2024-02-20T11:55:51-06:00 2023-06-30 FORVIS LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2022-07-01 421271420 CHILDSERVE INC % ROD WILDRICK CHIL 5157278750 PO BOX 707 JOHNSTON IA 501310707 DAVID MCKENZIE PRESIDENT/COO 5157278750 2024-05-15 true DAVID MCKENZIE 999009999 SHAWNELL LINOT P01663908 3162652811 3 2022 2023-04-26 12:10:37Z DAVID MCKENZIE PO BOX 707 JOHNSTON IA 501310707 7970960 false X WWW.CHILDSERVE.ORG X 1985 IA TO OPERATE EXCLUSIVELY AS THE PARENT COMPANY AND CORPORATE FRAMEWORK FOR THE BENEFIT AND SUPPORT OF THE PROGRAMS OFFERED BY THE CHILDSERVE NONPROFIT TAX-EXEMPT ORGANIZATIONS 21 20 1885 361 0 37523 123629 7351223 7734050 68339 -37781 38388 49416 7495473 7869314 0 32452 0 0 5943115 6534004 0 0 0 1301119 1509778 7244234 8076234 251239 -206920 0 0 0 0 0 0 WE PARTNER WITH FAMILIES TO HELP CHILDREN WITH SPECIAL HEALTH CARE NEEDS LIVE A GREAT LIFE. false false 32452 32452 7734050 OPERATES AS THE PARENT COMPANY AND CORPORATE FRAMEWORK FOR THE BENEFIT AND SUPPORT OF THE PROGRAMS AND SERVICES OFFERED BY THE CHILDSERVE COMPANIES. 32452 true true false false false false false false false false false false false false false false false true false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true 15 0 true 1885 true false false false false false false false false false false false false X 21 20 false false false false false false false true true false false true true true true true true true true false X ROD WILDRICK 5157278750 PO BOX 707 JOHNSTON IA 501310707 TERI WAHLIG CEO 1.0 39.0 X X 901039 0 90080 DAVID MCKENZIE PRESIDENT/COO 1.0 39.0 X 375687 0 75235 DAVID COMSTOCK SENIR VP OF HOME & COMM. SVCS. 40.0 0.0 X 214061 0 42231 JAY WINGER VP OF HUMAN RESOURCES 40.0 0.0 X 207752 0 34961 GEORGE EICHHORN DIRECTOR OF COMPLIANCE 40.0 0.0 X 167731 0 16977 MIKKI STIER VP GOVT RELATIONS & PUBLIC AFF 40.0 0.0 X 131999 0 11358 JENNIFER PAVLOVEC VP FINANCE 40.0 0.0 X 129673 0 11463 DAVID JAMES DIRECTOR OF INFORMATION SYSTEM 40.0 0.0 X 119725 0 21047 ROD WILDRICK DIRECTOR OF ACCOUNTING 40.0 0.0 X 116843 0 10507 N BRIAN GENTRY CHAIR 2.25 1.75 X X 0 0 0 EMILY WILLITS VICE CHAIR 2.25 1.75 X X 0 0 0 MIKE WEGNER TREASURER 2.25 1.75 X X 0 0 0 MONDALE SMITH SECRETARY 2.25 1.25 X X 0 0 0 MIKE MCCOY PAST CHAIR 2.25 1.75 X X 0 0 0 BRETT BOSWORTH DIRECTOR 2.0 0.0 X 0 0 0 JOE CERYANEC DIRECTOR 2.0 0.0 X 0 0 0 JIM HAGENBUCHER DIRECTOR 2.0 0.0 X 0 0 0 JEFF CHUNGATH DIRECTOR 2.0 0.0 X 0 0 0 SUSAN FITZSIMMONS DIRECTOR 2.0 0.0 X 0 0 0 MATT GROTNESS DIRECTOR 2.0 0.0 X 0 0 0 CARA HARDIN DIRECTOR 2.0 0.0 X 0 0 0 AARON KENNEDY DIRECTOR 2.0 0.0 X 0 0 0 BRIAN LAURENZO DIRECTOR 2.0 0.0 X 0 0 0 TANNER KINZLER DIRECTOR 2.0 0.0 X 0 0 0 MINDY MOSS DIRECTOR 2.0 0.0 X 0 0 0 JEFF RUSSELL DIRECTOR 2.0 0.0 X 0 0 0 YOGESH SHAH MD DIRECTOR 2.0 0.0 X 0 0 0 KATHERINE SULLIVAN MD DIRECTOR 2.0 0.0 X 0 0 0 MIKE WILSON DIRECTOR 2.0 0.0 X 0 0 0 2364510 0 313859 10 false true false 0 88282 35347 0 123629 MANAGEMENT SUPPORT 561000 7734050 7734050 7734050 63865 63865 0 0 0 0 0 101646 -101646 -101646 -101646 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 561499 35373 35373 COMPANY STORE 453000 14043 14043 49416 7869314 7734050 11635 32452 32452 0 0 0 1600093 1600093 0 3959158 3959158 233190 233190 392064 392064 349499 349499 0 26780 26780 108401 108401 0 0 0 225913 225913 50920 50920 134580 134580 213033 213033 0 159293 159293 40683 40683 0 50457 50457 73 73 0 103424 103424 0 RECRUITMENT EXPENSE 122095 122095 EQUIPMENT RENTAL & MAINT 140350 140350 SUPPLIES 29168 29168 DUES & SUBSCRIPTIONS 48962 48962 55646 55646 8076234 32452 8043782 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 