2024-11-06T13:58:05-06:00 2023-12-31 420714325 RSM US LLP 400 LOCUST STREET SUITE 640 DES MOINES IA 503092354 990 2023-01-01 760262402 CARE INITIATIVES CARE 5152244442 1611 WEST LAKES PKWY WEST DES MOINES IA 502668212 DAVID DIXON SVP/CFO 5152244442 2024-11-04 1 0 KATHY FAIRCHILD P00222608 5155586600 2024-11-04 2023 2024-10-15 13:58:12Z MICHAEL BEAL 1611 WEST LAKES PKWY WEST DES MOINES IA 502668212 261097441 0 X CAREINITIATIVES.ORG X 1989 TX CHARITABLE NON-PROFIT: 43 NURSING HOMES, 8 ASSISTED LIVING FACILITIES, 3 SENIOR LIVING APARTMENT LOCATIONS, 7 HOSPICE LOCATIONS. 9 8 5819 101 0 0 1127901 832082 236479406 259437351 485514 826140 -110813 -20322 237982008 261075251 100433 183507 0 0 131966053 153094875 0 0 0 122428321 108529960 254494807 261808342 -16512799 -733091 177858014 173375162 111540204 106386791 66317810 66988371 X IMPROVING QUALITY OF LIFE FOR IOWANS AND THEIR FAMILIES DURING LIFE'S HEALTH TRANSITIONS THROUGH COMPASSIONATE INDIVIDUALIZED CARE. 0 0 239927886 183507 259287988 DURING 2023, CARE PROVIDED SERVICES TO A DAILY AVERAGE OF 2,339 RESIDENTS IN 43 IOWA NURSING HOMES, 6 ASSISTED LIVING FACILITIES AND 3 SENIOR LIVING APARTMENT LOCATIONS. CARE PROVIDED THESE RESIDENTS, WHICH ARE COMPRISED OF ELDERLY, INFIRMED AND FINANCIALLY LIMITED INDIVIDUALS, WITH A COMFORTABLE, CLEAN, HOME LIKE ATMOSPHERE. CARE PROVIDES HIGH QUALITY HEALTH CARE, FREE OF AS MANY RESTRAINTS AND PSYCHOTROPIC MEDICATIONS AS IS PRUDENT FOR THEIR SAFETY AND THE SAFETY OF OTHER RESIDENTS, AT THE LOWEST POSSIBLE COST. SERVICES PROVIDED INCLUDE ROOM AND BOARD, PROVISION FOR DIETARY REQUIREMENTS, ASSISTANCE WITH PERSONAL HYGIENE WHERE NEEDED, AND PHYSICAL AND SOCIAL ACTIVITIES TO MAINTAIN THE HIGHEST PHYSICAL AND MENTAL QUALITY OF LIFE ATTAINABLE. ADDITIONAL SERVICES INCLUDE OCCUPATIONAL, SPEECH AND PHYSICAL THERAPY, OUTPATIENT THERAPY SERVICES, SKILLED NURSING CARE IN ALL CARE CENTERS, SENIOR LIVING APARTMENTS AT SEVERAL LOCATIONS AND ASSISTED LIVING IN EIGHT LOCATIONS. IN ADDITION, CARE HAS INITIATED A PROGRAM OF REHAB TO HOME CARE TO HASTEN A RESIDENT'S OPPORTUNITY TO RETURN TO THEIR HOMES. IN ADDITION, CARE PROVIDES LIMITED OUTPATIENT THERAPY SERVICES IN THE COMMUNITIES IT SERVES.DURING 2023, CARE ALSO PROVIDED HOSPICE SERVICES TO A DAILY AVERAGE OF 402 PATIENTS THROUGH SEVEN HOSPICE LOCATIONS. CARE PROVIDES COMPASSIONATE HEALTH CARE AND PALLIATIVE SUPPORT FOR PEOPLE FACING LIFE-LIMITING ILLNESSES OR CONDITIONS. SOME OF THE SERVICES PROVIDED INCLUDE NURSING CARE, PHYSICIAN CARE, HOME HEALTH AIDE, PHYSICAL AND SPEECH THERAPY, MASSAGE THERAPY, MUSIC THERAPY, SPIRITUAL SUPPORT, AND BEREAVEMENT SUPPORT.CARE IS THE LARGEST NURSING HOME SERVICE PROVIDER FOR MEDICAID RESIDENTS IN IOWA. IN 2023, A DAILY AVERAGE OF 1,336 RESIDENTS PARTICIPATED IN THE MEDICAID PROGRAM. CARE'S