2024-02-20T11:47:02-06:00 2023-06-30 FORVIS LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2022-07-01 421157665 CHILDSERVE FOUNDATION INC % ROD WILDRICK CHIL 5157278750 PO BOX 707 JOHNSTON IA 50131 DAVID MCKENZIE PRESIDENT/COO 5157278750 2024-05-15 true DAVID MCKENZIE 999009999 SHAWNELL LINOT P01663908 3162652811 2022 2023-04-26 12:10:37Z DAVID MCKENZIE PO BOX 707 JOHNSTON IA 50131 6108241 false X WWW.CHILDSERVE.ORG X 1981 IA TO ENHANCE THE WELL-BEING OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS BY DEVELOPING, RECEIVING, AND GRANTING FINANCIAL ASSISTANCE TO CHILDSERVE. 20 19 9 44 0 4930257 5064961 0 0 406005 22528 1581851 -284630 6918113 4802859 6571289 3619331 0 0 646493 757161 0 0 810032 313981 334418 7531763 4710910 -613650 91949 15317194 16571552 101989 886639 15215205 15684913 WE PARTNER WITH FAMILIES TO HELP CHILDREN WITH SPECIAL HEALTH CARE NEEDS LIVE A GREAT LIFE. false false 3619331 3619331 0 IN 2022-2023, THE FOUNDATION DISTRIBUTED $3,619,331 TO CHILDSERVE ORGANIZATIONS AND PROGRAMS ACROSS THE STATE. FOUNDATION FUNDS ARE DISTRIBUTED TO PROGRAMS WITH A FOCUS ON ENABLING GROWTH AND EXPANSION TO SERVE MORE CHILDREN AND FAMILIES, OPENING NEW PROGRAMS, ENHANCING FACILITIES; INVESTING IN CARE ENHANCEMENTS THROUGH PROGRAM SUPPORT; AND PURCHASING ADAPTIVE, MEDICAL, OR REHABILITATION EQUIPMENT AND TECHNOLOGY. 3619331 true true false false false false false false false true true true false true true false false true false false false false false false true false false true false true false false false false false false false true false false false false false true true true false false true 6 0 true 9 true false false false false false true true false false false false false false X 20 19 false false false false true true true true true false false true true true true true true true true false X ROD WILDRICK 5157278750 PO BOX 707 JOHNSTON IA 50131 TERI WAHLIG CEO 1.0 39.0 X X 0 901039 90080 DAVE MCKENZIE PRESIDENT/COO 1.0 39.0 X 0 375687 75235 ERICA AXIOTIS VP OF DEVELOPMENT 40.0 0.0 X 134237 0 21519 JORDAN WILLIAMS DIRECTOR OF PUBLIC RELATIONS 40.0 0.0 X 107665 0 10144 JOANIE HOUSTON CHAIR 2.0 0.0 X X 0 0 0 JOEL NELSON VICE CHAIR 2.0 0.0 X X 0 0 0 CATHY LACY SECRETARY/TREASURER 2.0 0.0 X X 0 0 0 CHRIS LITTLEFIELD PAST CHAIR 2.0 0.0 X X 0 0 0 JAY BYERS DIRECTOR 2.0 0.0 X 0 0 0 MEGAN CHRISTOFFERSON DIRECTOR 2.0 0.0 X 0 0 0 JERRY DEEGAN DIRECTOR 2.0 0.0 X 0 0 0 NICK GERHART DIRECTOR 2.0 0.0 X 0 0 0 SUSAN HATTEN DIRECTOR 2.0 0.0 X 0 0 0 TOM MAHONEY DIRECTOR 2.0 0.0 X 0 0 0 JIM MCCULLOH DIRECTOR 2.0 0.0 X 0 0 0 JAKE MORAN DIRECTOR 2.0 0.0 X 0 0 0 TOM NUCARO DIRECTOR 2.0 0.0 X 0 0 0 JC RISEWICK DIRECTOR 2.0 0.0 X 0 0 0 LARRY