2022-11-04T10:41:53-05:00 2021-12-31 420714325 RSM US LLP 400 LOCUST STREET SUITE 640 DES MOINES IA 503092354 990 2021-01-01 760262402 CARE INITIATIVES CARE 5152244442 1611 WEST LAKES PKWY WEST DES MOINES IA 502668212 DAVID DIXON SVP/CFO 5152244442 2022-11-03 1 DAVID DIXON XXX-XX-XXXX KATHY FAIRCHILD P00222608 5155586600 2022-10-30 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MICHAEL BEAL 1611 WEST LAKES PKWY WEST DES MOINES IA 502668212 223921459 0 X CAREINITIATIVES.ORG X 1989 TX CHARITABLE NON-PROFIT: 44 NURSING HOMES, 8 ASSISTED LIVING FACILITIES, 3 SENIOR LIVING APARTMENT LOCATIONS, 7 HOSPICE LOCATIONS. 7 6 4980 84 0 0 19803280 8861358 192234959 214337210 874808 733967 45122 -12591 212958169 223919944 43302 173047 0 0 112861236 115441437 0 0 0 94216237 105560067 207120775 221174551 5837394 2745393 190076380 187351959 109083543 104363729 80992837 82988230 X IMPROVING QUALITY OF LIFE FOR IOWANS AND THEIR FAMILIES DURING LIFE'S HEALTH TRANSITIONS THROUGH COMPASSIONATE INDIVIDUALIZED CARE. 0 0 204596778 173047 214299606 DURING 2021, CARE PROVIDED SERVICES TO A DAILY AVERAGE OF 2,210 RESIDENTS IN 44 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 2021, CARE ALSO PROVIDED HOSPICE SERVICES TO A DAILY AVERAGE OF 284 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 2021, A DAILY AVERAGE OF 1,141 RESIDENTS PARTICIPATED IN THE MEDICAID PROGRAM. CARE'S COST FOR THESE RESIDENTS EXCEEDED REVENUE BY $30,487,000. 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 $132 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 2021, CARE CONTRIBUTED TO ITS COMMUNITIES BY PAYING PROPERTY TAX OF $2.54 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 4,393 HOURS TO HELP THE ELDERLY. USING THE INDEPENDENT SECTOR'S ESTIMATED DOLLAR VALUE OF VOLUNTEER TIME, THE ESTIMATED VALUE OF VOLUNTEER TIME TOTALED APPROXIMATELY $115,968. 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 2021, $62,925 IN CHARITABLE CONTRIBUTIONS WERE MADE TO SUPPORT CHARITABLE ORGANIZATIONS THAT FURTHER CARE'S EXEMPT MISSION. 204596778 1 1 0 1 0 0 0 0 1 0 1 0 0 0 0 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 0 1 1 1 0 0 1 693 0 1 4980 1 0 1 TK 0 0 0 0 0 0 0 0 0 0 X 7 6 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 580873 0 27765 CHARLEEN SCHLEPP FORMER SVP/DIR OF OPERATIONS 0.00 X 417630 0 0 DAVID DIXON SVP/CFO/TREASURER 40.00 X 345193 0 4713 JOSEPH REESE SVP/COO 40.00 X 294086 0 18231 MIRIAM YOCUM VP/HOSPICE/CLINICAL DIRECTOR 40.00 X 259896 0 3958 ABHAY NADIPURAM VP/CHIEF LEGAL OFFICER 40.00 X 247077 0 10292 JERAMY KUHN VP - CHIEF COMPLIANCE OFFICER 40.00 X 247524 0 8680 JOHANNA VOLM VP/CLINICAL SERVICES 40.00 X 240058 0 9503 TANYA GILYARD VP/BUSINESS DEVELOPMENT 40.00 X 213754 0 21624 ANDREW WAGG REGIONAL DIRECTOR OF OPERATIONS 40.00 X 182262 0 25741 STEVEN ACKERSON SECRETARY 4.00 X 28000 0 0 STEPHANIE EDWARDS CHAIR 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 4.00 X 28000 