FIRST MEDICAL INSURANCE COMPANT A RISK RETENTION GROUP: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: FIRST MEDICAL INSURANCE COMPANT A RISK RETENTION GROUP (EIN 01-0719207)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-14
IRS object ID: 201713189349304816
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-14T12:19:57-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	010719207	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FIRST MEDICAL INSURANCE COMPANY (RRG)	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MARSH MANAGEMENT SERVICES I	InCareOfNm
Business Name Control	FIRS	BusinessNameControlTxt
Phone	8028645599	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O MARSH MANAGEMENT SERVICES INC	AddressLine1Txt
City	BURLINGTON	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05401	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS J TODOROW	PersonNm
Person Title	EXECUTIVE VP & CFO	PersonTitleTxt
Phone	2155901000	PhoneNum
Signature	2017-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JOANNE KRUEGER	PreparerPersonNm
PTIN	P01235586	PTIN
Phone	2673303000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	155.201.188.33	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	23522320173185000004	FederalOriginalSubmissionId
Federal Original Submission Id	2017-11-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	11024F1F61DDAB8F52D460CAFA379D1B2DD8E070	AtSubmissionCreationDeviceId
At Submission Filing Device Id	CE88C8CFFE51E99E9DF9B7C5B75C02950C36D7D6	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	THOMAS J TODOROW	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3401 CIVIC CTR BLVD	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19104	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$71,249,055	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2002	FormationYr
Legal Domicile State	VT	LegalDomicileStateCd
Activity Or Mission	THE ORGANIZATION PROVIDES INSURANCE FOR THE CHILDREN'S HOSPITAL OF PHILADELPHIA AND CERTAIN AFFILIATED TAX -EXEMPT ORGANIZATIONS.	ActivityOrMissionDesc
Voting Members Governing Body	4	VotingMembersGoverningBodyCnt
Voting Members Independent	1	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$10,159,508	PYProgramServiceRevenueAmt
CY Program Service Revenue	$10,244,432	CYProgramServiceRevenueAmt
PY Investment Income	$3,408,985	PYInvestmentIncomeAmt
CY Investment Income	$4,380,382	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$13,568,493	PYTotalRevenueAmt
CY Total Revenue	$14,624,814	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$6,925,186	PYOtherExpensesAmt
CY Other Expenses	$11,502,987	CYOtherExpensesAmt
PY Total Expenses	$6,925,186	PYTotalExpensesAmt
CY Total Expenses	$11,502,987	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,643,307	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,121,827	CYRevenuesLessExpensesAmt
Total Assets BOY	$106,862,148	TotalAssetsBOYAmt
Total Assets EOY	$97,164,855	TotalAssetsEOYAmt
Total Liabilities BOY	$43,372,387	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$46,996,493	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$63,489,761	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$50,168,362	NetAssetsOrFundBalancesEOYAmt
Mission	THE ORGANIZATION PROVIDES INSURANCE FOR THE CHILDREN'S HOSPITAL OF PHILADELPHIA AND CERTAIN AFFILIATED TAX-EXEMPT ORGANIZATIONS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$11,114,941	ExpenseAmt
Revenue	$10,244,432	RevenueAmt
Desc	INSURANCE FOR CHILDREN'S HOSPITAL OF PHILADELPHIA AND ITS TAX-EXEMPT ENTITIES.	Desc
Total Program Service Expenses	$11,114,941	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	4	GoverningBodyVotingMembersCnt
Independent Voting Member	1	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MARSH MANAGEMENT SERVICES I	PersonNm
Phone	8028645599	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 BANK ST STE 610	AddressLine1Txt
