STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CARE INITIATIVES: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CARE INITIATIVES (EIN 76-0262402)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-11
IRS object ID
202333159349300213
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-11T09:39:56-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1400 LOCUST STREET SUITE 640AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP503092354ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN760262402EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CARE INITIATIVESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCAREBusinessNameControlTxt
Phone5152244442PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11611 WEST LAKES PKWYAddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP502668212ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID DIXONPersonNm
Person TitleSVP/CFOPersonTitleTxt
Phone5152244442PhoneNum
Signature2023-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVIDPersonFirstNm
Person LastDIXONPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHY FAIRCHILDPreparerPersonNm
PTINP00222608PTIN
Phone5155586600PhoneNum
Preparation2023-11-03PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL BEALPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11611 WEST LAKES PKWYAddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP502668212ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$237,982,008GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCAREINITIATIVES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionCHARITABLE NON-PROFIT: 43 NURSING HOMES, 8 ASSISTED LIVING FACILITIES, 3 SENIOR LIVING APARTMENT LOCATIONS, 7 HOSPICE LOCATIONS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee5778TotalEmployeeCnt
Total Volunteers126TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,861,358PYContributionsGrantsAmt
CY Contributions Grants$1,127,901CYContributionsGrantsAmt
PY Program Service Revenue$214,337,210PYProgramServiceRevenueAmt
CY Program Service Revenue$236,479,406CYProgramServiceRevenueAmt
PY Investment Income$733,967PYInvestmentIncomeAmt
CY Investment Income$485,514CYInvestmentIncomeAmt
PY Other Revenue-$12,591PYOtherRevenueAmt
CY Other Revenue-$110,813CYOtherRevenueAmt
PY Total Revenue$223,919,944PYTotalRevenueAmt
CY Total Revenue$237,982,008CYTotalRevenueAmt
PY Grants And Similar Paid$173,047PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$100,433CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$115,441,437PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$131,966,053CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$105,560,067PYOtherExpensesAmt
CY Other Expenses$122,428,321CYOtherExpensesAmt
PY Total Expenses$221,174,551PYTotalExpensesAmt
CY Total Expenses$254,494,807CYTotalExpensesAmt
PY Revenues Less Expenses$2,745,393PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$16,512,799CYRevenuesLessExpensesAmt
Total Assets BOY$187,351,959TotalAssetsBOYAmt
Total Assets EOY$177,858,014TotalAssetsEOYAmt
Total Liabilities BOY$104,363,729TotalLiabilitiesBOYAmt
Total Liabilities EOY$111,540,204TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$82,988,230NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$66,317,810NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIMPROVING QUALITY OF LIFE FOR IOWANS AND THEIR FAMILIES DURING LIFE'S HEALTH TRANSITIONS THROUGH COMPASSIONATE INDIVIDUALIZED CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$234,338,556ExpenseAmt
Grant$100,433GrantAmt
Revenue$236,435,477RevenueAmt
DescDURING 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.Desc
Total Program Service Expenses$234,338,556TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign OfficeYes (1)ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document670IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5778EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryTKForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID DIXONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5152244442PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11611 WEST LAKES PKWYAddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP502668212ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL BEAL
PRESIDENT/CEO/VICE CHAIR40.00Yes (X)Yes (X)$652,450$0$28,125
DAVID DIXON
SVP/CFO/TREASURER40.00Yes (X)$392,934$0$3,201
JOSEPH REESE
SVP/COO40.00Yes (X)$359,992$0$24,026
ABHAY NADIPURAM
VP/CHIEF LEGAL OFFICER40.00$291,643$0$7,168Yes (X)
JOHANNA VOLM
VP/CLINICAL SERVICES40.00$279,865$0$10,123Yes (X)
MIRIAM YOCUM
VP/HOSPICE/CLINICAL DIRECT40.00$285,503$0$2,453Yes (X)
JERAMY KUHN
VP - CHIEF COMPLIANCE OFFI40.00$276,897$0$8,879Yes (X)
ERIC WOODMAN
VP HOME HEALTH & HOSPICE40.00$283,009$0$2,712Yes (X)
STEPHANIE EDWARDS
CHAIR4.00Yes (X)$28,000$0$0
STEVEN ACKERSON
SECRETARY4.00Yes (X)$28,000$0$0
LANE BOWEN
DIRECTOR2.00Yes (X)$28,000$0$0
ROBERT CONLON
DIRECTOR4.00Yes (X)$28,000$0$0
RON HARMOND
DIRECTOR3.00Yes (X)$28,000$0$0
DENISE STURM
DIRECTOR1.00Yes (X)$28,000$0$0
KEITH KREIN
DIRECTOR3.00Yes (X)$15,000$0$0
LINDA UPMEYER
DIRECTOR2.00Yes (X)$15,000$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,020,293TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$86,687TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K105IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RELIANT PRO REHAB LLC