0 0 DENISE STURM DIRECTOR 2.00 X 28000 0 0 3196353 0 130507 61 1 1 0 RELIANT PRO REHAB LLC 5800 GRANITE PKWY SUITE 1000 PLANO TX 75024 PHYS/OCC/SP THERAPY 10271359 GRAPE TREE MEDICAL STAFFING LLC PO BOX 5340 SIOUX FALLS SD 57117 NURSE STAFFING 3423400 FUSION MEDICAL STAFFING LLC PO BOX 82674 LINCOLN NE 68501 NURSE STAFFING 3150309 MEDICAL SOLUTIONS LLC PO BOX 310737 DES MOINES IA 50331 NURSE STAFFING 3139174 AUSTIN BUILDERS LLC PO BOX 484 3811 NE RIO CT ANKENY IA 50021 CONSTRUCTION SERVICES 2041250 37 8800425 60933 8861358 NURSING HOME SERVICES 623000 197307502 197307502 HOSPICE SERVICES 623000 16041861 16041861 ASSISTED LIVING SERVIC 623990 744228 744228 SENIOR LIVING APARTMEN 623990 127454 127454 GUEST MEALS 722210 32785 32785 83380 78561 4819 214337210 734982 734982 500 1515 -1015 -1015 -1015 SUBPART F INCOME 900099 -12591 -12591 -12591 223919944 214299606 0 758980 X 62925 62925 110122 110122 1702715 1702715 100680017 92772738 7907279 377082 323819 53263 5329187 5009031 320156 7352436 6803844 548592 297349 297349 202414 202414 41709731 41050868 658863 1791493 1409367 382126 1532986 1251895 281091 3370961 3370961 9358622 9136112 222510 2650768 2429628 221140 2609702 2572057 37645 8077429 7845391 232038 3966665 3940347 26318 MEDICAL SUPPLIES 10790871 10790871 DIETARY SUPPLIES 6278529 6278529 MAINTENANCE 1806967 1806967 HOUSEKEEPING & LAUNDRY 1182322 1182322 9933258 9819945 113313 221174551 204596778 16577773 0 22031 18020 56240401 39690414 22383972 28360833 698510 890143 1204073 2016394 257992864 169245463 90343883 88747401 14173263 22017003 690000 -633914 -752691 5644161 5674442 190076380 187351959 24629208 30025959 3174976 1065427 81279359 73272343 109083543 104363729 X 80992837 82988230 80992837 82988230 190076380 187351959 2745393 -750000 0 X X 0 1 X 1 1 1 X 55938 65257 77573 19803280 8861358 28863406 192962367 187754009 191675266 192200808 214299606 978892056 60995 74328 63968 34151 37604 271046 193079300 187893594 191816807 212038239 223198568 1008026508 0 0 0 1008026508 582394 797178 827967 871169 734982 3813690 582394 797178 827967 871169 734982 3813690 12408 6996 80804 45122 -12591 132739 193674102 188697768 192725578 212954530 223920959 1011972937 0.99610 0.99620 0.00380 0.00360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 49586 0 0 0 49586 0 PART II-B, LINE 1: DURING 2021, CARE INITIATIVES HAD NO DIRECT EXPENSES FOR LOBBYING ACTIVITIES. CARE INITIATIVES WAS NOTIFIED BY IOWA HEALTH CARE ASSOCIATION THAT 15.0% OF DUES WOULD BE SPENT ON LOBBYING AND OTHER EXPENDITURES SUBJECT TO CODE SEC. 162(E)(1). DURING 2021, CARE INITIATIVES PAID DUES TO IHCA OF $203,960. 