Civic Intelligence

Childrens Care Hospital & School

EIN 46-0233030 • 501(c)3 • Sioux Falls, SD

Pub. 78 Eligible

Profile

Empowering people to live their best life.vision statement:lifescape will be an innovative organization, providing exceptional services and creative solutions for people with varied needs and complex care across their life span. Key factors in accomplishing this are collaborative partnerships, striving to become a destination for research, as well as developing, implementing, and training of technology-based solutions to improve the lives of people we support.

2501 West 26th StreetSioux Falls, SD 57105-2498

www.lifescapesd.org

Siviq Scores

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

Liabilities / Assets

37th percentile

0.13x

Higher debt load relative to assets than 37% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Liabilities / Revenue

26th percentile

0.13x

Higher debt load relative to revenue than 26% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Net Margin

87th percentile

41%

Higher net margin than 87% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Top Officer Pay

65th percentile

$464,972

Higher top officer pay than 65% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Asset Growth

97th percentile

75%

Faster asset growth than 97% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Revenue Growth

87th percentile

57%

Faster revenue growth than 87% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Assets

Up

$75,358,104

Up $32,279,370 (+75%) from 2024

Liabilities

Up

$9,809,877

Up $1,298,249 (+15%) from 2024

Net Assets

Up

$65,548,227

Up $30,981,121 (+90%) from 2024

Revenue

Up

$73,196,246

Up $26,581,394 (+57%) from 2024

Expenses

Up

$43,018,040

Up $2,844,715 (+7.1%) from 2024

Net Income

Up

$30,178,206

Up $23,736,679 (+368%) from 2024

Trend Graphs

Balance Sheet Trend

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

$80M$60M$40M$20M$0Assets 2010: $20,738,406Liabilities 2010: $10,766,670Net Assets 2010: $9,971,7362010Assets 2011: $19,363,545Liabilities 2011: $9,002,617Net Assets 2011: $10,360,9282011Assets 2012: $18,864,681Liabilities 2012: $8,475,101Net Assets 2012: $10,389,5802012Assets 2013: $19,247,744Liabilities 2013: $7,859,008Net Assets 2013: $11,388,7362013Assets 2014: $20,658,540Liabilities 2014: $7,059,958Net Assets 2014: $13,598,5822014Assets 2015: $22,650,957Liabilities 2015: $6,806,181Net Assets 2015: $15,844,7762015Assets 2016: $24,233,203Liabilities 2016: $6,340,229Net Assets 2016: $17,892,9742016Assets 2017: $24,391,435Liabilities 2017: $7,766,580Net Assets 2017: $16,624,8552017Assets 2018: $25,119,382Liabilities 2018: $7,215,911Net Assets 2018: $17,903,4712018Assets 2019: $27,789,126Liabilities 2019: $7,407,836Net Assets 2019: $20,381,2902019Assets 2020: $29,150,800Liabilities 2020: $6,659,738Net Assets 2020: $22,491,0622020Assets 2021: $35,904,421Liabilities 2021: $8,712,265Net Assets 2021: $27,192,1562021Assets 2022: $31,115,902Liabilities 2022: $7,601,995Net Assets 2022: $23,513,9072022Assets 2023: $35,292,129Liabilities 2023: $7,465,120Net Assets 2023: $27,827,0092023Assets 2024: $43,078,734Liabilities 2024: $8,511,628Net Assets 2024: $34,567,1062024Assets 2025: $75,358,104Liabilities 2025: $9,809,877Net Assets 2025: $65,548,2272025

