STRATEGY STUDIO / PUBLIC DATA EXPLORER

CARE INITIATIVES: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
CARE INITIATIVES (EIN 76-0262402)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-10
IRS object ID
202543149349303759
Schema version
2024v5.2
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)
Return2025-11-10T12:35:22-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

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 Begin2024-01-01TaxPeriodBeginDt

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
Signature2025-11-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHY FAIRCHILDPreparerPersonNm
PTINP00222608PTIN
Phone5155586600PhoneNum
Preparation2025-11-06PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

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$271,953,161GrossReceiptsAmt
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 SKILLED NURSING CARE LOCATIONS, 2 ASSISTED LIVING LOCATIONS, 7 INDEPENDENT LIVING LOCATIONS AND 7 HOSPICE LOCATIONS.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee5686TotalEmployeeCnt
Total Volunteers117TotalVolunteersCnt
Total Gross UBI$48,377TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$40,628NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$832,082PYContributionsGrantsAmt
CY Contributions Grants$619,729CYContributionsGrantsAmt
PY Program Service Revenue$259,437,351PYProgramServiceRevenueAmt
CY Program Service Revenue$269,133,667CYProgramServiceRevenueAmt
PY Investment Income$826,140PYInvestmentIncomeAmt
CY Investment Income$1,347,990CYInvestmentIncomeAmt
PY Other Revenue-$20,322PYOtherRevenueAmt
CY Other Revenue$811,075CYOtherRevenueAmt
PY Total Revenue$261,075,251PYTotalRevenueAmt
CY Total Revenue$271,912,461CYTotalRevenueAmt
PY Grants And Similar Paid$183,507PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$63,639CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$153,094,875PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$171,141,398CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$108,529,960PYOtherExpensesAmt
CY Other Expenses$94,223,922CYOtherExpensesAmt
PY Total Expenses$261,808,342PYTotalExpensesAmt
CY Total Expenses$265,428,959CYTotalExpensesAmt
PY Revenues Less Expenses-$733,091PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,483,502CYRevenuesLessExpensesAmt
Total Assets BOY$173,375,162TotalAssetsBOYAmt
Total Assets EOY$173,770,747TotalAssetsEOYAmt
Total Liabilities BOY$106,386,791TotalLiabilitiesBOYAmt
Total Liabilities EOY$98,931,093TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$66,988,371NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$74,839,654NetAssetsOrFundBalancesEOYAmt
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$243,620,609ExpenseAmt
Grant$63,639GrantAmt
Revenue$269,692,180RevenueAmt
DescDURING 2024, CARE INITIATIVES PROVIDED SERVICES TO A DAILY AVERAGE OF 2,269 INDIVIDUALS IN 43 SKILLED NURSING CARE LOCATIONS, TWO ASSISTED LIVING LOCATIONS AND SEVEN INDEPENDENT LIVING LOCATIONS. CARE INITIATIVES PROVIDES QUALITY HEALTH CARE, AT THE LOWEST POSSIBLE COST TO OUR RESIDENTS AND PATIENTS. SERVICES PROVIDED INCLUDE LODGING, NUTRITIOUS MEALS, ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, ENGAGING 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, SENIOR LIVING APARTMENTS AND ASSISTED LIVING LOCATIONS. IN ADDITION, CARE INITIATIVES HAS INITIATED A PROGRAM OF REHAB TO HOME CARE TO PROVIDE INDIVIDUALS THE OPPORTUNITY TO SAFELY RETURN TO THEIR HOMES. IN ADDITION, CARE INITIATIVES PROVIDES LIMITED OUTPATIENT THERAPY SERVICES IN THE COMMUNITIES IT SERVES.DURING 2024, CARE INITIATIVES ALSO PROVIDED HOSPICE SERVICES TO A DAILY AVERAGE OF 376 PATIENTS THROUGH SEVEN HOSPICE LOCATIONS. CARE INITIATIVES HOSPICE PROVIDES COORDINATED CARE WITH COMPASSION, RESPECT AND DIGNITY TO PATIENTS AND THEIR FAMILIES EXPERIENCING SERIOUS ILLNESS AND GRIEF FOR A LOVED ONE. SOME OF THE SERVICES PROVIDED INCLUDE NURSING CARE, PHYSICIAN CARE, PHYSICAL AND SPEECH THERAPY, MASSAGE THERAPY, MUSIC