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 2021, CARE INITIATIVES PAID DUES TO AHCA OF $59,490. CARE INITIATIVES WAS NOTIFIED BY NATIONAL HOSPICE AND PALLIATIVE CARE ASSOCIATION THAT 0.61% OF DUES WERE USED FOR SPECIFIC LOBBYING PURPOSES. DURING 2021, CARE INITIATIVES PAID DUESTO NHPCO OF $8,063. CARE INITIATIVES WAS NOTIFIED BY HOSPICE AND PALLIATIVE CARE ASSOCIATION OF IOWA THAT 18.6% OF DUES WERE SPENT ON LOBBYING. DURING 2021, CARE INITIATIVES PAID DUES TO HPCAI OF $8,260. CARE INITIATIVES WAS NOTIFIED BY IOWA ASSOCIATION OF BUSINESS AND INDUSTRY THAT 25.0% OF DUES WERE SPENT ON LOBBYING. DURING 2021, CARE INITIATIVES PAID DUES TO IOWA ABI OF $3,000. 1 1042538 5324036 5662697 703877 0 8553111 8553111 176160279 114273032 61887247 8091693 4543546 3548147 52320314 39805705 12514609 12867467 10623180 2244287 88747401 X PART X, LINE 2: CARE INITIATIVES IS CLASSIFIED AS A TAX-EXEMPT ORGANIZATION; THE WHOLLY OWNED SUBSIDIARY AND THE FOUR LIMITED LIABILITY COMPANIES 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 67748 CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTMENTS N/A 185110 1 0 0 0 1 0 252858 0 252858 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 LATINAS UNIDAS POR UN NUEVO AMANECER 100 E EUCLID SUITE 153 DES MOINES IA 50313 010552793 501(C)(3) 10000 0 GENERAL SUPPORT HILLCREST FAMILY SERVICES 2005 ASBURY RD DUBUQUE IA 52001 420680411 501(C)(3) 10000 0 GENERAL SUPPORT UNITED WAY OF CENTRAL IOWA 1111 9TH STREET DES MOINES IA 50309 420680425 501(C)(3) 9500 0 GENERAL SUPPORT 4 0 HARDSHIP FUNDS/FINANCIAL ASSISTANCE 11 110122 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 11 INDIVIDUALS AT A VALUE OF $110,122. X X X X X 1 0 0 0 0 0 0 0 0 MICHAEL BEAL PRESIDENT/CEO/VICE CHAIR 565273 0 0 0 15600 0 4638 0 23127 0 608638 0 0 0 CHARLEEN SCHLEPP FORMER SVP/DIR OF OPERATIONS 0 0 0 0 417630 0 0 0 0 0 417630 0 0 0 DAVID DIXON SVP/CFO/TREASURER 329593 0 0 0 15600 0 4350 0 363 0 349906 0 0 0 JOSEPH REESE SVP/COO 259172 0 15000 0 19914 0 0 0 18231 0 312317 0 0 0 MIRIAM YOCUM VP/HOSPICE/CLINICAL DIRECTOR 243136 0 0 0 16760 0 3898 0 60 0 263854 0 0 0 ABHAY NADIPURAM VP/CHIEF LEGAL OFFICER 231477 0 0 0 15600 0 0 0 10292 0 257369 0 0 0 JERAMY KUHN VP - CHIEF COMPLIANCE OFFICER 230964 0 0 0 16560 0 0 0 8680 0 256204 0 0 0 JOHANNA VOLM VP/CLINICAL SERVICES 224458 0 0 0 15600 0 725 0 8778 0 249561 0 0 0 TANYA GILYARD VP/BUSINESS DEVELOPMENT 197681 0 0 0 16073 0 0 0 21624 0 235378 0 0 0 ANDREW WAGG REGIONAL DIRECTOR OF OPERATIONS 162502 0 15000 0 4760 0 2924 0 22817 0 208003 0 0 0 PART I, 4A, SEVERANCE: SVP/DIRECTOR OF OPERATIONS CHARLEEN SCHLEP RETIRED EFFECTIVE 11/18/2020. AS PART OF HER RETIREMENT, SHE WAS GRANTED A SEVERANCE PAYMENT OF $417,630. THAT AMOUNT IS INCLUDED IN PART II, COLUMN B(III). PART II, COLUMN B (III), OTHER REPORTABLE COMPENSATION: CARE INITIATIVES HAS A 457B PLAN FOR ITS EXECUTIVES, IN WHICH THE FOLLOWING PARTICIPATE: MICHAEL BEAL, DAVID DIXON, AND JERAMY KUHN. IN 2021, THE ORGANIZATION DID NOT FUND ANY AMOUNT TO THAT PLAN. 