City	BURLINGTON	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05401	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
THOMAS J TODOROW
DIRECTOR & PRESIDENT	1.0	44.0	Yes (X)	Yes (X)	$0	$1,515,234	$246,263
EDWARD F PRECOURT
DIRECTOR & ASSISTANT TREASURER	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
LYNN CALHOUN
DIRECTOR & SECRETARY	1.0	39.0	Yes (X)	Yes (X)	$0	$269,338	$17,630
MICHAEL CORBO
TREASURER	1.0	42.0	Yes (X)	Yes (X)	$0	$345,694	$17,078

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,130,266	TotReportableCompRltdOrgAmt
Total Other Compensation	$280,971	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WHITE WILLIAMS
ONE LIBERTY PL 1650 MARKET ST STE	PHILADELPHIA	PA	19103	LEGAL SERVICES	$2,170,849
POST POST LLC
200 BERWYN PARK STE 102 920 CASSA	BERWYN	PA	19312	LEGAL SERVICES	$439,297
CONRAD O'BRIEN PC
1515 MARKET STREET 16TH FLOOR	PHILADELPHIA	PA	19103	LEGAL SERVICES	$334,016
POST SCHELL PC
FOUR PENN CENTER 1600 JFK BLVD	PHILADELPHIA	PA	19103	LEGAL SERVICES	$215,668
STANDISH MELLON
1 BOSTON PL 5400	BOSTON	MA	02108	LEGAL SERVICES	$195,181

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	8	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Insurance Premium earned	Desc
Total Revenue Column	$10,244,432	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,244,432	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$10,244,432	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,446,981	TotalRevenueColumnAmt
Exclusion	$2,446,981	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$58,557,642	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$56,624,241	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,933,401	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,933,401	TotalRevenueColumnAmt
Exclusion	$1,933,401	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,624,814	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,244,432	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$4,380,382	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$91,000	TotalAmt
Management And General	$91,000	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$13,864	TotalAmt
Management And General	$13,864	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$38,120	TotalAmt
Management And General	$38,120	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$195,181	TotalAmt
Management And General	$195,181	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,247	TotalAmt
Management And General	$29,247	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,937	TotalAmt
Management And General	$1,937	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Losses & Loss Adjustment	$7,923,984	$7,923,984
PROVISION FOR IBNR	$2,864,390	$2,864,390
POLICY ACQUIS & UNDERWRITING	$326,567	$326,567
GENERAL & ADMINISTRATIVE	$18,697		$18,697

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,502,987	TotalAmt
Program Services	$11,114,941	ProgramServicesAmt
Management And General	$388,046	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,533,718	BOYAmt
EOY	$3,284,661	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$184,708	BOYAmt
EOY	$164,628	EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$41,430,290	BOYAmt
EOY	$38,983,904	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$61,713,432	BOYAmt
EOY	$54,731,662	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$106,862,148	BOYAmt
EOY	$97,164,855	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$169,277	BOYAmt
EOY	$188,802	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$43,203,110	BOYAmt
EOY	$46,807,691	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$43,372,387	BOYAmt
EOY	$46,996,493	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow SFAS117	Yes (X)	OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$5,149,516	BOYAmt
EOY	$5,150,516	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$58,340,245	BOYAmt
EOY	$45,017,846	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$63,489,761	BOYAmt
