2013-11-14T15:42:32-06:00 2012-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2012-01-01 010719207 FIRST MEDICAL INSURANCE COMPANY (RRG) % MARSH MANAGEMENT SERVICES IN FIRS 8028645599 C/O MARSH MANAGEMENT SERVICE 100 BANK STREET Suite BURLINGTON VT 05401 THOMAS J TODOROW 2673303000 2013-11-14 true 2673303000 2012 2016-02-24 21:20:13Z THOMAS J TODOROW 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19107 81844834 false X N/A X 2002 VT the organization provides insurance for the children's hospital of philadelphia and certain affiliated tax-exempt organizations. 3 1 0 0 0 0 0 11997795 11693476 6317550 7151394 0 0 18315345 18844870 0 0 0 0 0 0 0 0 0 5288560 5885682 5288560 5885682 13026785 12959188 113182074 110536071 47559876 45878817 65622198 64657254 THE ORGANIZATION PROVIDES INSURANCE FOR THE CHILDREN'S HOSPITAL OF PHILADELPHIA AND CERTAIN AFFILIATED TAX-EXEMPT ORGANIZATIONS. false false 5504444 11693476 INSURANCE FOR CHILDREN'S HOSPITAL OF PHILADELPHIA AND ITS TAX EXEMPT ENTITIES 5504444 true false false false false false false false false false false true false false true false true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false X 3 1 false true false false true true false true false false true true true true true true true false false X MARSH MANAGEMENT SERVICES IN 8028645599 100 BANK ST STE 610 BURLINGTON VT 05401 X THOMAS J TODOROW 1.0 39.0 X X 0 1711036 9020 EDWARD F PRECOURT 1.0 0.0 X X 0 0 0 LYNN CALHOUN 1.0 39.0 X X 0 221117 780 0 1932153 9800 0 false true false WHITE WILLIAMS ONE LIBERTY PL 1650 MARKET ST STE PHILADELPHIA PA 19103 LEGAL SERVICES 833425 POST POST LLC 200 BERWYN PARK STE 102 920 CASSA BERWYN PA 19312 LEGAL SERVICES 359880 CONRAD O'BRIEN PC 1515 MARKET STREET 16TH FLOOR PHILADELPHIA PA 19103 LEGAL SERVICES 105486 POST SCHELL PC FOUR PENN CENTER 1600 JFK BLVD PHILADELPHIA PA 19103 LEGAL SERVICES 100428 STANDISH MELLON 1 BOSTON PL 5400 BOSTON MA 02108 INVESTMENT 227163 5 0 INSURANCE PREMIUM EARNED 11693476 11693476 11693476 3403058 3403058 0 0 0 0 0 66748300 62999964 3748336 3748336 3748336 0 0 0 0 18844870 11693476 7151394 0 0 0 0 0 0 0 0 0 0 84375 84375 4943 4943 27400 27400 0 0 227163 227163 31789 31789 0 0 0 0 0 824 824 0 0 0 0 0 0 LOSSES & LOSS ADJUSTMENT 3290940 3290940 PROVISION FOR IBNR 1811139 1811139 POLICY ACQUIS. & UNDERWRITING 402365 402365 GENERAL & ADMINISTRATIVE 4744 4744 5885682 5504444 381238 0 3716914 13721653 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186771 142773 0 48658507 36389884 60619882 60281761 0 0 0 0 0 0 113182074 110536071 161107 186669 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47398769 45692148 47559876 45878817 X 0 0 5149516 5149516 60472682 59507738 65622198 64657254 113182074 110536071 X 12959188 1507868 -15432000 X false true X true false X X X false false false THE CHILDREN'S HOSPITAL OF PHILADELPHIA 231352166 03 true true true 0 THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDATION 232237932 03 true true true 0 THE CHILDREN'S HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION 232311482 04 true true true 0 CHOP CLINICAL ASSOCIATES INC 223548970 04 true true true 0 CHILDREN'S ANESTHESIOLOGY ASSOCIATES LTD 232592835 04 true true true 0 CHILDREN'S ANESTHESIOLOGY ASSOCIATES OF NEW JERSEY INC 223405673 04 true true true 0 CHILDREN'S HEALTH CARE ASSOCIATES INC 233036699 04 true true true 0 CHILDREN'S HEALTH CARE ASSOCIATES OF NEW JERSEY INC 222785804 04 true true true 0 CHILDREN'S SURGICAL ASSOCIATES LTD 232589322 04 true true true 0 CHILDREN'S SURGICAL ASSOCIATES OF NEW JERSEY INC 223348481 04 true true true 0 RADIOLOGY ASSOCIATES OF THE CHILDREN'S HOSPITAL INC 232665855 03 true true true 0 11 SPONSORED ENTERPRISES 18940927 F ASSET-BACKED SECURITIES 6950133 F COMMERCIAL MORTGAGE BACKED SEC 2636533 F MUNICIPAL BONDS 2119196 F CORPORATE DEBT SECURITIES 28711011 F ACCRUED INTEREST 599242 F FOREIGN GOVERNMENTS 324719 F 60281761 0 LOSSES PAYABLE 1434295 UNEARNED PREMIUM RESERVES 5530665 LOSS ADJUSTMENT EXPENSES 38727188 45692148 20118286 1507868 1507868 18610418 234452 234452 18844870 5651230 5651230 234452 234452 5885682 false true false false false false false false false THOMAS J TODOROW 0 634375 0 468750 0 607911 0 5000 0 4020 0 1720056 0 363806 LYNN CALHOUN 0 187760 0 32073 0 1284 0 0 0 780 0 221897 0 0 Schedule J, Part I, Line 4b Some officers, directors, and key employees listed in Part VII participate in Supplemental Employee Retirement Plans ("SERPs"). Any SERP payments are reported in Column (B)(iii). FORM 990, PART VI, SECTION A, LINE 3 FIRST MEDICAL INSURANCE COMPANY DELEGATES THE MANAGEMENT OF ITS DAY TO DAY ACTIVITIES TO MARSH MANAGEMENT COMPANY. 