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 D IOWA FINANCE AUTHORITY 521699886 2019-01-31 39371095 REFUND PRIOR BONDS (05/12/16) 0 0 0 A 5605000 11720000 228829 11491171 2000 1 0 1 1 B 7750127 41736496 414991 19915498 21406007 2016 1 0 1 1 C 10592000 208389 10383611 2013 1 0 1 1 D 16791700 39371095 39371095 2006 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 D 0 0 1 1 1 0 0 0 1 A 1 B 1 C 1 D 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 (A) ISSUER NAME: IOWA FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/31/2019 NOTE REGARDING THE 12/28/2013, 12/31/2018, AND 1/31/2019 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 4,393 RECORDED VOLUNTEER HOURS IN 2021. THE AVERAGE VOLUNTEER WORKS ONE HOUR PER WEEK RESULTING IN A CALCULATED NUMBER OF VOLUNTEERS OF 84. 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 CORPORATE 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/DIRECTOR OF OPERATIONS 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 2021 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 41,050,868. MANAGEMENT AND GENERAL EXPENSES 658,863. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,709,731. ODEBOLT ASSISTED LIVING LLC 13520 CALIFORNIA ST SUITE 250 OMAHA NE 68154 203738090 LOW INCOME HOUSING NE N/A RELATED -52281 219315 0 0 0.00010 PANORA ASSISTED LIVING LLC 13520 CALIFORNIA ST SUITE 250 OMAHA NE 68154 203738136 LOW INCOME HOUSING NE N/A RELATED -57461 133204 0 0 0.00010 DUNLAP ASSISTED LIVING LLC 13520 CALIFORNIA ST SUITE 250 OMAHA NE 68154 203738210 LOW INCOME HOUSING NE N/A RELATED -16456 265577 0 0 0.00010 LAMONI ASSISTED LIVING LLC 13520 CALIFORNIA ST SUITE 250 OMAHA NE 68154 203738239 LOW INCOME HOUSING NE N/A RELATED -2 45296 0 0 0.00010 AMERICAN HEALTH HOLDING OF IA LLC 201 JORDAN RD SUITE 200 FRANKLIN TN 37067 612001857 ISNP TN UNRELATED 662395 0 0 0.23000 IOWA INDEMNITY COMPANY LTD BOX 560 BEATRICE BUTTERFIELD BUILDI PROVIDENCIALES TURKS & CAICOS IS TK 760262402 CAPTIVE INSURANCE TK N/A C -12591 2531110 1.00000 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DUNLAP ASSISTED LIVING LLC A 19640 GAAP ODEBOLT ASSISTED LIVING LLC A 19640 GAAP LAMONI ASSISTED LIVING LLC A 19640 GAAP PANORA ASSISTED LIVING LLC A 19640 GAAP DUNLAP ASSISTED LIVING LLC D 200000 GAAP ODEBOLT ASSISTED LIVING LLC D 200000 GAAP LAMONI ASSISTED LIVING LLC D 200000 GAAP PANORA ASSISTED LIVING LLC D 200000 GAAP AMERICAN HEALTH HOLDINGS OF IA LLC B 690000 FMV PART V, LINE 1 CARE IS THE 0.01% MANAGING MEMBER IN FOUR LIMITED LIABILITY COMPANIES PROVIDING ASSISTED LIVING SERVICES. THESE ENTITIES OWN BUILDINGS THAT ARE ATTACHED TO CARE'S RELATED SKILLED NURSING HOMES AND THEY QUALIFY FOR AN ALLOCATION OF LOW-INCOME HOUSING TAX CREDITS UNDER SECTION 42 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND WERE PLACED IN SERVICE IN 2007. CARE INITIATIVES PROVIDES DAILY OPERATIONAL MANAGEMENT SERVICES AND PERMANENT FINANCING. THE AGREEMENTS PROVIDE 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 12/31/2021, CARE INITIATIVES PURCHASED THE INVESTOR MEMBER INTEREST IN ODEBOLT ASSISTED LIVING LLC, DUNLAP ASSISTED LIVING LLC AND LAMONI ASSISTED LIVING LLC.