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CHILDSERVE THERAPY INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CHILDSERVE THERAPY INC (EIN 42-0680420)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-01-14
IRS object ID
201510149349300306
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-01-14T08:40:05-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN421229486PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BROOKS LODDEN PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11441 29TH STREET STE 305AddressLine1
CityWEST DES MOINESCity
StateIAState
ZIP Code502661357ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN420680420EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDSERVE THERAPY INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone5157278750PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 707AddressLine1
CityJOHNSTONCity
StateIAState
ZIP Code501310707ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLLOYD VANDER KWAAKPersonNm
Person TitleCEOPersonTitleTxt
Phone5157278750PhoneNum
Signature2015-01-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRENT L ALEXANDERPreparerPersonNm
PTINP00075113PTIN
Phone5152237300PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLLOYD VANDER KWAAKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 707AddressLine1
CityJOHNSTONCity
StateIAState
ZIP Code501310707ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$4,244,150GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHILDSERVE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1938FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionWE PARTNER WITH FAMILIES TO HELP CHILDREN WITH SPECIAL HEALTH CARE NEEDS LIVE A GREAT LIFE.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee63TotalEmployeeCnt
Total Volunteers71TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$246,184PYContributionsGrantsAmt
CY Contributions Grants$271,936CYContributionsGrantsAmt
PY Program Service Revenue$3,829,972PYProgramServiceRevenueAmt
CY Program Service Revenue$3,966,491CYProgramServiceRevenueAmt
PY Investment Income$17PYInvestmentIncomeAmt
CY Investment Income$35CYInvestmentIncomeAmt
PY Other Revenue$10,530PYOtherRevenueAmt
CY Other Revenue$5,688CYOtherRevenueAmt
PY Total Revenue$4,086,703PYTotalRevenueAmt
CY Total Revenue$4,244,150CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,097,178PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,150,964CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,333,210PYOtherExpensesAmt
CY Other Expenses$978,778CYOtherExpensesAmt
PY Total Expenses$4,430,388PYTotalExpensesAmt
CY Total Expenses$4,129,742CYTotalExpensesAmt
PY Revenues Less Expenses-$343,685PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$114,408CYRevenuesLessExpensesAmt
Total Assets BOY$2,896,657TotalAssetsBOYAmt
Total Assets EOY$3,007,267TotalAssetsEOYAmt
Total Liabilities BOY$116,858TotalLiabilitiesBOYAmt
Total Liabilities EOY$113,060TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,779,799NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,894,207NetAssetsOrFundBalancesEOYAmt
MissionTO ENHANCE THE WELL BEING OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS BY PROVIDING SKILLED THERAPY, AUDIOLOGY, AND SPECIALTY PEDIATRIC CLINICS AND SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,648,694ExpenseAmt
Revenue$3,972,179RevenueAmt
DescTHERAPY SERVICES PROVIDED INCLUDE SPEECH-LANGUAGE PATHOLOGY, OCCUPATIONAL THERAPY AND PHYSICAL THERAPY. A TOTAL OF 1,572 CHILDREN RECEIVED SERVICES.Desc
Total Program Service Expenses$2,648,694TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee63EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDSERVEBusinessNameLine1
FieldValueIRS element (for citing)
Phone5157278750PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 707AddressLine1
CityJOHNSTONCity
StateIAState
ZIP Code501310707ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JOEL NELSON
CHAIR2.000.00Yes (X)Yes (X)$0$0$0
KIP ALBERTSON
VICE CHAIR2.000.00Yes (X)Yes (X)$0$0$0
LLOYD VANDER KWAAK
PRESIDENT/CEO2.7037.30Yes (X)Yes (X)$22,301$312,038$29,807
FRANK STORK
SECRETARY2.000.00Yes (X)Yes (X)$0$0$0
DOUG DORNACKER
TREASURER2.000.00Yes (X)Yes (X)$0$0$0
PAUL NAGEL
PAST CHAIR2.000.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$22,301TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$312,038TotReportableCompRltdOrgAmt
Total Other Compensation$29,807TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$210,212FederatedCampaignsAmt
Related Organizations$61,724RelatedOrganizationsAmt
Total Contributions$271,936TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescTHERAPY SERVICESDesc
Business621300BusinessCd
Total Revenue Column$3,966,491TotalRevenueColumnAmt
Related Or Exempt Func Income$3,966,491RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,966,491TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$35TotalRevenueColumnAmt
Exclusion$35ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
IN-HOUSE TRAINING CONF900099$4,960$4,960
MISCELLANEOUS INCOME900099$728$728
FieldValueIRS element (for citing)
Other Revenue Total$5,688OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,244,150TotalRevenueColumnAmt
Related Or Exempt Func Income$3,972,179RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$35ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$23,545TotalAmt
Management And General$23,545ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,689,518TotalAmt
Program Services$2,154,705ProgramServicesAmt
Management And General$534,813ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$61,211TotalAmt
Program Services$52,364ProgramServicesAmt
Management And General$8,847ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$178,831TotalAmt
Program Services$142,182ProgramServicesAmt
Management And General$36,649ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$197,859TotalAmt
Program Services$158,918ProgramServicesAmt
Management And General$38,941ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,046TotalAmt
Program Services$2,055ProgramServicesAmt
Management And General$4,991ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$60TotalAmt
Management And General$60ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$119,851TotalAmt
