Dedicated to Pricing Transparency!

…how much will this cost?

Southwest Health System is committed to consumer pricing transparency. It’s important that patients and families have the information they need about the cost of care at Southwest Health System.

2019 Pricing Charge Master

Keep in mind – this pricing applies only to services provided through the hospital and cannot account for a variety of factors that would alter the final bill including specialty services provided by independent providers’ professional fees (such as radiologists, pathologists or anesthesiologist/CRNA), complications, use of medical devices, length of stay as well as other additional variables such as implants, specialty drugs or secondary procedures.  Click here for more details regarding pricing, insurance, and financial assistance.

Made-in-Montezuma-tree

Senior Leadership Team Members

 

Tony Sudduth, CPA, FACHE, FHFMA

Chief Executive Officer

Anthony “Tony” Sudduth has more than 30 years’ experience in healthcare finance including 27 years as a CEO, COO, and CFO for both not-for-profit and for-profit facilities.  Through his leadership, organizations have been able to reduce costs, improve revenue and achieve growth targets.  He holds a Bachelors in Accounting from the University of Kentucky and has his Masters in Business Administration from Eastern Kentucky University.

Tony is originally from Lexington, Kentucky and appreciates our close-knit community.  He is enjoying all the beauty of Southwest Colorado with his wife Pam of 21 years and is looking forward to hiking all the local trails in the spring.

 

Rick Shrader

Chief Financial Officer

Rick Shrader has over 26 years of healthcare financial management experience. Rick has primarily worked as a CFO or Revenue Cycle Senior leader and has owned a healthcare consulting company specializing in Financial and Operations management and Revenue Cycle from 2009 to 2012.  He has also worked for a Healthcare Real Estate Investment Trust and has been employed in financial leadership roles for both proprietary and not-for-profit hospital organizations throughout his career.

Rick holds two undergraduate degrees from the University of Louisiana at Monroe: a Bachelor of Business Administration in Accounting and a Bachelor of Arts in History.  The Shrader family are sports enthusiasts and very active. Rick and his wife, Kandice, reside in Venice, Florida with their 3 of their 5 children: Eric (19), Thomas (16) and Jeb (16).

Karen Labonte, MSN, RN

Chief Nursing Officer

Karen Labonte most recently worked as a CNO for a 5-hospital for profit system in Northwest Arkansas.  She has over 36 years of nursing experience.  Her clinical expertise is in Labor and Delivery, OR and Cardiovascular Operating Room.  She has worked in leadership roles in OB, Med Surg, OR and Quality prior to becoming a CNO in 2009.  Karen has an Associates Degree in Nursing from Southern Arkansas University, as BSN from the University of Maine and a MSN from Benedictine University.

Karen and her husband Keith enjoy outdoor activities and spending time with their 5 grown children and grandchildren.

 

 

  Travis Parker

Chief Human Resources Officer

Travis B. Parker is currently the Chief Human Resources Officer at Southwest Health System, where he manages the Human Resources department, overseeing administration of hiring, retention, termination, personnel records, legal compliance, compensation benefits, and long term staffing strategies. His responsibilities include the development and administration of personnel rules and regulations, pay and job classification structure and programs for employee training, safety, health and morale.

Travis loves to spend time with his wife of 32 years, his two children, their spouses, and his three grandchildren. Travis and his wife also own and operate a Karate school in Cortez and love the physical as well as mental aspects of studying martial arts.

 

Elva Morgan

Interim Practice Administrator – Southwest Medical Group

Elva Morgan is Interim Practice Administrator for Southwest Medical Group, a group practice of primary care and specialty employed providers including Orthopedics, Podiatry, Primary Care, General Surgery, Sleep/Pulmonology, Women’s Health and Obstetrics.

Elva Morgan has over 30 years of direct practice management experience in group practice settings and integrated for-profit health care systems. She served as the Vice President of MSO Services for a large, privately owned multi-hospital system in San Antonio, Texas providing strategic and operational support for a start-up physician group that employed both ambulatory and hospital based providers across the city. She has also served in Regional VP and Director level positions providing operations leadership and management to hospital affiliated physician practice entities and MSO employees. She has been an owner and Chief Operations Officer of a healthcare consulting group in the North Dallas areas for the past 10 years.

