2021-11-11T10:43:46-06:00 2020-12-31 990 2020-01-01 030317160 Child Dimensions Insurance Company % MARSH MANAGEMENT SERVICES CHIL 3305438171 ONE PERKINS SQUARE AKRON OH 44308 ALICIA LAMANCUSA TREASURER 3305434251 2021-11-10 ALICIA LAMANCUSA 999009999 2 2020 2022-09-23 18:48:47Z ALICIA LAMANCUSA ONE PERKINS SQUARE AKRON OH 44308 93756530 false X N/A X 1988 VT TRANSACTS BUSINESS AS A CAPTIVE INSURANCE COMPANY. 11 2 0 0 0 0 0 0 6124785 5849355 2270019 9880434 0 0 8394804 15729789 0 0 0 0 0 0 0 0 0 1715725 1794955 1715725 1794955 6679079 13934834 79198437 66649418 32461249 33130753 46737188 33518665 X CHILD 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. false false 1478609 5849355 CHILD 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. 1478609 true false false false false false false false false false false false 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 false 6 0 true 0 false false false false false false false false false false false false X 11 2 false false false false true true false true true false false false true true true true true true true false OH X MARSH MANAGEMENT SERVICES 8028645599 100 BANK STREET SUITE 610 BURLINGTON VT 05401 GRACE WAKULCHIK PRESIDENT & CEO 2.0 51.0 X X 0 1320413 495565 JOHN CROW MD DIRECTOR/CHAIR PED SURGERY 1.0 46.0 X 0 1052839 29636 LISA AURILIO DIRECTOR/CHIEF OPERATING OFF 1.0 52.0 X 0 689005 257698 SHAWN M LYDEN SECRETARY/CHIEF STRATEGY OFF 2.0 41.0 X X 0 763391 138584 WILLIAM CONSIDINE CEO EMERITUS (TERM 12/31/20) 0.0 40.0 X 0 801943 85416 ROBERT MCGREGOR DIRECTOR/CHIEF MEDICAL OFFICER 1.0 51.0 X 0 678984 114339 SPENCER KOWAL VP & TREAS/CHIEF FINAN OFFICER 2.0 45.0 X X 0 543271 113365 MICHAEL BIRD VP LOSS PREVENTION/VP SAFETY 2.0 42.0 X X 0 364997 245447 ALICIA LAMANCUSA DIRECTOR/VP FINANCE 1.0 43.0 X 0 347329 220199 ANTHEA DANIELS VP CLAIMS/CHIEF LEGAL OFFICER 2.0 43.0 X X 0 475013 80383 LISA KANE DIRECTOR 2.0 0.0 X 0 0 0 RUSSELL YOUNG ASST. SECRETARY/ATTORNEY 2.0 0.0 X X 0 0 0 0 7037185 1780632 0 true true false HANNA CAMPBELL POWELL LLP 3737 EMBASSY PARKWAY SUITE 100 AKRON OH 44333 LEGAL 643199 1 0 PREMIUMS EARNED 900099 5849355 5849355 5849355 1798889 1798889 0 0 0 0 0 86108286 78026741 8081545 8081545 8081545 0 0 0 0 0 0 0 0 0 0 15729789 5849355 0 9880434 0 0 0 0 0 0 0 0 0 0 75889 75889 18148 18148 42341 42341 0 0 126847 126847 57864 31500 26364 0 0 0 0 0 26757 26757 0 0 0 0 0 0 UNDERWRITING EXPENSES 1447109 1447109 1794955 1478609 316346 0 80710 766612 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6166390 5276018 0 0 72951337 60606788 0 0 0 0 0 0 0 0 79198437 66649418 87258 63927 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32373991 33066826 32461249 33130753 X 100000 100000 1600000 1600000 45037188 31818665 46737188 33518665 79198437 66649418 X 13934834 846643 -28000000 X X false true X true false X X 2 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON 340714357 3 true 0 0 1 0 0 false false false false false false false false false false false false false false false true false PART IV, SECTION A, LINE 1 CHILD 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. 