5800 GRANITE PKWY SUITE 1000PLANOTX75024PHYS/OCC/SP THERAPY$8,559,234
GRAPE TREE MEDICAL STAFFING LLC
PO BOX 5340SIOUX FALLSSD57117NURSE STAFFING$6,452,358
MEDICAL SOLUTIONS LLC
PO BOX 310737DES MOINESIA50331NURSE STAFFING$2,586,798
FUSION MEDICAL STAFFING LLC
PO BOX 82674LINCOLNNE68501NURSE STAFFING$2,483,259
CLINICAL RESOURCES LLC
3535 PEACHTREE RD 327ATLANTAGA30326NURSE STAFFING$1,122,042
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K42CntrctRcvdGreaterThan100KCnt
Government Grants$1,065,427GovernmentGrantsAmt
All Other Contributions$62,474AllOtherContributionsAmt
Total Contributions$1,127,901TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NURSING HOME SERVICES623000$212,273,530$212,273,530
HOSPICE SERVICES623000$23,260,079$23,260,079
ASSISTED LIVING SERVIC623990$759,343$759,343
SENIOR LIVING APARTMEN623990$121,958$121,958
GUEST MEALS722210$35,550$35,550

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,946TotalRevenueColumnAmt
Related Or Exempt Func Income$20,567RelatedOrExemptFuncIncomeAmt
Exclusion$8,379ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$236,479,406TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$485,514TotalRevenueColumnAmt
Exclusion$485,514ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescSUBPART F INCOMEDesc
Business900099BusinessCd
Total Revenue Column-$110,813TotalRevenueColumnAmt
Exclusion-$110,813ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$110,813OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$237,982,008TotalRevenueColumnAmt
Related Or Exempt Func Income$236,435,477RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$418,630ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$65,872TotalAmt
Program Services$65,872ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$34,561TotalAmt
Program Services$34,561ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,658,728TotalAmt
Management And General$1,658,728ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$116,202,129TotalAmt
Program Services$105,434,355ProgramServicesAmt
Management And General$10,767,774ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$219,079TotalAmt
Program Services$174,088ProgramServicesAmt
Management And General$44,991ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,358,714TotalAmt
Program Services$4,981,743ProgramServicesAmt
Management And General$376,971ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,527,403TotalAmt
Program Services$7,837,761ProgramServicesAmt
Management And General$689,642ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$282,581TotalAmt
Management And General$282,581ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$213,730TotalAmt
Management And General$213,730ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$47,836,415TotalAmt
Program Services$47,255,552ProgramServicesAmt
Management And General$580,863ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,047,631TotalAmt
Program Services$956,702ProgramServicesAmt
Management And General$90,929ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,640,313TotalAmt
Program Services$1,391,799ProgramServicesAmt
Management And General$248,514ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,111,553TotalAmt
Management And General$4,111,553ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,791,133TotalAmt
Program Services$9,558,461ProgramServicesAmt
Management And General$232,672ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,769,757TotalAmt
Program Services$3,421,490ProgramServicesAmt
Management And General$348,267ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,610,678TotalAmt
Program Services$2,577,998ProgramServicesAmt
Management And General$32,680ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,061,339TotalAmt
Program Services$7,818,110ProgramServicesAmt
Management And General$243,229ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,614,944TotalAmt
Program Services$2,583,683ProgramServicesAmt
Management And General$31,261ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$12,163,336$12,163,336
DIETARY SUPPLIES$7,046,190$7,046,190
IMPAIRMENT$2,313,591$2,313,591
MAINTENANCE$1,849,428$1,849,428

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$17,075,702TotalAmt
Program Services$16,873,836ProgramServicesAmt
Management And General$201,866ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$254,494,807TotalAmt
Program Services$234,338,556ProgramServicesAmt
Management And General$20,156,251ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$18,020BOYAmt
EOY$19,712EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$39,690,414BOYAmt
EOY$31,768,186EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$28,360,833BOYAmt
EOY$30,827,475EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$890,143BOYAmt
EOY$1,115,205EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,016,394BOYAmt
EOY$1,833,959EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$257,891,851LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$173,922,106LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$88,747,401BOYAmt
EOY$83,969,745EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$22,017,003BOYAmt
EOY$23,685,153EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$690,000BOYAmt
EOY$1,190,000EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY-$752,691BOYAmt
EOY$239,805EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,674,442BOYAmt