STELTER DIRECTOR 2.0 0.0 X 0 0 0 TOM STEWART DIRECTOR 2.0 0.0 X 0 0 0 JENNIFER VICENTE DIRECTOR 2.0 0.0 X 0 0 0 KIM WILLIS DIRECTOR 2.0 0.0 X 0 0 0 AMANDA YOUNG DIRECTOR 2.0 0.0 X 0 0 0 241902 1276726 196978 2 false true false 0 983160 1330465 338 2750998 3500 5064961 0 282817 282817 0 0 0 0 0 657713 918002 -260289 -260289 -260289 102750 983160 387380 -284630 -284630 0 0 0 0 0 0 0 4802859 -262102 3619331 3619331 0 0 0 0 0 646031 646031 22408 22408 42421 42421 46301 46301 0 0 0 0 0 0 19958 19958 0 2997 2997 0 0 10060 10060 8387 8387 0 0 7876 7876 0 4059 4059 0 ADMINISTRATION SUPPORT 148494 148494 MISCELLANEOUS OPERATING 121118 121118 PUBLIC RELATIONS 4478 4478 DUES & SUBSCRIPTIONS 6404 6404 587 587 4710910 3619331 281547 810032 67793 152617 590562 12 2186246 1316120 876167 125900 0 0 0 0 0 0 0 0 3495 4495 35062 6634 31932 28428 8172085 4635398 1318361 1329819 0 0 0 0 2070553 8978763 15317194 16571552 29583 42713 0 0 0 775674 0 0 0 0 0 0 0 0 0 0 72406 68252 101989 886639 X 6273890 6882059 8941315 8802854 15215205 15684913 15317194 16571552 91949 377759 X false true X true true true X 5867120 3564763 1730852 4930257 5064961 21157953 0 0 5867120 3564763 1730852 4930257 5064961 21157953 7576151 13581802 167644 186544 196567 274229 282817 1107801 0 200000 200000 200000 1147702 0 1747702 24013456 0.56559 0.96000 X 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4681995 126450 291569 197851 4902163 5150107 401672 -707156 162628 4681995 3889333 393366 1012394 144986 5150107 3894669 10000 112807 128143 3889333 3797979 1104 235110 139524 3894669 0.41151 0.38992 0.19857 false false 35062 6634 28428 28428 BENEFICIAL INT IN PERPETUAL 204011 F BENEFICIAL INT IN COMMUNITY 132971 F BENEFICIAL INT IN TRUST 992837 F 1329819 CASH SURRENDER VALUE LIFE INS 95696 DUE TO AFFILIATES 8883067 8978763 0 ANNUITY PAYABLE 68252 68252 SCHEDULE D, PART V, LINE 4 THE PRIMARY USE OF ENDOWMENT FUNDS IS FOR GRANTS TO OTHER RELATED CHILDSERVE ORGANIZATIONS FOR OPERATING NEEDS. THERE ARE TWO OTHER SMALLER ENDOWMENTS FOR WHICH EARNINGS ARE USED FOR NURSING SCHOLARSHIPS AND STAFF EDUCATION. GOLF OUTING 134000 91450 42550 4890 15000 8825 12889 BUBBLE BALL 951910 891710 60200 3916 157491 101580 82789 0 1085910 983160 102750 4890 18916 166316 101580 95678 387380 -284630 true CHILDSERVE HABILITATION CENTER PO BOX 707 JOHNSTON IA 50131 420680245 501(C)(3) 1818326 EXPANSION OF SERVICES CHILDSERVE CLINIC INC PO BOX 707 JOHNSTON IA 50131 455327981 501(C)(3) 464092 PROGRAM SUPPORT-ADAPTIVE EQUIPMENT CHILDSERVE MEDICAL EQUIPMENT & SUPPLY PO BOX 707 JOHNSTON IA 50131 421264666 501(C)(3) 18724 PROGRAM SUPPORT-ADAPTIVE EQUIPMENT CHILDSERVE COMMUNITY OPTIONS PO BOX 707 JOHNSTON IA 50131 