CHILDSERVE COMMUNITY OPTIONS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHILDSERVE COMMUNITY OPTIONS INC (EIN 42-1390033)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-08
IRS object ID
201303129349300900
Schema version
2012v2.1
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)
Timestamp2013-11-08T08:22:52-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN421229486EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BROOKS LODDEN PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11441 29TH STREET STE 305AddressLine1
CityWEST DES MOINESCity
StateIAState
ZIP Code502661357ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN421390033EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDSERVE COMMUNITY OPTIONSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl
Phone5157278750Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameLLOYD VANDER KWAAKName
TitlePRESIDENT/CEOTitle
Phone5157278750Phone
Date Signed2013-10-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRENT L ALEXANDERName
PTINP00075113PTIN
Phone5152237300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLLOYD VANDER KWAAKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 707AddressLine1
CityJOHNSTONCity
StateIAState
ZIP Code501310707ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8335258GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHILDSERVE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionWE PARTNER WITH FAMILIES TO HELP CHILDREN WITH SPECIAL HEALTH CARE NEEDS LIVE A GREAT LIFE.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees784TotalNbrEmployees
Total Nbr Volunteers109TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year58394ContributionsGrantsPriorYear
Contributions Grants Current Year94734ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7781577ProgramServiceRevenuePriorYear
Program Service Revenue CY8206664ProgramServiceRevenueCY
Investment Income Prior Year21InvestmentIncomePriorYear
Investment Income Current Year10InvestmentIncomeCurrentYear
Other Revenue Prior Year899OtherRevenuePriorYear
Other Revenue Current Year33850OtherRevenueCurrentYear
Total Revenue Prior Year7840891TotalRevenuePriorYear
Total Revenue Current Year8335258TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6319727SalariesEtcPriorYear
Salaries Etc Current Year6792226SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1762539OtherExpensePriorYear
Other Expenses Current Year1806566OtherExpensesCurrentYear
Total Expenses Prior Year8082266TotalExpensesPriorYear
Total Expenses Current Year8598792TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-241375RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-263534RevenuesLessExpensesCY
Total Assets BOY2670584TotalAssetsBOY
Total Assets EOY2593342TotalAssetsEOY
Total Liabilities BOY5622208TotalLiabilitiesBOY
Total Liabilities EOY5808500TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-2951624NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-3215158NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO ENHANCE THE WELL BEING OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS BY PROVIDING INTEGRATED COMMUNITY CARE AND SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1313666Expense
Revenue1380692Revenue
DescriptionCHILDSERVE CASE MANAGEMENT - ASSESSES THE NEEDS OF POLK COUNTY CHILDREN WITH SPECIAL HEALTH CARE NEEDS FOR THE PURPOSE OF ASSISTING THEM IN OBTAINING SERVICES, FUNDING AND DEVELOPING AN INDIVIDUALIZED CARE PLAN, AND THEN MONITORING THE IMPLEMENTATION OF THAT PLAN. DURING THE CURRENT FISCAL YEAR, CHILDSERVE CASE MANAGEMENT SERVED 416 CHILDREN AGES BIRTH TO 22 YEARS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2716222Expense
Revenue2928516Revenue
DescriptionCHILDSERVE CHILDCARE AND CHILDSERVE DAY HABILITAION PROVIDE A UNIQUE CHILDCARE EXPERIENCE FOR AMES AND DES MOINES AREA CHILDREN WITH AND WITHOUT SPECIAL HEALTH CARE NEEDS. IN THE CURRENT FISCAL YEAR, CHILDSERVE CHILDCARE SERVED 251 CHILDREN AND CHILDSERVE DAY HABILITAION PROVIDED 33,281 HOURS OF SERVICE TO 78 CHILDREN.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2290925Expense
Revenue2540825Revenue
