FIRST MEDICAL INSURANCE COMPANT A RISK RETENTION GROUP: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- FIRST MEDICAL INSURANCE COMPANT A RISK RETENTION GROUP (EIN 01-0719207)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201143199349300149
- Schema version
- 2010v3.4
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T08:38:32-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 MARKET ST SUITE 1700 | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010719207 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIRST MEDICAL INSURANCE COMPANY (RRG) | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FIRS | NameControl |
| Phone | 8028645599 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O MARSH MANAGEMENT SERVICE | AddressLine1 |
| Address Line2 | 100 BANK STREET | AddressLine2 |
| City | BURLINGTON | City |
| State | VT | State |
| ZIP Code | 05401 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS J TODOROW | Name |
| Title | PRESIDENT | Title |
| Date Signed | 2011-11-14 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2673303000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS J TODOROW | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 34TH ST CIVIC CENTER BLVD | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19107 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 32501719 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2002 | YearFormation |
| State Legal Domicile | VT | StateLegalDomicile |
| Activity Or Mission Description | the organization provides insurance for the children's hospital of philadelphia and certain affiliated tax-exempt organizations. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 1 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 12280037 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 11575585 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2739746 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3223190 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 15019783 | TotalRevenuePriorYear |
| Total Revenue Current Year | 14798775 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5328063 | OtherExpensePriorYear |
| Other Expenses Current Year | 4865902 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5328063 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4865902 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 9691720 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 9932873 | RevenuesLessExpensesCY |
| Total Assets BOY | 83562007 | TotalAssetsBOY |
| Total Assets EOY | 102234652 | TotalAssetsEOY |
| Total Liabilities BOY | 45793341 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 50549403 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 37768666 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 51685249 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ORGANIZATION PROVIDES INSURANCE FOR THE CHILDREN'S HOSPITAL OF PHILADELPHIA AND CERTAIN AFFILIATED TAX-EXEMPT ORGANIZATIONS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 4728487 | Expense |
| Revenue | 11575585 | Revenue |
| Description | INSURANCE FOR CHILDREN'S HOSPITAL OF PHILADELPHIA AND ITS TAX EXEMPT ENTITIES | Description |
| Total Program Service Expense | 4728487 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 1 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | false | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARSH MANAGEMENT SERVICES INC | NamePerson |
| Telephone Number | 8028645599 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 BANK ST STE 610 | AddressLine1 |
| City | BURLINGTON | City |
| State | VT | State |
| ZIP Code | 05401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (3 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|
| THOMAS J TODOROW | |||||
| DIRECTOR,PRESIDENT & TREASURER | 1.0 | X | 0 | 1005410 | 8143 |
| EDWARD F PRECOURT | |||||
| DIRECTOR & ASSISTANT TREASURER | 1.0 | X | 0 | 0 | 0 |
| Lynn Calhoun | |||||
| DIRECTOR & SECRETARY | 1.0 | X | 0 | 187531 | 3565 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1192941 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 11708 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WHITE WILLIAMS | |||||
| ONE LIBERTY PL 1650 MARKET ST STE | PHILADELPHIA | PA | 19103 | LEGAL SERVICES | 664595 |
| POST POST LLC | |||||
| 200 BERWYN PARK STE 102 920 CASSA | BERWYN | PA | 19312 | LEGAL SERVICES | 285369 |
| CONRAD O'BRIEN PC | |||||
| 1515 MARKET STREET 16TH FLOOR | PHILADELPHIA | PA | 19103 | LEGAL SERVICES | 198592 |