421390033 501(C)(3) 268695 EXPANSION OF SERVICES-PROGRAM SUPPORT CHILDSERVE HOMES INC PO BOX 707 JOHNSTON IA 50131 421264664 501(C)(3) 195143 ADAPTIVE EQUIPMENT-PROGRAM SUPPORT CHILDSERVE INC PO BOX 707 JOHNSTON IA 50131 421478832 501(C)(3) 88282 PROGRAM SUPPORT - TECHNOLOGY CHILDSERVE THERAPY INC PO BOX 707 JOHNSTON IA 50131 420680420 501(C)(3) 755456 EXPANSION OF SERVICES-PROGRAM SUPPORT CHILDSERVE HOMECARE PO BOX 707 JOHNSTON IA 50131 421478832 501(C)(3) 10613 PROGRAM SUPPORT 8 SCHEDULE I, PART I, LINE 2 CHILDSERVE MAINTAINS A GRANT AND DONOR DATABASE CONTAINING ALL AWARD DOCUMENTATION AND SUPPORT. false true false false false true true false false TERI WAHLIG CEO 0 807061 0 93978 0 0 0 84428 0 5652 0 991119 0 0 DAVE MCKENZIE PRESIDENT/COO 0 302816 0 72871 0 0 0 69159 0 6076 0 450922 0 0 ERICA AXIOTIS VP OF DEVELOPMENT 127624 0 6613 0 0 0 5656 0 15863 0 155756 0 0 0 SCHEDULE J, PART I, LINE 3 THE EXECUTIVE COMMITTEE OF CHILDSERVE, INC. (A RELATED ORGANIZATION) HAS THE RESPONSIBILITY TO OVERSEE THE IMPLEMENTATION OF THE EXECUTIVE COMPENSATION POLICY FOR THE EXECUTIVE POSITIONS AND KEY EMPLOYEES AS DEFINED BY THE IRS. THE EXECUTIVE COMMITTEE WILL APPROVE THE COMPENSATION ARRANGEMENTS FOR THE PRESIDENT/CEO WITHOUT DISCUSSION OR VOTING PARTICIPATION OF THE PRESIDENT/CEO. THE EXECUTIVE COMMITTEE WILL DOCUMENT APPROVAL. THE DOCUMENTATION CONTAINS THE COMPARABILITY DATA THAT RELIED ON AND HOW THE DATA WAS OBTAINED. A COMPREHENSIVE MARKET BASED STUDY WILL OBTAIN COMPENSATION DATA FOR EACH KEY EMPLOYEE FROM SIMILAR TYPE AGENCIES AND ORGANIZATIONS EVERY THREE YEARS. DURING THE YEAR WHEN THE COMPREHENSIVE MARKET BASED STUDY IS NOT CONDUCTED, MARKET BASED INFORMATION SUCH AS THE CPI OR COMPARABLE DATA WILL BE USED ANNUALLY TO MAKE ADJUSTMENTS TO THE MIDPOINT. SCHEDULE J, PART I, LINE 4B TERI WAHLIG - $69,576 DAVE MCKENZIE - $55,805 SCHEDULE J, PART I, LINE 6A & 6B INCENTIVE PAY IS BASED ON MEETING BUDGETED ORGANIZATIONAL PERFORMANCE METRICS. STELTER COMPANY SEE PART V 35234 WEBSITE MANAGEMENT false SCHEDULE L, PART IV, LINE 1(b) A DIRECTOR OF CHILDSERVE FOUNDATION, INC. OWNS MORE THAN 35% OF STELTER COMPANY. FORM 990, PART VI, SECTION A, LINE 6 CHILDSERVE, INC. IS THE SOLE MEMBER OF CHILDSERVE FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER, CHILDSERVE, INC. HAS THE RIGHT TO ELECT ALL MEMBERS OF THE ORGANIZATION'S BOARD AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B AS THE SOLE MEMBER, CHILDSERVE, INC. HAS THE RIGHT TO VOTE ON ALL PROPOSED AMENDMENTS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION AND, IF NECESSARY, THE ARTICLES OF DISSOLUTION OR MERGER. