Hospital · Walton, NY
Delaware Valley Hospital, Inc.
Free care to 200% of the federal poverty level.
Below 200% FPL
What the policy says
Quoted from the hospital’s own documents · read by WaiveDocuments to includeMatchedPay stubs; tax return; other“Documents required along with completed application are:
1. Pay Stubs: last 30 days
2. Other Income such as Investments, Child Support, Unemployment, Social Security, Workers’ Compensation
3. Most Recent Tax Return: if self-employed
4. Self-Attestation: if no income is reported
5. Family size: number of individuals in household”Financial Assistance Policy · read by Waive · retrieved Oct 11, 2026
How to applyMatchedMail: Mail completed and signed application to:
UHS Financial Assistance
33 Lewis Road
Binghamton, NY 13905“Mail completed and signed application to:
UHS Financial Assistance
33 Lewis Road
Binghamton, NY 13905”Financial Assistance Application (English) · read by Waive · nyuhs.widen.net · retrieved Oct 11, 2026
DecisionMatched30 days“Approval/Denial of the application will be made within 30 days of the Financial Assistance Coordinator receipt of all requested documentation.”Financial Assistance Policy · read by Waive · retrieved Oct 11, 2026
What Tender found
Delaware 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