2014-01-29T12:28:29-06:00 2013-06-30 450250958 EIDE BAILLY LLP 200 EAST 10TH ST PO BOX 5125 SIOUX FALLS SD 571175125 990 2012-07-01 460224542 CHILDREN'S HOME SOCIETY OF SOUTH DAKOTA CHIL 6053346004 PO BOX 1749 SIOUX FALLS SD 571011749 PAT NADOLSKI 6053346004 2014-01-24 1 LAURIE HANSON P00851848 6053391999 2014-01-24 2012 2015-11-30 17:44:51Z WILLIAM COLSON PO BOX 1749 SIOUX FALLS SD 571011749 19377546 0 X WWW.CHSSD.ORG X 1895 SD PROVIDE HOUSING AND CARE FOR BEHAVIORALLY CHALLENGED CHILDREN AND EMERGENCY SERVICES FOR VICTIMS OF DOMESTIC VIOLENCE AND CHILD ABUSE. 28 27 461 330 0 0 4931627 6753615 12059960 11827578 108946 11752 66534 50282 17167067 18643227 0 0 0 0 12605794 12657615 0 0 106848 4263791 4180502 16869585 16838117 297482 1805110 26125443 27591048 1802725 1371986 24322718 26219062 X TO PROVIDE THE ESSENCE OF HOME - REFUGE, NOURISHMENT, LOVE, AND LIMITS - TO CHILDREN WHOSE HOMES HAVE BEEN VIOLATED; TO SHELTER AND SERVE BATTERED WOMEN IN CRISIS; TO EDUCATE AND COUNSEL CHILDREN, WHOSE SPECIAL NEEDS REQUIRE SPECIAL DEVOTION; TO SERVE FAMILIES WHO NEED HELP IN SUSTAINING THE ESSENCE OF HOME; AND TO SHARE THE LESSONS OF OUR OWN EXPERIENCE, AND LIFT UP THE WISDOM OF OTHERS. 0 1 11282234 11474036 RESIDENTIAL TREATMENT AND EDUCATION IS PROVIDED FOR CHILDREN THROUGH BLACK HILLS CHILDREN'S HOME NEAR RAPID CITY, SD AND THROUGH SIOUX FALLS CHILDREN'S HOME IN SIOUX FALLS, SD. 210 CHILDREN, AGES 4-13, MOST OF WHOM ARE VICTIMS OF ABUSE AND NEGLECT, WERE SERVED IN FY 2013. 1870197 199538 THE CHILDREN'S INN, LOCATED IN SIOUX FALLS, SD, PROVIDES EMERGENCY SHELTER TO BATTERED WOMEN AND ABUSED CHILDREN. CHILDREN'S INN PROVIDED EMERGENCY SHELTER TO 965 WOMEN AND CHILDREN IN FY 2013. MESSENGERS EMERGENCY FOSTER HOME, LOCATED IN RAPID CITY, SD, PROVIDES EMERGENCY SHELTER TO ABUSED AND NEGLECTED CHILDREN. MESSENGERS SERVED 40 IN FY 2013. 600454 0 THE BRIGHT START PROGRAM BASED IN SIOUX FALLS, SD ASSISTS WOMEN TO ENSURE THEY RECEIVE THE CARE THEY NEED THROUGHOUT PREGNANCY AND FOR THE FIRST TWO YEARS OF THEIR CHILDREN'S LIVES. IN 2013, EIGHT NURSES AND A MENTAL HEALTH THERAPIST PROVIDED 216 MOTHERS WITH 1,814 HOME VISITATION SERVICES. 1648934 154004 WE ALSO RECRUIT, TRAIN, AND QUALIFY FOSTER AND ADOPTIVE FAMILIES, AND PROVIDE HOME STUDIES OF RELATIVES BEING CONSIDERED TO RECEIVE A RELATED CHILD. WE ARE A LICENSED CHILD PLACEMENT AGENCY, AUTHORIZED TO PLACE CHILDREN FOR FOSTER CARE AND ADOPTION. WE SERVED OVER 400 CHILDREN AND FAMILIES IN FY 2013. 