Skip to content
Nonprofiteer
← NORTHWESTERN ARIZONA REGIONALINSURANCE COMPANY

Form 990 for tax year 2022

Filed by NORTHWESTERN ARIZONA REGIONALINSURANCE COMPANY.

Totals

Total revenue
$2,623,405
Total expenses
$1,146,249
Contributions and grants received
$0
Grants paid
$1,000,000
Program service revenue
$1,966,756
Investment income
$380,215
Other revenue
$276,434
Total assets, end of year
$16,883,134
Total liabilities, end of year
$5,659,405
Net assets or fund balances, end of year
$11,223,729
Program services expenses (Part IX)
$1,023,300
Management and general expenses
$122,949
Fundraising expenses
$0
Program service expenses (Part III)
$1,023,300

Program services were 89.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PREMIUMS

    total $1,966,756 · related or exempt $1,966,756

  • 3 · Investment income

    total $385,352 · excluded $385,352

  • 7a · Gross sales of assets other than inventory

    securities $3,445,899

  • 7b · Less cost or other basis and sales expenses

    securities $3,451,036

  • 7c · Gain or loss

    securities -$5,137

  • 7d · Net gain or loss

    total -$5,137 · excluded -$5,137

  • 11a · Other revenue: LOSS RECOVERIES

    total $276,434 · related or exempt $276,434

  • 11e · Other revenue, total

    $276,434

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $1,000,000 · program services $1,000,000

  • 11a · Fees: management

    total $51,212 · management and general $51,212

  • 11b · Fees: legal

    total $565 · management and general $565

  • 11c · Fees: accounting

    total $18,520 · management and general $18,520

  • 11f · Fees: investment management

    total $52,652 · management and general $52,652

  • 11g · Fees: other

    total $17,800 · program services $17,800

  • 24a · Other expenses: DEPARTMENT OF INSURANCE

    total $5,500 · program services $5,500

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $407,434 · end of year $373,500

  • 2 · Savings and temporary cash investments

    beginning of year $1,623,170 · end of year $1,262,290

  • 4 · Accounts receivable

    beginning of year $332,343 · end of year $490,324

  • 12 · Investments: other securities

    beginning of year $13,543,618 · end of year $14,649,945

  • 15 · Other assets

    beginning of year $96,005 · end of year $107,075

  • 17 · Accounts payable and accrued expenses

    beginning of year $16,659 · end of year $18,833

  • 19 · Deferred revenue

    beginning of year $332,343 · end of year $326,883

  • 25 · Other liabilities

    beginning of year $5,748,125 · end of year $5,313,689

  • 29 · Capital stock, trust principal or current funds

    beginning of year $650,000 · end of year $650,000

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $9,255,443 · end of year $10,573,729

Mission and programs · 2022

Mission

NORTHWESTERN ARIZONA REGIONAL INSURANCE COMPANY PROVIDES PROFESSIONAL LIABILITY, GENERAL LIABILITY, EMPLOYMENT PRACTICES LIABILITY AND DIRECTORS AND OFFICERS' INSURANCE TO ITS PARENT ORGANIZATION, THE KINGMAN HOSPITAL, INC.

Activities or mission (Part I)

NORTHWESTERN ARIZONA REGIONAL INSURANCE COMPANY PROVIDES PROFESSIONAL LIABILITY, (CONT ON SCH O) GENERAL LIABILITY AND DIRECTORS AND OFFICERS' INSURANCE COVERAGE PURSUANT TO THE PROVISIONS OF ARIZONA REVISED STATUTES 20-1098. THE COMPANY CURRENTLY PROVIDES INSURANCE COVERAGE TO THE KINGMAN HOSPITAL, INC D/B/A KINGMAN REGIONAL MEDICAL CENTER. KINGMAN HOSPITAL, INC IS AN ARIZONA CORPORATION AND HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.

  • NORTHWESTERN ARIZONA REGIONAL INSURANCE COMPANY PROVIDES PROFESSIONAL LIABILITY, GENERAL LIABILITY, EMPLOYMENT PRACTICES LIABILITY, AND DIRECTORS AND OFFICERS' INSURANCE COVERAGE PURSUANT TO THE PROVISIONS OF ARIZONA REVISED STATUTES 20-1098. THE COMPANY CURRENTLY PROVIDES INSURANCE COVERAGE TO THE KINGMAN HOSPITAL, INC D/B/A KINGMAN REGIONAL MEDICAL CENTER. KINGMAN HOSPITAL, INC IS AN ARIZONA CORPORATION AND HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS A WHOLLY-OWNED SUBSIDIARY OF THE KINGMAN HOSPITAL, INC. ITS ACTIVITIES WERE FUNDED THROUGH A CONTRIBUTION FROM KINGMAN HOSPITAL, INC. THE COMPANY IS LOCATED IN PHOENIX, AZ AND IS GOVERNED BY A BOARD OF DIRECTORS, WHILE DAILY OPERATIONS ARE CONDUCTED BY AN ADMINISTRATOR,(CONT. ON SCH O)ASHTON TIFFANY, LLC, IN EXCHANGE FOR AN ANNUAL FEE. SERVICES PROVIDED BY THE ADMINISTRATOR INCLUDE UNDERWRITING, POLICY ISSUANCE, ACCOUNTING, RECORD-KEEPING, REGULATORY LIAISON, AND NEW PROGRAM DEVELOPMENT.

    Expenses $1,023,300 · Grants $1,000,000 · Revenue $2,243,190

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Coral Lloyd

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • James Baker

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Krystal Burge

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Christina Dimambro

    CFO, TRASURER

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202401369349309695

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.