CHILDSERVE HOMES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHILDSERVE HOMES INC (EIN 42-1264664)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-12
IRS object ID
201243189349301104
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)
EIN421264664EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDSERVE HOMES INCBusinessNameLine1
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 Receipts7411743GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHILDSERVE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
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 Employees229TotalNbrEmployees
Total Nbr Volunteers42TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year69378ContributionsGrantsPriorYear
Contributions Grants Current Year93697ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6897449ProgramServiceRevenuePriorYear
Program Service Revenue CY7317038ProgramServiceRevenueCY
Investment Income Prior Year14InvestmentIncomePriorYear
Investment Income Current Year8InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year1000OtherRevenueCurrentYear
Total Revenue Prior Year6966841TotalRevenuePriorYear
Total Revenue Current Year7411743TotalRevenueCurrentYear
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 Year5207666SalariesEtcPriorYear
Salaries Etc Current Year5484020SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1882421OtherExpensePriorYear
Other Expenses Current Year2047174OtherExpensesCurrentYear
Total Expenses Prior Year7090087TotalExpensesPriorYear
Total Expenses Current Year7531194TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-123246RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-119451RevenuesLessExpensesCY
Total Assets BOY3921187TotalAssetsBOY
Total Assets EOY3838601TotalAssetsEOY
Total Liabilities BOY4571860TotalLiabilitiesBOY
Total Liabilities EOY4608725TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-650673NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-770124NetAssetsOrFundBalancesEOY
Mission DescriptionTO ENHANCE THE WELL BEING OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS BY PROVIDING CARE IN COMMUNITY BASED GROUP HOMES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5626066Expense
Revenue6306272Revenue
DescriptionRESIDENTIAL CARE SERVICES WERE PROVIDED IN 11 HOME LOCATIONS PROVIDING NURSING SERVICES, BEHAVIOR SUPPORT, AND THERAPY SERVICES. THIS PROGRAM IS LICENSED FOR 54 CHILDREN BY THE STATE OF IOWA AS AN INTERMEDIATE CARE FACILITY FOR THE MENTALLY RETARDED. THE ACTIVE TREATMENT PROGRAM FOCUSES ON ENABLING CHILDREN TO ACHIEVE GROWTH AND DEVELOPMENTAL MILESTONES. A TOTAL OF 61 DIFFERENT CHILDREN WERE SERVED WITH AN OCCUPANCY RATE OF 99.3%.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense795666Expense
Revenue1011766Revenue
DescriptionRESIDENTIAL CARE SERVICES ARE PROVIDED IN 3 APARTMENT LOCATIONS PROVIDING DAILY CARE SUPPORT, ACTIVITIES OF DAILY LIVING SKILL DEVELOPMENT, BEHAVIOR MANAGEMENT AND THERAPY SERVICES. THIS PROGRAM IS LICENSED FOR 9 YOUNG ADULTS BY THE STATE OF IOWA AS A SUPPORTED COMMUNITY LIVING/RESIDENTIAL FACILITY. A TOTAL OF 10 DIFFERENT CHILDREN WERE SERVED WITH AN OCCUPANCY RATE OF 97.38%.Description
FieldValueIRS element (for citing)
Total Program Service Expense6421732TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees229NumberOfEmployees
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 (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JOEL NELSON
TREASURER2.00XX000
DR WILLIAM LEPLEY
PAST CHAIR2.00XX000
LLOYD VANDER KWAAK
PRESIDENT/CEO8.00XX5246320985116376
LINDA KADING
SECRETARY2.00XX000
JOHN TEMPLE
CHAIR2.00XX000
PAUL NAGEL
VICE CHAIR2.00XX000
FieldValueIRS element (for citing)
Total Reportable Comp From Org52463TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs209851TotalReportableCompFrmRltdOrgs
Total Other Compensation16376TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations93697RelatedOrganizations
Total Contributions93697TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ICF/MR RESIDENTIAL REV62300063052726305272
SCL RESIDENTIAL REVENU62300010117661011766
FieldValueIRS element (for citing)
Total Program Service Revenue7317038TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8TotalRevenueColumn
Exclusion$8ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column1000TotalRevenueColumn
Related Or Exempt Function Income1000RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7411743TotalRevenueColumn
Related Or Exempt Function Income7318038RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$8ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total52463Total
Management And General52463ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4484155Total
Program Services4195089ProgramServices
Management And General289066ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total36480Total
Program Services32112ProgramServices
Management And General4368ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total585668Total
Program Services571003ProgramServices
Management And General14665ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total325254Total
Program Services303196ProgramServices
Management And General22058ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total24407Total
Program Services23825ProgramServices
Management And General582ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total337897Total
Program Services334410ProgramServices
Management And General3487ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total392760Total
Program Services374002ProgramServices
Management And General18758ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total75720Total
Program Services75675ProgramServices
Management And General45ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6646Total
Program Services5648ProgramServices
Management And General998ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total143263Total
Program Services143263ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total176138Total
Program Services176138ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total37744Total
Program Services35311ProgramServices
Management And General2433ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
ADMINISTRATION SUPPORT661476661476
WORKERS COMPENSATION EX72021168870333
EQUIPMENT REPAIR AND MA4826648266
FOUNDATION SUPPORT2875728757

