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CHILD DIMENSIONS INSURANCE COMPANY: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CHILD DIMENSIONS INSURANCE COMPANY (EIN 03-0317160)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202243199349306889
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2022-11-15T10:09:08-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12601 CAMBRIDGE CT STE 300AddressLine1Txt
CityAUBURN HILLSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48326ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN030317160EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILD DIMENSIONS INSURANCE COMPANYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone3305438171PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PERKINS SQUAREAddressLine1Txt
CityAKRONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44308ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALICIA LAMANCUSAPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3305438171PhoneNum
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstALICIAPersonFirstNm
Person LastLAMANCUSAPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CIMINELLOPreparerPersonNm
PTINP00796388PTIN
Phone2483757100PhoneNum
Preparation2022-11-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRISTOPHER GESSNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PERKINS SQUAREAddressLine1Txt
CityAKRONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44308ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$19,119,089GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateVTLegalDomicileStateCd
Activity Or MissionTRANSACTS BUSINESS AS A CAPTIVE INSURANCE COMPANY.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers2TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$5,849,355PYProgramServiceRevenueAmt
CY Program Service Revenue$4,590,005CYProgramServiceRevenueAmt
PY Investment Income$9,880,434PYInvestmentIncomeAmt
CY Investment Income$4,443,304CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$15,729,789PYTotalRevenueAmt
CY Total Revenue$9,033,309CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,794,955PYOtherExpensesAmt
CY Other Expenses-$3,579,394CYOtherExpensesAmt
PY Total Expenses$1,794,955PYTotalExpensesAmt
CY Total Expenses-$3,579,394CYTotalExpensesAmt
PY Revenues Less Expenses$13,934,834PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,612,703CYRevenuesLessExpensesAmt
Total Assets BOY$66,649,418TotalAssetsBOYAmt
Total Assets EOY$72,249,275TotalAssetsEOYAmt
Total Liabilities BOY$33,130,753TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,299,642TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$33,518,665NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$46,949,633NetAssetsOrFundBalancesEOYAmt
MissionCHILD DIMENSIONS INSURANCE COMPANY (CDIC) TRANSACTS BUSINESS AS A CAPTIVE INSURANCE COMPANY. CDIC PROVIDES PROFESSIONAL, GENERAL AND EXCESS LIABILITY COVERAGE TO CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON AND ITS SUBSIDIARIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense-$3,862,256ExpenseAmt
Revenue$4,590,005RevenueAmt
DescCHILD DIMENSIONS INSURANCE COMPANY IS A PURE CAPTIVE INSURANCE COMPANY PROVIDING PROFESSIONAL LIABILITY (MEDICAL MALPRACTICE), GENERAL, AND EXCESS LIABILITY INSURANCE TO CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON AND ITS SUBSIDIARIES.Desc
Total Program Service Expenses-$3,862,256TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARSH MANAGEMENT SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8028645599PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1463 MOUNTAIN VIEW DR SUITE 301AddressLine1Txt
CityCOLCHESTERCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05446ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GRACE WAKULCHIK - PART YEAR
DIRECTOR/OFFICER - PRESIDENT & CEO2.0048.00Yes (X)Yes (X)$0$1,439,903$277,587
JOHN CROW MD
DIRECTOR1.0049.00Yes (X)$0$1,095,934$29,334
SHAWN LYDEN
DIRECTOR/ OFFICER - SECRETARY2.0048.00Yes (X)Yes (X)$0$849,992$134,164
