2026-04-16T13:31:09-05:00 2025-09-30 521446779 JOHNSON LAMBERT LLP 4242 SIX FORKS ROAD SUITE 1500 RALEIGH NC 27609 990 2024-10-01 812418876 FLORIDA MEDICAL INSURANCE CORPORATION FLOR 4412952185 951 N WASHINGTON AVE TITUSVILLE FL 32796 CHRISTOPHER MCALPINE PRESIDENT 4412952185 2026-04-16 1 1 J CALVIN MARKS P01226973 9197196400 2024 2025-03-06 01:10:19Z CHRISTOPHER MCALPINE 951 N WASHINGTON AVE TITUSVILLE FL 32796 1974547 0 X N/A X 2016 FL TO OPERATE AS A CAPTIVE INSURER FOR NORTH BREVARD MEDICAL SUPPORT, INC. AND PARRISH MEDICAL CENTER, AS WELL AS ANY AFFILIATED ENTITIES AND EMPLOYEES. 5 5 0 7 0 0 0 0 1351042 1554373 132918 417635 0 0 1483960 1972008 0 0 0 0 0 0 0 0 0 1552014 796405 1552014 796405 -68054 1175603 6581125 7932017 1376881 1526703 5204244 6405314 TO OPERATE AS A CAPTIVE INSURER FOR NORTH BREVARD MEDICAL SUPPORT, INC. AND PARRISH MEDICAL CENTER, AS WELL AS ANY AFFILIATED ENTITIES AND EMPLOYEES. 0 0 483111 1554373 PROVIDED NORTH BREVARD MEDICAL SUPPORT, INC. AND PARRISH MEDICAL CENTER WITH A STABLE SOURCE OF LIABILITY INSURANCE TAILORED TO THE SPECIALIZED NEEDS OF THE NONPROFIT MEDICAL INDUSTRY. 483111 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X CHRISTOPHER MCALPINE 4412952185 951 N WASHINGTON AVE TITUSVILLE FL 32796 DR GEORGE MIKITARIAN PHD DIRECTOR 1.00 39.00 X 0 577393 30500 DR CHRISTOPHER MANION MD DIRECTOR 1.00 39.00 X 0 543120 24058 MICHAEL MOEHRING TREASURER (FROM DEC '24) 1.00 39.00 X X 0 228172 23778 DR MARK GALFO MD DIRECTOR 1.00 39.00 X 0 224869 30500 DR JASON WIESELER MD DIRECTOR 1.00 39.00 X 0 128555 0 CHRISTOPHER MCALPINE PRESIDENT 1.00 39.00 X 0 329267 30500 LORI THOMPSON SECRETARY 1.00 39.00 X 0 91000 10471 0 2122376 149807 0 0 1 0 0 INSURANCE PREMIUM REVE 524298 1554373 1554373 1554373 417345 417345 2829 2539 290 290 290 1972008 1554373 0 417635 X 45071 45071 43702 43702 3723 3723 163809 163809 21 21 LOSSES & LAE INCURRED 426807 426807 TAXES AND LICENSES 56304 56304 56968 56968 796405 483111 313294 0 475591 1278051 36413 36564 389529 459564 110000 90000 5226233 5665415 343359 402423 6581125 7932017 183531 238895 1193350 1287808 1376881 1526703 X 0 0 2250000 2250000 2954244 4155314 5204244 6405314 6581125 7932017 1175603 25467 0 X 0 1 X 1 0 X X 2 NORTH BREVARD COUNTY HOSPITAL DBA PARRISH MEDICAL CENTER 596020427 3 1 0 796405 NORTH BREVARD MEDICAL SUPPORT INC 593074052 6 1 0 0 2 0 796405 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 REINSURANCE RECOVERABLE 301800 DUE FROM PARENT 94687 DEFERRED POLICY ACQUISITION COSTS 4725 ACCRUED INCOME 1211 402423 LOSS & LAE RESERVE 999520 UNEARNED PREMIUMS 288288 1287808 X 1993752 25467 25467 1968285 3723 3723 1972008 792682 0 792682 3723 3723 796405 PART X, LINE 2: MANAGEMENT HAS CONCLUDED THAT THE COMPANY HAS PROPERLY MAINTAINED ITS EXEMPT STATUS, AND HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS THAT WOULD JEOPARDIZE THIS STATUS. 0 0 0 0 0 0 0 0 0 DR GEORGE MIKITARIAN PHD DIRECTOR 0 577393 0 0 0 0 0 30500 0 0 0 607893 0 0 DR CHRISTOPHER MANION MD DIRECTOR 0 543120 0 0 0 0 0 24058 0 0 0 567178 0 0 CHRISTOPHER MCALPINE PRESIDENT 0 329267 0 0 0 0 0 30500 0 0 0 359767 0 0 DR MARK GALFO MD DIRECTOR 0 224869 0 0 0 0 0 30500 0 0 0 255369 0 0 MICHAEL MOEHRING TREASURER (FROM DEC '24) 0 228172 0 0 0 0 0 23778 0 0 0 251950 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION MAINTAINS A SOLE MEMBER AND STOCKHOLDER, NORTH BREVARD MEDICAL SUPPORT, INC. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS MADE AVAILABLE TO THE FULL BOARD FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF AN INTERESTED PERSON MUST RECUSE THEMSELVES FROM ANY DELIBERATION OR VOTE RELATED TO THE TRANSACTION OR ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE CORPORATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G ACTUARIAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 70,959. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,959. CLAIMS MANAGEMENT FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 68,850. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,850. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,000. NORTH BREVARD COUNTY HOSPITAL DIST DBA PARRISH MEDICAL CENTER 951 N WASHINGTON AVE TITUSVILLE FL 32796 596020427 HOSPITAL DISTRICT FL 501(C)(3) LINE 3 N/A 0 NORTH BREVARD MEDICAL SUPPORT 951 N WASHINGTON AVE TITUSVILLE FL 32796 593074052 MEDICAL SUPPORT FL 501(C)(3) LINE 6 NORTH BREVARD COUNTY HOSPITAL DISTRICT 0 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0