EOY	$50,168,362	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$106,862,148	BOYAmt
EOY	$97,164,855	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,121,827	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$223,774	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$16,667,000	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type1	Yes (X)	SupportingOrgType1Ind
IRS Written Determination	Yes (X)	IRSWrittenDeterminationInd
Supported Organizations	12	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (12 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
231352166	3	Yes (true)	$0	$0
THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDATION
232237932	7	Yes (true)	$0	$0
THE CHILDREN'S HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION
232311482	10	Yes (true)	$0	$0
CHOP CLINICAL ASSOCIATES INC
223548970	10	Yes (true)	$0	$0
CHILDREN'S ANESTHESIOLOGY ASSOCIATES LTD
232592835	10	Yes (true)	$0	$0
CHILDREN'S ANESTHESIOLOGY ASSOCIATES OF NEW JERSEY INC
223405673	10	Yes (true)	$0	$0
CHILDREN'S HEALTH CARE ASSOCIATES INC
222785804	10	Yes (true)	$0	$0
CHILDREN'S HEALTH CARE ASSOCIATES OF NEW JERSEY INC
233036699	10	Yes (true)	$0	$0
CHILDREN'S SURGICAL ASSOCIATES LTD
232589322	10	Yes (true)	$0	$0
CHILDREN'S SURGICAL ASSOCIATES OF NEW JERSEY INC
223348481	10	Yes (true)	$0	$0
RADIOLOGY ASSOCIATES OF THE CHILDREN'S HOSPITAL INC
232665855	10	Yes (true)	$0	$0
CHILDREN'S RADIOLOGY ASSOCIATES OF NEW JERSEY PC
811626790	10	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	12	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	false	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	Yes (true)	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	Yes (true)	OrganizationChangeSuprtOrgInd
Supported Org Class Designated	Yes (true)	SupportedOrgClassDesignatedInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (true)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE A, PART IV, SECTION A, LINE 1	FMIC PROVIDES INSURANCE TO THE CHILDREN'S HOSPITAL OF PHILADELPHIA ("CHOP") AND CERTAIN AFFILIATED TAX-EXEMPT ORGANIZATIONS. CHOP IS THE ONLY NAMED ENTITY IN FMIC'S ARTICLES OF INCORPORATION AND BYLAWS. PROFESSIONAL LIABILITY INSURANCE IS PROVIDED TO CHOP AFFILIATES WHO REQUIRE SUCH INSURANCE, SUCH AS PHYSICIAN PRACTICE PLANS. THESE PHYSICIAN PRACTICE PLANS ARE UNDER THE COMMON CONTROL OF CHOP. GENERAL LIABILITY INSURANCE IS PROVIDED TO CERTAIN CHOP CONTROLLED AFFILIATES. A SUPPORTED ORGANIZATION IS DESIGNATED BY ITS STATUS AS A CONTROLLED AFFILIATE OF CHOP. THE ORGANIZATIONS CURRENTLY SUPPORTED HAVE BEEN SUPPORTED FROM THE TIME FMIC WAS FORMED, OR FROM THE TIME SUCH OTHER ORGANIZATIONS WERE FORMED, AND ARE EXPECTED TO CONTINUE TO BE SUPPORTED SO LONG AS THEY REMAIN CHOP CONTROLLED AFFILIATES.
SCHEDULE A, PART IV, SECTION A, LINE 2	TWO OF THE SUPPORTED ORGANIZATIONS THE CHILDREN'S HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION AND CHOP CLINICAL ASSOCIATES INC. HAVE AN IRS DETERMINATION STATUS UNDER 509(A)(3). BOTH OF THESE ORGANIZATIONS, HOWEVER, MEET THE SUPPORT TEST REQUIRED UNDER 509(A)(2) AS MOST, IF NOT ALL, OF THEIR REVENUE IS PROGRAM SERVICE REVENUE.
SCHEDULE A, PART IV, LINE 5A	DURING CALENDAR YEAR 2016, FMIC ADDED CHILDREN'S RADIOLOGY ASSOCIATES OF NJ, P.C. (EIN: 81-1626790) AS A SUPPORTED ORGANIZATION. CHILDREN'S RADIOLOGY ASSOCIATES OF NJ, P.C. IS AN AFFILIATE OF CHOP AND UNDER COMMON CONTROL OF CHOP, THE NAMED SUPPORTED ORGANIZATION IN FMIC'S ARTICLES OF INCORPORATION AND BYLAWS.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp
Land		LandGrp
Buildings		BuildingsGrp
Leasehold Improvements		LeaseholdImprovementsGrp
Equipment		EquipmentGrp
Other Land Buildings		OtherLandBuildingsGrp
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (7 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
SPONSORED ENTERPRISES	$15,795,259	F
ASSET-BACKED SECURITIES	$6,109,231	F