Elva enjoys spending time at home in Plano, Texas with her husband of 25 years (Shine), twelve year old daughter (Sofia) and fur baby (Lucie). Free time is spent at their lake home in the Texas Hill Country or traveling.

The CEO, CFO and CNO are Community Hospital Corporation (CHC) employees.  Southwest Health System, Inc. has signed a 5-year management agreement with Community Hospital Consulting.  They provide the operational oversight of SHS through the Senior Leadership team and report directly to the SHS Board of Directors.

About Community Hospital Corporation – HELP WHERE HOSPITALS NEED IT®

Community Hospital Corporation owns, manages and consults with hospitals through three distinct organizations – CHC Hospitals, CHC Consulting and CHC ContinueCARE, which share a common purpose to guide, support and enhance the mission of community hospitals and healthcare providers. Based in Plano, Texas, CHC provides the resources and experience community hospitals need to improve quality outcomes, patient satisfaction and financial performance. For more information about CHC, please visit www.communityhospitalcorp.com.

Icon Image Of Financial Assistance For Health Care Services - Southwest Health System

Financial Assistance

Financial Services Co Pay

 

We are here to help you with financial assistance so you can focus on your health and healing. Our dedicated financial assistance coordinators can help navigate different programs that may be available to you and your family. We want to work with you to find the best program so bills are your last worry.

Contact us at 970-564-2131 (Fax: 970-564-2159) with questions or to make an appointment with one of our knowledgeable financial assistance coordinators.

Download a full overview of all of the financial assistance programs available:
Financial Assistance Presentation 3-8-2018

Southwest Health System Inc. (SHS) is dedicated to providing medically necessary healthcare services. These services are accessible to all without regard to age, race, color, disability, sex, sexual orientation, national origin, religion, marital status, political affiliation, veteran status, ability to pay, or genetic information. To assist in meeting those needs, we have established a policy to provide financial relief to those patients in need of medically necessary services and who are unable to meet their financial obligation due to being low-income uninsured, underinsured or medically indigent.  You can view a list of our FAP providers here.

The Financial Assistance Program will be updated annually in accordance with the Federal Poverty Guidelines (FAP 2017 Federal Poverty Level Amounts) as established by the Department of Health and Human Services. Under the rules and regulations, SHS is permitted to charge interest to any outstanding balance owed, however, it has been decided not to charge interest at this time.

The basis of these programs is the truthful and accurate provision and submission of financial information from the patient and/or responsible party(s). Patients and/or responsible party(s) that intentionally misrepresent their household financial information will be automatically disqualified from any consideration whatsoever with regard to this program. Intentional misrepresentation determination is the sole right of SHS.

Financial Assistance is not considered to be a substitute for personal responsibility. Patients are expected to cooperate with SHS’ procedures for obtaining other forms of payment or financial assistance, and to contribute to the cost of their care based on their individual ability to pay.

SCOPE

Southwest Health System, Inc. its patients and/or their responsible party(ies).

DEFINITIONS

Allowable Expenses: SHS may take into consideration actual payments made for day care, elderly care, child support payments, alimony payments, and health insurance premiums. Medical expenses due may also be taken into consideration.

Application Period: Timeframe in which SHS may accept Financial Assistance Program applications submitted by an individual. The period ends on the 240th day after SHS provides the individual with the first billing statement.

Covered Services: Medically necessary services provided by an entity of Southwest Health System, Inc.

Discounted Charges: Amount owed by the patient and/or responsible party(ies) for patient accounts that have been reduced due to eligibility for the Financial Assistance Program. Individuals eligible for the Financial Assistance Program may not be charged more than what Medicare pays, which are lower than any private health plan payment made to SHS.

Extraordinary Collection Actions (ECA): Include actions that require legal or judicial process taken by SHS against an individual related to obtaining payment of a bill for care covered under the Financial Assistance Program.

Family: Patient, his/her spouse (including a legal common law spouse) and his/her legal dependents according to the Internal Revenue Service rules.

Household: Family and their income and expenses.

Income: Gross wages, salaries, Social Security benefits, unemployment compensation, workers compensation, regular support from family members not living in the household, government pensions, private pensions, regular gifts and other monies regularly received.