DescriptionCHILDSERVE RESPITE GIVES FAMILIES A BREAK FROM DAILY DEMANDS OF CARING FOR A CHILD WITH SPECIAL HEALTH CARE NEEDS. RESPITE IS PROVIDED IN THE CHILDREN'S HOMES AND IN THE COMMUNITY. IN THE CURRENT FISCAL YEAR, CHILDSERVE RESPITE PROVIDED SERVICES FOR 660 CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND PROVIDED AN AVERAGE OF 12,821 HOURS OF RESPITE SERVICE EACH MONTH.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense1139914Expense
Revenue1356631Revenue
DescriptionCHILDSERVE SUPPORTED COMMUNITY LIVING (SCL) ASSISTS CHILDREN AND YOUNG ADULTS IN DEVELOPING AND MAINTAINING SOCIALIZATION, COMMUNICATION, AND PERSONAL MANAGEMENT SKILLS. IN THE CURRENT FISCAL YEAR, CHILDSERVE SCL PROVIDED INDIVIDUAL SERVICES TO 221 CHILDREN, AVERAGING 3,230 HOURS OF SERVICE PER MONTH.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1139914TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1356631TotalOfOtherProgramServiceRev
Total Program Service Expense7460727TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees784NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHILDSERVEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5157278750TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JOEL NELSON
VICE CHAIR0.302.40XX000
KIP ALBERTSON
TREASURER0.302.10XX000
LLOYD VANDER KWAAK
PRESIDENT/CEO4.0036.00XX2805626389027267
FRANK STORK
SECRETARY0.302.10XX000
JOHN TEMPLE
PAST CHAIR0.302.10XX000
PAUL NAGEL
CHAIR0.302.10XX000
DAVE COMSTOCK
VP FOR HOME AND COMMUNITY SERVICES40.0010520504031X
FieldValueIRS element (for citing)
Total Reportable Comp From Org133261TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs263890TotalReportableCompFrmRltdOrgs
Total Other Compensation31298TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations71646RelatedOrganizations
All Other Contributions23088AllOtherContributions
Total Contributions94734TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CHILD CARE62130029285162928516
RESPITE62130025408252540825
CASE MANAGEMENT62130013806921380692
SCL62130013566311356631
FieldValueIRS element (for citing)
Total Program Service Revenue8206664TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10TotalRevenueColumn
Exclusion$10ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column33850TotalRevenueColumn
Related Or Exempt Function Income33850RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue33850TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8335258TotalRevenueColumn
Related Or Exempt Function Income8240514RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$10ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total30630Total
Management And General30630ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5935611Total
Program Services5454357ProgramServices
Management And General481254ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total53921Total
Program Services41692ProgramServices
Management And General12229ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total332562Total
Program Services308817ProgramServices
Management And General23745ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total439502Total
Program Services402562ProgramServices
Management And General36940ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total27749Total
Program Services22230ProgramServices
Management And General5519ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total73Total
Program Services73ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total313157Total
Program Services275281ProgramServices
Management And General37876ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total540412Total
Program Services446320ProgramServices
Management And General94092ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total63645Total
Program Services51812ProgramServices
Management And General11833ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total10519Total
Program Services10394ProgramServices
Management And General125ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total139327Total
Program Services139327ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total53513Total
Program Services53175ProgramServices
Management And General338ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
ADMINISTRATION SUPPORT368623368623
EQUIPMENT RENTAL AND MA11752010941106579
WORKERS COMPENSATION EX90064326286802
BAD DEBT EXPENSE3310233102