| TUCKER LAW GROUP LLC | |||||
| ONE PENN CENTER 1617 JFK BLVD STE | PHILADELPHIA | PA | 19103 | LEGAL SERVICES | 158973 |
| POST SCHELL PC | |||||
| FOUR PENN CENTER 1600 JFK BLVD | PHILADELPHIA | PA | 19103 | LEGAL SERVICES | 101740 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INSURANCE PREMIUM EARNED | Description |
| Total Revenue Column | 11575585 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11575585 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 11575585 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3184218 | TotalRevenueColumn |
| Exclusion | $3,184,218 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 17741916 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 17702944 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 38972 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 38972 | TotalRevenueColumn |
| Exclusion | $38,972 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14798775 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11575585 | RelatedOrExemptFunctionIncome |
| Exclusion | $3,223,190 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81248 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 81248 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2925 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2925 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28400 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 28400 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19550 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 19550 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 963 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 963 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| LOSSES & LOSS ADJUSTMENT | 4177768 | 4177768 | 0 | 0 |
| PROVISION FOR IBNR | 194706 | 194706 | 0 | 0 |
| POLICY ACQUIS.. & UNDERWRITING | 356013 | 356013 | 0 | 0 |
| GENERAL & ADMINISTRATIVE | 4329 | 0 | 4329 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4865902 | Total |
| Program Services | 4728487 | ProgramServices |
| Management And General | 137415 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4940483 | BOY |
| EOY | 8800843 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155799 | BOY |
| EOY | 179402 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35295784 | BOY |
| EOY | 37345207 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43169941 | BOY |
| EOY | 55909200 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83562007 | BOY |
| EOY | 102234652 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 323849 | BOY |
| EOY | 389572 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45469492 | BOY |
| EOY | 50159831 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45793341 | BOY |
| EOY | 50549403 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5149516 | BOY |
| EOY | 5149516 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32619150 | BOY |
| EOY | 46535733 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37768666 | BOY |
| EOY | 51685249 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83562007 | BOY |
| EOY | 102234652 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 9932873 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 3983710 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (11 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| THE CHILDREN'S HOSPITAL OF PHILADELPHIA | |||||
| 231352166 | 03 | true | true | true | $4,372,474 |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 11 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 4372474 | SumOfAmounts |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment | |
| Other Land Buildings | OtherLandBuildings | |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| SPONSORED ENTERPRISES | 21405475 |
| ASSET-BACKED SECURITIES | 707689 |
| COMMERCIAL MORTGAGE BACKED SEC | 1732173 |
| MUNICIPAL BONDS | 425395 |
| CORPORATE DEBT SECURITIES | 30322923 |
| ACCRUED INTEREST | 801193 |
| FOREIGN GOVERNMENTS | 514352 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 55909200 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| LOSSES PAYABLE | $304,964 |
| UNEARNED PREMIUM RESERVES | $5,859,937 |
| LOSS ADJUSTMENT EXPENSES | $40,004,154 |
| PAYABLE FOR SECURITY PURCHASED | $3,990,776 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 50159831 | TotalOfAmounts |
| Total Revenue | 14798775 | TotalRevenue |
| Total Expenses | 4865902 | TotalExpenses |