COST FOR THESE RESIDENTS EXCEEDED REVENUE BY $27,336,000. NO RESIDENT OF CARE IS DENIED A MEDICATION, NURSING SUPPLY OR THERAPY, REGARDLESS OF THEIR ABILITY TO PAY. CARE HAS A HISTORY OF MODERNIZATION AND REPLACEMENT OF NURSING FACILITIES. SINCE INCEPTION, CARE HAS INVESTED MORE THAN $142 MILLION TO MODERNIZE ITS CENTERS. IMPROVEMENTS INCLUDE AIR CONDITIONING, FIRE SPRINKLERS, REPLACEMENT OF HVAC AND ELECTRICAL SYSTEMS, AND PAVED PARKING LOTS. EVERY CARE CENTER THAT HAS NOT YET BEEN REPLACED WITH A NEW REPLACEMENT BUILDING HAS HAD EXTENSIVE RENOVATIONS. SINCE INCEPTION, CARE HAS INVESTED MORE THAN $111 MILLION IN FOURTEEN NEW REPLACEMENT CENTER BUILDINGS THROUGHOUT IOWA.CARE PROMOTES ECONOMIC DEVELOPMENT IN THE COMMUNITIES IT SERVES BY ADDRESSING HOUSING, EMPLOYMENT, EDUCATIONAL OR ENVIRONMENTAL NEEDS AND CONCERNS. IN 2023, CARE CONTRIBUTED TO ITS COMMUNITIES BY PAYING PROPERTY TAX OF $2.53 MILLION. IN MANY OF ITS COMMUNITIES, CARE IS THE LARGEST EMPLOYER AND THEIR FAMILIES FORM THE LARGEST STUDENT POPULATION BASE FOR THE LOCAL SCHOOL DISTRICT.CARE FACILITIES WERE A GATHERING PLACE FOR COMMUNITY VOLUNTEERS WHO PROVIDED 5,266 HOURS TO HELP THE ELDERLY. USING THE INDEPENDENT SECTOR'S ESTIMATED DOLLAR VALUE OF VOLUNTEER TIME, THE ESTIMATED VALUE OF VOLUNTEER TIME TOTALED APPROXIMATELY $152,080. CARE'S CONTINUUM OF CARE EXTENDED INTO THE COMMUNITIES IT SERVES BY PROVIDING REDUCED OR NO-FEE SERVICES SUCH AS MEALS-ON-WHEELS, MEALS FOR COUNTY JAILS, EDUCATIONAL SERVICES AND PUBLIC AWARENESS PROGRAMS.IN 2023, $10,003 IN CHARITABLE CONTRIBUTIONS WERE MADE TO SUPPORT CHARITABLE ORGANIZATIONS THAT FURTHER CARE'S EXEMPT MISSION. 239927886 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 662 0 1 5819 1 0 1 TK 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 X X DAVID DIXON 5152244442 1611 WEST LAKES PKWY WEST DES MOINES IA 502668212 MICHAEL BEAL PRESIDENT/CEO/VICE CHAIR 40.00 X X 697817 0 23510 JOSEPH REESE SVP/COO 40.00 X 466689 0 4054 DAVID DIXON SVP/CFO/TREASURER 40.00 X 419154 0 910 ERIC WOODMAN VP HOME HEALTH & HOSPICE 40.00 X 337373 0 171 JOHANNA VOLM VP/CLINICAL SERVICES 40.00 X 289666 0 9027 CYNTHIA WILLIAMS VP INFORMATION SYSTEMS 40.00 X 288381 0 7481 JERAMY KUHN VP - CHIEF COMPLIANCE OFFI 40.00 X 286158 0 8721 ELIZABETH GANA CHARGE NURSE-LPN 86.00 X 279060 0 0 JESSICA MCDYER VP SKILLED NURSING OPERATIONS 40.00 X 227167 0 26830 JENNIFER HARWOOD VP HOSPICE 40.00 X 78681 0 1606 DENISE STURM BOARD CHAIR 2.00 X X 28000 0 0 STEVEN ACKERSON SECRETARY 3.00 X X 28000 0 0 LANE BOWEN DIRECTOR 2.00 X 28000 0 0 MARY JANE CAROTHERS DIRECTOR 2.00 X 28000 0 0 KEITH KREIN DIRECTOR 3.00 X 28000 0 0 ELIZABETH RUST DIRECTOR 3.00 X 28000 0 0 LINDA UPMEYER DIRECTOR 4.00 X 28000 0 0 KEVIN CHILDS DIRECTOR FROM 4/2023 1.00 X 17500 0 0 RON HARMOND DIRECTOR