2018-11-07T14:38:52-06:00 2017-12-31 420714325 RSM US LLP 400 LOCUST ST STE 640 DES MOINES IA 503092354 990 2017-01-01 760262402 CARE INITIATIVES CARE 5152244442 1611 WEST LAKES PKWY WEST DES MOINES IA 502668212 DAVID DIXON VP/CFO 5152244442 2018-11-05 1 KATHY FAIRCHILD P00222608 5155586600 108.171.131.187 2018-11-05 13:56:58 CS P E20CEA6B0704ADA635237DC0B36694D38C8974D2 01B18DF74B98CE0BEE6EB8DFD88381C340E82FB6 2017 2018-06-14 16:35:46Z MILES KING 1611 WEST LAKES PKWY WEST DES MOINES IA 502668212 193844725 0 X CAREINITIATIVES.ORG X 1989 TX CHARITABLE NON-PROFIT: 44 NURSING HOMES, 8 ASSISTED LIVING FACILITIES, 3 SENIOR LIVING APARTMENT LOCATIONS, 6 HOSPICE LOCATIONS. 6 5 4620 965 0 0 50129 55938 192940761 193023362 475773 753017 30542 12408 193497205 193844725 305301 168909 0 0 107370927 107972983 0 0 0 80407465 84834766 188083693 192976658 5413512 868067 207397458 199589695 134939252 126288422 72458206 73301273 X IMPROVING QUALITY OF LIFE FOR IOWANS AND THEIR FAMILIES DURING LIFE'S HEALTH TRANSITIONS THROUGH COMPASSIONATE INDIVIDUALIZED CARE. 0 0 179431818 168909 192962367 DURING 2017, CARE PROVIDED SERVICES TO A DAILY AVERAGE OF 2,430 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 2017, CARE ALSO PROVIDED HOSPICE SERVICES TO A DAILY AVERAGE OF 223 PATIENTS THROUGH SIX 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 2017, A DAILY AVERAGE OF 1,250 RESIDENTS PARTICIPATED IN THE MEDICAID PROGRAM. CARE'S COST FOR THESE RESIDENTS EXCEEDED REVENUE BY $22,777,000. 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 $114 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 $109 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 2017, CARE CONTRIBUTED TO ITS COMMUNITIES BY PAYING PROPERTY TAX OF $2.28 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 50,181 HOURS TO HELP THE ELDERLY. USING THE INDEPENDENT SECTOR'S ESTIMATED DOLLAR VALUE OF VOLUNTEER TIME, THE ESTIMATED VALUE OF VOLUNTEER TIME TOTALED APPROXIMATELY $1,141,000. 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 2017, $25,943 IN CHARITABLE CONTRIBUTIONS WERE MADE TO SUPPORT CHARITABLE ORGANIZATIONS THAT FURTHER CARE'S EXEMPT MISSION. 179431818 1 0 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 1279 0 1 4620 1 0 1 TK 0 0 0 0 0 0 0 0 X 6 5 1 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 BYRNES DIRECTOR 5.00 X 36000 0 0 STEPHANIE EDWARDS DIRECTOR 6.00 X 36000 0 0 HULON WALKER DIRECTOR 5.00 X 36000 0 0 KENT KAPLAN SECRETARY 4.00 X X 36000 0 0 JOHN K SMITH DIRECTOR 1.00 X 4000 0 0 RON NORTHUP DIRECTOR 5.00 X 36000 0 0 MILES KING PRESIDENT/CEO 40.00 X X 784789 0 35721 CHARLEEN SCHLEPP VP/DIR OF OPERATIONS 40.00 X 480890 0 16440 WILLIAM HAVEKOST VP-MARKETING & HOSPICE 40.00 X 339605 0 27114 DAVID DIXON VP/CFO/TREASURER 40.00 X 422904 0 16740 JERAMY KUHN COMPLIANCE OFFICER 40.00 X 308560 0 25354 BLAKE JONES SECURITY AND IT DIRECTOR 40.00 X 183305 0 2294 KENNETH NELSON DIVISIONAL DIRECTOR 40.00 X 172419 