ROBERT MCGREGOR MD
DIRECTOR1.0049.00Yes (X)$0$744,105$120,456
MICHAEL BIGHAM MD
DIRECTOR & VP LOSS PREVENTION1.0049.00Yes (X)Yes (X)$0$729,742$116,752
SPENCER KOWAL
CFO/TREASURER - PART YEAR2.0048.00Yes (X)$0$810,763$28,224
LISA AURILIO
DIRECTOR1.0049.00Yes (X)$0$733,114$98,925
ANTHEA DANIELS
OFFICER - VP OF CLAIMS2.0048.00Yes (X)$0$543,823$89,034
MICHAEL BIRD MD - PART YEAR
OFFICER - VP OF LOSS PREVENTION2.0048.00Yes (X)Yes (X)$0$399,381$28,002
ALICIA LAMANCUSA
DIRECTOR - TREASURER2.0048.00Yes (X)Yes (X)$0$427,371$15,935
WILLIAM CONSIDINE
FORMER CEO EMERITUS1.0049.00$0$269,595$877Yes (X)
CHRISTOPHER GESSNER
DIRECTOR - PRESIDENT - CEO2.0048.00Yes (X)Yes (X)$0$207,270$48,032
RUSSELL YOUNG
ASST. SECRETARY/ATTORNEY2.000.00Yes (X)Yes (X)$0$0$0
COURTNEY DOHERTY
DIRECTOR - PART YEAR1.000.00Yes (X)$0$0$0
LISA KANE
DIRECTOR - PART YEAR1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,250,993TotReportableCompRltdOrgAmt
Total Other Compensation$987,322TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HANNA CAMPBELL & POWELL LLPBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line13737 EMBASSY PARKWAY SUITE 100AddressLine1Txt
CityAKRONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44333ZIPCd
FieldValueIRS element (for citing)
ServicesLEGAL SERVICESServicesDesc
Compensation$335,996CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPREMIUMS EARNEDDesc
Business900099BusinessCd
Total Revenue Column$4,590,005TotalRevenueColumnAmt
Related Or Exempt Func Income$4,590,005RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,590,005TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,292,390TotalRevenueColumnAmt
Exclusion$2,292,390ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$12,236,694SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,085,780SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,150,914SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,150,914TotalRevenueColumnAmt
Exclusion$2,150,914ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,033,309TotalRevenueColumnAmt
Related Or Exempt Func Income$4,590,005RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,443,304ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$77,325TotalAmt
Management And General$77,325ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$17,385TotalAmt
Management And General$17,385ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$47,318TotalAmt
Management And General$47,318ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$118,999TotalAmt
Management And General$118,999ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$38,500TotalAmt
Program Services$38,500ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,387,642TotalAmt
Program Services$4,387,642ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
TAXES$21,835$21,835
REDUCTION IN MALPRACTIC-$8,288,398-$8,288,398

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total-$3,579,394TotalAmt
Program Services-$3,862,256ProgramServicesAmt
Management And General$282,862ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$766,612BOYAmt
EOY$147,569EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,276,018BOYAmt
EOY$1,531,597EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$60,606,788BOYAmt
EOY$70,570,109EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$66,649,418BOYAmt
EOY$72,249,275EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$63,927BOYAmt
EOY$47,594EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,066,826BOYAmt
EOY$25,252,048EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,130,753BOYAmt
EOY$25,299,642EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$100,000BOYAmt
EOY$100,000EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$1,600,000BOYAmt
EOY$1,600,000EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$31,818,665BOYAmt
EOY$45,249,633EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,518,665BOYAmt
EOY$46,949,633EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$66,649,418BOYAmt
