2024-02-20T11:59:55-06:00 2023-06-30 FORVIS LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2022-07-01 420680420 CHILDSERVE THERAPY 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 3 2022 2023-04-26 12:10:37Z DAVID MCKENZIE PO BOX 707 JOHNSTON IA 50131 12806389 false X WWW.CHILDSERVE.ORG X 1938 IA TO ENHANCE THE WELL-BEING OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS BY PROVIDING SKILLED THERAPY AND SPECIALTY PEDIATRIC CLINICS AND SERVICES. 6 5 195 81 0 695891 944971 10987724 11858564 50 37 2592 2817 11686257 12806389 0 277705 0 0 8813375 10030156 0 0 0 2989631 2518510 11803006 12826371 -116749 -19982 4685034 5298452 383858 1017258 4301176 4281194 WE PARTNER WITH FAMILIES TO HELP CHILDREN WITH SPECIAL HEALTH CARE NEEDS LIVE A GREAT LIFE. false false 8699334 277705 11858564 CHILDSERVE THERAPY ENHANCES THE WELL-BEING OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS BY PROVIDING OCCUPATIONAL AND PHYSICAL THERAPY, AND SPEECH-LANGUAGE PATHOLOGY. THERAPY IS TAILORED TO THE NEEDS AND GOALS OF EACH CHILD AND OFFERED IN BOTH INDIVIDUAL AND / OR GROUP SETTINGS. A VARIETY OF THERAPY SERVICES ARE OFFERED, INCLUDING INTENSIVE PROGRAMS, CONCUSSION PROGRAMS, THE FEEDING AND SWALLOWING CLINIC, AND MORE. A TOTAL OF 4,155 CHILDREN RECEIVED SERVICES. 8699334 true true false false false false false false false false true false false true true 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 false true true false false true 7 0 true 195 true false false false false false false false false false false false false X 6 5 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 4.0 36.0 X X 0 901039 90080 DAVID MCKENZIE PRESIDENT/COO 4.0 36.0 X 0 375687 75235 DEANN PIFER VP OUTPATIENT SERVICES 40.0 0.0 X 130799 0 14951 MARIE HASSEL DIRECTOR OF EASTERN IOWA 40.0 0.0 X 103403 0 4967 BRIAN GENTRY CHAIR 0.25 3.75 X X 0 0 0 EMILY WILLITS VICE CHAIR 0.25 3.75 X X 0 0 0 MIKE WEGNER TREASURER 0.25 3.75 X X 0 0 0 MONDALE SMITH SECRETARY 0.25 3.75 X X 0 0 0 MIKE MCCOY PAST CHAIR 0.25 3.75 X X 0 0 0 234202 1276726 185233 2 false true false 0 165600 755456 23915 944971 THERAPY SERVICES 621300 11858564 11858564 11858564 37 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 2817 2817 2817 12806389 11858564 2854 277705 277705 0 0 0 0 0 8593654 6574369 2019285 219086 172475 46611 595417 432059 163358 621999 476901 145098 0 0 0 0 0 0 146845 82698 64147 0 6379 6379 44695 9210 35485 19167 19167 0 490789 383275 107514 22139 8263 13876 0 63364 45945 17419 818 818 0 87233 28074 59159 0 ADMINISTRATION SUPPORT 1302414 1302414 MISCELLANEOUS OPERATING COSTS 29103 8228 20875 MEDICAL & THERAPY SUPPLIES 211604 153324 58280 EQUIPMENT RENTAL & MAINT 93792 46808 46984 168 168 12826371 8699334 4127037 0 218553 220016 0 0 0 0 2003989 1818918 0 0 0 0 0 0 0 0 22334 0 1217321 535945 371180 681376 0 0 0 0 0 0 0 0 2068978 2578142 4685034 5298452 383858 422255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 595003 383858 1017258 X 4301176 4281194 0 0 4301176 4281194 4685034 5298452 -19982 X false true X true true true X 455261 313967 1848238 695891 944971 4258328 8616795 8090248 10184294 10987724 11858564 49737625 0 0 0 9072056 8404215 12032532 11683615 12803535 53995953 0 0 0 53995953 13420 335 32 50 37 13874 0 13420 335 32 50 37 13874 0 2592 2817 5409 9085476 8404550 12032564 11686257 12806389 54015236 0.99964 0.99970 0.00026 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 821573 503226 318347 395748 32719 363029 681376 Due from Affiliates 2023443 ROU Asset - Operating Lease 540892 ROU Asset - Finance Lease 13807 2578142 0 OPERATING LEASE LIABILITY 595003 595003 true Childserve Foundation inc PO BOX 707 JOHNSTON IA 50131 421157665 501(c)(3) 277705 FOUNDATION SUPPORT 1 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 DAVID MCKENZIE PRESIDENT/COO 0 302816 0 72871 0 0 0 69159 0 6076 0 450922 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 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 DAVID MCKENZIE - $55,805 SCHEDULE J, PART I, LINE 6A & 6B INCENTIVE PAY IS BASED ON MEETING A BUDGETED ORGANIZATIONAL PERFORMANCE METRICS. FORM 990, PART VI, SECTION A, LINE 6 CHILDSERVE, INC. IS THE SOLE MEMBER OF CHILDSERVE THERAPY, 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 THERAPY 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. false false true false false false false false false false true false false true true true false false true CHILDSERVE FOUNDATION B 277705 GRANT CHILDSERVE FOUNDATION C 755456 APPROVED NEEDS CHILDSERVE HABILITATION CENTER K 321462 SQUARE FOOTAGE CHILDSERVE INC P 1267922 REVENUE CHILDSERVE FOUNDATION P 292174 GRANT USAGE PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: 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, INC. PRIMARY ACTIVITY: PARENT COMPANY FOR BENEFIT & SUPPORT OF PROGRAMS/SERVICES OF CHILDSERVE 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 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 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 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 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 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.