Believing in the spirit of a child.

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2013-2014 ANNUAL REPORT TO THE COMMUNITY Believing in the spirit of a child.

Dear Friends, Our mission is to partner with families to help children with special health care needs live a great life. As ChildServe President and CEO for over 20 years, I can say that no one can achieve the mission of ChildServe alone; it takes a team of people working together. Growing up I remember watching my dad work as a carpenter. I can still see him now skillfully cutting, pieces of furniture, cabinetry or a whole house. As I got older, he taught me the ins and outs of carpentry that have carried over into my adulthood. What I remember and cherish the most is his ability to partner with others. His relationship with clients would last for years because he was honest, hardworking and had fantastic carpentry skills. His clients loved what he built. Observing his partnerships with those around him for many years, I m amazed and proud to see ChildServe s partnership everyday with As we complete our new 60,000 square foot building addition at the ChildServe Center in Johnston and continue to grow and expand services, I thank you for supporting our work at ChildServe. Your support will enable us to continue partnering with more families and provide quality care to children with special health care needs. I encourage you to read the stories of Cecilia, Jack, and Maria. Their stories are just a few examples of the many children who inspire me every single that show the many accomplishments through the year. It s been a great year at ChildServe! We re excited about what the future holds for our organization and the many children for whom we care. Thank you! O U R MISS ION We partner with families to help children with special health care needs live a great life. VIS ION2022 ChildServe will be uniquely positioned in Iowa to improve the health and well-being of children with special health care needs. ORGA NIZ A TIONAL V A L UES Lloyd VanderKwaak, EdD President and CEO Care Trust Integrity Partnership Excellence

WHO WE SERVE TOTAL CHILDREN RECEIVING EACH SERVICE 1375 451 460 Adaptive Equipment Case Management 224 39 47 75 25 Childcare Continuing Care Day Habilitation Day Health AGE OF CHILDREN SERVED 29.0% Children Ages 0 4 32.9% Children Ages 5 9 17.9% Children Ages 10 13 13.8% Children Ages 14 17 6.5% Children Ages 18 21 Homecare Physiatry Clinic 106 222 73 637 243 153 65 Psychology Residential Homes Respite Supported Comm. Living Specialty Clinics Therapy Transitional Care cecilia When Cecilia was born prematurely at 28 weeks, her brain didn t receive oxygen for several minutes. Consequently, she suffered an anoxic brain injury, and required significant medical equipment and care on a daily basis. Because of her complex needs, Cecilia s parents didn t have time to enjoy important parentchild activities like playing and snuggling. After spending time on ChildServe s Transitional Care Unit and in Day Health, Cecilia now is able to enjoy her days at home thanks to ChildServe Homecare. She receives skilled nursing and professional speech, occupational, and physical therapy while her parents are at work or class during the day. Cecilia s parents are so thankful that ChildServe takes care of her medical needs so they can focus on being Cecilia s parents. They now have plenty of time for quality family bonding! TOTAL GROWTH NUMBER OF CHILDREN SERVED: 2,480 CHILDREN NUMBER OF SERVICES RECEIVED 57.9% Received One Service 22.2% Received Two Services 12.1% Received Three Services 5.1% Received Four Services 2.6% Received Five or More Services

CHILDSERVE RESOURCES FUNDING SOURCES 79.5% Medicaid and Medicare 7.7% Children and Families 3.8% Private Insurance 3.6% County and State Government 2.9% Charitable Contributions 2.6% Other FUNDING ALLOCATIONS 80.7% Salaries, Wages and Benefits 6.0% Supplies 3.9% Other 3.8% Rent and Occupancy 3.2% Depreciation and Amortization 2.5% Interest jack Four-year-old Jack is used to traveling around the country with his military family, and now they have landed in Johnston, Iowa. When Jack was diagnosed with autism and epilepsy, his parents started looking for the best care available, and they found it at ChildServe. Jack currently receives ChildServe s physiatry services provided by Fred Klingbeil, MD, and physical, occupational and speech therapy at the ChildServe Center Johnston. His parents are very grateful that all of Jack s services are in one convenient location, and that staff members at ChildServe have opened their arms to welcome them in like a family! CHILDSERVE STAFF STAFF CLASSIFICATION 90.3% Direct Care 6.2% Administration 3.5% Facility and Program Support *ChildServe employed 1,577 total staff in the 2013-2014 fiscal year.