EOY$72,249,275EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$12,612,703ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$818,265NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRONBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN340714357EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, SECTION A, LINE 1FormAndLineReferenceDesc
ExplanationCHILD DIMENSIONS INSURANCE COMPANY (CDIC), THE FILING ORGANIZATION, IS ORGANIZED AND OPERATED FOR THE EXCLUSIVE BENEFIT OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (CHMCA) AS STATED IN ITS GOVERNING DOCUMENTS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
RESERVE FOR PROFESSIONAL AND GENERAL LIABILITIES$25,228,977
PAYABLE TO PARENT$23,071
FieldValueIRS element (for citing)
Total Liability$25,252,048TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$9,732,576TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$818,266NetUnrealizedGainsInvstAmt
Revenue Not Reported$818,266RevenueNotReportedAmt
Revenue Subtotal$8,914,310RevenueSubtotalAmt
Investment Expenses Not Incld$118,999InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$118,999RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,033,309TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt-$3,698,393TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal-$3,698,393ExpensesSubtotalAmt
Investment Expenses Not Incld2$118,999InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$118,999ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990-$3,579,394TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GRACE WAKULCHIK - PART YEAR
DIRECTOR/OFFICER - PRESIDENT & CEO$0$994,234$0$360,000$0$85,669$0$268,072$0$9,515$0$1,717,490$0$0
JOHN CROW MD
DIRECTOR$0$1,090,390$0$0$0$5,544$0$20,300$0$9,034$0$1,125,268$0$0
SHAWN LYDEN
DIRECTOR/ OFFICER - SECRETARY$0$682,279$0$135,667$0$32,046$0$116,015$0$18,149$0$984,156$0$0
ROBERT MCGREGOR MD
DIRECTOR$0$564,438$0$153,005$0$26,662$0$102,307$0$18,149$0$864,561$0$0
MICHAEL BIGHAM MD
DIRECTOR & VP LOSS PREVENTION$0$416,425$0$120,724$0$192,593$0$91,894$0$24,858$0$846,494$0$190,656
SPENCER KOWAL
CFO/TREASURER - PART YEAR$0$555,242$0$147,002$0$108,519$0$15,803$0$12,421$0$838,987$0$107,233
LISA AURILIO
DIRECTOR$0$560,396$0$150,003$0$22,715$0$89,036$0$9,889$0$832,039$0$0
ANTHEA DANIELS
OFFICER - VP OF CLAIMS$0$418,860$0$123,100$0$1,863$0$87,537$0$1,497$0$632,857$0$0
MICHAEL BIRD MD - PART YEAR
OFFICER - VP OF LOSS PREVENTION$0$334,050$0$59,596$0$5,735$0$3,163$0$24,839$0$427,383$0$0
ALICIA LAMANCUSA
DIRECTOR - TREASURER$0$371,808$0$50,927$0$4,636$0-$1,743$0$17,678$0$443,306$0$0
WILLIAM CONSIDINE
FORMER CEO EMERITUS$0$179,070$0$90,386$0$139$0$231$0$646$0$270,472$0$0
CHRISTOPHER GESSNER
DIRECTOR - PRESIDENT - CEO$0$173,077$0$0$0$34,193$0$44,384$0$3,648$0$255,302$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3CHILD DIMENSIONS INSURANCE COMPANY RELIES ON ITS MEMBER, CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (CHMCA), TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON'S EXECUTIVE TOTAL COMPENSATION PROGRAM IS ULTIMATELY GOVERNED BY THE COMPENSATION COMMITTEE (COMMITTEE) OF THE BOARD OF DIRECTORS. AN INDEPENDENT SALARY SURVEY WAS LAST COMPLETED IN 2020 AND RECOMMENDATIONS WERE PROVIDED AND PRESENTED BY THE INDEPENDENT CONSULTANT TO THE COMMITTEE FOR APPROVAL.
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS BECAME PARTICIPANTS IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS DURING 2018, WHEREBY THEY BECOME VESTED PER THE TERMS OF THEIR EMPLOYMENT AGREEMENT. CHMCA IS ACCRUING FOR THE BENEFIT THAT WILL OCCUR, THEREFORE THESE AMOUNTS ARE INCLUDED IN THEIR DEFERRED COMPENSATION. DISTRIBUTIONS WERE MADE IN 2021 IN THE FOLLOWING AMOUNTS: LISA AURILIO - $0 ROBERT MCGREGOR M.D. - $0 GRACE WAKULCHIK - $0 SHAWN LYDEN - $0 ANTHEA DANIELS - $0 CHRISTOPHER GESSNER - $0 MICHAEL BIGHAM - $190,656 SPENCER KOWAL - $107,233

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON IS THE SOLE STOCKHOLDER OF CHILD DIMENSIONS INSURANCE COMPANY.