Highlighted filing

2025

Assets$75,358,104
Liabilities$9,809,877
Net Assets$65,548,227

Operations Trend

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

$80M$60M$40M$20M$0-$20MExpenses 2010: $24,634,9272010Expenses 2011: $24,139,5122011Expenses 2012: $23,628,9162012Revenue 2013: $24,957,484Expenses 2013: $23,944,522Net Income 2013: $1,012,9622013Revenue 2014: $26,542,707Expenses 2014: $24,268,529Net Income 2014: $2,274,1782014Revenue 2015: $27,643,850Expenses 2015: $25,000,011Net Income 2015: $2,643,8392015Revenue 2016: $26,769,479Expenses 2016: $24,690,145Net Income 2016: $2,079,3342016Revenue 2017: $26,626,319Expenses 2017: $25,974,310Net Income 2017: $652,0092017Revenue 2018: $28,644,222Expenses 2018: $27,330,956Net Income 2018: $1,313,2662018Revenue 2019: $31,432,112Expenses 2019: $29,135,491Net Income 2019: $2,296,6212019Revenue 2020: $32,929,402Expenses 2020: $30,905,514Net Income 2020: $2,023,8882020Revenue 2021: $36,613,088Expenses 2021: $32,768,685Net Income 2021: $3,844,4032021Revenue 2022: $34,870,277Expenses 2022: $36,336,101Net Income 2022: -$1,465,8242022Revenue 2023: $41,014,157Expenses 2023: $37,592,482Net Income 2023: $3,421,6752023Revenue 2024: $46,614,852Expenses 2024: $40,173,325Net Income 2024: $6,441,5272024Revenue 2025: $73,196,246Expenses 2025: $43,018,040Net Income 2025: $30,178,2062025

Highlighted filing

2025

Revenue$73,196,246
Expenses$43,018,040
Net Income$30,178,206

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$75.4$9.81$65.5$73.2$43.0$30.2
2024Detailed filing. Detailed filing data is available for this year.$43.1$8.51$34.6$46.6$40.2$6.44
2023Detailed filing. Detailed filing data is available for this year.$35.3$7.47$27.8$41.0$37.6$3.42
2022Detailed filing. Detailed filing data is available for this year.$31.1$7.60$23.5$34.9$36.3$1.47
2021Detailed filing. Detailed filing data is available for this year.$35.9$8.71$27.2$36.6$32.8$3.84
2020Detailed filing. Detailed filing data is available for this year.$29.2$6.66$22.5$32.9$30.9$2.02
2019Detailed filing. Detailed filing data is available for this year.$27.8$7.41$20.4$31.4$29.1$2.30
2018Detailed filing. Detailed filing data is available for this year.$25.1$7.22$17.9$28.6$27.3$1.31
2017Detailed filing. Detailed filing data is available for this year.$24.4$7.77$16.6$26.6$26.0$0.65
2016Detailed filing. Detailed filing data is available for this year.$24.2$6.34$17.9$26.8$24.7$2.08
2015Detailed filing. Detailed filing data is available for this year.$22.7$6.81$15.8$27.6$25.0$2.64
2014Detailed filing. Detailed filing data is available for this year.$20.7$7.06$13.6$26.5$24.3$2.27
2013Summary only. Only limited summary data is available for this year.$19.2$7.86$11.4$25.0$23.9$1.01
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.9$8.48$10.4$23.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.4$9.00$10.4$24.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$20.7$10.8$9.97$24.6
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Apr 22, 2026
Return Version
2024v5.5
Gross Receipts
$73,196,246
Mission and Program Overview

Mission

Empowering people to live their best life.vision statement:lifescape will be an innovative organization, providing exceptional services and creative solutions for people with varied needs and complex care across their life span. Key factors in accomplishing this are collaborative partnerships, striving to become a destination for research, as well as developing, implementing, and training of technology-based solutions to improve the lives of people we support.

Empowering people to live their best life.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$12,414,495$40,743,115▲ $28,328,620
Investments in Publicly Traded Securities$16,901,435$15,985,131▼ $916,304
Accounts Receivable$9,484,164$9,893,775▲ $409,611
Savings and Temporary Cash Investments$1,282,666$6,127,052▲ $4,844,386
Prepaid Expenses and Deferred Charges$45,914$117,678▲ $71,764
Inventories for Sale or Use$32,771$33,423▲ $652
Total Assets$43,078,734$75,358,104▲ $32,279,370
Other Assets Total$2,917,289$2,457,930▼ $459,359
Liabilities
Accounts Payable and Accrued Expenses$3,557,010$6,047,581▲ $2,490,571
Tax Exempt Bond Liabilities$2,794,673$2,282,441▼ $512,232
Other Liabilities$2,159,945$1,479,855▼ $680,090
Total Liabilities$8,511,628$9,809,877▲ $1,298,249
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$34,212,358$65,200,925▲ $30,988,567
Net Assets With Donor Restrictions$354,748$347,302▼ $7,446
Total Net Assets Fund Balance$34,567,106$65,548,227▲ $30,981,121
Total Liabilities and Net Assets / Fund Balance$43,078,734$75,358,104▲ $32,279,370

