Civic Intelligence

Northwestern Arizona Regional Insurance

EIN 20-8081486 • 501(c)3 • Phoenix, AZ

Profile

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.

CO At 333 E Osborn Rd 300Phoenix, AZ 85012

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

61st percentile

0.28x

Higher debt load relative to assets than 61% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

89th percentile

2.20x

Higher debt load relative to revenue than 89% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

89th percentile

50%

Higher net margin than 89% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

15th percentile

$0

Higher top officer pay than 15% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

58th percentile

6.7%

Faster asset growth than 58% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

18th percentile

-11%

Faster revenue growth than 18% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Up

$18,020,460

Up $1,137,326 (+6.7%) from 2023

Liabilities

Down

$5,100,205

Down $559,200 (-9.9%) from 2023

Net Assets

Up

$12,920,255

Up $1,696,526 (+15%) from 2023

Revenue

Down

$2,322,448

Down $300,957 (-11%) from 2023

Expenses

Up

$1,154,162

Up $7,913 (+0.7%) from 2023

Net Income

Down

$1,168,286

Down $308,870 (-21%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0Assets 2011: $10,797,507Liabilities 2011: $5,081,180Net Assets 2011: $5,716,3272011Assets 2012: $12,814,322Liabilities 2012: $6,401,004Net Assets 2012: $6,413,3182012Assets 2013: $14,097,403Liabilities 2013: $8,688,114Net Assets 2013: $5,409,2892013Assets 2014: $13,044,564Liabilities 2014: $6,530,741Net Assets 2014: $6,513,8232014Assets 2015: $9,986,173Liabilities 2015: $7,258,935Net Assets 2015: $2,727,2382015Assets 2016: $9,885,908Liabilities 2016: $6,237,267Net Assets 2016: $3,648,6412016Assets 2017: $11,359,482Liabilities 2017: $6,571,751Net Assets 2017: $4,787,7312017Assets 2018: $12,821,289Liabilities 2018: $7,022,382Net Assets 2018: $5,798,9072018Assets 2019: $13,678,423Liabilities 2019: $6,346,802Net Assets 2019: $7,331,6212019Assets 2020: $16,400,636Liabilities 2020: $6,081,315Net Assets 2020: $10,319,3212020Assets 2021: $18,343,056Liabilities 2021: $6,264,257Net Assets 2021: $12,078,7992021Assets 2022: $16,002,570Liabilities 2022: $6,097,127Net Assets 2022: $9,905,4432022Assets 2023: $16,883,134Liabilities 2023: $5,659,405Net Assets 2023: $11,223,7292023Assets 2024: $18,020,460Liabilities 2024: $5,100,205Net Assets 2024: $12,920,2552024

Highlighted filing

2024

Assets$18,020,460
Liabilities$5,100,205
Net Assets$12,920,255

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$4.0M$2.0M$0-$2.0MRevenue 2011: $2,182,843Expenses 2011: $1,617,618Net Income 2011: $565,2252011Revenue 2012: $2,491,672Expenses 2012: $1,794,682Net Income 2012: $696,9902012Expenses 2013: $3,024,8022013Revenue 2014: $2,568,066Expenses 2014: $1,463,532Net Income 2014: $1,104,5342014Revenue 2015: $1,981,297Expenses 2015: $2,267,882Net Income 2015: -$286,5852015Revenue 2016: $2,778,547Expenses 2016: $1,857,144Net Income 2016: $921,4032016Revenue 2017: $2,687,091Expenses 2017: $1,329,168Net Income 2017: $1,357,9232017Revenue 2018: $2,876,190Expenses 2018: $1,538,902Net Income 2018: $1,337,2882018Revenue 2019: $2,799,510Expenses 2019: $1,700,936Net Income 2019: $1,098,5742019Revenue 2020: $2,857,037Expenses 2020: $145,241Net Income 2020: $2,711,7962020Revenue 2021: $2,668,912Expenses 2021: $801,582Net Income 2021: $1,867,3302021Revenue 2022: $2,364,262Expenses 2022: $3,334,087Net Income 2022: -$969,8252022Revenue 2023: $2,623,405Expenses 2023: $1,146,249Net Income 2023: $1,477,1562023Revenue 2024: $2,322,448Expenses 2024: $1,154,162Net Income 2024: $1,168,2862024