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. 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 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 reviewed by FMIC board for further review and follow-up as needed. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF OFFICERS OR KEY EMPLOYEES WHO ARE PHYSICIANS/SCIENTISTS (INCLUDING THE CHAIRMAN) IS REVIEWED AND APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF THE BOARDS OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA AND THE CHILDREN'S HOPSITAL OF PHILADELPHIA FOUNDATION. THE COMMITTEE REVIEWS AND APPROVES IN ADVANCE THE COMPENSATION TO BE PROVIDED TO ALL FACULTY PHYSICIANS AND SCIENTISTS, INCLUDING THE CHAIRMAN. FOR EACH SUCH PERSON, THIS PROCESS WAS LAST PERFORMED IN 2012. IN MAKING ITS DETERMINATIONS, THE COMMITTEE CONSIDERS THE PERFORMANCE OF THE ORGANIZATION AND THAT OF THE COVERED INDIVIDUAL AS WELL AS RELATED BUSINESS JUDGMENT FACTORS. IT ALSO CONSIDERS MARKET COMPARISON REPORTS PREPARED BY AN EXTERNAL COMPENSATION CONSULTANT WITH SIGNIFICANT EXPERIENCE IN PERFORMING EXECUTIVE AND PHYSICIAN COMPENSATION ASSESSMENTS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE COMMITTEE'S PROCESS IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR THOSE INDIVIDUALS WHO ARE DISQUALIFIED PERSONS. THE PEER GROUP FOR EXECUTIVES GENERALLY INCLUDES LARGE AND COMPLEX ACADEMIC MEDICAL CENTERS AND HEALTH SYSTEMS. FOR PHYSICIANS AND SCIENTISTS, THE PEER GROUP GENERALLY INCLUDES ACADEMIC MEDICAL CENTERS. INFORMATION FROM OTHER ORGANIZATIONS MAY ALSO BE CONSIDERED WHERE APPROPRIATE FOR THE POSITION. FOR THOSE INDIVIDUALS WHO ARE NOT PHYSICIANS OR SCIENTISTS, THEIR COMPENSATION IS ESTABLISHED ACCORDING TO AN ADMINISTRATIVE COMPENSATION PLAN OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA, WHICH INCLUDES CONSIDERATION OF MARKET COMPENSATION FOR SIMILAR POSITIONS, AND THAT HAS A POTENTIAL FOR INCENTIVE COMPENSATION BASED ON PRODUCTIVITY, PERFORMANCE AND OTHER FACTORS FOR CERTAIN POSITIONS. ALL INDIVIDUALS REPORTED ON PART VII WHO RECEIVE COMPENSATION ARE PAID BY A RELATED ORGANIZATION. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES DISTRIBUTION FROM SURPLUS - $15,432,000 THE CHILDREN'S HOSPITAL OF PHILADELPHIA 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 231352166 HEALTHCARE PA 501(C)(3) 3 CHOP FND false CHOP FOUNDATION 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 232237932 SUPPORT PA 501(C)(3) 7 NA false CHOP PRACTICE ASSOCIATION 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 232311482 HEALTHCARE PA 501(C)(3) 9 CHOP false CHOP CLINICAL ASSOCIATES INC C/O CHOP 34TH ST CIVIC CTR PHILADELPHIA PA 19104 223548970 HEALTHCARE NJ 501(C)(3) 9 CHOP false CHILDREN'S ANESTHESIOLOGY ASSOC LTD 34TH ST CIVIC CENTER BLVD philadelphia PA 19104 232592835 HEALTHCARE PA 501(C)(3) 9 CHOP false CHILDREN'S ANESTHESIOLOGY ASSOC OF NJ 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19103 223405673 HEALTHCARE NJ 501(C)(3) 9 CHOP false CHILDREN'S HEALTH CARE ASSOCIATES INC 100 PENN SQ E 9TH FL PHILADELPHIA PA 19107 222785804 HEALTHCARE PA 501(C)(3) 9 CHOP false CHILDREN'S HEALTH CARE ASSOCIATES OF NJ 51 HADDONFIELD ROAD CHERRY HILL NJ 08002 233036699 HEALTHCARE NJ 501(C)(3) 9 CHOP false CHILDREN'S SURGICAL ASSOCIATES LTD 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 232589322 HEALTHCARE PA 501(C)(3) 9 CHOP false CHILDREN'S SURGICAL ASSOCIATES OF NJ 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 223348481 HEALTHCARE NJ 501(C)(3) 9 CHOP false RADIOLOGY ASSOCIATES OF CHOP 100 PENN SQUARE EAST PHILADELPHIA PA 19107 232665855 HEALTHCARE PA 501(C)(3) 9 CHOP false PGH DEVELOPMENT CORPORATION 426 CURIE BLVD PHILADELPHIA PA 19104 232351015 SUPPORT PA 501(C)(3) 11 III - FI NA false SURGICAL ASSOCIATES RESEARCH & EDUCATION 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 232181768 RESEARCH PA 501(C)(3) 11 III - F1 CHOP false 4865 MARKET ASSOC LP 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 461341918 REAL ESTATE PA NA N/A false false false false false false false false false false false false false false false false false false false