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$33,558,472$1,471,373$35,029,845
Buildings$2,645,885$18,100,887$20,746,772
Equipment$1,243,965$6,071,320$7,315,285
Land$3,294,793-$3,294,793
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kristin TuttleVP of Med. & Therapy ServiFT$171,363$14,586$185,949
Rebecca WeeldreyerDirector of NursingFT$137,149$20,125$157,274
Stephanie Sherard - Vp ofCHILDREN'S RESIDENTIAL & EDUCATIONFT$148,554$6,262$154,816
Amy JensenDirector of Outpatient & RmsPT$115,160$28,333$143,493
Sara StevensRnFT$121,815$11,948$133,763

Board Members and Trustees

NameTitle
Bob McnaneyChair
Marli SchippersPast Chair
Jay SoukupVice Chair
Larry FentonVice Chair (until Dec 2024)
Doug BerklandDirector
Erica DeboerDirector
Erik Nyberg - FoundationDirector
Jason HubersDirector
Jeff Hilgenberg - FoundationDirector
Kimberly NooneyDirector
Rick KileyDirector
Tamera Larsen-engelkesDirector
Tyler Haahr - FoundationDirector (until Dec 2024)
Steven WatkinsCEO
Steve WilsonCFO
Dr Josh PauliSecretary
Teresa WardTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Henry Carlson CoConstruction1205 WEST RUSSELL ST, Sioux Falls, SD 57104$8,950,992
LifescapeIt, Materials Management, And Other Over2501 W 26TH STREET, Sioux Falls, SD 57105$2,375,464
Koch Hazard ArchitectsArchitect Services431 N PHILLIPS 200, Sioux Falls, SD 57104$1,599,987
Sanford Usd Medical CenterResp. Therapy; It SvcsPO BOX 5064, Sioux Falls, SD 57117-5064$513,787
Sanford Children's Specialty ClinicPhysician Services1600 W 22ND ST, Sioux Falls, SD 57117$258,516
Revenue and Support

Revenue Composition

Contributions and Grants
$25,772,073
Program Service Revenue
$46,446,199
Investment Income
$964,238
Other Revenue
$13,736
All Other Contributions
$6,638
Change in Net Assets
$30,178,206
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$31,060,618
Other Expenses$11,957,422
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$23,639,143$1,784,876-$25,424,019
Fees for Services Other$1,178,789$2,552,459-$3,731,248
Other Employee Benefits$2,737,601$443,827-$3,181,428
Payroll Taxes$1,731,214$131,097-$1,862,311
Occupancy$840,651$528,896-$1,369,547
All Other Expenses$1,082,931$217,761-$1,300,692
Insurance$706,655$138,626-$845,281
Depreciation Depletion$726,558$38,253-$764,811
Pension Plan Contributions$556,893$35,967-$592,860
Office Expenses$313,928$118,772-$432,700
Advertising$473$196,690-$197,163
Fees for Services Accounting-$108,215-$108,215
Fees for Service Investment Mgmnt Fees-$86,984-$86,984
Interest-$71,356-$71,356
Conferences and Meetings$40,298$28,657-$68,955
Other Expenses$58,614$318,224-$58,614
Travel$33,536$18,100-$51,636
Fees for Services Lobbying$18,475--$18,475
Fees for Services Legal-$15,185-$15,185
Information Technology-$3,220-$3,220
Total Functional Expenses$35,149,888$7,868,152$0$43,018,040
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
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-DirectorTax and Lease PaymentNo$163,321
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liability$1,935,435
Assets Held in Trust$65,686
Due to Affiliates$-521,266

Bond Issues

BondIssuerIssuedIssue PricePurpose
ASouth Dakota Health and Educational Facilities Authority2017-11-01$5,736,456Refinancing of 2007 bonds

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$5,736,456$5,031,805$3,561,456$106,780

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

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

Governance Explanations

Form 990, Part VI, Section A, Line 1A

The executive committee is comprised of the chair, vice chair, secretary, treasurer, immediate past chair, chief executive officer, and one director. The committee can act on behalf of the board between board meetings. All actions taken by the executive committee must be ratified by the board of directors.