FORM 990, PART VI, SECTION A, LINE 7ACHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON IS THE SOLE STOCKHOLDER OF CHILD DIMENSIONS INSURANCE COMPANY AND ITS GOVERNING BODY HAS THE RIGHT TO ELECT OR APPOINT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (MEMBER) FOR REVIEW AND DISCUSSION PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE. THE AUDIT COMMITTEE IS A COMMITTEE OF THE BOARD OF DIRECTORS AND EMPOWERED TO COMPLETE THE REVIEW ON BEHALF OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CIT IS THE POLICY OF CDIC TO FOLLOW THE POLICIES OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (CHMCA). ALL OFFICERS, DIRECTORS, AND EMPLOYEES DISCLOSE REAL OR APPARENT CONFLICTS OF INTEREST AS A CONDITION OF BOARD MEMBERSHIP WITH CDIC. SINCE CDIC HAS NO EMPLOYEES, ONLY OFFICERS AND DIRECTORS DISCLOSE, IN WRITING, ON AN ANNUAL BASIS, A LIST OF ALL BUSINESSES OR OTHER ORGANIZATIONS IN WHICH HE/SHE (OR AN IMMEDIATE FAMILY MEMBER) IS AN OFFICER, MEMBER, OWNER, SHAREHOLDER, TRUSTEE OR EMPLOYEE FOR WHICH HE/SHE ACTS AS AN AGENT OR MIGHT REASONABLY IN THE NEAR FUTURE ENTER INTO A RELATIONSHIP OR TRANSACTION IN WHICH HE/SHE COULD HAVE A DUALITY OF INTEREST. IF A SITUATION ARISES IN WHICH THERE IS A DUALITY OF INTEREST AND AS SUCH, POTENTIAL FOR A CONFLICT OF INTEREST, IT IS THE PRIMARY RESPONSIBILITY OF SUCH INDIVIDUAL DIRECTLY INVOLVED TO MAKE IMMEDIATE AND COMPLETE DISCLOSURE TO THE APPROPRIATE SUPERVISOR. THE CHIEF HUMAN RESOURCES OFFICER SHALL REVIEW ALL DISCLOSURE STATEMENTS AND FORWARD THOSE WITH RECOMMENDATIONS TO THE CHIEF LEGAL OFFICER. THE CHIEF LEGAL OFFICER REFERS SELECTED ISSUES OR MATTERS FOR CONSULTATION TO THE AUDIT COMMITTEE OF THE BOARD. ANNUALLY, ALL DIRECTORS AND OFFICERS OF CDIC MUST DISCLOSE THIER CONFLICTS ON THE CONFLICT OF INTEREST/DUAL INTEREST DISCLOSURE STATEMENT IN ACCORDANCE WITH THE EMPLOYEE CONFLICT OF INTEREST POLICY WHICH POLICY APPLIES TO ALL EMPLOYEES OF CHMCA.
FORM 990, PART VI, SECTION B, LINE 15CDIC RELIES ON THE RELATED ORGANIZATION, CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON, TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES - CONSULTING FEES: PROGRAM SERVICE EXPENSES 38,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,500.
PART XII, LINE 2CCDIC THROUGH ITS PARENT COMPANY CHILDREN'S HOSPITAL CENTER OF AKRON HAS AN AUDIT COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW, OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHILDREN'S HOSPITAL MED CENTER OF AKRON
ONE PERKINS SQUAREAKRONOH44308340714357HOSPITALOH501(C)(3)LINE 3N/A0
AKRON CHILDREN'S HOSPITAL FOUNDATION
ONE PERKINS SQUAREAKRONOH44308237114013FOUNDATIONOH501(C)(3)LINE 7Yes (1)CHILDREN'S HOSPITAL MED CENTER OF AKRON
CHILDREN'S HOME CARE GROUP
ONE PERKINS SQUAREAKRONOH44308341575266HOME CAREOH501(C)(3)LINE 12A, IYes (1)CHILDREN'S HOSPITAL MED CENTER OF AKRON
AKRON CHILDREN'S HEALTH COLLABORATIVE
ONE PERKINS SQUAREAKRONOH44308870853487ACCOUNTABLE CARE ORGANIZATIONOH501(C)(4)LINE 12A, IYes (1)CHILDREN'S HOSPITAL MED CENTER OF AKRON
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd