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Nonprofiteer
← CHILDSERVE CLINIC INC

Form 990 for tax year 2023

Filed by CHILDSERVE CLINIC INC.

Totals

Total revenue
$5,488,872
Total expenses
$5,920,572
Contributions and grants received
$314,836
Grants paid
$46,401
Program service revenue
$5,125,075
Investment income
$0
Other revenue
$48,961
Total assets, end of year
$691,743
Total liabilities, end of year
$6,028,199
Net assets or fund balances, end of year
-$5,336,456
Program services expenses (Part IX)
$4,810,642
Management and general expenses
$1,109,930
Fundraising expenses
$0
Program service expenses (Part III)
$4,810,642

Program services were 81.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $226,746

  • 1e · Government grants (contributions)

    $88,090

  • 2a · Program service revenue: RESIDENT SERVICE REVENUE

    total $5,125,075 · related or exempt $5,125,075

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $48,961 · excluded $48,961

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $48,961

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $46,401 · program services $46,401

  • 7 · Other salaries and wages

    total $3,217,567 · program services $3,217,567

  • 8 · Pension plan contributions

    total $67,096 · program services $67,096

  • 9 · Other employee benefits

    total $209,866 · program services $209,866

  • 10 · Payroll taxes

    total $234,121 · program services $234,121

  • 11g · Fees: other

    total $88,510 · program services $88,510 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $43,024 · program services $43,024

  • 14 · Information technology

    total $29,279 · program services $29,279

  • 16 · Occupancy

    total $185,239 · program services $185,239

  • 17 · Travel

    total $16,687 · program services $16,687

  • 19 · Conferences, conventions and meetings

    total $29,172 · program services $29,172

  • 20 · Interest

    total $34,957 · program services $34,957

  • 22 · Depreciation, depletion and amortization

    total $94,103 · program services $94,103

  • 24a · Other expenses: MANAGEMENT SUPPORT

    total $737,281 · management and general $737,281

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $491,926 · program services $491,926

  • 24c · Other expenses: REGIONAL ADMINISTRATION SUPPORT

    total $372,649 · management and general $372,649

  • 24d · Other expenses: EQUIPMENT REPAIR & MAINT

    total $15,412 · program services $15,412

  • 24e · All other expenses

    total $7,282 · program services $7,282 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $83,983 · end of year $18,673

  • 4 · Accounts receivable

    beginning of year $672,092 · end of year $657,134

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $10,449 · end of year $10,921

  • 10a · Land, buildings and equipment: cost or other basis

    $137,747

  • 10b · Land, buildings and equipment: accumulated depreciation

    $132,732

  • 10c · Land, buildings and equipment, net

    beginning of year $24,401 · end of year $5,015

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $222,345 · end of year $159,664

  • 19 · Deferred revenue

    beginning of year $72,904

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $5,400,432 · end of year $5,868,535

  • 27 · Net assets without donor restrictions

    beginning of year -$4,904,756 · end of year -$5,336,456

Mission and programs · 2023

Mission

WE PARTNER WITH FAMILIES TO HELP CHILDREN WITH SPECIAL HEALTH CARE NEEDS LIVE A GREAT LIFE.

Activities or mission (Part I)

TO ENHANCE THE WELL-BEING OF CHILDREN BY IMPROVING ACCESS TO PEDIATRIC SUB-SPECIALTY MEDICAL SERVICES, PEDIATRIC REHABILITATION SERVICES AND IN-HOME FAMILY SUPPORT.

  • CHILDSERVE CLINIC ENHANCES THE WELLBEING OF CHILDREN BY PROVIDING ACCESS TO SUB-SPECIALTY MEDICAL SERVICES INCLUDING CHILDSERVE'S COMPLEX CARE CLINIC, PHYSIATRY, PSYCHOLOGY, MENTAL HEALTH, APPLIED BEHAVIOR ANALYSIS. SERVICES WERE PROVIDED TO 1,536 CHILDREN.

    Expenses $4,810,642 · Grants $46,401 · Revenue $5,125,075

As filed on the 2023 return.