THRU 3/2023 1.00 X 7000 0 0 3590646 0 82310 158 0 1 0 GRAPE TREE MEDICAL STAFFING LLC PO BOX 5340 SIOUX FALLS SD 57117 NURSE STAFFING 11719328 RELIANT PRO REHAB LLC 5800 GRANITE PKWY SUITE 1000 PLANO TX 75024 PHYS/OCC/SP THERAPY 9821509 NEXT LEVEL HOSPITALITY SERVICES LLC 100 CHALLENGER RD STE 105 RIDGEFIELD PARK NJ 07660 HOUSEKEEPING/LAUNDRY SERV 5124602 SHIFTKEY LLC 5221 N O CONNOR BLVD STE 1400 IRVING TX 75039 NURSE STAFFING 2282482 CAREERSTAFF UNLIMITED 6333 N STATE HIGHWAY 161 SUITE 100 IRVING TX 75038 NURSE STAFFING 1362389 27 746062 86020 832082 NURSING HOME SERVICES 623000 235362300 235362300 HOSPICE SERVICES 623000 23140805 23140805 ASSISTED LIVING SERVIC 623990 748293 748293 SENIOR LIVING APARTMEN 623990 135701 135701 GUEST MEALS 721210 41044 41044 9208 9208 259437351 779915 779915 68415 22190 46225 46225 46225 SUBPART F INCOME 900099 78789 78789 LTC PHARMCO LLC 623000 -99111 -99111 -20322 261075251 259287988 0 955181 X 10003 10003 173504 173504 2166918 2166918 134259118 123143340 11115778 6747388 5870543 876845 9921451 9229067 692384 504044 504044 214536 214536 37034816 36509247 525569 824472 714086 110386 1499933 1311131 188802 4333757 4333757 10014730 9749683 265047 4527890 4121760 406130 2833334 2773235 60099 8115304 7790787 324517 1644261 1620619 23642 MEDICAL SUPPLIES 12792366 12792366 BAD DEBT EXPENSE 12265243 12265243 DIETARY SUPPLIES 7162619 7162619 MAINTENANCE 1838532 1838532 2924123 2852121 72002 261808342 239927886 21880456 0 19712 17690 31768186 34555753 30827475 29621132 1115205 655921 1833959 3817584 262018387 181595461 83969745 80422926 23685153 18446227 1190000 239805 2646798 3208774 3191131 177858014 173375162 41119446 39850639 48157255 45546276 20896000 19896000 1367503 1093876 111540204 106386791 X 66317810 66988371 66317810 66988371 177858014 173375162 X -733091 1000000 403652 X X 0 1 X 1 1 1 X 77573 19803280 8861358 1127901 832082 30702194 191675266 192200808 214299606 236435477 259287988 1093899145 63968 34151 37604 43929 50252 229904 191816807 212038239 223198568 237607307 260170322 1124831243 0 0 0 1124831243 827967 871169 734982 485514 779915 3699547 827967 871169 734982 485514 779915 3699547 80804 45122 -12591 -110813 78789 81311 192725578 212954530 223920959 237982008 261029026 1128612101 0.99660 0.99650 0.00330 0.00350 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 48785 0 0 0 48785 0 PART II-B, LINE 1: DURING 2023, CARE INITIATIVES HAD NO DIRECT EXPENSE FOR LOBBYING ACTIVITIES. CARE INITIATIVES WAS NOTIFIED BY IOWA HEALTH CARE ASSOCIATION THAT 14.5% OF DUES WOULD BE SPENT ON LOBBYING AND OTHER EXPENDITURES SUBJECT TO CODE SEC 162 (E) (1). DURING 2023, CARE INITIATIVES PAID DUES TO IHCA OF $218,095. CARE INITIATIVES WAS NOTIFIED BY AMERICAN HEALTH CARE ASSOCIATION THAT 30.0% OF DUES WOULD BE SPENT ON LOBBYING AND OTHER EXPENDITURES SUBJECT TO CODE SEC 162 (E) (1). DURING 2023 CARE INITIATIVES PAID DUES TO AHCA OF $56,120. CARE INITIATIVES WAS NOTIFIED BY NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION THAT 2.18% OF DUES WERE USED FOR SPECIFIC LOBBYING PURPOSES. DURING 2023, CARE INITIATIVES PAID DUES TO NHPCO OF $14,914. 