COMMERCIAL MORTGAGE BACKED SEC	$3,292,737	F
MUNICIPAL BONDS	$4,891,633	F
ACCRUED INTEREST	$437,292
FOREIGN GOVERNMENTS	$21,553
CORPORATE DEBT SECURITIES	$24,183,957	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$54,731,662	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
LOSSES PAYABLE	$537,177
UNEARNED PREMIUM RESERVES	$5,205,858
LOSS ADJUSTMENT EXPENSES	$41,064,656

Field	Value	IRS element (for citing)
Total Liability	$46,807,691	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$14,653,407	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$223,774	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$223,774	RevenueNotReportedAmt
Revenue Subtotal	$14,429,633	RevenueSubtotalAmt
Investment Expenses Not Incld	$195,181	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$195,181	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$14,624,814	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$11,307,806	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$11,307,806	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$195,181	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$195,181	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$11,502,987	TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS J TODOROW
DIRECTOR & PRESIDENT	$0	$713,996	$0	$693,170	$0	$108,068	$0	$216,335	$0	$29,928	$0	$1,761,497	$0	$0
LYNN CALHOUN
DIRECTOR & SECRETARY	$0	$220,861	$0	$48,109	$0	$368	$0	$5,300	$0	$12,330	$0	$286,968	$0	$0
MICHAEL CORBO
DIRECTOR & TREASURER	$0	$284,785	$0	$60,909	$0	$0	$0	$5,300	$0	$11,778	$0	$362,772	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART II, LINE 4B	THOMAS J TODOROW - 98,240
SCHEDULE J, PART II, COLUMN (C)	THE AMOUNT REPORTED HERE MAY INCLUDE CHANGES IN ACTUARIAL VALUES OF SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS ("SERPS") AS REQUIRED TO BE REPORTED BY THE IRS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINES 6 AND 7	THE FOLLOWING ORGANIZATIONS ARE MEMBERS OF FIRST MEDICAL INSURANCE COMPANY (RRG): - THE CHILDREN'S HOSPITAL OF PHILADELPHIA - THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDATION - THE CHILDREN'S HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION - CHOP CLINICAL ASSOCIATES, INC. - CHILDREN'S ANESTHESIOLOGY ASSOCIATES, LTD. - CHILDREN'S ANESTHESIOLOGY ASSOCIATES OF NEW JERSEY - CHILDREN'S HEALTH CARE ASSOCIATES, INC. - CHILDREN'S HEALTH CARE ASSOCIATES OF NEW JERSEY, INC. - CHILDREN'S SURGICAL ASSOCIATES, LTD. - CHILDREN'S SURGICAL ASSOCIATES OF NEW JERSEY, INC. - RADIOLOGY ASSOCIATES OF THE CHILDREN'S HOSPITAL, INC. - CHILDREN'S RADIOLOGY ASSOCIATES OF NEW JERSEY, P.C. FORM 990, PART VI, SECTION A, LINE 7B UNDER FMIC'S BYLAWS, MEMBERS HAVE THE AUTHORITY TO ELECT OR REMOVE THE DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B FMIC RECEIVES AUDITED FINANCIAL STATEMENTS. A PUBLIC ACCOUNTING FIRM PREPARES THE FORM 990 BASED ON THESE FINANCIAL STATEMENTS AS WELL AS OTHER INFORMATION GATHERED. ONCE PREPARED, THE FORM 990 WAS REVIEWED BY THE FINANCE OFFICE OF CHOP AS WELL AS THE DIRECTORS AND BOARD MEMBERS OF FMIC PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12B	ALL OFFICERS, DIRECTORS OF FMIC ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. FORM 990, PART VI, SECTION B, LINE 12C FMIC HAS A CONFLICTS OF INTEREST POLICY. THAT POLICY APPLIES BY ITS TERMS TO THE DIRECTORS AND OFFICERS OF FMIC WHO ARE EMPLOYEES OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA; BY VIRTUE OF ITS ADOPTION BY FMIC, THE POLICY ALSO APPLIES TO THE DIRECTORS AND OFFICERS OF FMIC WHO ARE NOT EMPLOYEES OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA, WITH RESPECT TO THEIR DUTIES REGARDING FMIC. (FMIC DOES NOT HAVE ANY EMPLOYEES.) PURSUANT TO THE POLICY, ANNUAL CONFLICTS OF INTEREST STATEMENTS ARE COMPLETED BY ALL COVERED PERSONS, INCLUDING ALL DIRECTORS AND OFFICERS OF FMIC. THE STATEMENTS ARE REVIEWD BY FMIC BOARD FOR FURTHER REVIEW AND FOLLOW-UP AS NEEDED.
