2024-02-20T12:01:55-06:00 2023-06-30 FORVIS LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2022-07-01 421264666 CHILDSERVE MEDICAL EQUIPMENT & SUPPLY % 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 2 2022 2023-04-26 12:10:37Z DAVID MCKENZIE PO BOX 707 JOHNSTON IA 501310707 1891942 false X WWW.CHILDSERVE.ORG X 1985 IA TO ENHANCE THE WELL-BEING OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS BY PROVIDING MOBILITY EQUIPMENT, SPECIALTY MEDICAL SUPPLIES, AND SERVICES. 6 5 7 5 0 83751 18724 1761390 1872399 19 13 0 806 1845160 1891942 0 6883 0 0 458000 467369 0 0 0 1346773 1485931 1804773 1960183 40387 -68241 2295572 2214179 158804 145652 2136768 2068527 WE PARTNER WITH FAMILIES TO HELP CHILDREN WITH SPECIAL HEALTH CARE NEEDS LIVE A GREAT LIFE. false false 1576261 0 1872399 CHILDSERVE MEDICAL EQUIPMENT AND SUPPLY PROVIDES MOBILITY AND SPECIALTY MEDICAL EQUIPMENT, SUPPLIES AND SERVICES TO OVER 550 CHILDREN. WE DESIGNED AND CREATED CUSTOMIZED ITEMS INCLUDING WHEELCHAIRS, STANDERS, SHOES, AND ORTHOTICS (BRACES/HELMETS) TO HELP CHILDREN IMPROVE MOBILITY AND ACCESS TO THEIR WORLD. 1576261 true true false false false false false false false false true false false true 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 1 0 true 7 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 501310707 TERI WAHLIG CEO 1.0 39.0 X X 0 901039 90080 DAVID MCKENZIE PRESIDENT/COO 1.0 39.0 X 0 375687 75235 MIKE MCCOY PAST CHAIR 0.25 3.75 X X 0 0 0 MIKE WEGNER TREASURER 0.25 3.75 X X 0 0 0 EMILY WILLITS VICE CHAIR 0.25 3.75 X X 0 0 0 MONDALE SMITH SECRETARY 0.25 3.75 X X 0 0 0 BRIAN GENTRY CHAIR 0.25 3.75 X X 0 0 0 0 1276726 165315 0 false true false 0 18724 18724 ADAPTIVE EQUIPMENT 621300 1872399 1872399 1872399 13 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 806 806 806 1891942 1872399 819 6883 6883 0 0 0 0 0 404349 284097 120252 7801 3913 3888 25545 17007 8538 29674 21130 8544 0 0 0 0 0 0 149 149 0 0 0 3290 1505 1785 0 0 25302 24785 517 9335 9335 0 5950 5880 70 0 0 9186 9186 693 693 SUPPLIES & ADAPTIVE EQUIP 1178005 1177920 85 ADMINISTRATION SUPPORT 234342 234342 EQUIPMENT RENTAL & MAINT 12721 11817 904 ALL OTHER EXPENSES 6958 2654 4304 1960183 1576261 383922 0 49941 20357 0 0 0 0 403912 392490 0 0 0 0 0 0 163087 180578 0 0 96252 37649 67099 58603 0 0 0 0 0 0 0 0 1611533 1562151 2295572 2214179 158804 145652 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158804 145652 X 2136768 2068527 0 0 2136768 2068527 2295572 2214179 -68241 X false true X true true true X 0 3138 90754 83751 18724 196367 1538599 1690851 1544082 1761390 1872399 8407321 0 0 0 1538599 1693989 1634836 1845141 1891123 8603688 63396 18724 82120 13173 43596 19545 43379 54762 174455 13173 43596 19545 106775 73486 256575 8347113 2184 32 0 19 13 2248 0 2184 32 0 19 13 2248 0 806 806 1540783 1694021 1634836 1845160 1891942 8606742 0.96983 0.99970 0.00026 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 96252 37649 58603 58603 Due from Affiliates 1562151 1562151 true CHILDSERVE FOUNDATION INC PO BOX 707 JOHNSTON IA 50131 421157665 501(C)(3) 6883 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 MEDICAL EQUIPMENT & SUPPLY. 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 MEDICAL EQUIPMENT & SUPPLY 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 HOMES IA 501(C)(3) 10 CSI true CHILDSERVE THERAPY INC PO BOX 707 JOHNSTON IA 50131 420680420 THERAPY IA 501(C)(3) 10 CSI true CHILDSERVE INC PO BOX 707 JOHNSTON IA 50131 421271420 PARENT COMP IA 501(C)(3) 12B CSI true CHILDSERVE COMMUNITY OPTIONS PO BOX 707 JOHNSTON IA 50131 421390033 SERVICES IA 501(C)(3) 10 CSI true CHILDSERVE HABILITATION CENTER PO BOX 707 JOHNSTON IA 50131 420680245 NURSING SVCS IA 501(C)(3) 10 CSI true CHILDSERVE FOUNDATION INC PO BOX 707 JOHNSTON IA 50131 421157665 GRANT MAKING IA 501(C)(3) 7 CSI true CHILDSERVE HOMECARE INC PO BOX 707 JOHNSTON IA 50131 421478832 HOME HEALTH IA 501(C)(3) 7 CSI true CHILDSERVE CLINIC INC PO BOX 707 JOHNSTON IA 50131 455327981 MED SERVICES IA 501(C)(3) 10 CSI true false true true false false false false false false false true false false true true true false false true CHILDSERVE INC P 233181 REVENUE 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 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, 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.