{"hospital":{"ccn":"331312","name":"DELAWARE VALLEY HOSPITAL, INC","city":"WALTON","state":"NY","zip":"13856","phone":"607-865-2188","ownership":"Voluntary non-profit - Private","website_domain":"nyuhs.org","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Below 200% FPL","source_id":"fap-973a5275daf966c5","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"The Financial Assistance Policy is applicable to individuals without health insurance, or patients whose health insurance leaves a balance for emergency or medically necessary services.","source_id":"fap-973a5275daf966c5","checked_on":"2026-10-11","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":["pay_stubs","tax_return","other"],"layer":"documented","quote":"Documents required along with completed application are:\n1. Pay Stubs: last 30 days\n2. Other Income such as Investments, Child Support, Unemployment, Social Security, Workers’ Compensation\n3. Most Recent Tax Return: if self-employed\n4. Self-Attestation: if no income is reported\n5. Family size: number of individuals in household","source_id":"fap-973a5275daf966c5","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Mail completed and signed application to:\nUHS Financial Assistance\n33 Lewis Road\nBinghamton, NY 13905"}],"layer":"documented","quote":"Mail completed and signed application to:\nUHS Financial Assistance\n33 Lewis Road\nBinghamton, NY 13905","source_id":"application-8ca1290907d3da45","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"Approval/Denial of the application will be made within 30 days of the Financial Assistance Coordinator receipt of all requested documentation.","source_id":"fap-973a5275daf966c5","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"607-770-0025","layer":"documented","quote":"[**607-770-0025**](tel:607-770-0025)","source_id":"fap-60805813d3cad3d4","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"hours":{"value":"Monday through Friday from 8:00am to 4:30pm","layer":"documented","quote":"How to Obtain Information and Assistance Regarding Our Financial Assistance Program For information regarding our Financial Assistance Program, please visit our Financial Assistance offices at UHS Bingham-ton General Hospital, UHS Wilson Medical Center, UHS Chenango Memorial Hospital or UHS Delaware Valley Hospital, Monday through Friday from 8:00am to 4:30pm.","source_id":"summary-28d92a73ed5ca79c","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"languages":{"value":["English","Spanish","Russian"],"layer":"documented","quote":"Financial Assistance Application and Plain Language Summary are available in English, Spanish and Russian.","source_id":"summary-28d92a73ed5ca79c","checked_on":"2026-10-11","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["UHS Wilson Medical Center","UHS Binghamton General Hospital","UHS Chenango Memorial Hospital","UHS Delaware Valley Hospital","UHS Medical Group Physicians","Twin Tier Home Health"],"layer":"documented","quote":"**UHS Wilson Medical Center**\n**UHS Binghamton General Hospital**\n**UHS Chenango Memorial Hospital**\n**UHS Delaware Valley Hospital**\n**UHS Medical Group Physicians**\n**Twin Tier Home Health**","source_id":"fap-60805813d3cad3d4","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-60805813d3cad3d4","kind":"hospital_web","url":"https://nyuhs.org/patients-visitors/patients/financial-assistance","title":"Binghamton Medical Financial Assistance | Hospital Bill Help | UHS","fetched_on":"2026-10-11","sha256":"60805813d3cad3d4ef4eb0ac58e8850af18aa59be0f82d6437ba5d8b5927de1b","effective_date":null},{"id":"summary-28d92a73ed5ca79c","kind":"hospital_web","url":"https://www.nyuhs.org/sites/default/files/2020-07/uhsh-financial-summary.pdf","title":"[PDF] Financial Assistance Program Plain Language Summary","fetched_on":"2026-10-11","sha256":"28d92a73ed5ca79c964e044b9a1449220192123d937dec65272f2d0f195b0029","effective_date":null},{"id":"fap-60805813d3cad3d4","kind":"hospital_web","url":"https://www.nyuhs.org/patients-visitors/patients/financial-assistance","title":"Binghamton Medical Financial Assistance | Hospital Bill Help | UHS","fetched_on":"2026-10-11","sha256":"60805813d3cad3d4ef4eb0ac58e8850af18aa59be0f82d6437ba5d8b5927de1b","effective_date":null},{"id":"fap-973a5275daf966c5","kind":"hospital_web","url":"http://apps.nyuhs.org/pdfs/UHSFinancialAssistanceWor1-17-23R2.pdf","title":"**Financial Assistance Policy**","fetched_on":"2026-10-11","sha256":"973a5275daf966c500793c42efa6feb2e21b5574bf0efcd73005010dc3d6392a","effective_date":null},{"id":"application-8ca1290907d3da45","kind":"hospital_web","url":"https://nyuhs.widen.net/s/m8mqhlqzkx/nyuhsuniformhospital_fa_app0226f","title":"**Financial Assistance Application (English)**","fetched_on":"2026-10-11","sha256":"8ca1290907d3da454baca2688d33b6c6fb636548107f9fdd8cd98eb90777595f","effective_date":null},{"id":"application-61a5caf73607778a","kind":"hospital_web","url":"https://nyuhs.widen.net/s/czzj6xb77p/nyuhsuniformhospital_fa_spanishapp0226f","title":"**Financial Assistance Application (Spanish)**","fetched_on":"2026-10-11","sha256":"61a5caf73607778abd6dba353fe3c3ca552092aaa73975e470186a1d6b574f85","effective_date":null}],"accuracy":null}