1 613580 7610428 7670831 553177 0 8553111 8553111 177140031 121231125 55908906 8127644 4557588 3570056 55765043 44610098 11154945 12432558 11196650 1235908 80422926 SHORT TERM RIGHT TO USE LIABILITY 779167 LONG TERM RIGHT TO USE LIABILITY 314709 1093876 X PART X, LINE 2: CARE INITIATIVES IS CLASSIFIED AS A TAX-EXEMPT ORGANIZATION; THE WHOLLY OWNED SUBSIDIARIES ARE PASS THROUGH ENTITIES; GENERALLY, NONE OF THESE ENTITIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME. CARE IS SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT IT HAS UNRELATED BUSINESS INCOME. IN ACCORDANCE WITH THE ACCOUNTING GUIDANCE FOR UNCERTAINTY IN INCOME TAXES, MANAGEMENT HAS EVALUATED CARE'S MATERIAL TAX POSITIONS AND DETERMINED THAT THERE ARE NO INCOME TAXES THAT NEED TO BE REFLECTED IN ITS CONSOLIDATED FINANCIAL STATEMENTS. CENTRAL AMERICA & THE CARIBBEAN 1 PROFESSIONAL & GENERAL LIABILITY INSURANCE N/A 60981 CENTRAL AMERICA & THE CARIBBEAN 1 INVESTMENTS N/A 187362 2 0 0 0 2 0 248343 0 248343 0 0 1 0 0 0 1 HARDSHIP FUNDS/FINANCIAL ASSISTANCE 6 173504 PART 1, LINE 2, GENERAL INFORMATION ON GRANTS AND ASSISTANCE: ORGANIZATIONS ARE SELECTED BASED UPON RELATEDNESS TO CARE INITIATIVES EXEMPT MISSION. NO ADDITIONAL MONITORING IS PERFORMED. PART III, COLUMN (B), NUMBER OF RECIPIENTS: EXPLANATION: CHARITY CARE AND PARTIAL TO FULL FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS ON A CASE-BY-CASE BASIS. NO RESIDENT OF CARE IS DENIED A MEDICATION, NURSING SUPPLY, OR THERAPY, REGARDLESS OF THEIR ABILITY TO PAY. CHARITY CARE WAS MADE AVAILABLE TO 6 INDIVIDUALS AT A VALUE OF $173,504. X X X X X 1 0 0 0 0 0 0 0 0 MICHAEL BEAL PRESIDENT/CEO/VICE CHAIR 661717 0 0 0 36100 0 0 0 23510 0 721327 0 0 0 JOSEPH REESE SVP/COO 55734 0 0 0 410955 0 0 0 4054 0 470743 0 0 0 DAVID DIXON SVP/CFO/TREASURER 383054 0 0 0 36100 0 0 0 910 0 420064 0 0 0 ERIC WOODMAN VP HOME HEALTH & HOSPICE 70673 0 0 0 266700 0 0 0 171 0 337544 0 0 0 JOHANNA VOLM VP/CLINICAL SERVICES 253566 0 0 0 36100 0 0 0 9027 0 298693 0 0 0 CYNTHIA WILLIAMS VP INFORMATION SYSTEMS 230766 0 0 0 57615 0 0 0 7481 0 295862 0 0 0 JERAMY KUHN VP - CHIEF COMPLIANCE OFFI 250058 0 0 0 36100 0 0 0 8721 0 294879 0 0 0 ELIZABETH GANA CHARGE NURSE-LPN 275476 0 0 0 3584 0 0 0 0 0 279060 0 0 0 JESSICA MCDYER VP SKILLED NURSING OPERATIONS 225967 0 0 0 1200 0 0 0 26830 0 253997 0 0 0 PART I, 4A, SEVERANCE: SVP/COO JOSEPH REESE RESIGNED EFFECTIVE 2/13/2023. AS PART OF THIS TRANSITION, HE