CHILDSERVE HABILITATION CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHILDSERVE HABILITATION CENTER INC (EIN 42-0680245)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-12
IRS object ID
201243189349300144
Schema version
2011v1.2
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)
Timestamp2012-11-12T17:53:00-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN420680245EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDSERVE HABILITATION CENTERBusinessNameLine1
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 Signed2012-11-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRENT L ALEXANDERName
PTINP00075113PTIN
Phone5152237300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts15431782GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHILDSERVE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1928YearFormation
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 Employees233TotalNbrEmployees
Total Nbr Volunteers234TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year110555ContributionsGrantsPriorYear
Contributions Grants Current Year457961ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12678639ProgramServiceRevenuePriorYear
Program Service Revenue CY12933242ProgramServiceRevenueCY
Investment Income Prior Year70840InvestmentIncomePriorYear
Investment Income Current Year15272InvestmentIncomeCurrentYear
Other Revenue Prior Year2055352OtherRevenuePriorYear
Other Revenue Current Year2025307OtherRevenueCurrentYear
Total Revenue Prior Year14915386TotalRevenuePriorYear
Total Revenue Current Year15431782TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year110273GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7939875SalariesEtcPriorYear
Salaries Etc Current Year8311461SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6647982OtherExpensePriorYear
Other Expenses Current Year6442861OtherExpensesCurrentYear
Total Expenses Prior Year14698130TotalExpensesPriorYear
Total Expenses Current Year14754322TotalExpensesCurrentYear
Revenues Less Expenses Prior Year217256RevenuesLessExpensesPriorYear
Revenues Less Expenses CY677460RevenuesLessExpensesCY
Total Assets BOY27252323TotalAssetsBOY
Total Assets EOY27437772TotalAssetsEOY
Total Liabilities BOY20607856TotalLiabilitiesBOY
Total Liabilities EOY20111980TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6644467NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7325792NetAssetsOrFundBalancesEOY
Mission DescriptionTO ENHANCE THE WELL BEING OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND CHRONIC HEALTH CONDITIONS BY PROVIDING PEDIATRIC SKILLED NURSING CARE AND SPECIALTY SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9494488Expense
Revenue14958549Revenue
DescriptionTWO LEVELS OF SKILLED NURSING SERVICES ARE PROVIDED, CONTINUING CARE AND TRANSITIONAL CARE. CONTINUING CARE IS LONG TERM SKILLED NURSING SERVICE FOR CHILDREN WITH SPECIALTY HEALTH CARE AND SUPPORT NEEDS. THE CONTINUING CARE UNIT IS LICENSED FOR 37 BEDS AND HAD A 89.18% OCCUPANCY RATE SERVING 42 DIFFERENT CHILDREN. TRANSITIONAL CARE PROVIDES SUB-ACUTE LEVEL OF CARE FOR CHILDREN WHO REQUIRE SHORT TERM INTENSIVE NURSING CARE AND REHABILITATION SERVICES. THE TRANSITIONAL CARE UNIT IS LICENSED FOR 21 BEDS AND SERVED 59 DIFFERENT CHILDREN. SKILLED NURSING SERVICES INCLUDE: PHYSICAL, MEDICAL, EDUCATIONAL, SOCIAL, PSYCHOLOGICAL, OCCUPATIONAL, RECREATIONAL, DIETARY AND SPEECH SERVICES.Description
Total Program Service Expense9494488TotalProgramServiceExpense
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 Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
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 Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees233NumberOfEmployees
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 WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
JOEL NELSON
TREASURER2.00XX000
LINDA KADING
SECRETARY2.00XX000
LLOYD VANDER KWAAK
PRESIDENT/CEO19.00XX12591113640316376
DR WILLIAM LEPLEY
PAST CHAIR2.00XX000
JOHN TEMPLE
CHAIR2.00XX000
PAUL NAGEL
VICE CHAIR2.00XX000
TERESA WAHLIG
VICE PRESIDENT/MEDICAL DIRECTOR40.0018863906814X
FieldValueIRS element (for citing)
Total Reportable Comp From Org314550TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs136403TotalReportableCompFrmRltdOrgs
Total Other Compensation23190TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations457961RelatedOrganizations
Total Contributions457961TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SKILLED NURSING CARE6213001272379712723797
THERAPY SERVICES (INCL621300209445209445
FieldValueIRS element (for citing)
Total Program Service Revenue12933242TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column15272TotalRevenueColumn
Exclusion$15,272ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FACILITY SUPPORT REVEN62130012334111233411
LEASE REVENUE532420672424672424
DIETARY REVENUE621300101531101531