0 RESERVE FOR PROF/GEN LIAB 33066626 PAYABLE TO PARENT 200 33066826 16449585 846643 846643 15602942 126847 126847 15729789 1668108 1668108 126847 126847 1794955 false true false false false false false false false GRACE WAKULCHIK PRESIDENT & CEO 0 936929 0 360000 0 23484 0 485576 0 9989 0 1815978 0 0 SHAWN M LYDEN SECRETARY/CHIEF STRATEGY OFF 0 667023 0 90000 0 6368 0 115666 0 22918 0 901975 0 0 MICHAEL BIRD VP LOSS PREVENTION/VP SAFETY 0 322677 0 41903 0 417 0 221100 0 24347 0 610444 0 0 ALICIA LAMANCUSA DIRECTOR/VP FINANCE 0 295511 0 50760 0 1058 0 207592 0 12607 0 567528 0 0 ROBERT MCGREGOR DIRECTOR/CHIEF MEDICAL OFFICER 0 526958 0 145000 0 7026 0 96453 0 17886 0 793323 0 0 ANTHEA DANIELS VP CLAIMS/CHIEF LEGAL OFFICER 0 398182 0 75123 0 1708 0 78601 0 1782 0 555396 0 0 LISA AURILIO DIRECTOR/CHIEF OPERATING OFF 0 541678 0 145000 0 2327 0 247592 0 10106 0 946703 0 0 SPENCER KOWAL VP & TREAS/CHIEF FINAN OFFICER 0 474854 0 65000 0 3417 0 87514 0 25851 0 656636 0 0 JOHN CROW MD DIRECTOR/CHAIR PED SURGERY 0 1014139 0 33000 0 5700 0 19950 0 9686 0 1082475 0 0 WILLIAM CONSIDINE CEO EMERITUS (TERM 12/31/20) 0 307323 0 0 0 494620 0 68395 0 17021 0 887359 0 0 PART 1, LINE 4B WILLIAM CONSIDINE IS A PARTICIPANT IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AS OF JANUARY 1, 2010. THE PLAN IS A NON-QUALIFIED DEFERRED COMPENSATION PLAN. IT IS AN UNFUNDED PLAN MAINTAINED PRIMARILY FOR THE PURPOSE OF PROVIDING DEFERRED COMPENSATION BENEFITS. THE PARTICIPANT RECEIVES CREDITS IN THE PLAN FOR EACH FULL CALENDAR YEAR OF SERVICE AND HE IS 100% VESTED. WILLIAM CONSIDINE RECEIVED A DISTRIBUTION OF $490,487 IN 2020. THE 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 COMMPENSATION. NO DISTRIBUTIONS WERE MADE IN 2020. GRACE WAKULCHIK SHAWN LYDEN LISA AURILIO ROBERT MCGREGOR M.D. SPENCER KOWAL ANTHEA DANIELS PART II, COLUMN C INCLUDED IN RETIREMENT AND DEFERRED COMPENSATION IS THE CHANGE IN THE PRESENT VALUE OF THE ACCRUED BENEFITS FROM THE PENSION PLAN OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON FOR THOSE PERSONS THAT ARE PARTICIPATING IN THE DEFINED BENEFIT PLAN. PART III - ADDITIONAL INFORMATION CHILD DIMENSIONS INSURANCE GROUP RELIES ON THE RELATED ORGANIZATION, CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON, TO ESTABLISH THE TOP MANAGMENT OFFICIAL'S COMPENSATION. CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON'S EXECUTIVE TOTAL COMPENSATION PROGRAM IS ULTIMATELY GOVERNED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. AN INDEPENDENT SALARY SURVEY WAS COMPLETED IN 2020 AND RECOMMENDATIONS WERE PROVIDED AND PRESENTED BY THE INDEPENDENT CONSULTANT TO THE COMMITTEE FOR APPROVAL. PART 1, LINE 1 - ORGANIZATION'S MISSION CHILD DIMENSIONS INSURANCE COMPANY (CDIC) TRANSACTS BUSINESS AS A CAPTIVE INSURANCE COMPANY. CDIC PROVIDES HOSPITAL, PROFESSIONAL, GENERAL AND EXCESS LIABILITY COVERAGE TO CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON AND ITS SUBSIDIARIES. PART VI, SECTION A, LINE 6 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON IS THE SOLE STOCKHOLDER OF CHILD DIMENSIONS INSURANCE COMPANY. PART VI, SECTION A, LINE 7A CHILDREN'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. PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON (PARENT) 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. PART VI, SECTION B, LINE 12C IT 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. PART VI, SECTION B, LINE 15 CDIC RELIES ON THE RELATED ORGANIZATION, CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON, TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART XII, LINE 2C TRANSFER TO PARENT DIVIDEND -$28,000,000 CHILDREN'S HOSPITAL MED CENTER OF AKRON ONE PERKINS SQUARE AKRON OH 44308 340714357 HOSPITAL OH 501(C)(3) 3 NA false AKRON CHILDREN'S HOSPITAL FOUNDATION ONE PERKINS SQUARE AKRON OH 44308 237114013 FOUNDATION OH 501(C)(3) 7 CHMCA false CHILDREN'S HOME CARE GROUP ONE PERKINS SQUARE AKRON OH 44308 341575266 HOME CARE OH 501(C)(3) 12A, I CHMCA false false false false false false false false false false false false false false false true true true false