Civic Intelligence

Childserve Specialty Hospital Inc.

EIN 33-4332123 • Johnston, IA

Pub. 78 EligibleNTEE E24

Profile

We partner with families to help children with special health care needs live a great life.

PO Box 707Johnston, IA 50131-0707

www.childserve.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2025

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2025

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2025

Top Officer Pay

99th percentile

$666,556

Higher top officer pay than 99% of similar nonprofits.

NTEE E • <$500k nonprofits • Source year 2025

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2025

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2025

Assets

$0

No earlier filing loaded for comparison.

Liabilities

$0

No earlier filing loaded for comparison.

Net Assets

$0

No earlier filing loaded for comparison.

Revenue

$0

No earlier filing loaded for comparison.

Expenses

$0

No earlier filing loaded for comparison.

Net Income

$0

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$0Assets 2025: $0Liabilities 2025: $0Net Assets 2025: $02025

Highlighted filing

2025

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$0Revenue 2025: $0Expenses 2025: $0Net Income 2025: $02025

Highlighted filing

2025

Revenue$0
Expenses$0
Net Income$0

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$0$0$0$0$0$0
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Mar 27, 2025 to Jun 30, 2025
Signed
Feb 27, 2026
Return Version
2024v5.1
Gross Receipts
$0
Mission and Program Overview

Mission

We partner with families to help children with special health care needs live a great life.

To enhance the health and well-being of children and young adults with special healthcare needs by providing a children's specialty hospital with inpatient and outpatient services focusing on pediatric rehabilitation, children, and young adults with behavioral health conditions and complex medical needs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Loans From Officers Directors-$0-
Total Assets$0$0→ $0
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$0$0→ $0
Compensation and Service Providers

Board Members and Trustees

NameTitle
Jim HagenbucherChair
Emily WillitsPast Chair
David MckenziePresident/COO
Joe CeryanecVice Chair
Teri WahligCEO
Cara HardinSecretary
Jake MoranTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$0-
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A 15B - PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL

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.

Form 990, Part VI, Line 6 Classes of members or stockholders

ChildServe Inc. is the sole member of ChildServe Specialty Hospital

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

As the sole member, Childserve Inc. has the right to elect all members of the organization's board at the annual meeting.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

As the sole member, Childserve Inc has the right to vote on all proposed amendments or restatements of the articles of incorporation and, if necessary, the articles of dissolution or merger.

Form 990, Part VI, Line 11B Review of form 990 by governing body

An independent accounting firm prepares and reviews the form 990. The form 990 is then reviewed by the independent audit subcommittee of the finance committee. The subcommittee reviews the form 990 with the full board. The final form 990, with all required schedules, is provided to all voting members of the board prior to filing the 990.

Form 990, Part VI, Line 12C Conflict of interest policy

Members 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, Line 19 Required documents available to the public

The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
ChildServe Specialty Hospital Inc
EIN
33-4332123
Phone
5157271463
Address
PO BOX 707, Johnston, IA 50131-0707

Signing Officer

Name
Paige Jaeger
Title
COO
Phone
5157271463
Signed
2026-02-27
Discuss with paid preparer
Yes

Organization Details

Formed
2025
Legal Domicile
Ia
Voting Board Members
6
Independent Board Members
5
Employees
0
Volunteers
5

Preparer

Firm
Forvis Mazars LLP
Address
1248 O Street Ste 1040, Lincoln, NE 68508-1461
Preparer
Kristin Tynon
Phone
4024737600
Supplemental Narrative

Additional Explanations

Form 990, Part IV, Line 20A HOSPITAL OPERATIONS

Childserve specialty hospital received licensure near the end of the tax year and intends to begin operations as a hospital in the next tax year.

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IRS990/Form990PartVIISectionAGrp/PersonNm2Jake Moran
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IRS990/Form990PartVIISectionAGrp/TitleTxt2Treasurer
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IRS990/Form990PartVIISectionAGrp/TitleTxt5CEO
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE 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.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1TERI WAHLIG - $75,783 DAVID MCKENZIE - $61,701
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt2INCENTIVE PAY IS BASED ON MEETING BUDGETED ORGANIZATIONAL PERFORMANCE METRICS.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc2Schedule J, Part I, Line 6a 6B - COMPENSATION CONTINGENT ON NET EARNINGS OF THE ORGANIZATION
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0CHILDSERVE SPECIALTY HOSPITAL RECEIVED LICENSURE NEAR THE END OF THE TAX YEAR AND INTENDS TO BEGIN OPERATIONS AS A HOSPITAL IN THE NEXT TAX YEAR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ChildServe Inc. is the sole member of ChildServe Specialty Hospital
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3As the sole member, Childserve Inc. has the right to elect all members of the organization's board at the annual meeting.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4As the sole member, Childserve Inc has the right to vote on all proposed amendments or restatements of the articles of incorporation and, if necessary, the articles of dissolution or merger.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5An independent accounting firm prepares and reviews the form 990. The form 990 is then reviewed by the independent audit subcommittee of the finance committee. The subcommittee reviews the form 990 with the full board. The final form 990, with all required schedules, is provided to all voting members of the board prior to filing the 990.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Members 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part IV, Line 20a HOSPITAL OPERATIONS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 15a 15B - PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Line 6 Classes of members or stockholders
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Line 7a Members or stockholders electing members of governing body
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Line 11b Review of form 990 by governing body
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part VI, Line 12c Conflict of interest policy
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990, Part VI, Line 19 Required documents available to the public
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0Provide pediatric nursing for children with special health care needs & chronic health conditions
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1Provide mobility equip, specialty supplies & services for children with special health care needs
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2Provide skilled therapy & audiology services for children with special health care needs
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt3Parent company for benefit & support of programs/services of ChildServe
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt4Develop, receive & grant financial assistance to ChildServe organizations
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt5Improve access to pediatric medical services, rehabilitation & in-home family support services
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt6Provide in home nursing/aide/social work & therapy for children with special health care needs
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt7Provide integrated services & community care for children with special health care needs
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt8Provide community based group home living for children with special health care needs
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