WAS GRANTED A SEVERANCE PAYMENT OF $351,000. VP HOME HEALTH AND HOSPICE ERIC WOODMAN RESIGNED EFFECTIVE 3/22/2023. AS PART OF THIS TRANSITION, HE WAS GRANTED A SEVERANCE PAYMENT OF $262,500. THESE AMOUNTS WERE INCLUDED IN PART II, COLUMN B (III) FOR EACH INDIVIDUAL. PART II, COLUMN B (III), OTHER REPORTABLE COMPENSATION: CARE INITIATIVES HAS A 457B PLAN FOR ITS EXECUTIVES. IT WAS FUNDED BY THE ORGANIZATION TO THE FOLLOWING INDIVIDUALS IN THE AMOUNTS LISTED BELOW: MICHAEL BEAL $20,500; DAVID DIXON $20,500; JOHANNA VOLM $20,500; CYNTHIA WILLIAMS $20,500; JERAMY KUHN $20,500. THE ABOVE MENTIONED AMOUNTS ARE INCLUDED IN PART II, COLUMN B (III). A IOWA FINANCE AUTHORITY 521699886 2013-06-28 11720000 REFUND PRIOR BONDS (5/28/98) 0 0 0 B IOWA FINANCE AUTHORITY 521699886 2014-12-11 41736000 SEE PART VI 0 0 0 C IOWA FINANCE AUTHORITY 521699886 2018-12-19 10592000 REFUND PRIOR BONDS (6/1/15) 0 0 0 A 7225000 11720000 228829 11491171 2000 1 0 1 1 B 10539266 41736496 414991 19915498 21406007 2016 1 0 1 1 C 737533 10592000 208389 10383611 2013 1 0 1 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 1 1 0 0 0 0 1 B 0 0 1 1 0 0 0 0 1 C 0 0 1 1 0 0 0 0 1 A 1 B 1 C 1 SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: EXPLANATION: (A) ISSUER NAME: IOWA FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/28/2013 (A) ISSUER NAME: IOWA FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2016 (A) ISSUER NAME: IOWA FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2018 NOTE REGARDING THE 12/28/2013 AND 12/31/2018 REBATE COMPUTATIONS: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. NOTE REGARDING THE 12/31/2016 REBATE COMPUTATIONS: THIS DEBT WAS ISSUED ON A DRAW-DOWN BASIS AND AMOUNTS WERE DRAWN AS PROJECT COSTS WERE INCURRED. AS NO REBATEABLE ARBITRAGE WAS EARNED AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE ANALYSIS IS NECESSARY. PART I, LINE B, COLUMN (F): EXPLANATION: BUILDINGS, ADDITIONS, REFUND PRIOR BONDS (9/30/10) PART II, LINE 3: EXPLANATION: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. FORM 990, PART I, LINE 6, VOLUNTEERS: CARE INITIATIVES HAD 5,266 RECORDED VOLUNTEER HOURS IN 2023. THE AVERAGE VOLUNTEER WORKS ONE HOUR PER WEEK RESULTING IN A CALCULATED NUMBER OF VOLUNTEERS OF 101. VOLUNTEERS MAINLY PROVIDE ENTERTAINMENT FOR, AND CONVERSE WITH, RESIDENTS. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT OF THE ANNUAL FORM 990 IS REVIEWED, PRIOR TO FILING, BY THE FULL BOARD OF DIRECTORS IN A REGULARLY SCHEDULED BOARD MEETING. SUBSEQUENT TO FILING, A FILED COPY OF THE 990 IS MADE AVAILABLE TO THE BOARD MEMBERS. ADDITIONALLY, THE FILED 990 IS PUBLISHED ON CARE'S PUBLIC WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS AND OFFICERS ARE REQUIRED TO READ THE CORPORATE POLICY AND COMPLETE AN ANNUAL SIGNED