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Nonprofit · EIN 20-8081486

NORTHWESTERN ARIZONA REGIONALINSURANCE COMPANY

Tax-exempt · PHOENIX, AZ 85012

Financials

$2.6M$1.1M2022$2.3M$1.2M2023$1.3M$2.2M2024
Revenue Expenses · by fiscal year end
Financials of NORTHWESTERN ARIZONA REGIONALINSURANCE COMPANY by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
June 30, 2025990$1,340,339$2,156,999-$816,660$19,342,069$6,637,242$12,704,827
June 30, 2024990$2,322,448$1,154,162$1,168,286$18,020,460$5,100,205$12,920,255
June 30, 2023990$2,623,405$1,146,249$1,477,156$16,883,134$5,659,405$11,223,729
Financial details: 990 for the year ended June 30, 2025

Revenue

Contributions, gifts and grants
$0
Program service revenue
$2,280,905
Investment income
$629,240
Net gain from sales of assets
-$21,670
Other revenue
-$1,569,806

Expenses

Grants and similar amounts paid
$2,000,000
Salaries, compensation and benefits (total)
$0
Professional fundraising fees
$0
Legal fees
$938
Accounting fees
$20,660
Program services (functional)
$2,024,401
Management and general (functional)
$132,598

Balance sheet and other

Total assets, start of year
$18,020,460
Total assets, end of year
$19,342,069
Total liabilities, end of year
$6,637,242
Net assets, end of year
$12,704,827
Gross receipts
$2,719,653
Employees
0
Volunteers
3
Year formed
2006
State of legal domicile
AZ

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended June 30, 2025, highest compensation first.

NameTitleHours / weekCompensationFrom related orgsOther / benefits
HEATH EVANSBOARD MEMBERS
Trustee or director
1$0$812,297$37,872
JOSHUA HOFFMANTREASURER
Trustee or director, Officer
1$0$386,558$46,831
KRYSTAL BURGEPRESIDENT
Trustee or director, Officer
1$0$0$0
JAMES BAKERVICE PRESIDENT
Trustee or director, Officer
1$0$0$0
ROBERT DEVRIESSECRETARY
Trustee or director, Officer
1$0$0$0
990 for the year ended June 30, 2024: 5 people
NameTitleHours / weekCompensation
ROBERT DEVRIESSECRETARY
Trustee or director, Officer
1$0
JAMES BAKERVICE PRESIDENT
Trustee or director, Officer
1$0
KRYSTAL BURGEPRESIDENT
Trustee or director, Officer
1$0
JOSHUA HOFFMANTREASURER
Trustee or director, Officer
1$0
HEATH EVANSBOARD MEMBER
Trustee or director
1$0
990 for the year ended June 30, 2023: 4 people
NameTitleHours / weekCompensation
CORAL LLOYDSECRETARY
Trustee or director, Officer
1$0
JAMES BAKERVICE PRESIDENT
Trustee or director, Officer
1$0
KRYSTAL BURGEPRESIDENT
Trustee or director, Officer
1$0
CHRISTINA DIMAMBROCFO, TRASURER
Trustee or director, Officer
1$0

Address and contacts

Address (IRS master file)
CO AT 333 E OSBORN RD 300, PHOENIX, AZ 85012-0000
Principal officer (990 for 2024)
KRYSTAL BURGE, CO AT 333 E OSBORN RD 300, PHOENIX, AZ 85012
Signed the 990
KRYSTAL BURGE, PRESIDENT
Phone
(602) 222-2108
Return prepared by
BAKER TILLY ADVISORY GROUP LP

Mission

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

990 for the year ended June 30, 2025

Program accomplishments

  • NORTHWESTERN ARIZONA REGIONAL INSURANCE COMPANY PROVIDES PROFESSIONAL LIABILITY, GENERAL LIABILITY, EMPLOYMENT PRACTICES LIABILITY, DIRECTORS AND OFFICERS AND WORKERS COMPENSATION INSURANCE COVERAGE PURSUANT TO THE PROVISIONS OF ARIZONA REVISED STATUTES 20-1098. THE COMPANY CURRENTLY PROVIDES INSURANCE COVERAGE TO THE KINGMAN HEALTHCARE, INC D/B/A KINGMAN REGIONAL MEDICAL CENTER. KINGMAN HEALTHCARE, 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 HEALTHCARE, INC. ITS ACTIVITIES WERE FUNDED THROUGH A CONTRIBUTION FROM KINGMAN HEALTHCARE, INC. THE COMPANY IS LOCATED IN PHOENIX, AZ AND IS GOVERNED BY A BOARD OF DIRECTORS, WHILE 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, RECORDKEEPING, REGULATORY LIAISON, AND NEW PROGRAM DEVELOPMENT.
    Expenses $2,024,401 · grants $2,000,000 · revenue $711,099

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025June 30, 2026November 16, 2026Not due yet
2024June 30, 2025November 17, 2025990 on file
2023June 30, 2024November 15, 2024990 on file

IRS record

EIN
20-8081486
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Supporting organization (509(a)(3))
Donations deductible (Pub 78)
Supporting organization of unknown type
Exempt since
2010
Accounting year ends
June
Files
Form 990 or 990-EZ
Category (NTEE)
Health care (E11)
Assets (IRS master file)
$19,342,069
Income (IRS master file)
$2,719,653

Filing history

FormYear endedRevenueExpensesAssetsReturn
990June 2025$1,340,339$2,156,999$19,342,069IRS
990June 2024$2,322,448$1,154,162$18,020,460IRS
990June 2023$2,623,405$1,146,249$16,883,134XML
990June 2022$2,364,262$3,334,087$16,002,570IRS
990June 2021–––IRS
990June 2020–––IRS
990June 2018–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 20-8081486).

Questions about NORTHWESTERN ARIZONA REGIONALINSURANCE COMPANY

What is the EIN of NORTHWESTERN ARIZONA REGIONALINSURANCE COMPANY?
The employer identification number (EIN) of NORTHWESTERN ARIZONA REGIONALINSURANCE COMPANY is 20-8081486.
Is NORTHWESTERN ARIZONA REGIONALINSURANCE COMPANY tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2010.
Are donations to NORTHWESTERN ARIZONA REGIONALINSURANCE COMPANY tax-deductible?
Yes. It is listed in IRS Publication 78 (Supporting organization of unknown type).
Which annual return does NORTHWESTERN ARIZONA REGIONALINSURANCE COMPANY file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of NORTHWESTERN ARIZONA REGIONALINSURANCE COMPANY due?
The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
When did NORTHWESTERN ARIZONA REGIONALINSURANCE COMPANY last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended June 2025.
Who is the principal officer of NORTHWESTERN ARIZONA REGIONALINSURANCE COMPANY?
The 990 for the year ended June 30, 2025 names KRYSTAL BURGE.
Who are the officers and directors of NORTHWESTERN ARIZONA REGIONALINSURANCE COMPANY?
The 990 for the year ended June 30, 2025 lists 5 people; 0 received compensation from the organization.
How much revenue does NORTHWESTERN ARIZONA REGIONALINSURANCE COMPANY have?
On its 990 for the year ended June 30, 2025 it reported revenue of $1,340,339, expenses of $2,156,999 and total assets of $19,342,069 at year end.

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