THERAPY, SPIRITUAL SUPPORT, RESPITE CARE AND BEREAVEMENT SUPPORT.CARE INITIATIVES IS THE LARGEST NONPROFIT SKILLED NURSING PROVIDER FOR MEDICAID RESIDENTS IN IOWA. IN 2024, A DAILY AVERAGE OF 1,364 RESIDENTS PARTICIPATED IN THE MEDICAID PROGRAM. CARE INITIATIVES' COST FOR THESE RESIDENTS EXCEEDED REVENUE BY $25,233,000. NO RESIDENT IS DENIED A MEDICATION, NURSING SUPPLY OR THERAPY, REGARDLESS OF THEIR ABILITY TO PAY.CARE INITIATIVES HAS A HISTORY OF MODERNIZATION AND REPLACEMENT OF NURSING FACILITIES. SINCE INCEPTION, CARE INITIATIVES HAS INVESTED MORE THAN $147 MILLION TO MODERNIZE ITS COMMUNITIES. SINCE INCEPTION, CARE INITIATIVES HAS INVESTED MORE THAN $111 MILLION IN FOURTEEN NEW REPLACEMENT FACILITIES THROUGHOUT IOWA.CARE INITIATIVES PROMOTES ECONOMIC DEVELOPMENT IN THE COMMUNITIES WE SERVE BY ADDRESSING HOUSING, EMPLOYMENT, EDUCATIONAL OR ENVIRONMENTAL NEEDS AND CONCERNS. IN 2024, CARE INITIATIVES CONTRIBUTED TO OUR LOCAL COMMUNITIES BY PAYING PROPERTY TAX OF $2.52 MILLION. IN MANY COMMUNITIES WE SERVE, CARE INITIATIVES IS AMONG THE LARGEST EMPLOYERS.CARE INITIATIVES SUPPORTS OUR COMMUNITY VOLUNTEERS WHO PROVIDED 6,093 HOURS TO HELP OUR RESIDENTS AND PATIENTS. USING THE INDEPENDENT SECTOR'S ESTIMATED DOLLAR VALUE OF VOLUNTEER TIME, THE ESTIMATED VALUE OF VOLUNTEER TIME TOTALED APPROXIMATELY $182,556.CARE INITIATIVES' 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 2024, $16,281 IN CHARITABLE CONTRIBUTIONS WERE MADE TO SUPPORT CHARITABLE ORGANIZATIONS THAT FURTHER CARE INITIATIVES' NONPROFIT MISSION.Desc
Total Program Service Expenses$243,620,609TotalProgramServiceExpensesAmt
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 AssetsYes (1)ReportOtherAssetsInd
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 Document634IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5686EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 (17 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)$729,150$0$27,676
DENISE STURM
CHAIR2.00Yes (X)Yes (X)$28,000$0$0
MARY JANE CAROTHERS
SECRETARY2.00Yes (X)Yes (X)$28,000$0$0
LANE BOWEN
DIRECTOR1.00Yes (X)$28,000$0$0
KEVIN CHILDS
DIRECTOR1.00Yes (X)$28,000$0$0
KEITH KREIN
DIRECTOR3.00Yes (X)$28,000$0$0
ELIZABETH RUST
DIRECTOR3.00Yes (X)$28,000$0$0
LINDA UPMEYER
DIRECTOR2.00Yes (X)$28,000$0$0
DAVID DIXON
SVP/CFO/TREASURER40.00Yes (X)$437,357$0$2,647
JESSICA MCDYER
VP SKILLED NURSING OPERATI40.00Yes (X)$297,306$0$26,583
JENNIFER HARWOOD
VP HOSPICE40.00Yes (X)$274,902$0$6,167
CAMI BLACK
VP HOSPICE40.00Yes (X)$28,723$0$271
DARLINE ETIENNE
CHARGE NURSE RN90.00$311,770$0$9,280Yes (X)
JOHANNA VOLM
VP CLINICAL SERVICES40.00$310,418$0$11,678Yes (X)
EMILY DRAKE
VP GENERAL COUNSEL40.00$298,089$0$27,239Yes (X)
JERAMY KUHN
CHIEF COMPLIANCE OFFICER40.00$295,028$0$10,400Yes (X)
JOEILYNN LEONHARDT
VP HUMAN RESOURCES40.00$287,527$0$24,794Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,466,270TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$146,735TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K224IndivRcvdGreaterThan100KCnt
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
BLUE STONE THERAPY INC
2830 100TH ST SUITE 100URBANDALEIA50322PHYS/OCC/SP THERAPY$5,176,248
RELIANT PRO REHAB LLC
5800 GRANITE PKWY SUITE 1000PLANOTX75024PHYS/OCC/SP THERAPY$4,642,145
CURANA HEALTH OF IOWA PLLC
PO BOX 121998DALLASTX75312MEDICAL DIRECTOR SERVICES$1,270,507
GRAPE TREE MEDICAL STAFFING LLC
PO BOX 5340SIOUX FALLSSD57117NURSE STAFFING$1,012,019
SHIFTKEY LLC
5221 N O CONNOR BLVD STE 1400IRVINGTX75039NURSE STAFFING$954,330
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K22CntrctRcvdGreaterThan100KCnt
Government Grants$555,239GovernmentGrantsAmt
All Other Contributions$64,490AllOtherContributionsAmt
Total Contributions$619,729TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NURSING HOME SERVICES623000$246,130,160$246,130,160
HOSPICE SERVICES623000$22,501,733$22,501,733
ASSISTED LIVING SERVIC623990$308,484$308,484
SENIOR LIVING APARTMEN623990$149,564$149,564
GUEST MEALS721210$35,706$35,706