FORM 990, PART VI, SECTION C, LINE 19	FORM 990, FINANCIAL STATEMENTS, AND THE CONFLCITS OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES DISTRIBUTION FROM UNASSIGNED FUNDS: ($16,668,000) ISSUANCE OF MEMBERSHIP UNIT: $1,000 TOTALS ($16,667,000)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
3401 CIVIC CTR BLVD	PHILADELPHIA	PA	19104	231352166	HEALTHCARE	PA	501(C)(3)	3	CHOP FND	Yes (true)
CHOP FOUNDATION
3401 CIVIC CTR BLVD	PHILADELPHIA	PA	19104	232237932	SUPPORT	PA	501(C)(3)	7	NA	false
CHOP PRACTICE ASSOCIATION
3401 CIVIC CTR BLVD	PHILADELPHIA	PA	19104	232311482	HEALTHCARE	PA	501(C)(3)	12 III - FI	CHOP	Yes (true)
CHOP CLINICAL ASSOCIATES INC
3401 CIVIC CTR BLVD	PHILADELPHIA	PA	19104	223548970	HEALTHCARE	NJ	501(C)(3)	12 III - FI	CHOP	Yes (true)
CHILDREN'S ANESTHESIOLOGY ASSOC LTD
3401 CIVIC CTR BLVD	philadelphia	PA	19104	232592835	HEALTHCARE	PA	501(C)(3)	10	CHOP	Yes (true)
CHILDREN'S ANESTHESIOLOGY ASSOC OF NJ
3401 CIVIC CTR BLVD	PHILADELPHIA	PA	19104	223405673	HEALTHCARE	NJ	501(C)(3)	10	CHOP	Yes (true)
CHILDREN'S HEALTH CARE ASSOCIATES INC
100 PENN SQ E 9TH FL	PHILADELPHIA	PA	19107	222785804	HEALTHCARE	PA	501(C)(3)	10	CHOP	Yes (true)
CHILDREN'S HEALTH CARE ASSOCIATES OF NJ
51 HADDONFIELD ROAD	CHERRY HILL	NJ	08002	233036699	HEALTHCARE	NJ	501(C)(3)	10	CHOP	Yes (true)
CHILDREN'S SURGICAL ASSOCIATES LTD
3401 CIVIC CTR BLVD	PHILADELPHIA	PA	19104	232589322	HEALTHCARE	PA	501(C)(3)	10	CHOP	Yes (true)
CHILDREN'S SURGICAL ASSOCIATES OF NJ
3401 CIVIC CTR BLVD	PHILADELPHIA	PA	19104	223348481	HEALTHCARE	NJ	501(C)(3)	10	CHOP	Yes (true)
PGH DEVELOPMENT CORPORATION
426 CURIE BLVD	PHILADELPHIA	PA	19104	232351015	SUPPORT	PA	501(C)(3)	12 I	NA	false
SURGICAL ASSOCIATES RESEARCH & EDUCATION
3401 CIVIC CTR BLVD	PHILADELPHIA	PA	19104	232181768	RESEARCH	PA	501(C)(3)	12 III - FI	CHOP	Yes (true)
RADIOLOGY ASSOCIATES OF CHOP
3401 CIVIC CTR BLVD	PHILADELPHIA	PA	19104	232665855	HEALTHCARE	PA	501(C)(3)	10	CHOP	Yes (true)
CHILDREN'S RADIOLOGY ASSOCIATES OF NJ
100 PENN SQUARE EAST	PHILADELPHIA	PA	19107	811626790	HEALTHCARE	PA	501(C)(3)	10	CHOP	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	4865 MARKET ASSOC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3401 CIVIC CTR BLVD	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19104	ZIPCd

Field	Value	IRS element (for citing)
EIN	461341918	EIN
Primary Activities	REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	PA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HAYSTACK INFORMATICS INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3401 MARKET ST STE 200	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19104	ZIPCd

Field	Value	IRS element (for citing)
EIN	472433511	EIN
Primary Activities	TECHNOLOGY	PrimaryActivitiesTxt
Legal Domicile State	DE	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd