Hospital · Dunkirk, NY
Brooks-Tlc Hospital System, Inc.
Free care to 200% of the federal poverty level.
Household income less than or equal to 200% of the FPL is awarded 100% discount.
What the policy says
Quoted from the hospital’s own documents · read by WaiveDocuments to includeMatchedProof of income; tax return; pay stubs; medicaid denial“Brooks-TLC Hospital System, Inc. will require a completed Financial Assistance application and proof of income such as a tax return or pay stubs. We may also request a Medicaid denial letter but not required.”[PDF] 1121463 K BMH Financial Assistance Summary · read by Waive · brookshospital.org · retrieved Oct 11, 2026
How to applyMatchedMail: Send a completed form to Brooks-TLC Hospital System, Inc.; in person: leave it with the cashier located in the main registration area.“Send a completed form to Brooks-TLC Hospital System, Inc. or leave it with the cashier located in the main registration area.”[PDF] 1121463 K BMH Financial Assistance Summary · read by Waive · brookshospital.org · retrieved Oct 11, 2026
DecisionMatched30 days“Decisions regarding financial assistance are rendered within 30 days from the receipt date of the completed application.”Financial Assistance Policy (English) · read by Waive · brookshospital.org · retrieved Oct 11, 2026
What Tender found
Chautauqua County · CMS · Tender’s own checksWebsiteUnverifiedNo verified websiteTender checks the price file only on a verified website
Price fileUncheckedWebsite not verified · not checkedTender’s own check · not yet checked · logged, not quoted
CMS actionNoneNo CMS penalty on fileCMS price transparency enforcement list · no notice names this hospital