Listed in Part VII

  • Emily Willits

    Chair

    Total calculated
    $0
    Hours/week
    0.2 + 3.8 related
  • Jim Hagenbucher

    Vice Chair

    Total calculated
    $0
    Hours/week
    0.2 + 3.8 related
  • Joe Ceryanec

    Treasurer

    Total calculated
    $0
    Hours/week
    0.2 + 3.8 related
  • Mondale Smith

    Secretary

    Total calculated
    $0
    Hours/week
    0.2 + 3.8 related
  • Teri Wahlig

    CEO

    Total calculated
    $600,747
    From this org
    $0
    From related orgs
    $515,541
    Other
    $85,206
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $470,005 related
    Bonus
    $0 + $45,536 related
    Other
    $0
    Deferred
    $0 + $79,503 related
    Nontaxable benefits
    $0 + $5,703 related
    Filer's total
    $0 + $600,747 related
  • David McKenzie

    President/COO

    Total calculated
    $865,683
    From this org
    $0
    From related orgs
    $792,552
    Other
    $73,131
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $755,478 related
    Bonus
    $0 + $37,074 related
    Other
    $0
    Deferred
    $0 + $67,182 related
    Nontaxable benefits
    $0 + $5,949 related
    Filer's total
    $0 + $865,683 related
  • Fred Klingbeil

    Med. Dir. Of Pediatric Rehab

    Total calculated
    $339,568
    From this org
    $162,086
    From related orgs
    $162,086
    Other
    $15,396
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $152,983 + $152,983 related
    Bonus
    $9,103 + $9,103 related
    Other
    $0
    Deferred
    $4,668 + $4,668 related
    Nontaxable benefits
    $3,030 + $3,030 related
    Filer's total
    $169,784 + $169,784 related
  • Leah Brandon

    Med. Dir.of Med & Pediatrics

    Total calculated
    $214,821
    From this org
    $21,038
    From related orgs
    $189,343
    Other
    $4,440
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $19,860 + $178,745 related
    Bonus
    $1,178 + $10,598 related
    Other
    $0
    Deferred
    $362 + $3,261 related
    Nontaxable benefits
    $82 + $735 related
    Filer's total
    $21,482 + $193,339 related
  • Suzanne Richards

    Pediatric Clinical Psych

    Total calculated
    $104,166
    From this org
    $100,160
    From related orgs
    $0
    Other
    $4,006
    Hours/week
    40

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 METHODS USED BY RELATED ORGANIZATION TO ESTABLISH COMPENSATION
THE EXECUTIVE COMMITTEE OF CHILDSERVE, INC. (A RELATED ORGANIZATION) HAS THE RESPONSIBILITY TO OVERSEE THE IMPLEMENTATION OF THE EXECUTIVE COMPENSATION POLICY FOR THE EXECUTIVE POSITIONS AND KEY EMPLOYEES AS DEFINED BY THE IRS. 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.
Schedule J, Part I, Line 4b SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
TERI WAHLIG - $66,302.65 DAVE MCKENZIE - $53,982.09
Schedule J, Part I, Line 6a 6b - COMPENSATION CONTINGENT ON NET EARNINGS OF THE ORGANZATION
INCENTIVE PAY IS BASED ON MEETING BUDGETED ORGANIZATIONAL PERFORMANCE METRICS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • ChildServe Habilitation Center Inc

    501(c)(3) · Provide pediatric nursing for children with special health care needs & chronic health conditions · IA · controlled entity

    Directly controlled by ChildServe Inc

  • ChildServe Homes Inc

    501(c)(3) · Provide community based group home living for children with special health care needs · IA · controlled entity

    Directly controlled by ChildServe Inc

  • ChildServe Medical Equipment & Supply Inc

    501(c)(3) · Provide mobility equip, specialty supplies & services for children with special health care needs · IA · controlled entity

    Directly controlled by ChildServe Inc

  • ChildServe Therapy Inc

    501(c)(3) · Provide skilled therapy & audiology services for children with special health care needs · IA · controlled entity

    Directly controlled by ChildServe Inc

  • ChildServe Inc

    501(c)(3) · Parent company for benefit & support of programs/services of ChildServe · IA

    Directly controlled by NA

  • ChildServe Foundation Inc

    501(c)(3) · Develop, receive & grant financial assistance to ChildServe organizations · IA · controlled entity

    Directly controlled by ChildServe Inc

  • ChildServe Homecare Inc

    501(c)(3) · Provide in home nursing/aide/social work & therapy for children with special health care needs · IA · controlled entity

    Directly controlled by ChildServe Inc

  • ChildServe Community Options Inc

    501(c)(3) · Provide integrated services & community care for children with special health care needs · IA · controlled entity

    Directly controlled by ChildServe Inc

Provenance

Return type
form_990
Tax year
2023
Filed
13 February 2025
IRS schema version
2023v6.0
Source object
202520449349300722

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