CERTIFICATE REGARDING THE CORPORATE CONFLICT OF INTEREST POLICY. THIS PROCESS IS ADMINISTERED BY THE VP/CHIEF COMPLIANCE OFFICER. ADDITIONALLY, THE BOARD AND OFFICERS RECEIVE REQUIRED ANNUAL COMPLIANCE TRAINING, INCLUDING BUSINESS PRACTICES AND CONFLICT OF INTEREST, AGAIN UNDER THE SUPERVISION OF THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER ALSO ATTENDS EACH BOARD MEETING AND SERVES, ALONG WITH ALL BOARD MEMBERS, TO RECOGNIZE AND IDENTIFY POTENTIAL CONFLICT OF INTEREST EVENTS. IDENTIFIED CONFLICT OF INTEREST SITUATIONS AND DELIBERATIONS, IF ANY, ARE DOCUMENTED IN FORMAL BOARD OF DIRECTOR MINUTES. FORM 990, PART VI, SECTION B, LINE 15 CARE'S PRESIDENT/CEO, SVP/CFO, AND SVP/COO HAVE BEEN IDENTIFIED AS DISQUALIFIED PERSONS. COMPENSATION FOR THESE POSITIONS IS DETERMINED BY INDEPENDENT DIRECTORS OF THE COMPENSATION COMMITTEE WITHOUT THE AFFECTED PARTIES BEING PRESENT AND IS SUBSEQUENTLY PROVIDED TO THE FULL BOARD FOR THEIR ACTION OR APPROVAL. FORMAL PERFORMANCE EVALUATIONS AND DOCUMENTATIONS OF EACH STEP IN THE DELIBERATION PROCESS ARE CONTAINED IN RETAINED COMPENSATION COMMITTEE REPORTS. THE DETERMINATION OF THE COMPENSATION COMMITTEE IS SUPPORTED BY A 2022 REPORT BY QUALIFIED INDEPENDENT COMPENSATION CONSULTANTS USING APPROPRIATE COMPARABILITY DATA. THE DELIBERATIONS OF THE COMPENSATION COMMITTEE AND BOARD ARE CONTEMPORANEOUSLY RECORDED IN FORMAL MEETING MINUTES THAT ARE RETAINED BY THE ORGANIZATION. OTHER EXECUTIVE COMPENSATION IS DETERMINED BY THE PRESIDENT/CEO IN CONSULTATION WITH THE MEMBERS OF THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS. THE REPORTS OF COMPENSATION CONSULTANTS UTILIZED IN THE EVALUATION OF COMPENSATION LEVELS FOR THE PRESIDENT/CEO, SVP/CFO, AND SVP/DIRECTOR OF OPERATIONS ARE REVIEWED, ALONG WITH PERFORMANCE EVALUATIONS, INFLATION DATA AND COMPETITIVE FACTORS, ALL TO ESTABLISH COMPENSATION LEVELS. COMPENSATION CHANGES ARE DOCUMENTED AND RETAINED BY THE CORPORATION'S HUMAN RESOURCE DEPARTMENT. OTHER MANAGEMENT COMPENSATION IS DETERMINED ACCORDING TO LONG STANDING PERSONNEL POLICIES ADMINISTERED BY THE CORPORATION'S HUMAN RESOURCES DEPARTMENT. THE COMPENSATION REVIEW PROCESS DESCRIBED ABOVE OCCURS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 CARE PROVIDES ITS FORM 990 ON THE ORGANIZATION'S PUBLIC WEBSITE. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENT, OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 36,509,247. MANAGEMENT AND GENERAL EXPENSES 525,569. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,034,816. FORM 990, PART XI, LINE 9: ADJUSTMENT DUE TO OWNERSHIP CHANGE OF THREE LIMITED LIABILITY COMPANIES -110,392. BOOK/TAX DIFFERENCE AMERICAN HEALTH HOLDINGS LLC 132,204. BOOK/TAX DIFFERENCE LC PHARMCO LLC K-1 381,840. 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