Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 2a · Program service revenue: PREMIUMS EARNED

  total $3,748,411 · related or exempt $3,748,411

• 3 · Investment income

  total $1,626,913 · excluded $1,626,913

• 7a · Gross sales of assets other than inventory

  securities $11,000,584

• 7b · Less cost or other basis and sales expenses

  securities $11,217,983

• 7c · Gain or loss

  securities -$217,399

• 7d · Net gain or loss

  total -$217,399 · excluded -$217,399

Functional expenses

Part IX, the statement of functional expenses.

• 11a · Fees: management

  total $79,548 · management and general $79,548

• 11b · Fees: legal

  total $11,768 · management and general $11,768

• 11c · Fees: accounting

  total $24,320 · management and general $24,320

• 11f · Fees: investment management

  total $141,998 · management and general $141,998

• 11g · Fees: other

  total $32,000 · program services $32,000

• 23 · Insurance

  total $3,582,402 · program services $3,582,402

• 24a · Other expenses: STATE TAXES

  total $18,573 · management and general $18,573

• 24b · Other expenses: REDUCTION IN MALPRACTIC

  total -$7,449,560 · program services -$7,449,560

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $147,569 · end of year $161,770

• 9 · Prepaid expenses and deferred charges

  beginning of year $1,531,597 · end of year $4,032,777

• 11 · Investments: publicly traded securities

  beginning of year $70,570,109 · end of year $60,129,844

• 17 · Accounts payable and accrued expenses

  beginning of year $47,594 · end of year $69,821

• 25 · Other liabilities

  beginning of year $25,252,048 · end of year $20,327,321

• 29 · Capital stock, trust principal or current funds

  beginning of year $100,000 · end of year $100,000

• 30 · Paid-in or capital surplus, or land, building or equipment fund

  beginning of year $1,600,000 · end of year $1,600,000

• 31 · Retained earnings, endowment or other funds

  beginning of year $45,249,633 · end of year $42,227,249

The filer's explanations (Part III)

PART I, LINE 3

CHILD 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 2022 AND RECOMMENDATIONS WERE PROVIDED AND PRESENTED BY THE INDEPENDENT CONSULTANT TO THE COMMITTEE FOR APPROVAL.

PART I, LINES 4A-B

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 COMPENSATION. DISTRIBUTIONS WERE MADE IN 2022 IN THE FOLLOWING AMOUNTS: LISA AURILIO - $308,045 ROBERT MCGREGOR M.D. - $0 GRACE WAKULCHIK - $894,384 SHAWN LYDEN - $0 ANTHEA DANIELS - $0 CHRISTOPHER GESSNER - $0 MICHAEL BIGHAM - $0 CHMCA HAS A SUPPLEMENTAL NONQUALIFIED PLAN OPEN TO SELECTED EMPLOYEES WHEN WAGES EXCEED THE MAXIMUM THRESHOLD FOR THE QUALIFIED RETIREMENT PLANS. THE AMOUNTS ARE CALCULATED IN THE FOLLOWING YEAR OF EARNINGS AND EITHER PAID TO THE EMPLOYEE IF THEY ARE VESTED AS TAXABLE INCOME OR PUT INTO THE PLAN UNTIL VESTED AND THEN PAID. MS. GRACE WAKULCHIK RECEIVED $315,839 AS SEVERANCE IN THE FIRST PAY OF 2022 IN ACCORDANCE WITH THE AGREEMENT SIGNED APRIL 28, 2021.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• GAMUT QUALITY IMPROVEMENT COLLABORATIVE LLC

  CONTRACT MANAGEMENT · OH