0 18356 BRYNN RODGERS DIVISIONAL DIRECTOR 40.00 X 172385 0 11605 ANN TIPPINS DIRECTOR OF HUMAN RESOURCES 40.00 X 173501 0 5017 3222358 0 158641 47 0 1 0 RELIANT PRO REHAB LLC PO BOX 671181 DALLAS TX 752671181 PHYS/OCC/SP THERAPY 12361588 GRAPE TREE MEDICAL STAFFING 1003 23RD STREET MILFORD IA 51351 NURSE STAFFING 2777286 AUSTIN BUILDERS LLC 3811 NE RIO CT PO BOX 484 ANKENY IA 50021 CONSTRUCTION SERVICES 1075019 MAXIM HEALTHCARE SERVICES INC 13877 COLLECTIONS CENTER DR CHICAGO IL 60693 NURSE STAFFING 540692 PRN STAFFING INC 405 HIGHWAY 1 W IOWA CITY IA 52246 NURSE STAFFING 427880 27 55938 55938 NURSING HOME SERVICES 623000 179518699 179518699 HOSPICE SERVICES 623000 11929563 11929563 ASSISTED LIVING SERVICES 623990 1363398 1363398 SENIOR LIVING APARTMENTS 623990 86246 86246 GUEST MEALS 722210 52724 52724 72732 64461 8271 193023362 582394 582394 170623 0 170623 170623 170623 SUBPART F INCOME 900099 12408 12408 12408 193844725 192962367 0 826420 X 25943 25943 142966 142966 2308203 2308203 93208179 88015267 5192912 84861 45074 39787 5441232 4988902 452330 6930508 6494435 436073 605454 605454 161622 161622 23964249 23655062 309187 795994 731811 64183 1573929 1368124 205805 2701474 2701474 8881015 8659439 221576 2431754 2139097 292657 3321789 3262994 58795 10073800 9705448 368352 3106614 3089570 17044 MEDICAL SUPPLIES 9643669 9643669 DIETARY SUPPLIES 6636495 6636495 MAINTENANCE 1422717 1422717 HOUSEKEEPING & LAUNDRY 1197818 1197818 8316373 8206987 109386 192976658 179431818 13544840 0 22305 23212 46940896 37674124 30313665 30842322 1983999 530963 877992 3796124 244804531 138351014 111132787 106453517 10089370 14702736 -15820 -194826 6052264 5761523 207397458 199589695 22736607 21883873 112202645 104404549 134939252 126288422 X 72458206 73301273 72458206 73301273 207397458 199589695 868067 -25000 0 X X 0 1 X 1 0 X 64770 63523 77908 50129 55938 312268 167205543 181190685 186785173 192864423 192962367 921008191 99545 98792 92187 76338 60995 427857 167369858 181353000 186955268 192990890 193079300 921748316 0 0 0 921748316 251090 270393 348929 467303 582394 1920109 251090 270393 348929 467303 582394 1920109 13458 17808 22066 30542 12408 96282 167634406 181641201 187326263 193488735 193674102 923764707 0.99780 0.99790 0.00210 0.00200 X 0 0 0 0 0 1 48383 0 0 0 48383 0 PART II-B, LINE 1: DURING 2017, 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 2017, CARE INITIATIVES PAID DUES TO IHCA OF $199,477. CARE INITIATIVES WAS NOTIFIED BY AMERICAN HEALTH CARE ASSOCIATION THAT 25.0% OF DUES WOULD BE SPENT ON LOBBYING AND OTHER EXPENDITURES SUBJECT TO CODE SEC. 162(E)(1). DURING 2017, CARE INITIATIVES PAID DUES TO AHCA OF $66,555. CARE INITIATIVES WAS NOTIFIED BY NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION THAT 3.83% OF DUES WERE USED FOR SPECIFIC LOBBYING PURPOSES. DURING 2017, CARE INITIATIVES PAID DUES TO NHPCO OF $9,028. CARE INITIATIVES WAS NOTIFIED BY HOSPICE AND PALLIATIVE CARE ASSOCIATION OF IOWA THAT 22.7% OF DUES WERE SPENT ON LOBBYING. DURING 2017, CARE INITIATIVES PAID DUES TO HPCAI OF $6,500. 1 368173 4713497 4690641 391029 0 8710816 8710816 169233956 95484959 73748997 7938755 3430239 4508516 42861474 31046728 11814746 16059530 8389088 7670442 106453517 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 66408 CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTMENTS N/A 177223 1 0 0 0 1 0 243631 0 243631 0 0 1 0 0 0 1 UNITED WAY OF CENTRAL IOWA 1111 9TH STREET DES MOINES IA 50309 420680425 501(C)(3) 9800 GENERAL SUPPORT 1 0 HARDSHIP FUNDS/FINANCIAL ASSISTANCE 24 142966 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 24 INDIVIDUALS AT A VALUE OF $142,966. X X X X X 0 0 0 0 0 1 0 0 0 MILES KING PRESIDENT/CEO 578250 0 171979 0 34560 0 3938 0 31783 0 820510 0 0 0 CHARLEEN SCHLEPP VP/DIR OF OPERATIONS 344452 0 101878 0 34560 0 4050 0 12390 0 497330 0 0 0 WILLIAM HAVEKOST VP-MARKETING & HOSPICE 233974 0 78466 0 27165 0 3299 0 23815 0 366719 0 0 0 DAVID DIXON VP/CFO/TREASURER 306750 0 90000 0 26154 0 3334 0 13406 0 439644 0 0 0 JERAMY KUHN COMPLIANCE OFFICER 218438 0 64908 0 25214 0 4580 0 20774 0 333914 0 0 0 BLAKE JONES SECURITY AND IT DIRECTOR 153188 0 30000 0 117 0 1932 0 362 0 185599 0 0 0 KENNETH NELSON DIVISIONAL DIRECTOR 152583 0 19443 0 393 0 1852 0 16504 0 190775 0 0 0 BRYNN RODGERS DIVISIONAL DIRECTOR 155062 0 17264 0 59 0 1748 0 9857 0 183990 0 0 0 ANN TIPPINS DIRECTOR OF HUMAN RESOURCES 133355 0 40105 0 41 0 2155 0 2862 0 178518 0 0 0 PART I, LINE 6 NELSON AND RODGERS PARTICIPATE IN AN INCENTIVE PLAN FOR SKILLED NURSING DIVISIONAL DIRECTORS. THE CALCULATION CRITERIA OF THE AWARD IS BASED UPON THE ANNUAL PROFITABILITY OF CARE FOR THE MEASUREMENT PERIOD, AS DEFINED IN THAT AGREEMENT, AND IS ALLOCATED TO INDIVIDUALS UTILIZING FOUR CRITERIA: OPERATING PROFITS (AS DEFINED), QUALITY OF RESIDENT AND PATIENT CARE, SATISFACTION WITH CARE, AND RISK MANAGEMENT EFFORTS. THE TOTAL AMOUNT OF THE AWARD IS SUBJECT TO A LIMITATION OF TOTAL COMPENSATION OF THE INDIVIDUAL SET FORTH IN THE AGREEMENT. TOTAL COMPENSATION OF THE DIVISIONAL DIRECTORS HAS BEEN REVIEWED BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER BASED, IN PART, ON INDEPENDENT STUDIES PERFORMED BY COMPENSATION CONSULTANTS, WHO HAS CONCLUDED THE AMOUNTS ARE REASONABLE. 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: MILES KING $18,000; CHARLEEN SCHLEPP $18,000; WILLIAM HAVEKOST $14,055; DAVID DIXON $10,553; AND JERAMY KUHN $8,654. THE ABOVE MENTIONED AMOUNTS ARE INCLUDED IN PART II, COLUMN B (III). A IOWA FINANCE AUTHORITY 521699886 2011-12-07 7000000 BUILDINGS AND EQUIPMENT 0 0 0 B IOWA FINANCE AUTHORITY 521699886 2012-12-10 7000000 BUILDINGS AND EQUIPMENT 0 0 0 C IOWA FINANCE AUTHORITY 521699886 2013-06-28 11720000 REFUND PRIOR BONDS (5/28/98) 0 0 0 D IOWA FINANCE AUTHORITY 521699886 2014-12-11 41736000 REFUND PRIOR BONDS (9/30/10) 0 0 0 A 1595000 7000006 7000006 2012 0 0 1 1 B 1345000 