CHILDSERVE FINANCIALS REVENUE & SUPPORT 2013-14 2012-13 Medicaid/Medicare 32,804,677 30,028,447 Private Insurance 1,587,063 2,417,285 Children & Families 3,165,460 2,962,699 County & State Government 1,471,159 1,266,089 Charitable Contributions 1,188,425 1,594,925 United Way Investment 214,013 209,520 Investment Income 648,763 427,947 Other Programs & Services 196,543 209,336 TOTAL 41,276,103 39,116,248 EXPENSES 2013-14 2012-13 Continuing & Transitional Care 10,025,412 9,593,443 Residential Homes 6,605,944 6,430,858 Respite 2,279,724 2,263,521 Supported Community Living 1,225,267 1,112,962 Case Management 1,444,956 1,271,649 Homecare 1,180,978 1,270,835 Childcare & Day Health 2,952,981 2,631,165 Therapy & Specialty Clinics 4,215,524 3,789,559 Adaptive Equipment & Supply 908,739 777,336 Support, Management, General 9,476,971 8,705,852 TOTAL 40,316,496 37,847,180 * 2013-2014 data based on un-audited financial information. maria Like many teenage girls, Maria is active in track, zumba, and basketball. Seeing her today, you would never know that she was born deaf. Ignoring early predictions that Maria would never speak, her parents enrolled her in speech therapy at ChildServe and later pursued cochlear implants to help her hear. In addition to teaching her how to speak, Maria s parents wanted her to be able to better integrate into social situations and the broader community. Thanks to one-on-one support from her ChildServe Skill Development Assistant, along with other services at ChildServe, Maria has done just that. Skill building activities have helped her achieve many personal goals including improved communication and life skills. Fifteen-year-old Maria is growing every day in her confidence and independence, and that s what Supported Community Living is all about!

CHILDSERVE FOUNDATION CHILDSERVE CAPITAL Capital dollars are raised as part of an extensive fundraising effort over a specific period of time. These funds are used to build buildings, undertake major expansions, or underwrite significant equipment expenditures. CHILDSERVE FUND Gifts to the ChildServe Fund allow us to provide life-enhancing opportunities so that children have access to programs and services that enable them to reach their full potential. Some of the items made possible by generous donors include new or retrofitted wheelchairs, specialized equipment, transportation vehicles, and Camp ChildServe scholarships. CHILDSERVE ENDOWMENT The endowment allows donors to make contributions that give forever. Endowment gifts impact children s lives by creating a permanent source of financial support that focuses on the care children receive, equipment they need, and training for staff. MONEY FROM FUNDRAISING EFFORTS 63.9% ChildServe Capital 34.8% ChildServe Fund 1.3% ChildServe Endowment MONEY DIRECTED TO CHILDSERVE PROGRAMS 71.2% Facilities Improvements 13.1% New Programs/Unfunded Services 6.8% Care Enhancements 6.6% Adaptive and Medical Equipment 1.1% Staff Training and Assistance 2013-14 CHILDSERVE BOARD BOARD OF DIRECTORS Joel Nelson, Chair Kip Albertson, Vice Chair Doug Dornacker, Treasurer Frank Stork, Secretary Paul Nagel, Past Chair Lloyd VanderKwaak, EdD, President/CEO John Bruntz Jay Byers Michael Gumina Linda Kading William Lepley, EdD David Mackaman Shirley Poertner Jim Sanders Sally Studer, MD John Temple Randy Von Fumetti Maria Wood BOARD OF TRUSTEES Brian Laurenzo, Chair Amanda Brink Hull, Vice Chair Cathy Stjernberg, Secretary/Treasurer Peter Cartwright, Past Chair Lloyd VanderKwaak, EdD, President/CEO Kylee Krizmanic Pat McGoldrick David Nelson Marshall Porter Chris Risewick Larry Stelter David Van Ahn Therese Wielage Mike Williams *To offer your support, please contact Cheri Burns, Director of Development, at 515-727-2356 or cheribu@childserve.org.

CHILDSERVE LOCATIONS CHILDSERVE CENTER JOHNSTON 5406 Merle Hay Road, PO Box 707, Johnston, IA 50131 phone 515-727-8750 fax 515-727-8757 CHILDSERVE CENTER AMES 1915 Philadelphia Street, Ames, IA 50010 phone 515-232-7220 fax 515-535-3834 CHILDSERVE CHILDCARE CENTER JOHNSTON 5609 Greendale Road, PO Box 707, Johnston, IA 50131 phone 515-278-2499 fax 515-278-0826 CHILDSERVE WOODLAND CENTER 644 24th Street, Des Moines, IA 50312 phone 515-280-5332 fax 515-309-0733 VISIT US ONLINE AT WWW.CHILDSERVE.ORG