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column17941TotalRevenueColumn
Related Or Exempt Function Income17941RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2025307TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15431782TotalRevenueColumn
Related Or Exempt Function Income14958549RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$15,272ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total314550Total
Management And General314550ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6634996Total
Program Services6200563ProgramServices
Management And General434433ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total119743Total
Program Services111052ProgramServices
Management And General8691ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total746676Total
Program Services656357ProgramServices
Management And General90319ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total495496Total
Program Services441459ProgramServices
Management And General54037ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total329842Total
Program Services313334ProgramServices
Management And General16508ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total671441Total
Program Services661696ProgramServices
Management And General9745ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1137108Total
Program Services127690ProgramServices
Management And General1009418ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total166312Total
Program Services67570ProgramServices
Management And General98742ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total16209Total
Program Services15270ProgramServices
Management And General939ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total841186Total
Management And General841186ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total813054Total
Program Services288124ProgramServices
Management And General524930ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total64925Total
Program Services57637ProgramServices
Management And General7288ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
ADMINISTRATION SUPPORT17495961749596
EQUIPMENT RENTAL & MAIN2537575612248145
BAD DEBT EXPENSE141346141346
WORKERS COMPENSATION13609515799120296

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total121990Total
Program Services43949ProgramServices
Management And General78041ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14754322Total
Program Services9494488ProgramServices
Management And General5259834ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1582533BOY
EOY1403814EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY109092BOY
EOY72695EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1347548BOY
EOY2116946EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY58806BOY
EOY49044EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY75720BOY
EOY58897EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26825280LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11002167LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15894052BOY
EOY15823113EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1299110BOY
EOY1297975EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6885462BOY
EOY6615288EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27252323BOY
EOY27437772EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2219238BOY
EOY2059993EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY18383552BOY
EOY18051987EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5066BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY20607856BOY
EOY20111980EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6644467BOY
EOY7325792EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6644467BOY
EOY7325792EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27252323BOY
EOY27437772EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses677460ReconcilationRevenueExpenses
Reconcilation Other Changes3865ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years1715692CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1023817CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years694342CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year110555CurrentTaxYearMinus1Year
Current Tax Year457961CurrentTaxYear
Total4002367Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10853119CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13758415CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13274426CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14733991CurrentTaxYearMinus1Year
Current Tax Year14958549CurrentTaxYear
Total67578500Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12568811CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14782232CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13968768CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14844546CurrentTaxYearMinus1Year
Current Tax Year15416510CurrentTaxYear
Total71580867Total

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 Total50971580867PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years85240CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74622CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years74975CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year70785CurrentTaxYearMinus1Year
Current Tax Year15272CurrentTaxYear
Total320894Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years85240CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74622CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years74975CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year70785CurrentTaxYearMinus1Year
Current Tax Year15272CurrentTaxYear
Total320894Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12654051CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14856854CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14043743CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14915331CurrentTaxYearMinus1Year
Current Tax Year15431782CurrentTaxYear
Total71901761Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99550PublicSupportPercentage509
Prior Year Support Percentage0.99120PriorYearSupportPercentage
Investment Income Percentage0.00450InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00880PriorYrInvestIncomePercentage
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 Basis2640249InvestmentCostOrOtherBasis
Book Value2640249BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis21477801InvestmentCostOrOtherBasis
Depreciation8844535Depreciation
Book Value12633266BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2242273InvestmentCostOrOtherBasis
Depreciation1825670Depreciation
Book Value416603BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis464957InvestmentCostOrOtherBasis
Depreciation331962Depreciation
Book Value132995BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15823113TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
INTEREST RECEIVABLE522
LIFE INSURANCE PROCEEDS RECEIVABLE115898
DUE FROM AFFILIATES6498868
FieldValueIRS element (for citing)
Total Book Value Other Assets6615288TotalBookValueOtherAssets

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X: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 (EXCEPT FOR CHILDSERVE CLINIC) ALL FILE 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 ORGANIZATIONS REMAINING OPEN YEARS SUBJECT TO EXAMINATION INCLUDE THE YEARS ENDED JUNE 30, 2009 THROUGH JUNE 30, 2012. CHILDSERVE CLINIC WAS INCORPORATED DURING THE YEAR ENDED JUNE 30, 2012 AND INTENDS TO APPLY 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
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LLOYD VANDER KWAAK
10053310891111702126771367614815343537224425479413377114491900
TERESA WAHLIG
1767490001189003169036450195453000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 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 6INCENTIVE PAY IS BASED ON MEETING A COMPREHENSIVE SET OF RESULTS WHICH INCLUDES NET EARNINGS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1IOWA FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521699886IssuerEIN
CUSIP Number46246UBQ2CUSIPNumber
Date Issued2006-03-30DateIssued
Issue Price19663662IssuePrice
Description Of PurposeFACILITY CONSTRUCTION AND RENOVATION AND REFUND PRIOR ISSUE (8/1/2002)DescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired1335000AmountRetired
Total Proceeds22109364TotalProceeds
Amount In Reserve Fund1372692AmountInReserveFund
Capitalized Interest557142CapitalizedInterest
Issuance Costs From Proceeds392979IssuanceCostsFromProceeds
Working Capital Expenditures68651WorkingCapitalExpenditures
Capital Expenditures6821889CapitalExpenditures
Other Spent Proceeds13926707OtherSpentProceeds
Year Of Subst Completion2007YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC1GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1CITIGROUPBusinessNameLine1
FieldValueIRS element (for citing)
Term Of GIC5.200000000000TermOfGIC
Regulatory Safe Harbor Satisfied1RegulatorySafeHarborSatisfied
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE K, PART II, LINE 3:THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.
SCHEDULE K, PART II, LINE 3:THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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.
FORM 990, PART XI, LINE 5:UNREALIZED GAIN/LOSS ON INVESTMENTS 3,865. TOTAL TO FORM 990, PART XI, LINE 5: 3,865.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE ORGANIZATION FORMED AN INDEPENDENT AUDIT SUBCOMMITTEE OF THE FINANCE COMMITTEE, WHICH NOW ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT.