7000005 7000005 2013 0 0 1 1 C 2635000 11720000 228829 11491171 2000 1 0 1 1 D 2739825 41736496 414991 19915498 21406007 2016 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 1 1 0 0 0 0 1 D 0 0 1 1 0 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: 11/30/2016 (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: 12/28/2013 (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: 07/01/2016 NOTE REGARDING THE 11/30/2016 AND 12/31/16 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. NOTE REGARDING THE 12/28/2013 AND 7/1/16 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. ENTITY 1, PART I, LINE D, 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. A IOWA FINANCE AUTHORITY 521699886 2016-05-12 53609000 REFUND PRIOR BONDS (8/2/06) 0 0 0 A 8345701 53624681 367036 53257645 2006 1 0 1 1 A 0 0 1 1 0 0 0 0 1 A 1 FORM 990, PART I, LINE 6, VOLUNTEERS: CARE INITIATIVES HAD 50,181 RECORDED VOLUNTEER HOURS IN 2017. THE AVERAGE VOLUNTEER WORKS ONE HOUR PER WEEK RESULTING IN A CALCULATED NUMBER OF VOLUNTEERS OF 965. VOLUNTEERS MAINLY PROVIDE ENTERTAINMENT FOR, AND CONVERSE WITH, RESIDENTS. FORM 990, PART VI, SECTION A, LINE 2 DURING 2017, DIRECTOR HULON WALKER AND DIRECTOR JOHN K. SMITH EACH HELD A ONE QUARTER INTEREST IN THE SAME TEXAS CORPORATION THAT OWNED AND OPERATED ONE ASSISTED LIVING FACILITY IN TEXAS. THAT CORPORATION CONDUCTED NO BUSINESS WITH CARE INITIATIVES. 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, VP/CFO, VP/DIRECTOR OF OPERATIONS, AND VP/MARKETING & HOSPICE 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 2017 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, VP/CFO, VP/DIRECTOR OF OPERATIONS, AND VP/MARKETING & HOSPICE 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 23,655,062. MANAGEMENT AND GENERAL EXPENSES 309,187. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,964,249. ODEBOLT ASSISTED LIVING LLC 13520 CALIFORNIA ST SUITE 250 OMAHA NE 68154 203738090 LOW INCOME HOUSING NE N/A RELATED -5 307971 0 0 0.00010 PANORA ASSISTED LIVING LLC 13520 CALIFORNIA ST SUITE 250 OMAHA NE 68154 203738136 LOW INCOME HOUSING NE N/A RELATED -5 366100 0 0 0.00010 DUNLAP ASSISTED LIVING LLC 13520 CALIFORNIA ST SUITE 250 OMAHA NE 68154 203738210 LOW INCOME HOUSING NE N/A RELATED -4 301333 0 0 0.00010 LAMONI ASSISTED LIVING LLC 13520 CALIFORNIA ST SUITE 250 OMAHA NE 68154 203738239 LOW INCOME HOUSING NE N/A RELATED -11683 175980 0 0 0.00010 IOWA INDEMNITY COMPANY LTD BOX 560 BEATRICE BUTTERFIELD BUILDI PROVIDENCIALES TURKS & CAICOS IS TK 760262402 CAPTIVE INSURANCE TK N/A C 12408 2105863 1.00000 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 DUNLAP ASSISTED LIVING LLC A 16115 GAAP ODEBOLT ASSISTED LIVING LLC A 16115 GAAP LAMONI ASSISTED LIVING LLC A 16115 GAAP PANORA ASSISTED LIVING LLC A 16115 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 IOWA INDEMNITY COMPANY LTD F 500000 GAAP 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.