Highlighted filing

2024

Revenue$2,322,448
Expenses$1,154,162
Net Income$1,168,286

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$18.0$5.10$12.9$2.32$1.15$1.17
2023Detailed filing. Detailed filing data is available for this year.$16.9$5.66$11.2$2.62$1.15$1.48
2022Detailed filing. Detailed filing data is available for this year.$16.0$6.10$9.91$2.36$3.33$0.97
2021Detailed filing. Detailed filing data is available for this year.$18.3$6.26$12.1$2.67$0.80$1.87
2020Detailed filing. Detailed filing data is available for this year.$16.4$6.08$10.3$2.86$0.15$2.71
2019Detailed filing. Detailed filing data is available for this year.$13.7$6.35$7.33$2.80$1.70$1.10
2018Detailed filing. Detailed filing data is available for this year.$12.8$7.02$5.80$2.88$1.54$1.34
2017Detailed filing. Detailed filing data is available for this year.$11.4$6.57$4.79$2.69$1.33$1.36
2016Detailed filing. Detailed filing data is available for this year.$9.89$6.24$3.65$2.78$1.86$0.92
2015Detailed filing. Detailed filing data is available for this year.$9.99$7.26$2.73$1.98$2.27$0.29
2014Detailed filing. Detailed filing data is available for this year.$13.0$6.53$6.51$2.57$1.46$1.10
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.1$8.69$5.41$3.02
2012Summary only. Only limited summary data is available for this year.$12.8$6.40$6.41$2.49$1.79$0.70
2011Summary only. Only limited summary data is available for this year.$10.8$5.08$5.72$2.18$1.62$0.57
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 1, 2025
Return Version
2023v6.0
Gross Receipts
$6,424,808
Mission and Program Overview

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.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$14,649,945$15,684,531▲ $1,034,586
Rtn Earn Endowment Incm Other Fnds$10,573,729$12,270,255▲ $1,696,526
Savings and Temporary Cash Investments$1,262,290$1,229,196▼ $33,094
Cap Stk Tr Prin Current Funds$650,000$650,000→ $0
Cash and Non-Interest-Bearing Accounts$373,500$488,259▲ $114,759
Accounts Receivable$490,324$481,503▼ $8,821
Prepaid Expenses and Deferred Charges-$8,927-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Total Assets$16,883,134$18,020,460▲ $1,137,326
Other Assets Total$107,075$128,044▲ $20,969
Liabilities
Other Liabilities$5,313,689$4,766,452▼ $547,237
Deferred Revenue$326,883$321,002▼ $5,881
Accounts Payable and Accrued Expenses$18,833$12,751▼ $6,082
Total Liabilities$5,659,405$5,100,205▼ $559,200
Net Assets / Fund Balance
Total Net Assets Fund Balance$11,223,729$12,920,255▲ $1,696,526
Total Liabilities and Net Assets / Fund Balance$16,883,134$18,020,460▲ $1,137,326

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$3,583,056--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Krystal BurgePresident
James BakerVice President
Heath EvansBoard Member
Robert DevriesSecretary
Joshua HoffmanTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,931,893
Investment Income
$342,344
Other Revenue
$48,211
Change in Net Assets
$1,168,286

Audited Revenue Reconciliation

Revenue per Audited Statements
$2,268,736
Revenue Not Reported on Financial Statements
$53,712
Revenue Not Reported on Form 990
$528,240
Total Revenue per Audited Statements
$2,796,976
Total Revenue per Form 990
$2,322,448
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,000,000
Other Expenses$154,162
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,000,000--$1,000,000
Fees for Service Investment Mgmnt Fees-$53,712-$53,712
Fees for Services Management-$53,300-$53,300
Fees for Services Other$21,400--$21,400
Fees for Services Accounting-$20,250-$20,250
Other Expenses$5,500--$5,500
Total Functional Expenses$1,026,900$127,262$0$1,154,162

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$1,154,162
Expenses per Audited Statements$1,100,450
Total Expenses per Audited Statements$1,100,450
Expenses Not Reported on Financial Statements$53,712
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Kingman Healthcare IncKingman, AZ501(c)(3)General Support$1,000,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Reserve for Ibnr Losses$4,497,702
Reserve for Outstanding Losses$268,750
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

Officers heath evans and timothy blanchard have a business relationship through their employment at the organization's parent organization, the kingman hospital, inc. Mr. Evans is president and ceo of kingman hospital and mr. Blanchard is the chief financial officer of kingman hospital. The only relationship that mr. Evans and mr. Blanchard have with northwestern arizona regional insurance company is as board members.

Form 990, Part VI, Section A, Line 3

The company's daily operations are conducted by an administrator, risk program administrators, 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.

Form 990, Part VI, Section A, Line 6

The company allows members who are selected non-profit hospitals operating within the state of arizona. Kingman hospital, inc is the only member of the company.

Form 990, Part VI, Section A, Line 7A

Kingman hospital, inc., the company's sole member, elects all members of the governing body.

Form 990, Part VI, Section A, Line 7B

Decisions by the governing body are subject to approval by kingman hospital, inc., the company's sole member.

Form 990, Part VI, Section B, Line 11B

The form 990 is provided to director timothy blanchard for review and approval.

Form 990, Part VI, Section B, Line 12C

On an annual basis, voting members of the governing body are requested to sign a conflict of interest policy statement.

Form 990, Part VI, Section C, Line 19

Northwestern arizona regional insurance company makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Northwestern Arizona Regional Insurance
EIN
20-8081486
Phone
6022222108
Address
CO AT 333 E OSBORN RD 300, PHOENIX, AZ 85012

Signing Officer

Name
Krystal Burge
Title
President
Phone
6022222108
Signed
2025-05-01
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Krystal Burge
Formed
2006
Legal Domicile
Az
Voting Board Members
5
Independent Board Members
5
Employees
0
Volunteers
5

Preparer

Firm
Baker Tilly Advisory Group Lp
Address
2055 E WARNER RD STE 101, TEMPE, AZ 85284
Preparer
Colette Kamps CPA
Phone
4808394900
Supplemental Narrative

Additional Explanations

990, Page 12, Part XII, Line 2C

The board of directors reviews and approves the financial statements.

Financial Statement Notes

PART X, LINE 2:

The organization recognizes uncertainty in income taxes in the financial statements when it is more likely-than-not that the positions will not be sustained upon examination by the tax authorities. As of june 30, 2024, the organization had no uncertain tax positions that qualify for either recognition or disclosure in the financial statements.