1648934 154004 15401819 1 1 0 1 0 0 0 0 1 1 1 0 0 1 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 35 0 1 461 1 0 0 0 0 0 0 0 0 0 0 X 28 27 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X PAT NADOLSKI 6053346004 PO BOX 1749 SIOUX FALLS SD 571011749 X MONICA BURGESS 5.00 X X 0 0 0 GENE UHER 5.00 X X 0 0 0 DENNIS STENE 5.00 X X 0 0 0 ROBERT FOUBERG 5.00 X X 0 0 0 MAUREEN SUGA 5.00 X X 0 0 0 KRIS MCKITTRICK 5.00 X X 0 0 0 MIKE ALBERTSON 5.00 X 0 0 0 DAN ASHMORE 5.00 X 0 0 0 RICK BELSAAS 5.00 X 0 0 0 JAN BREWER 5.00 X 0 0 0 HOLLY BRUNICK 5.00 X 0 0 0 MAUREEN CLARKSON 5.00 X 0 0 0 JULIE ANDERSON FRIESEN 5.00 X 0 0 0 PHIL HELLAND 5.00 X 0 0 0 GINA HOPKINS 5.00 X 0 0 0 GARY JENSEN 5.00 X 0 0 0 MELANIE MADSEN 5.00 X 0 0 0 ROSS MCKIE 5.00 X 0 0 0 TIM MEYER 5.00 X 0 0 0 CYNTHIA MICKELSON 5.00 X 0 0 0 ROB MUDGE 5.00 X 0 0 0 DAVE NELSON 5.00 X 0 0 0 ROLLIE NOEM 5.00 X 0 0 0 LISA RICHMOND-KIRBY 5.00 X 0 0 0 BILL SANFORD 5.00 X 0 0 0 KAREN SCHREIER 5.00 X 0 0 0 GREG SCHWEISS 5.00 X 0 0 0 SUSAN STOKKA 5.00 X 0 0 0 BOBBY SUNDBY 5.00 X 0 0 0 PAT BURCHILL 5.00 X 0 0 0 ROBERT HOOVER 5.00 X 0 0 0 DEANNA LIEN 5.00 X 0 0 0 JERRY NACHTIGAL 5.00 X 0 0 0 JOHN ROZELL 5.00 X 0 0 0 WILLIAM COLSON 50.00 X X 119035 0 62077 PAT NADOLSKI 50.00 X 392667 0 32344 511702 0 94421 2 0 1 0 HOOGENDOORN CONSTRUCTION INC 47895 US HIGHWAY 18 CANTON SD 57103 CONSTRUCTION 838595 BECKMAN CONSTRUCTION INC 27067 TALLGRASS AVE SIOUX FALLS SD 57108 CONSTRUCTION 478864 CHILDREN'S CARE HOSPITAL & SCHOOL 2501 W 26TH STREET SIOUX FALLS SD 57104 MEDICAL 133813 WELLMARK BLUE CROSS AND BLUE SHIELD OF S PO BOX 9124 DES MOINES IA 503069124 ADMIN FEES 122783 SANFORD HEALTH SYSTEMS PO BOX 5039 SIOUX FALLS SD 571175039 MEDICAL 116336 5 816616 52005 3207804 2118370 558820 725732 6753615 CHILD CARE 624200 9224229 9224229 TUITION 611600 2449345 2449345 OCCUPATIONAL THERAPY 624200 85454 85454 OTHER 624200 44835 44835 SPEECH THERAPY 624200 23715 23715 11827578 16245 16245 40200 0 40200 40200 40200 725102 661420 68175 63682 -68175 -4493 -4493 14806 52005 4724 10082 10082 18643227 11827578 0 62034 303330 30333 272997 9462039 8869783 511640 80616 576718 568452 8266 1621779 1523139 98640 693749 634835 55478 3436 8882 6673 2209 32750 32750 2497 2497 590895 521273 69622 827 629 198 325567 267911 36635 21021 6244 2096 4148 406203 390928 15275 207416 168367 38770 279 55246 39558 15688 731361 647299 84062 376858 350163 26695 FOOD 526638 526638 LIVING ESSENTIALS 377125 377125 FOSTER PARENT FEES 263893 263893 EQUIPMENT & MAINT 169636 120417 49219 98464 92307 4661 1496 16838117 15401819 1329450 106848 7563561 8213655 548538 559435 1284445 1184317 313230 692334 24364072 9583045 14133189 14781027 1060729 700276 1221751 1460004 26125443 27591048 1771024 1351866 29924 18470 1777 1650 1802725 1371986 X 22869526 24081424 740110 1359086 713082 778552 24322718 26219062 26125443 27591048 X 1805110 26719 64515 X 0 1 X 1 1 1 X 6048273 5922100 5608219 4931627 6753615 29263834 6048273 5922100 5608219 4931627 6753615 29263834 29263834 95529 105518 128099 140948 56445 526539 29790373 62227728 0.98230 0.97640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 16838117 