Here is the deal:

As long has paystub is concerned, je pathaya ni huncha. Since they want your tax return as well, you cannot fake, since they can do the math.

This is what I did and would suggest you do:

Communicate with the hospital and give them all they need and make sure that you tell them you go to school full time and give all receipts if possible. Tuition paid to Books to Rent etc. and tell them straight that you cant pay the bill.