{"hospital":{"ccn":"331316","name":"COMMUNITY MEMORIAL HOSPITAL, INC","city":"HAMILTON","state":"NY","zip":"13346","phone":"315-824-1100","ownership":"Voluntary non-profit - Private","website_domain":"communitymemorial.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Individuals or families with income up to 200% of the federal poverty level are eligible at an 100% write off the gross charges.","source_id":"fap-836274a806b67653","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["State-funded prescription programs","Homeless or received care from a homeless clinic","Participation in Women, Infants and Children programs (WIC)","Food stamp eligibility","Subsidized school lunch program eligibility"],"layer":"documented","quote":"Presumptive eligibility may be determined on the basis of individual life circumstances that may include: 1. State-funded prescription programs; 2. Homeless or received care from a homeless clinic; 3. Participation in Women, Infants and Children programs (WIC); 4. Food stamp eligibility; 5. Subsidized school lunch program eligibility; 6. Eligibility for other state or local assistance programs that are unfunded (e.g., Medicaid spend- down); 7. Low income/subsidized housing is provided as a valid address; and 8, Patient is deceased with no known estate.","source_id":"fap-836274a806b67653","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["tax_return"],"layer":"documented","quote":"For self-employed persons, a (3) month business ledger or self-attestation form (a tax return is optional).","source_id":"fap-836274a806b67653","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"request by mail by calling 315 824 6552 or send request in writing to Community Memorial Hospital, 150 Broad Street, Hamilton NY 13346."},{"kind":"in_person","detail":"Obtain an application in person at Community Memorial Hospital Registration or Financial Counseling Office"},{"kind":"portal","detail":"online at http://www.communitymemorial.org/financial-assistance/"}],"layer":"documented","quote":"How to Apply: Applications for Financial Assistance may be obtained as follows: • Obtain an application in person at Community Memorial Hospital Registration or Financial Counseling Office, online at http://www.communitymemorial.org/financial-assistance/, request by mail by calling 315 824 6552 or send request in writing to Community Memorial Hospital, 150 Broad Street, Hamilton NY 13346.","source_id":"fap-836274a806b67653","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"Requests for charity shall be processed promptly and the organization shall notify the patient or applicant in writing within 30 days of receipt of a completed application.","source_id":"fap-836274a806b67653","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":{"value":240,"layer":"documented","quote":"Patients are encouraged to submit their application for our Financial Assistance Program within 240 days from the date of the first billing statement after discharge; however, patients may apply at any time, even after an account has gone into collection status.","source_id":"fap-836274a806b67653","checked_on":"2026-10-11","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":null,"hours":null,"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"fap-498081561b6cb300","kind":"hospital_web","url":"https://communitymemorial.org?p=12615","title":"Medical Financial Assistance Info - Community Memorial Hospital","fetched_on":"2026-10-11","sha256":"498081561b6cb300c56dba47a9a7155f80ca67da7fd30bf0aa96085c23a9f5e4","effective_date":null},{"id":"billing-767db64acfc9956f","kind":"hospital_web","url":"https://communitymemorial.org?p=1131","title":"Medical Billing Information | Community Memorial Hospital","fetched_on":"2026-10-11","sha256":"767db64acfc9956f6021a95ad7fa266910c03e0d6b4dd6c97f95e38b896d9b23","effective_date":null},{"id":"fap-ec2d70e33465eced","kind":"hospital_web","url":"https://communitymemorial.org/patient-visitor-info/financial-assistance","title":"Medical Financial Assistance Info - Community Memorial Hospital","fetched_on":"2026-10-11","sha256":"ec2d70e33465ecedb1b510def53483bde6bc5e87f15e82cb67dfd24ce2286785","effective_date":null},{"id":"billing-d70fc474261318ff","kind":"hospital_web","url":"https://communitymemorial.org/about/billing","title":"Medical Billing Information | Community Memorial Hospital","fetched_on":"2026-10-11","sha256":"d70fc474261318ff4f8c5326804eed50d89b59f88837b8ae1f2108c49cbd3eb7","effective_date":null},{"id":"fap-836274a806b67653","kind":"hospital_web","url":"https://communitymemorial.org/wp-content/uploads/2025/09/2025-Financial-Assistance-Policy_83925435_1.pdf","title":"Financial Assistance Policy","fetched_on":"2026-10-11","sha256":"836274a806b67653d794b759d820b30044dffbf9e5a296baa025fea8dbed7216","effective_date":null},{"id":"fap-c252bfa5565831a2","kind":"hospital_web","url":"https://communitymemorial.org/wp-content/uploads/2023/03/SPANISH-Financial-Assistance-Policy-7.5.22.pdf","title":"Billing and Insurance FAQ","fetched_on":"2026-10-11","sha256":"c252bfa5565831a2c3aaf317238561dca150e03eaf1e97a8c12d005700267530","effective_date":null}],"accuracy":null}