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,020TotalRevenueColumnAmt
Exclusion$8,020ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$269,133,667TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,269,070TotalRevenueColumnAmt
Exclusion$1,269,070ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$119,620OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$40,700OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$78,920OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,920TotalRevenueColumnAmt
Exclusion$78,920ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
LTC PHARMCO LLC623000$650,616$602,239$48,377
SUBPART F INCOME900099$160,459$160,459
FieldValueIRS element (for citing)
Other Revenue Total$811,075OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$271,912,461TotalRevenueColumnAmt
Related Or Exempt Func Income$269,692,180RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$48,377UnrelatedBusinessRevenueAmt
Exclusion$1,552,175ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$16,281TotalAmt
Program Services$16,281ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$47,358TotalAmt
Program Services$47,358ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,026,782TotalAmt
Management And General$2,026,782ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$150,178,243TotalAmt
Program Services$138,749,841ProgramServicesAmt
Management And General$11,428,402ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$245,654TotalAmt
Program Services$206,192ProgramServicesAmt
Management And General$39,462ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,526,283TotalAmt
Program Services$6,852,918ProgramServicesAmt
Management And General$673,365ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,164,436TotalAmt
Program Services$10,459,171ProgramServicesAmt
Management And General$705,265ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$285,598TotalAmt
Management And General$285,598ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$207,926TotalAmt
Management And General$207,926ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,931,755TotalAmt
Program Services$17,399,754ProgramServicesAmt
Management And General$532,001ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$768,717TotalAmt
Program Services$653,211ProgramServicesAmt
Management And General$115,506ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,434,111TotalAmt
Program Services$1,273,264ProgramServicesAmt
Management And General$160,847ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,511,855TotalAmt
Management And General$4,511,855ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,177,644TotalAmt
Program Services$9,877,555ProgramServicesAmt
Management And General$300,089ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,196,487TotalAmt
Program Services$4,845,870ProgramServicesAmt
Management And General$350,617ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,816,918TotalAmt
Program Services$2,741,413ProgramServicesAmt
Management And General$75,505ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,197,669TotalAmt
Program Services$7,981,863ProgramServicesAmt
Management And General$215,806ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,495,368TotalAmt
Program Services$4,467,428ProgramServicesAmt
Management And General$27,940ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL EXPENSE$13,376,240$13,376,240
BAD DEBT EXPENSE$11,527,848$11,527,848
DIETARY SUPPLIES$7,529,131$7,529,131
MAINTENANCE$2,128,855$2,128,855