| Excess Or Deficit For Year | 9932873 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 3983710 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 3983710 | TotalAdjustments |
| Excess Or Deficit Per FS | 13916583 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 18782485 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 3983710 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 3983710 | RevenueNotRptdF990 |
| Revenue Subtotal | 14798775 | RevenueSubtotal |
| Total Revenue Per Form990 | 14798775 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4865902 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 4865902 | ExpensesSubtotal |
| Total Expenses Per Form990 | 4865902 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS J TODOROW | |||||||||||||
| 0 | 546250 | 0 | 388125 | 0 | 71035 | 0 | 4900 | 0 | 3243 | 0 | 1013553 | 0 | 0 |
| Lynn Calhoun | |||||||||||||
| 0 | 155596 | 0 | 31935 | 0 | 0 | 0 | 2785 | 0 | 780 | 0 | 191096 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule J, Part I, Line 4b | Identifier |
| Explanation | Some officers, directors, and key employees listed in Part VII participate in SERPs. Any SERP payments are reported in Column (B)(iii). | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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 11A | 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 12 | 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 15 | ALL INDIVIDUALS REPORTED ON PART VII WHO RECEIVE COMPENSATION ARE PAID BY A RELATED ORGANIZATION. FORM 990, PART XI LINE 5 - UNREALIZED GAINS ON INVESTMENTS: $3,983,710 | |
| SCHEDULE A, PART I, INFORMATION REGARDING SUPPORTED ORGANIZATIONS | FMIC PROVIDES INSURANCE SUPPORT TO ALL ORGANIZATIONS LISTED ON SCHEDULE A, ATTACHMENT 1. THE $4,372,474 IS THE AMOUNT OF INSURANCE PROVIDED TO THE CHILDREN'S HOSPITAL OF PHILADELPHIA AND ALL ORGANIZATIONS LISTED ON SCHEDULE A, ATTACHMENT 1. | |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:THOMAS J TODOROW TITLE:DIRECTOR,PRESIDENT & TREASURER HOURS:39 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Lynn Calhoun TITLE:DIRECTOR & SECRETARY HOURS:39 | FORM 990 PART VII |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| The CHILDREN'S HOSPITAL OF PHILADELPHIA | |||||||||
| 34TH ST CIVIC CENTER BLVD | PHILADELPHIA | PA | 19104 | 231352166 | Hospital | PA | 501(C)(3) | 3 | NA |
| THE CHILDREN'S HOSPITAL foundation | |||||||||
| 34TH ST CIVIC CENTER BLVD | PHILADELPHIA | PA | 19104 | 232237932 | HOSP SUPPORT | PA | 501(C)(3) | 7 | NA |
| THE CHILDREN'S HOSPITAL OF PHILADELPHIA | |||||||||
| 34th st Civic center blvd | philadelphia | PA | 19104 | 232311482 | healthcare | PA | 501(c)(3) | 9 | NA |
| chop clinical associates inc | |||||||||
| 34th st civic center blvd | philadlephia | PA | 19104 | 223548970 | healthcare | PA | 501(C)(3) | 9 | NA |
| children's anesthesiology associates ltd | |||||||||
| 34th and civic center boulevard | philadelphia | PA | 19104 | 232592835 | healthcare | PA | 501(C)(3) | 9 | na |
| children's anesthesiology assoc of nj | |||||||||
| 100 north 20th street | philadelphia | PA | 19103 | 223405673 | healthcare | NJ | 501(C)(3) | 9 | na |
| children's health care associates inc | |||||||||
| 100 north 20th street | philadelphia | PA | 19103 | 222785804 | healthcare | PA | 501(C)(3) | 9 | na |
| children's health care associates of nj | |||||||||
| 51 haddonfield road | cherry hill | NJ | 08002 | 233036699 | healthcare | NJ | 501(C)(3) | 9 | na |
| children's surgical associates ltd | |||||||||
| 1 childrens center | philadelphia | PA | 19104 | 232589322 | healthcare | PA | 501(C)(3) | 9 | na |
| Children's Surgical Associates of NJ | |||||||||
| 1012 laurel oaks road | voorhees | NJ | 08043 | 223348481 | healthcare | NJ | 501(3)(3) | 9 | na |
| radiology associates of children's hosp | |||||||||
| 34th Civic center blvd | philadelphia | PA | 19104 | 232665855 | healthcare | PA | 501(c)(3) | 9 | na |
| pgh development corporation | |||||||||
| 426 curie blvd | philadelphia | PA | 19104 | 232351015 | support | PA | 501(c)(3) | 11-a | na |
| SURGICAL ASSOCIATES RESEARCH & EDUCATION | |||||||||
| 34TH ST CIVIC CENTER BLVD | PHILADELPHIA | PA | 19104 | 232181768 | RESEARCH | PA | 501(C)(3) | 11 III-FI | NA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| The children's hospital of philadelphia | |
| c | 11575585 |
| Children's Anesthesiology Associates Ltd | |
| o | 2500 |
| Children's Health Care Associates Inc | |
| o | 2500 |
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