2011-11-15T08:38:32-05:00 2010-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2010-01-01 010719207 FIRST MEDICAL INSURANCE COMPANY (RRG) FIRS 8028645599 C/O MARSH MANAGEMENT SERVICE 100 BANK STREET BURLINGTON VT 05401 THOMAS J TODOROW 2011-11-14 2673303000 2010 2016-02-24 21:20:13Z THOMAS J TODOROW 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19107 32501719 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 12280037 11575585 2739746 3223190 0 0 15019783 14798775 0 0 0 0 0 0 0 0 0 5328063 4865902 5328063 4865902 9691720 9932873 83562007 102234652 45793341 50549403 37768666 51685249 THE ORGANIZATION PROVIDES INSURANCE FOR THE CHILDREN'S HOSPITAL OF PHILADELPHIA AND CERTAIN AFFILIATED TAX-EXEMPT ORGANIZATIONS. false false 4728487 11575585 INSURANCE FOR CHILDREN'S HOSPITAL OF PHILADELPHIA AND ITS TAX EXEMPT ENTITIES 4728487 true false false false false false false false false false true false false true false true false 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 false true 0 0 0 false false false false false false false false false false false false false X 3 1 false true false false true true false true false false false true true true true true true false false false X MARSH MANAGEMENT SERVICES INC 8028645599 100 BANK ST STE 610 BURLINGTON VT 05401 X X THOMAS J TODOROW 1.0 X 0 1005410 8143 EDWARD F PRECOURT 1.0 X 0 0 0 Lynn Calhoun 1.0 X 0 187531 3565 0 1192941 11708 0 false true false 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 5 0 INSURANCE PREMIUM EARNED 11575585 11575585 11575585 3184218 3184218 0 0 17741916 17702944 38972 38972 38972 0 0 0 0 14798775 11575585 3223190 0 0 0 0 0 0 0 0 0 0 81248 0 81248 0 2925 0 2925 0 28400 0 28400 0 0 0 0 19550 0 19550 0 0 0 0 0 0 963 0 963 0 0 0 0 0 0 0 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 4865902 4728487 137415 0 4940483 8800843 155799 179402 35295784 37345207 43169941 55909200 83562007 102234652 323849 389572 45469492 50159831 45793341 50549403 X 5149516 5149516 32619150 46535733 37768666 51685249 83562007 102234652 X 9932873 3983710 X false true true X false X X X false false false THE CHILDREN'S HOSPITAL OF PHILADELPHIA 231352166 03 true true true 4372474 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 4372474 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 55909200 0 LOSSES PAYABLE 304964 UNEARNED PREMIUM RESERVES 5859937 LOSS ADJUSTMENT EXPENSES 40004154 PAYABLE FOR SECURITY PURCHASED 3990776 50159831 14798775 4865902 9932873 3983710 3983710 13916583 18782485 3983710 3983710 14798775 14798775 4865902 4865902 4865902 false true false false false false false false false 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 Schedule J, Part I, Line 4b Some officers, directors, and key employees listed in Part VII participate in 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 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 FORM 990 PART VII NAME:THOMAS J TODOROW TITLE:DIRECTOR,PRESIDENT & TREASURER HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Lynn Calhoun TITLE:DIRECTOR & SECRETARY HOURS:39 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 false false true false false false false false false false false false false false true false false false The children's hospital of philadelphia c 11575585 Children's Anesthesiology Associates Ltd o 2500 Children's Health Care Associates Inc o 2500