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total48862Total
Program Services28204ProgramServices
Management And General20658ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8598792Total
Program Services7460727ProgramServices
Management And General1138065ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY54852BOY
EOY21744EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY724902BOY
EOY709020EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2491413LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec628835LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1890830BOY
EOY1862578EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2670584BOY
EOY2593342EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY155721BOY
EOY165991EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5466487BOY
EOY5642509EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5622208BOY
EOY5808500EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-2951624BOY
EOY-3215158EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-2951624BOY
EOY-3215158EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2670584BOY
EOY2593342EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-263534ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years574476CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23881CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years208904CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year58394CurrentTaxYearMinus1Year
Current Tax Year94734CurrentTaxYear
Total960389Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6821556CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7212723CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7359259CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7782476CurrentTaxYearMinus1Year
Current Tax Year8240514CurrentTaxYear
Total37416528Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7396032CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7236604CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7568163CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7840870CurrentTaxYearMinus1Year
Current Tax Year8335248CurrentTaxYear
Total38376917Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50938376917PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years296CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years152CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21CurrentTaxYearMinus1Year
Current Tax Year10CurrentTaxYear
Total499Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years296CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years152CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21CurrentTaxYearMinus1Year
Current Tax Year10CurrentTaxYear
Total499Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7396328CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7236756CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7568183CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7840891CurrentTaxYearMinus1Year
Current Tax Year8335258CurrentTaxYear
Total38377416Total
FieldValueIRS element (for citing)
Public Support Percentage5091.00000PublicSupportPercentage509
Prior Year Support Percentage1.00000PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis332000InvestmentCostOrOtherBasis
Book Value332000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1670242InvestmentCostOrOtherBasis
Depreciation349557Depreciation
Book Value1320685BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis489171InvestmentCostOrOtherBasis
Depreciation279278Depreciation
Book Value209893BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1862578TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$5,642,509Amount
FieldValueIRS element (for citing)
Total Of Amounts5642509TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationACCOUNTING FOR UNCERTAIN TAX POSITIONS: CHILDSERVE, INC. AND SUBSIDIARIES (EXCEPT FOR CHILDSERVE CLINIC) 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, 2010 THROUGH JUNE 30, 2013. CHILDSERVE CLINIC WAS INCORPORATED DURING THE YEAR ENDED JUNE 30, 2012 AND APPLIED FOR TAX-EXEMPT STATUS DURING THE YEAR ENDING JUNE 30, 2013.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonLLOYD VANDER KWAAKNamePerson
TitlePRESIDENT/CEOTitle
Base Compensation Filing Org22445BaseCompensationFilingOrg
Comp Based On Related Orgs211115CompBasedOnRelatedOrgs
Bonus Filing Org2981BonusFilingOrg
Bonus Related Orgs28040BonusRelatedOrgs
Other Compensation Filing Org2630OtherCompensationFilingOrg
Other Compensation Related Orgs24735OtherCompensationRelatedOrgs
Deferred Comp Filing Org1645DeferredCompFilingOrg
Deferred Comp Related Orgs15468DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org976NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs9178NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org30677TotalCompensationFilingOrg
Total Compensation Related Orgs288536TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
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

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
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 CHILDSERVE INC. (A RELATED ORGANIZATION) 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

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
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 THERAPY INC
PO BOX 707JOHNSTONIA50131420680420SEE 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 Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CHILDSERVE HABILITATION CENTER
S176022ACTUAL CASH TRANSFERRED
CHILDSERVE HABILITATION CENTER
K129726BASED ON SQUARE FOOTAGE
CHILDSERVE INC
P368623BASED ON PROPORTIONATE REVENUE
CHILDSERVE HABILITATION CENTER
M12609TRANSPORTATION BASED ON HOURS USE
CHILDSERVE HABILITATION CENTER
M159148MAINT & HSKPG BASED ON HOURS USED
CHILDSERVE FOUNDATION
C71646BASED ON APPROVED NEEDS
CHILDSERVE FOUNDATION
P19480BASED ON HISTORICAL SUPPORT %

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
Return ReferencePART II, IDENTIFICATION OF RELATED TAX - EXEMPT ORGANIZATIONS:ReturnReference
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 THERAPY, INC. PRIMARY ACTIVITY: PROVIDE SKILLED THERAPY AND AUDIOLOGY SERVICES 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 SERVICESExplanation

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