Raw XML AppendixShowing 400 of 437 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2PRESIDENT
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IRS990/MissionDesc0NORTHWESTERN 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.
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IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt08927
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IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt01168286
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IRS990/RelatedEntityInd01
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IRS990/ReportLandBuildingEquipmentInd00
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IRS990/ReportOtherLiabilitiesInd01
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IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt01000000
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0KINGMAN HOSPITAL INC
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt01000000
IRS990/ScheduleBRequiredInd00
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IRS990ScheduleD/InvestmentExpensesNotIncldAmt053712
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0528240
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0268750
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt14497702
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0RESERVE FOR OUTSTANDING LOSSES
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1RESERVE FOR IBNR LOSSES
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt0188790
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt1530264
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt211382421
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt33583056
IRS990ScheduleD/OtherSecuritiesGrp/Desc0PREFERRED STOCK
IRS990ScheduleD/OtherSecuritiesGrp/Desc1GOVERNMENT BONDS
IRS990ScheduleD/OtherSecuritiesGrp/Desc2CORPORATE BONDS
IRS990ScheduleD/OtherSecuritiesGrp/Desc3ASSET-BACKED SECURITIES
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd1F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd2F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd3F
IRS990ScheduleD/RevenueNotReportedAmt0528240
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt053712
IRS990ScheduleD/RevenueSubtotalAmt02268736
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION RECOGNIZES UNCERTAINTY IN INCOME TAXES IN THE FINANCIAL STATEMENTS WHEN IT IS MORE LIKELY-THAN-NOT THAT THE POSITIONS WILL NOT BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. AS OF JUNE 30, 2024, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueSecuritiesAmt015684531
IRS990ScheduleD/TotalExpensesPerForm990Amt01154162
IRS990ScheduleD/TotalLiabilityAmt04766452
IRS990ScheduleD/TotalRevenuePerForm990Amt02322448
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt02796976
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt01100450
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt01000000
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0GENERAL SUPPORT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0KINGMAN HEALTHCARE INC
IRS990ScheduleI/RecipientTable/RecipientEIN0942916102
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt03269 STOCKTON HILL ROAD
IRS990ScheduleI/RecipientTable/USAddress/CityNm0KINGMAN
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0AZ
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd086409
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0DISTRIBUTIONS ARE ONLY MADE TO KINGMAN HOSPITAL, INC. WHICH IS A 501C3 ORGANIZATION. THE FILING ORGANIZATION IS A SUPPORTING ORGANIZATION TO KINGMAN HOSPITAL, INC.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0OFFICERS HEATH EVANS AND TIMOTHY BLANCHARD HAVE A BUSINESS RELATIONSHIP THROUGH THEIR EMPLOYMENT AT THE ORGANIZATION'S PARENT ORGANIZATION, THE KINGMAN HOSPITAL, INC. MR. EVANS IS PRESIDENT AND CEO OF KINGMAN HOSPITAL AND MR. BLANCHARD IS THE CHIEF FINANCIAL OFFICER OF KINGMAN HOSPITAL. THE ONLY RELATIONSHIP THAT MR. EVANS AND MR. BLANCHARD HAVE WITH NORTHWESTERN ARIZONA REGIONAL INSURANCE COMPANY IS AS BOARD MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE COMPANY'S DAILY OPERATIONS ARE CONDUCTED BY AN ADMINISTRATOR, RISK PROGRAM ADMINISTRATORS, 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE COMPANY ALLOWS MEMBERS WHO ARE SELECTED NON-PROFIT HOSPITALS OPERATING WITHIN THE STATE OF ARIZONA. KINGMAN HOSPITAL, INC IS THE ONLY MEMBER OF THE COMPANY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3KINGMAN HOSPITAL, INC., THE COMPANY'S SOLE MEMBER, ELECTS ALL MEMBERS OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DECISIONS BY THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY KINGMAN HOSPITAL, INC., THE COMPANY'S SOLE MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE FORM 990 IS PROVIDED TO DIRECTOR TIMOTHY BLANCHARD FOR REVIEW AND APPROVAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6ON AN ANNUAL BASIS, VOTING MEMBERS OF THE GOVERNING BODY ARE REQUESTED TO SIGN A CONFLICT OF INTEREST POLICY STATEMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7NORTHWESTERN ARIZONA REGIONAL INSURANCE COMPANY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FINANCIAL STATEMENTS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8990, PAGE 12, PART XII, LINE 2C
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IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
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IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0942916102
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt03269 STOCKTON HILL ROAD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0KINGMAN
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IRS990ScheduleR/PaidEmployeesSharingInd00
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IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
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IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
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IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
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IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt05
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IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0C/O A/T 333 E OSBORN RD 300

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