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total42079Total
Program Services33461ProgramServices
Management And General8618ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7531194Total
Program Services6421732ProgramServices
Management And General1109462ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY26249BOY
EOY52766EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY748835BOY
EOY734703EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1300BOY
EOY1300EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4473342LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1423510LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3144803BOY
EOY3049832EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3921187BOY
EOY3838601EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY218109BOY
EOY225123EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4353751BOY
EOY4383602EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4571860BOY
EOY4608725EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-650673BOY
EOY-770124EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-650673BOY
EOY-770124EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3921187BOY
EOY3838601EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-119451ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
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 Years115256CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years60422CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57654CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year69378CurrentTaxYearMinus1Year
Current Tax Year93697CurrentTaxYear
Total396407Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6909734CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6871746CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7077430CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6897449CurrentTaxYearMinus1Year
Current Tax Year7318038CurrentTaxYear
Total35074397Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7024990CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6932168CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7135084CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6966827CurrentTaxYearMinus1Year
Current Tax Year7411735CurrentTaxYear
Total35470804Total

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 Total50935470804PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years329CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years179CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years97CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14CurrentTaxYearMinus1Year
Current Tax Year8CurrentTaxYear
Total627Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years329CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years179CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years97CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14CurrentTaxYearMinus1Year
Current Tax Year8CurrentTaxYear
Total627Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7025319CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6932347CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7135181CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6966841CurrentTaxYearMinus1Year
Current Tax Year7411743CurrentTaxYear
Total35471431Total
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 Basis392058InvestmentCostOrOtherBasis
Book Value392058BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis3686385InvestmentCostOrOtherBasis
Depreciation1185827Depreciation
Book Value2500558BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis172056InvestmentCostOrOtherBasis
Depreciation109973Depreciation
Book Value62083BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis222843InvestmentCostOrOtherBasis
Depreciation127710Depreciation
Book Value95133BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3049832TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$4,383,602Amount
FieldValueIRS element (for citing)
Total Of Amounts4383602TotalOfAmounts

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

FieldValueIRS element (for citing)
Name PersonLLOYD VANDER KWAAKNamePerson
Base Compensation Filing Org41889BaseCompensationFilingOrg
Comp Based On Related Orgs167555CompBasedOnRelatedOrgs
Bonus Filing Org4876BonusFilingOrg
Bonus Related Orgs19503BonusRelatedOrgs
Other Compensation Filing Org5698OtherCompensationFilingOrg
Other Compensation Related Orgs22793OtherCompensationRelatedOrgs
Deferred Comp Filing Org1431DeferredCompFilingOrg
Deferred Comp Related Orgs5726DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org1844NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs7375NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org55738TotalCompensationFilingOrg
Total Compensation Related Orgs222952TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

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 O IRS990ScheduleO

General Explanation GeneralExplanation (5 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 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 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 HABILITATION CENTER
PO BOX 707JOHNSTONIA50131420680245PROVIDE PEDIATRIC NURSING & SERVICES FOR CHILDREN WITH SPECIAL NEEDSIA501(C)(3)LINE 9CHILDSERVE INC0
CHILDSERVE MEDICAL EQUIPMENT & SUPPLY INC
PO BOX 707JOHNSTONIA50131421264666PROVIDE MOBILITY EQUIPMENT & SERVICES FOR CHILDREN WITH SPECIAL NEEDSIA501(C)(3)LINE 9CHILDSERVE INC0
CHILDSERVE THERAPY INC
PO BOX 707JOHNSTONIA50131420680420PROVIDE THERAPY & AUDIOLOGY SERVICES FOR CHILDREN WITH SPECIAL NEEDSIA501(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 707JOHNSTONIA50131421390033PROVIDE INTEGRATED SERVICES & COMMUNITY CARE FOR CHILDREN WITH SPECIAL NEEDSIA501(C)(3)LINE 9CHILDSERVE INC0
CHILDSERVE HOMECARE INC
PO BOX 707JOHNSTONIA50131421478832PROVIDE SPECIALTY HOME HEALTH CARE FOR CHILDREN WITH SPECIAL NEEDSIA501(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 707JOHNSTONIA50131455327981IMPROVE 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 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 (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CHILDSERVE HABILITATION CENTER
R29851ACTUAL CASH TRANSFERRED
CHILDSERVE HABILITATION CENTER
L1422TRANSPORTATION BASED ON HOURS USE
CHILDSERVE HABILITATION CENTER
J16862BASED ON SQUARE FOOTAGE
CHILDSERVE INC
O661476BASED ON PROPORTIONATE REVENUE
CHILDSERVE FOUNDATION INC
O28757BASED ON HISTORICAL SUPPORT %
CHILDSERVE FOUNDATION INC
C93697BASED ON APPROVED NEEDS
CHILDSERVE HABILITATION CENTER
L136779MAINT & HSKPG BASED ON HOURS USED
CHILDSERVE HABILITATION CENTER
L11040MAINT & HSKPG BASED ON HOURS USED

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