Program Services$31,575ProgramServicesAmt
Management And General$88,276ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$324,430TotalAmt
Program Services$3,915ProgramServicesAmt
Management And General$320,515ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,371TotalAmt
Program Services$9,436ProgramServicesAmt
Management And General$1,935ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$25,067TotalAmt
Program Services$1,129ProgramServicesAmt
Management And General$23,938ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$39,651TotalAmt
Program Services$39,312ProgramServicesAmt
Management And General$339ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$28,634TotalAmt
Program Services$6,304ProgramServicesAmt
Management And General$22,330ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
ADMINISTRATION SUPPORT$282,781$282,781
EQUIPMENT RENTAL AND MA$38,302$36,463$1,839
FOUNDATION SUPPORT$32,620$32,620
BAD DEBT EXPENSE$29,463$29,463

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$39,502TotalAmt
Program Services$15,497ProgramServicesAmt
Management And General$24,005ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,129,742TotalAmt
Program Services$2,648,694ProgramServicesAmt
Management And General$1,481,048ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21,225BOYAmt
EOY$32,329EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$406,581BOYAmt
EOY$479,689EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$317,913LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$229,639LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$189,339BOYAmt
EOY$88,274EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,279,512BOYAmt
EOY$2,406,975EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,896,657BOYAmt
EOY$3,007,267EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$116,858BOYAmt
EOY$113,060EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$116,858BOYAmt
EOY$113,060EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,779,799BOYAmt
EOY$2,894,207EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,779,799BOYAmt
EOY$2,894,207EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,896,657BOYAmt
EOY$3,007,267EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$114,408ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$256,022CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$307,629CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$322,107CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$246,184CurrentTaxYearMinus1YearAmt
Current Tax Year$271,936CurrentTaxYearAmt
Total$1,403,878TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,432,750CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,216,032CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,072,069CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,829,972CurrentTaxYearMinus1YearAmt
Current Tax Year$3,966,491CurrentTaxYearAmt
Total$19,517,314TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,688,772CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,523,661CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,394,176CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,076,156CurrentTaxYearMinus1YearAmt
Current Tax Year$4,238,427CurrentTaxYearAmt
Total$20,921,192TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$20,921,192PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$142CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$59CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17CurrentTaxYearMinus1YearAmt
Current Tax Year$35CurrentTaxYearAmt
Total$302TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$142CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$59CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17CurrentTaxYearMinus1YearAmt
Current Tax Year$35CurrentTaxYearAmt
Total$302TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,688,914CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,523,720CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,394,225CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,076,173CurrentTaxYearMinus1YearAmt
Current Tax Year$4,238,462CurrentTaxYearAmt
Total$20,921,494TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$317,913InvestmentCostOrOtherBasisAmt
Depreciation$229,639DepreciationAmt
Book Value$88,274BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$88,274TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$2,406,975BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,406,975TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING FOR UNCERTAIN TAX POSITIONS: CHILDSERVE, INC. AND SUBSIDIARIES HAVE DETERMINATION LETTERS FROM THE IRS WITH VARIOUS DATES STATING THE ORGANIZATION AND ITS SUBSIDIARIES ARE EXEMPT FROM INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHILDSERVE, INC. AND SUBSIDIARIES FILES FORM 990 TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. MANAGEMENT OF THE ORGANIZATION BELIEVES IT HAS NO MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, WILL NOT RECOGNIZE ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. ANY INTEREST AND PENALTY PAYMENTS WOULD BE RECORDED IN SEPARATE ACCOUNTS IN THE OPERATING EXPENSES. THE ORGANIZATION'S REMAINING OPEN YEARS SUBJECT TO EXAMINATION INCLUDE THE YEARS ENDED JUNE 30, 2011 THROUGH JUNE 30, 2014.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonLLOYD VANDER KWAAKPersonNm
TitlePRESIDENT/CEOTitleTxt
Base Compensation Filing Org$16,828BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$235,465CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$3,605BonusFilingOrganizationAmount
Bonus Related Organizations$50,438BonusRelatedOrganizationsAmt
Other Compensation Filing Org$1,868OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$26,135OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$1,374DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$19,232DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$614NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$8,587NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$24,289TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$339,857TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE RELATED TO TAXABLE FRINGE BENEFITS INCLUDED AS COMPENSATION FOR THE PRESIDENT/CEO OF THE ORGANIZATION.