EOY$3,208,774EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$187,351,959BOYAmt
EOY$177,858,014EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$30,025,959BOYAmt
EOY$41,119,446EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,065,427BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$73,272,343BOYAmt
EOY$48,157,255EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$20,896,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,367,503EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$104,363,729BOYAmt
EOY$111,540,204EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$82,988,230BOYAmt
EOY$66,317,810EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$82,988,230BOYAmt
EOY$66,317,810EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$187,351,959BOYAmt
EOY$177,858,014EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$16,512,799ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,525,000NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,367,379OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$65,257CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$77,573CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,803,280CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,861,358CurrentTaxYearMinus1YearAmt
Current Tax Year$1,127,901CurrentTaxYearAmt
Total$29,935,369TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$187,754,009CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$191,675,266CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$192,200,808CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$214,299,606CurrentTaxYearMinus1YearAmt
Current Tax Year$236,435,477CurrentTaxYearAmt
Total$1,022,365,166TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$74,328CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63,968CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,151CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$37,604CurrentTaxYearMinus1YearAmt
Current Tax Year$43,929CurrentTaxYearAmt
Total$253,980TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$187,893,594CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$191,816,807CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$212,038,239CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$223,198,568CurrentTaxYearMinus1YearAmt
Current Tax Year$237,607,307CurrentTaxYearAmt
Total$1,052,554,515TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,052,554,515PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$797,178CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$827,967CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$871,169CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$734,982CurrentTaxYearMinus1YearAmt
Current Tax Year$485,514CurrentTaxYearAmt
Total$3,716,810TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$797,178CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$827,967CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$871,169CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$734,982CurrentTaxYearMinus1YearAmt
Current Tax Year$485,514CurrentTaxYearAmt
Total$3,716,810TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,996CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$80,804CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$45,122CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$12,591CurrentTaxYearMinus1YearAmt
Current Tax Year-$110,813CurrentTaxYearAmt
Total$9,518TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$188,697,768CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$192,725,578CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$212,954,530CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$223,920,959CurrentTaxYearMinus1YearAmt
Current Tax Year$237,982,008CurrentTaxYearAmt
Total$1,056,280,843TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99650PublicSupportCY509Pct
Public Support PY5090.99610PublicSupportPY509Pct
Investment Income CY0.00350InvestmentIncomeCYPct
Investment Income PY0.00380InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$52,136GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$52,136TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationDURING 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.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$703,877BeginningBalanceAmt
Additions During Year$5,766,284AdditionsDuringYearAmt
Distributions During Year$5,856,581DistributionsDuringYearAmt
Ending Balance$613,580EndingBalanceAmt
Incl Escrow Custodial Acct Liab0InclEscrowCustodialAcctLiabInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,553,111OtherCostOrOtherBasisAmt
Book Value$8,553,111BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$174,825,584OtherCostOrOtherBasisAmt
Depreciation$116,569,165DepreciationAmt
Book Value$58,256,419BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,110,479OtherCostOrOtherBasisAmt
Depreciation$4,550,959DepreciationAmt
Book Value$3,559,520BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,163,081OtherCostOrOtherBasisAmt
Depreciation$42,131,744DepreciationAmt
Book Value$12,031,337BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,239,596OtherCostOrOtherBasisAmt
Depreciation$10,670,238DepreciationAmt
Book Value$1,569,358BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$83,969,745TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
SHORT TERM RIGHT TO USE LIABILITY$791,665
