2023-11-11T09:39:56-06:00 2022-12-31 420714325 RSM US LLP 400 LOCUST STREET SUITE 640 DES MOINES IA 503092354 990 2022-01-01 760262402 CARE INITIATIVES CARE 5152244442 1611 WEST LAKES PKWY WEST DES MOINES IA 502668212 DAVID DIXON SVP/CFO 5152244442 2023-11-10 1 DAVID DIXON XXX-XX-XXXX 0 KATHY FAIRCHILD P00222608 5155586600 2023-11-03 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MICHAEL BEAL 1611 WEST LAKES PKWY WEST DES MOINES IA 502668212 237982008 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 5778 126 0 0 8861358 1127901 214337210 236479406 733967 485514 -12591 -110813 223919944 237982008 173047 100433 0 0 115441437 131966053 0 0 0 105560067 122428321 221174551 254494807 2745393 -16512799 187351959 177858014 104363729 111540204 82988230 66317810 X IMPROVING QUALITY OF LIFE FOR IOWANS AND THEIR FAMILIES DURING LIFE'S HEALTH TRANSITIONS THROUGH COMPASSIONATE INDIVIDUALIZED CARE. 0 0 234338556 100433 236435477 DURING 2022, CARE PROVIDED SERVICES TO A DAILY AVERAGE OF 2,311 RESIDENTS IN 43 IOWA NURSING HOMES, 8 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 2022, CARE ALSO PROVIDED HOSPICE SERVICES TO A DAILY AVERAGE OF 410 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 2022, A DAILY AVERAGE OF 1,175 RESIDENTS PARTICIPATED IN THE MEDICAID PROGRAM. CARE'S COST FOR THESE RESIDENTS EXCEEDED REVENUE BY $35,648,000. 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 $138 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 2022, CARE CONTRIBUTED TO ITS COMMUNITIES BY PAYING PROPERTY TAX OF $2.52 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 6,549 HOURS TO HELP THE ELDERLY. USING THE INDEPENDENT SECTOR'S ESTIMATED DOLLAR VALUE OF VOLUNTEER TIME, THE ESTIMATED VALUE OF VOLUNTEER TIME TOTALED APPROXIMATELY $183,965. 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 2022, $65,872 IN CHARITABLE CONTRIBUTIONS WERE MADE TO SUPPORT CHARITABLE ORGANIZATIONS THAT FURTHER CARE'S EXEMPT MISSION. 234338556 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 1 670 0 1 5778 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 652450 0 28125 DAVID DIXON SVP/CFO/TREASURER 40.00 X 392934 0 3201 JOSEPH REESE SVP/COO 40.00 X 359992 0 24026 ABHAY NADIPURAM VP/CHIEF LEGAL OFFICER 40.00 X 291643 0 7168 JOHANNA VOLM VP/CLINICAL SERVICES 40.00 X 279865 0 10123 MIRIAM YOCUM VP/HOSPICE/CLINICAL DIRECT 40.00 X 285503 0 2453 JERAMY KUHN VP - CHIEF COMPLIANCE OFFI 40.00 X 276897 0 8879 ERIC WOODMAN VP HOME HEALTH & HOSPICE 40.00 X 283009 0 2712 STEPHANIE EDWARDS CHAIR 4.00 X 28000 0 0 STEVEN ACKERSON SECRETARY 4.00 X 28000 0 0 LANE BOWEN DIRECTOR 2.00 X 28000 0 0 ROBERT CONLON DIRECTOR 4.00 X 28000 0 0 RON HARMOND DIRECTOR 3.00 X 28000 0 0 DENISE STURM DIRECTOR 1.00 X 28000 0 0 KEITH KREIN DIRECTOR 3.00 X 15000 0 0 LINDA UPMEYER DIRECTOR 2.00 X 15000 0 0 3020293 0 86687 105 0 1 0 RELIANT PRO REHAB LLC 5800 GRANITE PKWY SUITE 1000 PLANO TX 75024 PHYS/OCC/SP THERAPY 8559234 GRAPE TREE MEDICAL STAFFING LLC PO BOX 5340 SIOUX FALLS SD 57117 NURSE STAFFING 6452358 MEDICAL SOLUTIONS LLC PO BOX 310737 DES MOINES IA 50331 NURSE STAFFING 2586798 FUSION MEDICAL STAFFING LLC PO BOX 82674 LINCOLN NE 68501 NURSE STAFFING 2483259 CLINICAL RESOURCES LLC 3535 PEACHTREE RD 327 ATLANTA GA 30326 NURSE STAFFING 1122042 42 1065427 62474 1127901 NURSING HOME SERVICES 623000 212273530 212273530 HOSPICE SERVICES 623000 23260079 23260079 ASSISTED LIVING SERVIC 623990 759343 759343 SENIOR LIVING APARTMEN 623990 121958 121958 GUEST MEALS 722210 35550 35550 28946 20567 8379 236479406 485514 485514 