16838117 991906 247977 0 0 988174 1000000 987110 991906 3967190 5950785 0 0 0 0 0 247044 250000 246778 247977 991799 1487699 0 0 0 0 0 0 1 X 182174 51250 24897 7627 250694 195379 7376 -9195 10767 619 182174 162836 250 38978 6080 605 195379 136292 15251 11293 162836 127715 34250 -25673 136292 0.97000 0.03000 1 1 1 588009 588009 18460253 5577339 12882914 4164299 3381291 783008 1151511 624415 527096 14781027 DUE FROM CHILDREN'S HOME FOUNDATION 34944 BENEFICIAL INTEREST IN TRUST 940301 CSV LIFE INSURANCE 484759 1460004 X 18842553 26719 31932 140675 199326 18643227 0 18643227 16946209 31932 76160 108092 16838117 0 16838117 PART IV, LINE 2B: THE CUSTODIAL ACCOUNTS WERE ESTABLISHED TO HOLD FUNDS FOR CHILDREN RESIDING AT THE HOME. FUNDS ARE AVAILABLE FOR WITHDRAWAL BY AUTHORIZED PERSONS. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: GENERAL UNRESTRICTED SUPPORT OR SPECIFIC PROGRAM SUPPORT. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE SOCIETY BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE SOCIETY WILL RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: ASSET DISPOSALS 71,436. FUNDRAISING EXPENSES 4,724. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 27,161. CHANGE IN CASH SURRENDER VALUE OF LIFE INSURANCE 37,354. PART XII, LINE 2D - OTHER ADJUSTMENTS: ASSET DISPOSALS 71,436. FUNDRAISING EXPENSES 4,724. CHRISTMAS WRAP 38164 24100 14064 4611 FUNSKI 28647 27905 742 113 66811 52005 14806 4724 4724 10082 X X 0 1 X X 0 1 0 0 0 0 0 1 0 WILLIAM COLSON 113083 0 3450 0 2502 0 55125 0 7807 0 181967 0 0 0 PAT NADOLSKI 89872 0 2665 0 300130 0 20000 0 13140 0 425807 0 300000 0 PART I, LINE 1A WILLIAM COLSON FLIES A LEASED PLANE TO AND FROM RAPID CITY AND SIOUX FALLS GENERALLY EVERY OTHER WEEK FOR BUSINESS PURPOSES; CHS PAYS FOR THESE COSTS. THE MANAGEMENT TEAM AND BOARD MEMBER SPOUSES, ON OCCASION, WILL TRAVEL IN COMPANY VEHICLES WHEN ATTENDING ONE OF OUR FUNDRAISERS AND/OR ANNUAL MEETING EITHER IN SIOUX FALLS OR RAPID CITY. PART I, LINE 1B SPOUSAL TRAVEL REIMBURSEMENT IS DETERMINED BY THE BOARD. EXPENSES THAT ARE MINIMAL AND NOT EXCESSIVE WILL BE REIMBURSED BY CHS PROVIDED THE COMPANION-SPOUSE DOES NOT TRAVEL SEPARATELY FROM HIS/HER CHS-EMPLOYED SPOUSE. ADDITIONAL COSTS FOR VEHICLE TRAVEL AND LODGING ARE NOT INCURRED AS A RESULT OF SPOUSAL TRAVEL. PART I, LINE 4B THE EXECUTIVE DIRECTOR AND CFO HAVE DEFERRED COMPENSATION PLANS. THE CFO'S DEFERRED COMPENSATION PLAN WAS PAID OUT IN 2012. THIS PLAN WAS INITIATED IN 1994, THUS THE PAYOUT COVERS APPROXIMATELY 20 YEARS OF SERVICE. PART I, LINE 7 FINANCE AND EXECUTIVE COMMITTEES APPROVED YEAR END BONUSES FOR SUBSTANTIALLY ALL FULL TIME AND SCHEDULED PART TIME EMPLOYEES, INCLUDING THE MANAGEMENT TEAM, THAT WERE EMPLOYED BY CHS IN MAY 2013. X 4233 COST X 119452 COST X 1 24268 COST X 1 188214 FMV X 23 21565 COST X SOFTWARE 1 368000 COST 0 1 1 THIRD PARTY USE: PART I, LINE 32B: CHILDREN'S HOME FOUNDATION PROVIDES FUNDRAISING PROGRAMS FOR CHILDREN'S HOME SOCIETY. MOST NONCASH CONTRIBUTIONS ARE CONTRIBUTED FIRST TO THE FOUNDATION, THEN THE FOUNDATION GIFTS THE NONCASH CONTRIBUTIONS TO THE SOCIETY. CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 BLACK HILLS EMERGENCY HOME WAS CLOSED IN JANUARY 2013. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. MINUTES ARE KEPT. THE EXECUTIVE COMMITTEE CONSISTS OF THE PRESIDENT, VICE PRESIDENT, SECRETARY, TREASURER, DEVELOPMENT DIRECTOR & PAST PRESIDENT AND THREE OTHER BOARD MEMBERS APPROVED AT THE ANNUAL BOARD MEETING. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT ALL NECESSARY BUSINESS OF THE AGENCY BETWEEN THE REGULAR FULL BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 11 THE CHIEF FINANCIAL OFFICER AND EXECUTIVE DIRECTOR ARE INVOLVED IN THE PREPARATION OF FORM 990. THE COMPLETED FORM 990 IS DISTRIBUTED TO EACH MEMBER OF THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH MEETS AS A COMMITTEE TO MAKE A RECOMMENDATION TO THE EXECUTIVE COMMITTEE OF THE BOARD. A COPY OF THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD AND OFFICERS OF THE ORGANIZATION ARE COVERED BY THE CONFLICT OF INTEREST POLICY. THE FOLLOWING OCTOBER DURING THE ANNUAL BOARD MEETING, A QUESTIONNAIRE IS GIVEN TO EACH BOARD MEMBER AND OFFICER OF THE ORGANIZATION REQUESTING EACH DISCLOSE ANY FINANCIAL INTERACTION BY THAT PERSON OR BY AN AFFILIATED ORGANIZATION OR FAMILY MEMBER OF THAT PERSON. THE BOARD PRESIDENT DETERMINES IF A CONFLICT OF INTEREST EXISTS AND DECIDES HOW TO DISCLOSE THE CONFLICT. THE PRESIDENT MAY ASK THE PERSON TO RECUSE PARTICIPATION IN THE BOARD DISCUSSIONS OR MAY ASK THE PERSON TO RESIGN. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS ANNUALLY APPOINTS AN EXECUTIVE REVIEW COMPENSATION COMMITTEE WHICH SETS AND APPROVES COMPENSATION FOR THE EXECUTIVE DIRECTOR, COMMUNITY BASED OPERATIONS DIRECTOR, AND CHIEF FINANCIAL OFFICER. THE PROCESS IS UNDERTAKEN ANNUALLY PRIOR TO THE EMPLOYMENT ANNIVERSARY DATE OF THE EMPLOYEE. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. W-2 COMPENSATION: FORM 990, PART VII, SECTION A PLEASE REFER TO SCHEDULE J FOR ADDITIONAL INFORMATION REGARDING COMPENSATION FOR PAT NADOLSKI. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 27,161. CHANGE IN CASH SURRENDER VALUE OF LIFE INSURANCE 37,354. CHILDREN'S HOME FOUNDATION PO BOX 1749 SIOUX FALLS SD 571011749 460366277 PROVIDE FUNDING FOR THE PROGRAMS OF CHILDREN'S HOME SOCIETY OF SD SD 501(C)(3) LINE 11A, I N/A 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 CHILDREN'S HOME FOUNDATION C 3207804 FMV CHILDREN'S HOME FOUNDATION J 25200 FMV CHILDREN'S HOME FOUNDATION O 61450 COST CHILDREN'S HOME FOUNDATION Q 576750 COST