0 -206920 206920 X false true X true false X X 8 CHILDSERVE HOMECARE INC 421478832 7 true 0 0 CHILDSERVE HOMES INC 421264664 10 true 0 0 CHILDSERVE MEDICAL EQUIPMENT & SUPPLY 421264666 10 true 0 0 CHILDSERVE HABILITATION CENTER 420680245 10 true 0 0 CHILDSERVE THERAPY INC 420680420 10 true 0 0 CHILDSERVE FOUNDATION INC 421157665 7 true 32452 0 CHILDSERVE CLINIC INC 455327981 10 true 0 0 CHILDSERVE COMMUNITY OPTIONS 421390033 10 true 0 0 8 32452 0 0.00000 true false false false false false false false false false false false false false false true RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true CHILDSERVE FOUNDATION INC PO BOX 707 JOHNSTON IA 50131 421157665 501(C)(3) 32452 FOUNDATION SUPPORT 1 SCHEDULE I, PART I, LINE 2 CHILDSERVE MAINTAINS A GRANT AND DONOR DATABASE CONTAINING ALL AWARD DOCUMENTATION AND SUPPORT. X X X X X X false true false false false true true false false TERI WAHLIG CEO 807061 0 93978 0 0 0 84428 0 5652 0 991119 0 DAVID MCKENZIE PRESIDENT/COO 302816 0 72871 0 0 0 69159 0 6076 0 450922 0 GEORGE EICHHORN DIRECTOR OF COMPLIANCE 161688 0 6043 0 0 0 7023 0 9954 0 184708 0 JAY WINGER VP OF HUMAN RESOURCES 174238 0 33514 0 0 0 29524 0 5437 0 242713 0 DAVID COMSTOCK SENIR VP OF HOME & COMM. SVCS. 179660 0 34401 0 0 0 31516 0 10715 0 256292 0 SCHEDULE J, PART I, LINE 3 THE EXECUTIVE COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS 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. SCHEDULE J, PART I, LINE 4B TERI WAHLIG - $69,576 DAVE MCKENZIE - $55,805 JAY WINGER - $21,086 DAVID COMSTOCK - $22,466 SCHEDULE J, PART I, LINE 6A & 6B INCENTIVE PAY IS BASED ON MEETING BUDGETED ORGANIZATIONAL PERFORMANCE METRICS. 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 SUBCOMMITTEE 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 THE ORGANIZATION'S BOARD OF DIRECTORS 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. CHILDSERVE HABILITATION CENTER PO BOX 707 JOHNSTON ID 50131 420680245 501(C)(3) 10 CHILDSERVE true CHILDSERVE MEDICAL EQUIPMENT&SUPPLY INC PO BOX 707 JOHNSTON ID 50131 421264666 501(C)(3) 10 CHILDSERVE true CHILDSERVE THERAPY INC PO BOX 707 JOHNSTON ID 50131 420680420 501(C)(3) 10 CHILDSERVE true CHILDSERVE HOMES INC PO BOX 707 JOHNSTON IA 50131 421264664 501(C)(3) 10 CHILDSERVE true CHILDSERVE COMMUNITY OPTIONS PO BOX 707 JOHNSTON IA 50131 421390033 501(C)(3) 10 CHILDSERVE true CHILDSERVE HOMECARE INC PO BOX 707 JOHNSTON IA 50131 421157665 501(C)(3) 7 CHILDSERVE true CHILDSERVE FOUNDATION INC PO BOX 707 JOHNSTON IA 50131 421157665 501(C)(3) 7 CHILDSERVE true THE CHILDSERVE CLINIC INC PO BOX 707 JOHNSTON ID 50131 455327981 501(C)(3) 10 CHILDSERVE true false true true false false false false false false false true false false true true true true false false CHILDSERVE HABILITATION CENTER K 112995 SQUARE FOOTAGE CHILDSERVE HABILITATION CENTER Q 2870274 REVENUE CHILDSERVE HOMES Q 1308575 REVENUE CHILDSERVE MEDICAL EQUIPMENT & SUPPLY Q 233181 REVENUE CHILDSERVE THERAPY Q 1267922 REVENUE CHILDSERVE FOUNDATION Q 147272 REVENUE CHILDSERVE COMMUNITY OPTIONS Q 1102240 REVENUE CHILDSERVE HOMECARE Q 161846 REVENUE CHILDSERVE CLINICS Q 579117 REVENUE CHILDSERVE FOUNDATION C 88282 APPROVED NEEDS 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 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 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 FOUNDATION, INC. PRIMARY ACTIVITY: ENHANCES THE WELL-BEING OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS BY DEVELOPING, RECEIVING AND GRANTING FINANCIAL ASSISTANCE TO CHILDSERVE ORGANIZATIONS. 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.