SUBPART F INCOME 900099 -110813 -110813 -110813 237982008 236435477 0 418630 X 65872 65872 34561 34561 1658728 1658728 116202129 105434355 10767774 219079 174088 44991 5358714 4981743 376971 8527403 7837761 689642 282581 282581 213730 213730 47836415 47255552 580863 1047631 956702 90929 1640313 1391799 248514 4111553 4111553 9791133 9558461 232672 3769757 3421490 348267 2610678 2577998 32680 8061339 7818110 243229 2614944 2583683 31261 MEDICAL SUPPLIES 12163336 12163336 DIETARY SUPPLIES 7046190 7046190 IMPAIRMENT 2313591 2313591 MAINTENANCE 1849428 1849428 17075702 16873836 201866 254494807 234338556 20156251 0 18020 19712 39690414 31768186 28360833 30827475 890143 1115205 2016394 1833959 257891851 173922106 88747401 83969745 22017003 23685153 690000 1190000 -752691 239805 5674442 3208774 187351959 177858014 30025959 41119446 1065427 0 73272343 48157255 20896000 0 1367503 104363729 111540204 X 82988230 66317810 82988230 66317810 187351959 177858014 X -16512799 -2525000 2367379 X X 0 1 X 1 1 1 X 65257 77573 19803280 8861358 1127901 29935369 187754009 191675266 192200808 214299606 236435477 1022365166 74328 63968 34151 37604 43929 253980 187893594 191816807 212038239 223198568 237607307 1052554515 0 0 0 1052554515 797178 827967 871169 734982 485514 3716810 797178 827967 871169 734982 485514 3716810 6996 80804 45122 -12591 -110813 9518 188697768 192725578 212954530 223920959 237982008 1056280843 0.99650 0.99610 0.00350 0.00380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 52136 0 0 0 52136 0 PART II-B, LINE 1: DURING 2022, CARE INITIATIVES HAD NO DIRECT EXPENSES FOR LOBBYING ACTIVITIES. CARE INITIATIVES WAS NOTIFIED BY IOWA HEALTH CARE ASSOCIATION THAT 15.5% OF DUES WOULD BE SPENT ON LOBBYING AND OTHER EXPENDITURES SUBJECT TO CODE SEC. 162(E)(1). DURING 2022, CARE INITIATIVES PAID DUES TO IHCA OF $210,211. CARE INITIATIVES WAS NOTIFIED BY AMERICAN HEALTH CARE ASSOCIATION THAT 28.0% OF DUES WOULD BE SPENT ON LOBBYING AND OTHER EXPENDITURES SUBJECT TO CODE SEC. 162(E)(1). DURING 2022, CARE INITIATIVES PAID DUES TO AHCA OF $56,280. CARE INITIATIVES WAS NOTIFIED BY NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE THAT 23.00% OF DUES WERE EXCLUDED FOR LOBBYING PURPOSES BASED ON IRS CRITERIA. DURING 2022, CARE INITIATIVES PAID DUES TO NAHC OF $16,500. 1 703877 5766284 5856581 613580 0 8553111 8553111 174825584 116569165 58256419 8110479 4550959 3559520 54163081 42131744 12031337 12239596 10670238 1569358 83969745 SHORT TERM RIGHT TO USE LIABILITY 791665 LONG TERM RIGHT TO USE LIABILITY 575838 1367503 X PART X, LINE 2: CARE INITIATIVES IS CLASSIFIED AS A TAX-EXEMPT ORGANIZATION; THE WHOLLY OWNED SUBSIDIARIES AND THE ONE LIMITED LIABILITY COMPANY 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 0 PROFESSIONAL & GENERAL LIABILITY INSURANCE N/A 65353 CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTMENTS N/A 185421 1 0 0 0 1 0 250774 0 250774 0 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 IOWA HEALTH CARE ASSOCIATION FOUNDATION 1775 90TH STREET WEST DES MOINES IA 50266 421326564 501(C)(3) 10000 0 GENERAL SUPPORT DOCTORS WITHOUT BORDERS PO BOX 5023 HAGERSTOWN MD 21741 133433452 501(C)(3) 20000 0 GENERAL SUPPORT BALANCE AUTISM 1625 ADVENTURELAND DRIVE STE B ALTOONA IA 50009 421377412 501(C)(3) 10000 0 GENERAL SUPPORT SPECIAL OLYMPICS IOWA INC 551 SE DOVETAIL GRIMES IA 50111 510176029 501(C)(3) 10000 0 GENERAL SUPPORT 247 BLAC PO BOX 2031 WATERLOO IA 50704 901179763 501(C)(3) 10000 0 GENERAL SUPPORT 5 0 HARDSHIP FUNDS/FINANCIAL ASSISTANCE 6 34561 