• 2420 W. 26th Avenue, Suite D-100, Denver, CO 80211
  • 303-813-5190

Financial Assistance - NEW

SCL Health System operates hospitals and clinics in Colorado, Kansas and
Montana. When someone in need of health care can’t pay for services in one of our hospitals, we offer financial assistance. Individuals in need of emergency care will never be denied treatment or care if they do not have insurance or are unable to pay.

We provide FINANCIAL ASSISTANCE for those who qualify


  • Based upon family size and gross annual household
  • Available to individuals and families whose income falls
    within 400% of the current Federal Poverty Guidelines
    (updated annually) and for medical hardship.
  • Applies to all services except elective procedures
    (for example, cosmetic and/or services not medically

How can you apply for financial help for medical care at our hospital?

Request an Application Form.

Call SCL Health System at 303-813-5300 (local) or 866-665-2636 (toll free) Monday through Friday, 8 a.m. to 5 p.m. Mountain Time.

Ask for an application form from one of the following areas or individuals:

  • Registration Department
  • Patient Financial Advocate Counselor

Complete and return the signed form and provide all requested documentation.

Return the completed application form to a Patient Financial Advocate/Financial Counselor or Registration Department at your hospital.

Make sure to provide us with verifi cation of your income, which may include, but is not limited to, the following:

  • Copy of your most recently fi led income tax return.
  • Other income information (for example, pay stubs, retirement income, award letters, etc.).

All information supplied is kept completely confidential.

The information on your completed application form and attached documentation is only shared with those who determine your eligibility for financial help.

What will we do after you submit your completed application form?


SCL Health System reviews your
completed application form and
All paperwork is reviewed by a Patient Financial
Advocate/Financial Counselor who specializes in working
with people who need help with medical bills.
SCL Health System notifi es you of the
decision regarding your eligibility for
fi nancial assistance.
• You will be notifi ed after a review of your application
is completed.
• You will receive a phone call and letter with
our decision.
• If you are found to be eligible for Medicaid, Medicare,
other public assistance or for insurance through
your state’s health insurance exchange, we will help
you fi ll out an application for the correct program or
provide information for additional assistance.
• If you do not have health insurance and are not
eligible for public assistance programs, or if you do
have insurance through your state’s health insurance
exchange, our Patient Financial Advocate/Financial
Counselor will discuss our Financial Assistance
Program and the potential discounts available.
• If you do not qualify for fi nancial assistance or only
qualify for partial assistance and have concerns
about paying your medical bills for services, we will
work with you to make payment arrangements
(by cash, check, credit card or interest-free
payment plans).
What you need to know if you qualify
for fi nancial assistance with your
medical bills:
• Financial assistance only applies towards hospitalbased
treatments and services provided by SCL
Health System. You will need to make separate
fi nancial arrangements with physicians and other
• If you seek repeat or additional services at SCL
Health System, you may be required to resubmit an
application and complete another fi nancial screening.
Charges for services
As part of our Financial Assistance Policy, SCL Health
System is committed to making patients aware of
estimated charges for the medical services they will
receive at our hospitals. Sometimes specifi c charges
that will appear on your bill after those medical
services are provided will depend on services your
physicians order and provide. Although we attempt
to make patients aware of the estimated charges, it
is diffi cult to know ahead of time exactly what those
charges will be.
For more information, contact:
SCL Health System
RSC - Customer Service
500 Eldorado Boulevard, Building 6
Suite 6300
Broomfi eld, CO 80021-3408
303-813-5300 – local
866-665-2636 – toll free
Monday – Friday, 8 a.m. – 5 p.m. Mountain Time

SCL Health System is a faith-based, nonprofi t
health care organization that oversees the Financial
Assistance Policy for its eight hospitals in Colorado,
Kansas and Montana. To speak with a Patient
Financial Advocate Counselor, please call or visit us
at your local hospital or our main service center:
SCL Health System
RSC – Patient Financial Services
500 Eldorado Boulevard, Building 6
Suite 6300
Broomfi eld, CO 80021-3408
303-272-0967 – local
855-821-0124 – toll free
Monday – Friday, 8 a.m. – 5 p.m. Mountain Time
©2013 SCL Health System
Our Mission
We reveal and foster God’s
healing love by improving the
health of the people and
communities we serve, especially
those who are poor and vulnerable.
Exempla Good Samaritan
Medical Center
200 Exempla Circle
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303-689-4951 – local
855-821-0517 – toll free
Exempla Lutheran
Medical Center
8300 West 38th Avenue
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303-425-2105 – local
855-821-0590 – toll free
Exempla Saint Joseph
1835 Franklin Street
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303-837-7174 – local
855-821-0591 – toll free
St. Mary’s Hospital and
Regional Medical Center
2635 North 7th Street
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970-298-7070 – local
855-232-0307 – toll free

Holy Rosary Healthcare
2600 Wilson Street
Miles City, MT 59301
406-233-2596 – local
800-843-3820 ext. 2596 –
toll free
St. James Healthcare
400 South Clark Street
Butte, MT 59701-2328
406-723-2490 – local
855-288-5209 – toll free
St. Vincent Healthcare
1233 North 30th Street
Billings, MT 59107
406-237-3226 – local
800-308-1927 – toll free
St. Francis Health Center
1700 SW 7th Street
Topeka, KS 66606-1690
785-270-7622 – local
800-444-2954 – toll free