PART I, LINE 3CHILDSERVE INC. (A RELATED ORGANIZATION) OBTAINS A COMPREHENSIVE MARKET BASED STUDY TO OBTAIN COMPENSATION DATA FOR EACH KEY EMPLOYEE FROM SIMILAR TYPE AGENCIES AND ORGANIZATIONS EVERY THREE YEARS. DURING THE YEARS WHEN THE STUDY IS NOT CONDUCTED, MARKET BASED INFORMATION SUCH AS CPI OR COMPARABLE DATA WILL BE USED ANNUALLY TO MAKE ADJUSTMENTS TO THE MIDPOINT. THE EXECUTIVE COMMITTEE OF CHILDSERVE INC.'S BOARD OF DIRECTORS HAS THE RESPONSIBILITY TO OVERSEE THE IMPLEMENTATION OF THE EXECUTIVE COMPENSATION POLICY. THE EXECUTIVE COMMITTEE WILL APPROVE THE COMPENSATION ARRANGEMENTS FOR THE PRESIDENT/CEO WITHOUT DISCUSSION OR VOTING PARTICIPATION OF THE PRESIDENT/CEO.
PART I, LINE 6INCENTIVE PAY IS BASED ON MEETING A COMPREHENSIVE SET OF RESULTS WHICH INCLUDES NET EARNINGS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION'S POLICY FOR REVIEW OF THE FORM 990 RETURN INCLUDES REVIEW BY THE INDEPENDENT AUDIT SUBCOMMITTEE OF THE FINANCE COMMITTEE AND DISTRIBUTION TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CMEMBERS 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 15THE EXECUTIVE COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS HAS THE RESPONSIBILITY TO OVERSEE THE IMPLEMENTATION OF THE EXECUTIVE COMPENSATION POLICY FOR THE THREE KEY EMPLOYEES: PRESIDENT/CEO, VICE PRESIDENT OF ADMINISTRATION, AND VICE PRESIDENT OF PROGRAMS. 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
CHILDSERVE HOMES INC
PO BOX 707JOHNSTONIA50131421264664SEE PART VII - SUPPLEMENTAL INFORMATIONIA501(C)(3)LINE 9CHILDSERVE INC0
CHILDSERVE MEDICAL EQUIPMENT & SUPPLY INC
PO BOX 707JOHNSTONIA50131421264666SEE PART VII - SUPPLEMENTAL INFORMATIONIA501(C)(3)LINE 9CHILDSERVE INC0
CHILDSERVE HABILITATION CENTER
PO BOX 707JOHNSTONIA50131420680245SEE PART VII - SUPPLEMENTAL INFORMATIONIA501(C)(3)LINE 9CHILDSERVE INC0
CHILDSERVE INC
PO BOX 707JOHNSTONIA50131421271420PARENT COMPANY FOR BENEFIT & SUPPORT OF PROGRAMS/ SERVICES OF CHILDSERVEIA501(C)(3)LINE 90
CHILDSERVE COMMUNITY OPTIONS
PO BOX 707JOHNSTONIA50131421390033SEE PART VII - SUPPLEMENTAL INFORMATIONIA501(C)(3)LINE 9CHILDSERVE INC0
CHILDSERVE HOMECARE INC
PO BOX 707JOHNSTONIA50131421478832SEE PART VII - SUPPLEMENTAL INFORMATIONIA501(C)(3)LINE 9CHILDSERVE INC0
CHILDSERVE FOUNDATION INC
PO BOX 707JOHNSTONIA50131421157665DEVELOP, RECEIVE AND GRANT FINANCIAL ASSISTANCE TO CHILDSERVE ORGANIZATIONSIA501(C)(3)LINE 11A, I0
THE CHILDSERVE CLINIC INC
PO BOX 707JOHNSTONIA50131455327981SEE PART VII - SUPPLEMENTAL INFORMATIONIA501(C)(3)LINE 9CHILDSERVE INC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDSERVE HABILITATION CENTER
S$127,464ACTUAL CASH TRANSFERRED
CHILDSERVE INC
P$282,781BASED ON PROPORTIONATE REVENUE
CHILDSERVE FOUNDATION INC
C$61,724BASED ON APPROVED NEEDS
CHILDSERVE HABILITATION CENTER
K$296,052BASED ON SQUARE FOOTAGE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS:FormAndLineReferenceDesc
ExplanationNAME OF RELATED ORGANIZATION: CHILDSERVE HOMES, INC. PRIMARY ACTIVITY: PROVIDE COMMUNITY BASED GROUP HOME LIVING FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS NAME OF RELATED ORGANIZATION: CHILDSERVE MEDICAL EQUIPMENT & SUPPLY, INC. PRIMARY ACTIVITY: PROVIDE MOBILITY EQUIPMENT, SPECIALTY MEDICAL SUPPLIES, AND SERVICES 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 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: PROVIDE SPECIALTY HOME HEALTH CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS NAME OF RELATED ORGANIZATION: THE CHILDSERVE CLINIC, INC. PRIMARY ACTIVITY: IMPROVE ACCESS TO PEDIATRIC SUBSPECIALTY MEDICAL SERVICES, PEDIATRIC REHABILITATION SERVICES, AND IN-HOME FAMILY SUPPORT SERVICESExplanationTxt

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