LONG TERM RIGHT TO USE LIABILITY$575,838
FieldValueIRS element (for citing)
Total Liability$1,367,503TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationCARE 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.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA & THE CARIBBEAN10PROFESSIONAL & GENERAL LIABILITY INSURANCEN/A$65,353
CENTRAL AMERICA & THE CARIBBEAN00INVESTMENTSN/A$185,421
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office1TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$250,774SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$250,774TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
IOWA HEALTH CARE ASSOCIATION FOUNDATION
1775 90TH STREETWEST DES MOINESIA50266421326564501(C)(3)$10,000$0GENERAL SUPPORT
DOCTORS WITHOUT BORDERS
PO BOX 5023HAGERSTOWNMD21741133433452501(C)(3)$20,000$0GENERAL SUPPORT
BALANCE AUTISM
1625 ADVENTURELAND DRIVE STE BALTOONAIA50009421377412501(C)(3)$10,000$0GENERAL SUPPORT
SPECIAL OLYMPICS IOWA INC
551 SE DOVETAILGRIMESIA50111510176029501(C)(3)$10,000$0GENERAL SUPPORT
247 BLAC
PO BOX 2031WATERLOOIA50704901179763501(C)(3)$10,000$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeHARDSHIP FUNDS/FINANCIAL ASSISTANCEGrantTypeTxt
Recipient6RecipientCnt
Cash Grant$34,561CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART 1, LINE 2, GENERAL INFORMATION ON GRANTS AND ASSISTANCE:FormAndLineReferenceDesc
ExplanationORGANIZATIONS 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL BEAL
PRESIDENT/CEO/VICE CHAIR$617,350$0$0$0$35,100$0$4,100$0$24,025$0$680,575$0$0$0
DAVID DIXON
SVP/CFO/TREASURER$357,834$0$0$0$35,100$0$2,727$0$474$0$396,135$0$0$0
JOSEPH REESE
SVP/COO$324,892$0$0$0$35,100$0$0$0$24,026$0$384,018$0$0$0
ABHAY NADIPURAM
VP/CHIEF LEGAL OFFICER$222,527$0$0$0$69,116$0$766$0$6,402$0$298,811$0$0$0
JOHANNA VOLM
VP/CLINICAL SERVICES$244,765$0$0$0$35,100$0$875$0$9,248$0$289,988$0$0$0
MIRIAM YOCUM
VP/HOSPICE/CLINICAL DIRECT$250,403$0$0$0$35,100$0$1,979$0$474$0$287,956$0$0$0
JERAMY KUHN
VP - CHIEF COMPLIANCE OFFI$241,280$0$0$0$35,617$0$0$0$8,879$0$285,776$0$0$0
ERIC WOODMAN
VP HOME HEALTH & HOSPICE$252,409$0$15,000$0$15,600$0$2,238$0$474$0$285,721$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, COLUMN B (III), OTHER REPORTABLE COMPENSATION:FormAndLineReferenceDesc
ExplanationCARE 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).ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
IOWA FINANCE AUTHORITY
A5216998862013-06-28$11,720,000REFUND PRIOR BONDS (5/28/98)000
IOWA FINANCE AUTHORITY
B5216998862014-12-11$41,736,000SEE PART VI000
IOWA FINANCE AUTHORITY
C5216998862018-12-19$10,592,000REFUND PRIOR BONDS (6/1/15)000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$6,405,000$11,720,000$228,829$11,491,1712000Yes (1)0Yes (1)Yes (1)
B$9,119,766$41,736,496$414,991$21,406,0072016Yes (1)0Yes (1)Yes (1)$19,915,498
C$366,054$10,592,000$208,389$10,383,6112013Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
B000000Yes (1)
C000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)Yes (1)0000Yes (1)
B00Yes (1)Yes (1)0000Yes (1)
C00Yes (1)Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART IV, ARBITRAGE, LINE 2C:FormAndLineReferenceDesc
ExplanationEXPLANATION: (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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 11BTHE 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 12CTHE 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 15CARE'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 19CARE 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 11GCONTRACT 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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ODEBOLT ASSISTED LIVING LLC
1611 WEST LAKES PKWYWEST DES MOINESIA502668212203738090LOW INCOME HOUSINGNE$50,013-$2,201CARE INITIATIVES
DUNLAP ASSISTED LIVING LLC
1611 WEST LAKES PKWYWEST DES MOINESIA502668212203738210LOW INCOME HOUSINGNE$83,884$30,883CARE INITIATIVES
LAMONI ASSISTED LIVING LLC
1611 WEST LAKES PKWYWEST DES MOINESIA502668212203738239LOW INCOME HOUSINGNE$42,563$29,851CARE INITIATIVES

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
PANORA ASSISTED LIVING LLC
13520 CALIFORNIA ST SUITE 250OMAHANE68154203738136LOW INCOME HOUSINGNEN/ARELATED-$65,607$461,323000.00010
AMERICAN HEALTH HOLDINGS OF IOWA LLC
201 JORDAN RD SUITE 200FRANKLINTN37067612001857ISNPTNN/AUNRELATED$581,379000.20810
LTC PHARMCO LLC
703 MAIN STREETDUBUQUEIA52001883847954PHARMACYIAN/AUNRELATED$500,000000.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1IOWA INDEMNITY COMPANY LTDBusinessNameLine1Txt

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line1BOX 560 BEATRICE BUTTERFIELD BUILDIAddressLine1Txt
CityPROVIDENCIALESCityNm
Province Or StateTURKS & CAICOS ISProvinceOrStateNm
CountryTKCountryCd
FieldValueIRS element (for citing)
EIN760262402EIN
Primary ActivitiesCAPTIVE INSURANCEPrimaryActivitiesTxt
Legal Domicile Foreign CountryTKLegalDomicileForeignCountryCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Share Of Total Income-$110,813ShareOfTotalIncomeAmt
Share Of EOY Assets$2,514,990ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PANORA ASSISTED LIVING LLC
A$20,568GAAP
PANORA ASSISTED LIVING LLC
D$200,000GAAP
LTC PHARMCO LLC
B$500,000FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 1FormAndLineReferenceDesc
ExplanationCARE 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.ExplanationTxt