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 $34,561. X X X X X 0 0 0 0 0 0 0 0 0 MICHAEL BEAL PRESIDENT/CEO/VICE CHAIR 617350 0 0 0 35100 0 4100 0 24025 0 680575 0 0 0 DAVID DIXON SVP/CFO/TREASURER 357834 0 0 0 35100 0 2727 0 474 0 396135 0 0 0 JOSEPH REESE SVP/COO 324892 0 0 0 35100 0 0 0 24026 0 384018 0 0 0 ABHAY NADIPURAM VP/CHIEF LEGAL OFFICER 222527 0 0 0 69116 0 766 0 6402 0 298811 0 0 0 JOHANNA VOLM VP/CLINICAL SERVICES 244765 0 0 0 35100 0 875 0 9248 0 289988 0 0 0 MIRIAM YOCUM VP/HOSPICE/CLINICAL DIRECT 250403 0 0 0 35100 0 1979 0 474 0 287956 0 0 0 JERAMY KUHN VP - CHIEF COMPLIANCE OFFI 241280 0 0 0 35617 0 0 0 8879 0 285776 0 0 0 ERIC WOODMAN VP HOME HEALTH & HOSPICE 252409 0 15000 0 15600 0 2238 0 474 0 285721 0 0 0 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 $19,500; DAVID DIXON $19,500; JOSEPH REESE $19,500; ABHAY NADIPURAM $19,500; JOHANNA VOLM $19,500; MIRIAM YOCUM $19,500; JERAMY KUHN $19,500. 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 6405000 11720000 228829 11491171 2000 1 0 1 1 B 9119766 41736496 414991 19915498 21406007 2016 1 0 1 1 C 366054 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 6,549 RECORDED VOLUNTEER HOURS IN 2022. THE AVERAGE VOLUNTEER WORKS ONE HOUR PER WEEK RESULTING IN A CALCULATED NUMBER OF VOLUNTEERS OF 126. 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/COO 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 47,255,552. MANAGEMENT AND GENERAL EXPENSES 580,863. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,836,415. FORM 990, PART XI, LINE 9: ADJUSTMENT DUE TO OWNERSHIP CHANGE OF THREE LIMITED LIABILITY COMPANIES 2,367,379. ODEBOLT ASSISTED LIVING LLC 1611 WEST LAKES PKWY WEST DES MOINES IA 502668212 203738090 LOW INCOME HOUSING NE 50013 -2201 CARE INITIATIVES DUNLAP ASSISTED LIVING LLC 1611 WEST LAKES PKWY WEST DES MOINES IA 502668212 203738210 LOW INCOME HOUSING NE 83884 30883 CARE INITIATIVES LAMONI ASSISTED LIVING LLC 1611 WEST LAKES PKWY WEST DES MOINES IA 502668212 203738239 LOW INCOME HOUSING NE 42563 29851 CARE INITIATIVES PANORA ASSISTED LIVING LLC 13520 CALIFORNIA ST SUITE 250 OMAHA NE 68154 203738136 LOW INCOME HOUSING NE N/A RELATED -65607 461323 0 0 0.00010 AMERICAN HEALTH HOLDINGS OF IOWA LLC 201 JORDAN RD SUITE 200 FRANKLIN TN 37067 612001857 ISNP TN N/A UNRELATED 581379 0 0 0.20810 LTC PHARMCO LLC 703 MAIN STREET DUBUQUE IA 52001 883847954 PHARMACY IA N/A UNRELATED 500000 0 0 0.50000 IOWA INDEMNITY COMPANY LTD BOX 560 BEATRICE BUTTERFIELD BUILDI PROVIDENCIALES TURKS & CAICOS IS TK 760262402 CAPTIVE INSURANCE TK N/A C -110813 2514990 1.00000 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PANORA ASSISTED LIVING LLC A 20568 GAAP PANORA ASSISTED LIVING LLC D 200000 GAAP LTC PHARMCO LLC B 500000 FMV PART V, LINE 1 CARE IS THE 0.01% MANAGING MEMBER IN A LIMITED LIABILITY COMPANY PROVIDING ASSISTED LIVING SERVICES. THE ENTITY OWNS A BUILDING THAT IS ATTACHED TO CARE'S RELATED SKILLED NURSING HOME AND IT QUALIFIES FOR AN ALLOCATION OF LOW-INCOME HOUSING TAX CREDITS UNDER SECTION 42 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND WAS PLACED IN SERVICE IN 2007. CARE INITIATIVES PROVIDES DAILY OPERATIONAL MANAGEMENT SERVICES AND PERMANENT FINANCING. THE AGREEMENT PROVIDES FOR CARE INITIATIVES TO PURCHASE THE 99.99% INVESTOR MEMBER INTEREST AT THE END OF THE 15-YR TAX CREDIT COMPLIANCE PERIOD FOR AN AMOUNT BASED ON A PROCESS AS SPECIFIED IN THE AGREEMENT. AS OF THE END OF BUSINESS ON 12/31/2022, CARE INITIATIVES PURCHASED THE INVESTOR MEMBER INTEREST IN PANORA ASSISTED LIVING LLC.