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 707JOHNSTONIA501310707421264664PROVIDE COMMUNITY BASED GROUP HOME LIVING FOR CHILDREN WITH SPECIAL NEEDSIA501(C)(3)LINE 9CHILDSERVE INC0
CHILDSERVE MEDICAL EQUIPMENT & SUPPLY INC
PO BOX 707JOHNSTONIA501310707421264666PROVIDE MOBILITY EQUIPMENT & SERVICES FOR CHILDREN WITH SPECIAL NEEDSIA501(C)(3)LINE 9CHILDSERVE INC0
CHILDSERVE THERAPY INC
PO BOX 707JOHNSTONIA501310707420680420PROVIDE THERAPY & AUDIOLOGY SERVICES FOR CHILDREN WITH SPECIAL NEEDSIA501(C)(3)LINE 9CHILDSERVE INC0
CHILDSERVE INC
PO BOX 707JOHNSTONIA501310707421271420PARENT COMPANY FOR BENEFIT & SUPPORT OF PROGRAMS/ SERVICES OF CHILDSERVEIA501(C)(3)LINE 90
CHILDSERVE COMMUNITY OPTIONS
PO BOX 707JOHNSTONIA501310707421390033PROVIDE INTEGRATED SERVICES & COMMUNITY CARE FOR CHILDREN WITH SPECIAL NEEDSIA501(C)(3)LINE 9CHILDSERVE INC0
CHILDSERVE HOMECARE INC
PO BOX 707JOHNSTONIA501310707421478832PROVIDE SPECIALTY HOME HEALTH CARE FOR CHILDREN WITH SPECIAL NEEDSIA501(C)(3)LINE 9CHILDSERVE INC0
CHILDSERVE FOUNDATION INC
PO BOX 707JOHNSTONIA501310707421157665DEVELOP, RECEIVE AND GRANT FINANCIAL ASSISTANCE TO CHILDSERVE ORGANIZATIONSIA501(C)(3)LINE 11A, I0
THE CHILDSERVE CLINIC INC
PO BOX 707JOHNSTONIA501310707455327981IMPROVE ACCESS TO PEDIATRIC MEDICAL, REHABILITATION, FAMILY SUPPORT SERVICESIA501(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
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (22 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CHILDSERVE HOMES INC
I16862BASED ON SQUARE FOOTAGE
CHILDSERVE MEDICAL EQUIPMENT & SUPPLY INC
I61400BASED ON SQUARE FOOTAGE
CHILDSERVE THERAPY INC
I294916BASED ON SQUARE FOOTAGE
CHILDSERVE FOUNDATION INC
I10006BASED ON SQUARE FOOTAGE
CHILDSERVE INC
I151851BASED ON SQUARE FOOTAGE
CHILDSERVE COMMUNITY OPTIONS
I129726BASED ON SQUARE FOOTAGE
CHILDSERVE HOMECARE INC
I7663BASED ON SQUARE FOOTAGE
CHILDSERVE HOMES INC
K11040MAINT & HSKPG BASED ON HOURS USED
CHILDSERVE HOMES INC
Q29851ACTUAL CASH TRANSFERRED
CHILDSERVE MEDICAL EQUIPMENT & SUPPLY INC
R199585ACTUAL CASH TRANSFERRED
CHILDSERVE THERAPY INC
R137796ACTUAL CASH TRANSFERRED
CHILDSERVE FOUNDATION INC
R54233ACTUAL CASH TRANSFERRED
CHILDSERVE COMMUNITY OPTIONS
Q138220ACTUAL CASH TRANSFERRED
CHILDSERVE FOUNDATION INC
C457961BASED ON APPROVED NEEDS
CHILDSERVE HOMES INC
K1422TRANSPORTATION BASED ON HOURS USE
CHILDSERVE INC
K5275TRANSPORTATION BASED ON HOURS USE
CHILDSERVE COMMUNITY OPTIONS
K13161TRANSPORTATION BASED ON HOURS USE
CHILDSERVE INC
O1749596BASED ON PROPORTIONATE REVENUE
CHILDSERVE FOUNDATION INC
O65788BASED ON HISTORICAL SUPPORT %
CHILDSERVE HOMES INC
K136779MAINT & HSKPG BASED ON HOURS USED
CHILDSERVE COMMUNITY OPTIONS
K103959MAINT & HSKPG BASED ON HOURS USED
CHILDSERVE HOMECARE INC
R47067ACTUAL CASH TRANSFERRED

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