Form 990, Part VI, Section A, Line 2

Steve watkins has a business relationship with jay soukup, larry fenton, kimberly nooney, marli schippers, josh pauli, bob mcnaney, tyler haahr, doug berkland, erica deboer, jason hubers, rick kiley, teresa ward, tamera larsen-engelkes, jeff hilgenberg and erik nyberg. The business relationship exists because steve watkins was paid by lifescape. Persons listed as having a business relationship with him serve on the board of lifescape. Additionally, steve watkins and steve wilson have a business relationship.

Form 990, Part VI, Section A, Line 6

The sole member of the organization is lifescape, a south dakota non-profit, exempt under internal revenue code 501(c)(3).

Form 990, Part VI, Section A, Line 7A

The directors shall be elected by the member and shall be the same persons who serve as the directors of the member.

Form 990, Part VI, Section B, Line 11B

The 990 is reviewed by the chief financial officer and a final copy of the 990 is shared with the board of directors.

Form 990, Part VI, Section B, Line 12C

Lifescape has a conflict of interest policy that is signed annually by each member of the board of directors. In addition, a conflict letter is sent to all board members and senior leaders of lifescape to complete and to disclose any potential conflicts. Restrictions imposed on a person with a conflict would be determined on a case by case basis.

Form 990, Part VI, Section B, Line 15

The ceo and cfo of cchs are compensated by lifescape, a related organization.

Form 990, Part VI, Section C, Line 19

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
CHILDREN'S CARE HOSPITAL AND SCHOOL
EIN
46-0233030
Phone
6054449500
Address
2501 WEST 26TH STREET, SIOUX FALLS, SD 57105-2498
Doing Business As
Lifescape

Signing Officer

Name
Steve Wilson
Title
CFO
Phone
6054449500
Signed
2026-04-22
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Steve Watkins
Formed
1952
Legal Domicile
Sd
Voting Board Members
13
Independent Board Members
12
Employees
703
Volunteers
1,137

Preparer

Firm
Eide Bailly Llp
Address
18081 BURT ST STE 200, OMAHA, NE 68022-4722
Preparer
Megan L Koziol CPA
Phone
4023302660
Supplemental Narrative

Additional Explanations

FORM 990, PART X, LINE 20:

The issue price of the bonds includes the filing organization's share of the entire bond issue, which was issued to lifescape on behalf of the lifescape obligated group. The lifescape obligated group consists of lifescape, children's care hospital and school d/b/a lifescape, south dakota achieve d/b/a lifescape, and lifescape foundation.

FORM 990, PART XII, LINE 2C:

The board of directors assumes responsibility for oversight of the audit of its financial statements and selection of an independent accountant. This process has not changed from the prior year.

Financial Statement Notes

PART X, LINE 2:

The organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Raw XML AppendixShowing 400 of 1,026 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0CHILDREN'S CARE HOSPITAL & SCHOOL (CCHS) IS ADDITIVE TO THE FABRIC OF CARE IN SOUTH DAKOTA BY BEING THE SOLE PROVIDER OF SPECIFIC MEDICAID BASED SERVICES AND SUPPORTS FOR THE CHILDREN OF SOUTH DAKOTA.IN FISCAL YEAR 2025, CCHS PROVIDED SERVICES FOR OVER 4,400 INDIVIDUALS FROM 9 STATES, FROM BIRTH THROUGH AGE 21 WITH DISABILITIES OR REHABILITATION NEEDS IN ALL OF ITS PROGRAMS. IN SOUTH DAKOTA ALONE, MORE THAN 3,800 CHILDREN WERE SERVED FROM 65 OF SOUTH DAKOTA'S 66 COUNTIES AND 257 TOWNS AND CITIES. MORE THAN 1,000 OF THOSE CHILDREN RECEIVED MORE THAN ONE SERVICE FROM LIFESCAPE. OUTPATIENT AND OUTREACH SERVICES, WHICH ARE COMMUNITY BASED, SERVED MORE THAN 3,600 OF THOSE CHILDREN IN SIOUX FALLS AND RAPID CITY, SD. SERVICES INCLUDE, BUT ARE LIMITED TO, THERAPIES RANGING FROM PHYSICAL AND OCCUPATIONAL TO SPEECH-LANGUAGE PATHOLOGY, BEHAVIORAL THERAPY, ASSISTIVE TECHNOLOGY, SEATING AND POSITIONING, AND POWERED MOBILITY SERVICES.IN SIOUX FALLS, THE HIRING OF A DIRECTOR OF THE AUTISM CHILD DEVELOPMENT CENTER HAS GENERATED A DIRECT CUT TO THE NUMBER OF CHILDREN WAITING FOR AUTISM EVALUATIONS, RESULTING IN A DROP FROM 397 IN FY24 TO 289 IN FY25. IN RAPID CITY, THE WAITLIST CONTINUED TO GROW FOR APPLIED BEHAVIOR ANALYSIS (ABA) SERVICES AND AUTISM EVALUATIONS. HOWEVER, DUE TO AN INCREASE IN NEED FOR SPECIALIZED NUTRITION CARE TAILORED TO MEET UNIQUE NEEDS, PEDIATRIC MEDICAL NUTRITION THERAPY SERVICES BEGAN TO BE OFFERED IN OUTPATIENT SETTINGS IN SIOUX FALLS.LIFESCAPE'S CHILDREN'S SPECIALTY HOSPITAL CONTINUES TO BE THE ONLY PEDIATRIC REHABILITATION HOSPITAL IN SOUTH DAKOTA. IN FY25, 33 CHILDREN WERE SERVED IN THE HOSPITAL. IN THE RESIDENTIAL PROGRAM AND INTERMEDIATE CARE FACILITY, 114 CHILDREN FROM THREE STATES WERE SERVED, MOST OF WHOM ALSO ATTENDED LIFESCAPE'S SPECIALTY SCHOOLS. IN ADDITION, THERE WERE 145 DAY STUDENTS AT THE 26TH STREET CAMPUS AND PATHWAYS TO LIFE SCHOOL. IN LATE FY25, HIGH SCHOOL STUDENTS WERE MOVED TO THE VISTA PARK LOCATION TO BETTER SUIT THEIR NEEDS AND CREATE A TRUE HIGH SCHOOL EXPERIENCE.IN SOUTH DAKOTA, LIFESCAPE EMPLOYS 4 OUT OF 5 SEATING & MOBILITY SPECIALISTS, AND HAS THE 1ST AND ONLY SPEECH-LANGUAGE PATHOLOGIST IN SWALLOWING DISORDERS, WHICH HAS LED TO REFERRALS FROM OUT OF STATE.
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IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR OF OUTPATIENT & RMS
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IRS990/Form990PartVIISectionAGrp/TitleTxt21VP OF MED. & THERAPY SERVI
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IRS990/MissionDesc0EMPOWERING PEOPLE TO LIVE THEIR BEST LIFE.VISION STATEMENT:LIFESCAPE WILL BE AN INNOVATIVE ORGANIZATION, PROVIDING EXCEPTIONAL SERVICES AND CREATIVE SOLUTIONS FOR PEOPLE WITH VARIED NEEDS AND COMPLEX CARE ACROSS THEIR LIFE SPAN. KEY FACTORS IN ACCOMPLISHING THIS ARE COLLABORATIVE PARTNERSHIPS, STRIVING TO BECOME A DESTINATION FOR RESEARCH, AS WELL AS DEVELOPING, IMPLEMENTING, AND TRAINING OF TECHNOLOGY-BASED SOLUTIONS TO IMPROVE THE LIVES OF PEOPLE WE SUPPORT.
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