WMRMC Financial Assistance Policy

If you would like information about our Charity Policy, please click on your language below for a Plain Language Summary of the Financial Assistance Policy; Available in both English and Spanish.

Summary of the Financial Assistance Policy (English) (Spanish)

For the complete Financial Assistance Policy (FAP), select your language below.

Financial Assistance Policy (English) (Spanish)

For the current annual calculation for Amounts Generally Billed (AGB); Click Here

For a current listing of providers/groups covered by the FAP; Click Here.

Providers who refer patients to WMRMC may or may not have their own Financial Assistance Policy.

For providers who do NOT participate in WMRMC's Financial Assistance Policy; Click Here.

For current ChargeMaster Listing Click Here

Application Instructions

To apply for WMRMC Financial Assistance Application please click here to download the form. Please return this form to Patient Financial Services at the hospital or mail to:

White Mountain Regional Medical Center
Patient Financial Services
118 South Mountain Avenue
Springerville, AZ 85938

Paper copies of the Financial Assistance Policy, Plain Language Summary, and Application are available at the Admitting Office and at Patient Financial Services.

In compliance with Federal Regulations, 501(R), please click below for Form 990.

FY 2016:
Click Here

FY 2017:
Click Here

FY 2018:
Click Here

FY 2019:
Click Here

In compliance with Federal Regulations, 501(R), please click here for WMRMC Community Health Needs Assessment results.