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE FORM 990 IS THEN REVIEWED BY THE INDEPENDENT AUDIT SUBCOMITTEE OF THE FINANCE COMMITTEE. THE SUBCOMMITTEE REVIEWS THE FORM 990 WITH THE FULL BOARD. THE FINAL FORM 990, WITH ALL REQUIRED SCHEDULES, IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE GOVERNING BOARD AND KEY EMPLOYEES ARE REQUIRED BY POLICY TO ACKNOWLEDGE IN WRITING THEIR UNDERSTANDING AND COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. THIS IS DONE ANNUALLY WITH 100% RESPONSE RATE REQUIRED. FORM 990, PART VI, SECTION B, LINE 15A & 15B THE EXECUTIVE COMMITTEE OF CHILDSERVE, INC. (A RELATED ORGANIZATION) HAS THE RESPONSIBILITY TO OVERSEE THE IMPLEMENTATION OF THE EXECUTIVE COMPENSATION POLICY FOR THE EXECUTIVE POSITIONS AND KEY EMPLOYEES AS DEFINED BY THE IRS. THE EXECUTIVE COMMITTEE WILL APPROVE THE COMPENSATION ARRANGEMENTS FOR THE PRESIDENT/CEO WITHOUT DISCUSSION OR VOTING PARTICIPATION OF THE PRESIDENT/CEO. THE EXECUTIVE COMMITTEE WILL DOCUMENT THE BASIS FOR EXECUTIVE COMPENSATION DETERMINATIONS CONCURRENTLY WITH APPROVAL. THE DOCUMENTATION CONTAINS THE COMPARABILITY DATA THAT WAS RELIED ON AND HOW THE DATA WAS OBTAINED. A COMPREHENSIVE MARKET BASED STUDY WILL OBTAIN COMPENSATION DATA FOR EACH KEY EMPLOYEE FROM SIMILAR TYPE AGENCIES AND ORGANIZATIONS EVERY THREE YEARS. DURING THE YEARS WHEN THE COMPREHENSIVE MARKET BASED STUDY IS NOT CONDUCTED, MARKET BASED INFORMATION SUCH AS THE CPI OR COMPARABLE DATA WILL BE USED ANNUALLY TO MAKE ADJUSTMENTS TO THE MIDPOINT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINES 5-10 CHILDSERVE FOUNDATION INC. REPORTS COSTS RELATING TO COMPENSATION, SALARIES, WAGES, EMPLOYEE BENEFITS, AND PAYROLL TAXES ON SCHEDULE IX, LINES 5-10. CHILDSERVE, INC. (A RELATED ORGANIZATION) SERVES AS A COMMON PAYMASTER FOR THE ORGANIZATION. AS SUCH, CHILDSERVE, INC. IS RESPONSIBLE FOR FILING FORMS 941 AND W-2'S UNDER ITS TAX IDENTIFICATION NUMBER, NOT THE ORGANIZATION'S TAX IDENTIFICATION NUMBER. CHILDSERVE HOMES INC PO BOX 707 JOHNSTON IA 50131 421264664 SEE PART VII IA 501(C)(3) 10 CSI true CHILDSERVE MEDICAL EQUIPMENT & SUPPLY PO BOX 707 JOHNSTON IA 50131 421264666 SEE PART VII IA 501(C)(3) 10 CSI true CHILDSERVE HABILITATION CENTER PO BOX 707 JOHNSTON IA 50131 420680245 SEE PART VII IA 501(C)(3) 10 CSI true CHILDSERVE INC PO BOX 707 JOHNSTON IA 50131 421271420 SEE PART VII IA 501(C)(3) 12B N/A true CHILDSERVE THERAPY INC PO BOX 707 JOHNSTON IA 50131 420680420 SEE PART VII IA 501(C)(3) 10 CSI true CHILDSERVE HOMECARE INC PO BOX 707 JOHNSTON IA 50131 421478832 SEE PART VII IA 501(C)(3) 7 CSI true CHILDSERVE COMMUNITY OPTIONS PO BOX 707 JOHNSTON IA 50131 421390033 SEE PART VII IA 501(C)(3) 10 CSI true CHILDSERVE CLINIC INC PO BOX 707 JOHNSTON IA 50131 