2025-02-13T09:19:40+00:00 2024-06-30 440160260 Forvis Mazars LLP 1248 O Street Ste 1040 Lincoln NE 685081461 990 2023-07-01 421478832 ChildServe Homecare Inc CHIL 5157278750 PO BOX 707 JOHNSTON IA 50131 David McKenzie President/COO 2025-02-13 true Kristin Tynon P01063388 4024737600 2024-01-17 2023 2025-03-06 01:10:19Z DAVID MCKENZIE PO BOX 707 JOHNSTON IA 50131 1591182 false X https://www.childserve.org X 1998 IA TO ENHANCE THE WELL-BEING OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS BY PROVIDING SPECIALTY HOME HEALTH 6 5 24 6 0 0 68244 68596 1240250 1522586 0 1638 0 1310132 1591182 3901 0 0 1428148 1404651 0 0 203158 382923 1635207 1787574 -325075 -196392 476441 312483 407954 440388 68487 -127905 WE PARTNER WITH FAMILIES TO HELP CHILDREN WITH SPECIAL HEALTH CARE NEEDS LIVE A GREAT LIFE. false false 1054032 0 1522586 CHILDSERVE HOMECARE PROVIDES IN-HOME, SPECIALIZED SKILLED NURSING, OCCUPATIONAL THERAPY, PHYSICAL THERAPY AND SPEECH-LANGUAGE PATHOLOGY SERVICES FOR INDIVIDUALS, UP TO AGE 22, WITH COMPLEX MEDICAL NEEDS WITHIN A 35-MILE RADIUS OF JOHNSTON, IOWA. IN THIS FISCAL YEAR HOMECARE PROVIDED 17,384 HOURS OF SERVICE TO 21 CHILDREN. 1054032 true true false false false false false false false false false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 0 0 24 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 Emily Willits Chair 0.2 3.8 X X 0 0 0 Jim Hagenbucher Vice Chair 0.2 3.8 X X 0 0 0 Joe Ceryanec Treasurer 0.2 3.8 X X 0 0 0 Mondale Smith Secretary 0.2 3.8 X X 0 0 0 N Brian Gentry Past Chair 0.2 3.8 X X 0 0 0 Teri Wahlig CEO 1.0 39.0 X X 0 515541 85206 David McKenzie President/COO 1.0 39.0 X 0 792552 73131 Valerie McIntyre Service Manager Homecare 40.0 0.0 X 103061 0 15020 103061 1308093 173357 1 false true false 0 68596 68596 NURSING SERVICES 621610 1522586 1522586 0 0 0 0 1522586 0 0 0 0 0 0 0 0 0 1591182 1522586 0 0 1199316 804538 394778 23634 14423 9211 94898 52786 42112 86803 59050 27753 11083 395 10688 0 3415 3415 7769 2279 5490 7527 1321 6206 3026 3026 2600 29 2571 ADMINISTRATION SUPPORT 223576 223576 BAD DEBT 118644 118644 EQUIPMENT RENTAL 2102 501 1601 MEDICAL SUPPLIES 1669 66 1603 1512 0 1512 0 1787574 1054032 733542 0 31925 38797 444516 273686 0 0 0 0 0 0 0 0 0 0 0 0 476441 312483 407954 45163 0 0 0 395225 407954 440388 X 68487 -127905 68487 -127905 476441 312483 -196392 0 X false true X true true true X 0 314677 57780 68244 68596 509297 0 0 0 314677 57780 68244 68596 509297 0 509297 26 26 0 0 0 0 1638 0 1638 510961 7032701 0.9967 0.9616 X 0 0 0 0 0 0 Schedule A, Part II, Line 10 Other Income DESCRIPTION - MISC, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 1638.0, COLUMN E - 0.0, COLUMN F - 1638.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED DUE TO AFFILIATES 395225 395225 Schedule D, Part X, Line 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. false true false false false true true false false Teri Wahlig CEO 0 470005 0 45536 0 0 0 79503 0 5703 0 600747 0 0 David McKenzie President/COO 0 755478 0 37074 0 0 0 67182 0 5949 0 865683 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 - $66,303 DAVE MCKENZIE - $53,982 Schedule J, Part I, Lines 6a & 6b INCENTIVE PAY IS BASED ON MEETING BUDGETED ORGANIZATIONAL PERFORMANCE METRICS. Form 990, Part VI, Line 6 Classes of members or stockholders CHILDSERVE, INC. IS THE SOLE MEMBER OF CHILDSERVE HOMECARE, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body 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, Line 7b Decisions requiring approval by members or stockholders 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, Line 11b Review of form 990 by governing body 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, Line 12c Conflict of interest policy 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, Line 15a Process to establish compensation of top management official 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, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX LINES 5-10 - COSTS RELATING TO COMPENSATION, EMPLOYEE BENEFTIS & PAYROLL TAXES 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 Habilitation Center Inc PO Box 707 Johnston IA 50131 420680245 Provide pediatric nursing for children with special health care needs & chronic health conditions IA 501(c)(3) 10 ChildServe Inc true ChildServe Homes Inc PO Box 707 Johnston IA 50131 421264664 Provide community based group home living for children with special health care needs IA 501(c)(3) 10 ChildServe Inc true ChildServe Medical Equipment & Supply Inc PO Box 707 Johnston IA 50131 421264666 Provide mobility equip, specialty supplies & services for children with special health care needs IA 501(c)(3) 10 ChildServe Inc true ChildServe Therapy Inc PO Box 707 Johnston IA 50131 420680420 Provide skilled therapy & audiology services for children with special health care needs IA 501(c)(3) 10 ChildServe Inc true ChildServe Inc PO Box 707 Johnston IA 50131 421271420 Parent company for benefit & support of programs/services of ChildServe IA 501(c)(3) Type II na false ChildServe Foundation Inc PO Box 707 Johnston IA 50131 421157665 Develop, receive & grant financial assistance to ChildServe organizations IA 501(c)(3) 7 ChildServe Inc true ChildServe Community Options Inc PO Box 707 Johnston IA 50131 421390033 Provide integrated services & community care for children with special health care needs IA 501(c)(3) 10 ChildServe Inc true ChildServe Clinics PO Box 707 Johnston IA 50131 425327981 Improve access to pediatric medical services, rehabilitation & in-home family support services IA 501(c)(3) 10 ChildServe Inc true false false false false false false false false false false false false false false false true false false true CHILDSERVE INC P 223384 REVENUE