Low-Income: Annual family income not more than 250% of the Federal Poverty Level Guidelines as published by the Department of Health and Human Services.

Medically Indigent: Patient and/or responsible party(ies) having Insufficient income in relation to medical expenses to be able to pay for medically necessary services.

Medically Necessary Service: Medical services considered to be necessary as defined by the Department of Health Care Policy and Financing 10 CCR 2505-10 Section 8.076.1.8. Cosmetic services are excluded.

Notification Period: Timeframe in which SHS notifies an individual of the Financial Assistance Program. This period begins on the date that care is provided to the individual and ends on the 120th day after SHS provides the individual with the first billing statement for care rendered. If an individual fails to submit an application by the end of the notification period and SHS has met notification requirements, SHS may engage in Extraordinary Collection Actions.

Patient Account: Encounter where medical services are rendered to an individual.

Responsible Party(ies): Person or persons legally responsible to pay for charges or services ordered on behalf of a patient.

Underinsured: Patient insurance that is financially inadequate.

Uninsured: Patient not covered by insurance.

POLICY

Southwest Health System, Inc. is dedicated to providing medically necessary healthcare services. These services are accessible to all without regard to age, race, color, disability, sex, sexual orientation, national origin, religion, marital status, political affiliation, veteran status, ability to pay, or genetic information.

To assist in meeting medically necessary healthcare needs, SHS may provide financial relief to those who are unable to meet their financial obligation due to being low-income uninsured, underinsured and/or medically indigent.

Information regarding SHS’s Financial Assistance Program is available on the SHS website and in SHS public areas. It is made available upon request, during registration, and within billing statements for the notification period. Information is conveyed in a clear and understandable manner at no charge.

The Financial Assistance Program is not considered to be a substitute for personal responsibility. The responsible party(ies) is expected to cooperate with SHS for obtaining other forms of payment or financial resources and to contribute to the cost of their care based on their ability to pay.

The basis of the Financial Assistance Program is the truthful and accurate provision and submission of financial information from the patient and/or responsible party (ies). Patient and/or responsible party (ies) who intentionally misrepresent their household information will be automatically disqualified from any consideration whatsoever with regard to the program. Intentional misrepresentation determination is the sole right of SHS.

This policy and its associated materials are updated annually in accordance with the Federal Poverty Guidelines as established by the Department of Health and Human Services.

PROCEDURE

A person may request information or an application for the Financial Assistance Program by mail, telephone or in person by contacting:

Southwest Health System, Inc.
Attention: Patient Financial Counseling
1311 N Mildred Road
Cortez, CO 81321
Phone: (970) 564-2131
Email: rhatfield@swhealth.org

Individuals should have a patient account that falls within the application period prior to applying for the Financial Assistance Program. SHS will make efforts to assist individuals in finding funding resources (i.e. Medicaid, Commercial Insurance, Colorado Indigent Care Program, etc.) prior to processing applications. Proof of denial for funding resources may be requested prior to FAP approval.

Eligibility Requirements: Eligibility for FAP is determined based upon demographic and financial information. Medically indigent cases are considered on a case by case basis. To be eligible patients and/or patient accounts must be:

  • Uninsured or underinsured
  • For medically necessary services
  • Resident of Colorado at the time of services
  • Provide proof of lawful presence
  • Gross income (before taxes) minus allowable expenses equal no more than 250% of the Federal Poverty Level.
  • Other funding resources, federal resources and state resources have been exhausted.

Considerations outside of the eligibility requirements must be approved by SHS Administration.

Application Requirements: Application completion should be within the Application Period. SHS will make reasonable attempts to inform an individual when an incomplete application is submitted. Incomplete applications may include:

  • FAP application not filled out in its entirety or accurately
  • Supporting documentation not received by SHS.

Completed applications are submitted for approval or denial. Applicants will be notified of application approval or denial status.

Approved FAP applications may be effective up to a year with consideration to income and expense variations. Individuals can complete a new application when more than one year has elapsed from prior applications.

Patient account adjustments under the FAP may be provided for covered services when eligibility requirements and application requirements have been met. Patient account adjustments are processed for approval or denial on a case by case basis. Applicants will be notified of discounted charges and non-discounted charges on a case by case basis.