455327981 SEE PART VII IA 501(C)(3) 10 CSI true false true false false false false false false false false true false false false true true true true false CHILDSERVE HABILITATION CENTER B 1818326 APPROVED NEEDS CHILDSERVE THERAPY B 755456 APPROVED NEEDS CHILDSERVE CLINICS B 464092 APPROVED NEEDS CHILDSERVE COMMUNITY OPTIONS B 268695 APPROVED NEEDS CHILDSERVE HOMES B 195143 APPROVED NEEDS CHILDSERVE INC B 88282 APPROVED NEEDS CHILDSERVE INC P 147272 REVENUE CHILDSERVE HABILITATION CENTER Q 619702 GRANT USAGE CHILDSERVE THERAPY Q 292174 GRANT USAGE CHILDSERVE CLINICS Q 179489 GRANT USAGE CHILDSERVE COMMUNITY OPTIONS Q 103918 GRANT USAGE CHILDSERVE HOMES Q 75472 GRANT USAGE CHILDSERVE HABILITATION CENTER R 6930646 CASH TRANSFER PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: NAME OF RELATED ORGANIZATION: CHILDSERVE HABILITATION CENTER PRIMARY ACTIVITY: PROVIDE PEDIATRIC SKILLED NURSING AND SERVICES FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND CHRONIC HEALTH CONDITIONS NAME OF RELATED ORGANIZATION: CHILDSERVE MEDICAL EQUIPMENT & SUPPLY, INC. PRIMARY ACTIVITY: PROVIDES PEDIATRIC SEATING AND MOBILITY FITTING, PEDIATRIC WHEELCHAIRS AND ADAPTIVE DEVICES, AUGMENTATIVE COMMUNICATION DEVICES, MEDICAL SUPPLIES, ORTHOPEDIC DEVICES USED TO SUPPORT, ALIGN, PREVENT, CORRECT AND/OR IMPROVE FUNCTION OF MOVABLE PARTS OF THE CHILD'S BODY. NAME OF RELATED ORGANIZATION: CHILDSERVE THERAPY, INC. PRIMARY ACTIVITY: PROVIDES OCCUPATIONAL, PHYSICAL AND SPEECH THERAPIES IN INDIVIDUAL AND GROUP SETTINGS FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS. NAME OF RELATED ORGANIZATION: CHILDSERVE COMMUNITY OPTIONS PRIMARY ACTIVITY: PROVIDE INTEGRATED SERVICES AND COMMUNITY CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS NAME OF RELATED ORGANIZATION: CHILDSERVE HOMECARE, INC. PRIMARY ACTIVITY: PROVIDES SHORT AND LONG-TERM SKILLED NURSING, HOME HEALTH AIDE, SOCIAL WORK, AND THERAPY SERVICES FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS IN THE HOME. NAME OF RELATED ORGANIZATION: CHILDSERVE HOMES, INC. PRIMARY ACTIVITY: PROVIDES AROUND-THE-CLOCK CARE IN A HOMELIKE ENVIRONMENT FOR CHILDREN AND YOUNG ADULTS WHO REQUIRE NURSING CARE, BEHAVIOR SUPPORT, SKILL DEVELOPMENT AND THERAPY SERVICES. NAME OF RELATED ORGANIZATION: CHILDSERVE CLINIC, INC. PRIMARY ACTIVITY: ENHANCES THE HEALTH AND WELLBEING OF CHILDREN BY IMPROVING ACCESS TO PEDIATRIC SUBSPECIALTY MEDICAL SERVICES, PEDIATRIC REHABILITATION SERVICES AND IN-HOME FAMILY SUPPORT SERVICES. NAME OF RELATED ORGANIZATION: CHILDSERVE, INC. PRIMARY ACTIVITY: PARENT COMPANY FOR BENEFIT & SUPPORT OF PROGRAMS/SERVICES OF CHILDSERVE REHABILITATION SERVICES, AND IN-HOME FAMILY SUPPORT SERVICES