annual gross income for the prior twelve months.","source_id":"fap-01316164d46a2453","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"],"layer":"documented","quote":"Please include the income information for the patient, their spouse, and any dependents (such as children). For example, this would include everyone on the same tax return (tax filer, spouse, and tax dependents) in the calculation of household income.\n\nThe following is a list of documents you can use to prove your income. You do not have to provide all these documents. You can also provide a statement of no household income if you have no income.\n\nYou may also provide the Eligibility determination page from the NY State of Health Marketplace. If you have this document, you do not have to provide any other income information listed below to the hospital.\n\nIf Household Receives:****Amount per Month:****Applicant May Provide:\nWages$Please provide one Paycheck Stub, or Letter from Employer on company letterhead, signed and dated, or most recently filed income tax return\nSocial Security Payment$Copy of award letter/certificate, or correspondence from the U.S. Social Security Administration, or annual benefit letter. To request a copy of your Social Security benefit letter, call 1-800-772-1213 or visit www.ssa.gov.\nUnemployment Compensation$Copy of award letter/certificate, or monthly benefit statement from NYS Department of Labor, or Copy of Direct Payment Card with printout, or Correspondence from the NYS Department of Labor, or Printout of recipient’s account information from the NYS Department of Labor’s website (www.labor.state.ny.us).\nDisability Payment$Copy of award letter/certificate, or correspondence from Social Security Administration, or copy of annual benefit\nletter. To request a copy of your benefit letter, call 1-800-772-1213 or visit www.ssa.gov.\nWorkers Compensation$Copy of Award Letter or Check stub.\nAlimony/Child Support$Copy of court order, or 3 months of cashed checks/receipts\nDividends/Interest$Quarterly dividend statements or 1 month statements.\nOther$Letter stating the amount of non-wage earnings (if any), such as rental income, cash for odd jobs, etc.\nNo Income$0 Signed statement of no income.","source_id":"application-6c870a2a01abec99","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Completed applications with all required documentation should be mailed to: Community Services Program Bassett Medical Center One Atwell Road Cooperstown, NY 13326"},{"kind":"mail","detail":"Completed applications with all required documentation should be mailed to: A.O. Fox Memorial Hospital Financial Assistance Representative Business Office 1 Norton Avenue Oneonta, NY 13820"},{"kind":"mail","detail":"Completed applications with all required documentation should be mailed to: Community Services Program Little Falls Hospital Business Office 140 Burwell Street Little Falls, NY 13365"},{"kind":"mail","detail":"Completed applications with all required documentation should be mailed to: Cobleskill Regional Hospital Business Office – CSP 178 Grandview Drive Cobleskill, NY 12043"}],"layer":"documented","quote":"Fox Memorial Hospital Financial Assistance Representative Business Office 1 Norton Avenue Oneonta, NY 13820","source_id":"fap-c460411e059ee92b","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":{"value":180,"layer":"documented","quote":"Hospitals cannot send unpaid bills to a collection agency for at least 180 days after your first bill.","source_id":"application-6c870a2a01abec99","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"607-547-3093","layer":"documented","quote":"If you need assistance with this application, please contact Bassett Healthcare Network’s financial assistance office at (607-547-3093).","source_id":"application-6c870a2a01abec99","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"hours":null,"languages":null},"coverage":{"facilities":{"value":["O’Connor Hospital"],"layer":"documented","quote":"☒ O’Connor Hospital","source_id":"fap-01316164d46a2453","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-c23c1d3b678bda29","kind":"hospital_web","url":"https://www.bassett.org/sites/default/files/2026-03/Charity-Care-and-Financial-Assistance-Spanish.pdf","title":"Hoja informativa de políticas de BHN","fetched_on":"2026-10-14","sha256":"c23c1d3b678bda2908e3c7ed19b1b2699f8bf1b3c5fe8831704005fb43ae6640","effective_date":null},{"id":"billing-334ebbaa41060d6e","kind":"hospital_web","url":"https://www.bassett.org/patients-visitors/billing-insurance/financial-assistance","title":"Bassett's Financial Assistance Program | Community Service Program","fetched_on":"2026-10-14","sha256":"334ebbaa41060d6e6267578c7a864151838cd0ae3823455421bcaa6875c7514b","effective_date":null},{"id":"fap-01316164d46a2453","kind":"hospital_web","url":"https://www.bassett.org/sites/default/files/2026-07/Bassett-Healthcare-Network-Charity-Care-and-Financial-Assistance-07-09-2026.pdf","title":"Charity Care & Financial Assistance (English)","fetched_on":"2026-10-14","sha256":"01316164d46a2453568e3653c7a0a3e8666640cf8dcf41f8992114053e58a02d","effective_date":null},{"id":"fap-b095463318643111","kind":"hospital_web","url":"https://www.bassett.org/sites/default/files/2026-08/Charity-Care-and-Financial-Assistance-Spanish.pdf","title":"Charity Care & Financial Assistance (Spanish)","fetched_on":"2026-10-14","sha256":"b095463318643111e458265715e4db0784c667a6669856aaca09afa4d3810241","effective_date":null},{"id":"fap-c460411e059ee92b","kind":"hospital_web","url":"https://www.bassett.org/sites/default/files/hg_features/mercury_standard_layout/46607191876acfcc504a7cc8048608fc.pdf","title":"Financial Assistance Resource Guide","fetched_on":"2026-10-14","sha256":"c460411e059ee92ba5f9d1885a44b69a705d4ee78b1e454806419d5274033015","effective_date":null},{"id":"application-6c870a2a01abec99","kind":"hospital_web","url":"https://www.bassett.org/sites/default/files/2026-01/2026-NYS-Bassett-FA-Form-English.docx","title":"Bassett NYS Uniform Hospital Financial Assistance Application (English)","fetched_on":"2026-10-14","sha256":"6c870a2a01abec99a2e9aa1b3669a42025255173c336b93a6161884dea28da75","effective_date":null}],"accuracy":null}