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,637,800TotalAmt
Program Services$3,486,416ProgramServicesAmt
Management And General$151,384ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$265,428,959TotalAmt
Program Services$243,620,609ProgramServicesAmt
Management And General$21,808,350ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,690BOYAmt
EOY$17,055EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$34,555,753BOYAmt
EOY$38,051,709EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$29,621,132BOYAmt
EOY$26,876,067EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$655,921BOYAmt
EOY$637,514EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,817,584BOYAmt
EOY$1,788,102EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$267,239,819LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$189,080,239LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$80,422,926BOYAmt
EOY$78,159,580EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$18,446,227BOYAmt
EOY$14,525,544EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,646,798BOYAmt
EOY$3,264,136EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,191,131BOYAmt
EOY$10,451,040EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$173,375,162BOYAmt
EOY$173,770,747EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$39,850,639BOYAmt
EOY$35,813,297EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,546,276BOYAmt
EOY$42,664,637EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$19,896,000BOYAmt
EOY$19,696,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,093,876BOYAmt
EOY$757,159EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$106,386,791BOYAmt
EOY$98,931,093EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$66,988,371BOYAmt
EOY$74,839,654EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$66,988,371BOYAmt
EOY$74,839,654EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$173,375,162BOYAmt
EOY$173,770,747EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,483,502ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$900,000NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$391,087PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$76,694OtherChangesInNetAssetsAmt
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 Required0FederalGrantAuditRequiredInd

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$19,803,280CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,861,358CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,127,901CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$832,082CurrentTaxYearMinus1YearAmt
Current Tax Year$619,729CurrentTaxYearAmt
Total$31,244,350TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$192,200,808CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$214,299,606CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$236,435,477CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$259,287,988CurrentTaxYearMinus1YearAmt
Current Tax Year$269,692,187CurrentTaxYearAmt
Total$1,171,916,066TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,151CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37,604CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$43,929CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$50,252CurrentTaxYearMinus1YearAmt
Current Tax Year$43,726CurrentTaxYearAmt
Total$209,662TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$212,038,239CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$223,198,568CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$237,607,307CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$260,170,322CurrentTaxYearMinus1YearAmt
Current Tax Year$270,355,642CurrentTaxYearAmt
Total$1,203,370,078TotalAmt

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$1,203,370,078PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$871,169CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$734,982CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$485,514CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$779,915CurrentTaxYearMinus1YearAmt
Current Tax Year$1,269,070CurrentTaxYearAmt
Total$4,140,650TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$871,169CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$734,982CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$485,514CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$779,915CurrentTaxYearMinus1YearAmt
Current Tax Year$1,269,070CurrentTaxYearAmt
Total$4,140,650TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year$48,377CurrentTaxYearAmt
Total$48,377TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$45,122CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$12,591CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$110,813CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$78,789CurrentTaxYearMinus1YearAmt
Current Tax Year$160,459CurrentTaxYearAmt
Total$160,966TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$212,954,530CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$223,920,959CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$237,982,008CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$261,029,026CurrentTaxYearMinus1YearAmt
Current Tax Year$271,833,548CurrentTaxYearAmt
Total$1,207,720,071TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99640PublicSupportCY509Pct
Public Support PY5090.99660PublicSupportPY509Pct
Investment Income CY0.00340InvestmentIncomeCYPct
Investment Income PY0.00330InvestmentIncomePYPct
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$53,760GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$53,760TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationDURING 2024, CARE INITIATIVES HAD NO DIRECT EXPENSE FOR LOBBYING ACTIVITIES. CARE INITIATIVES WAS NOTIFIED BY IOWA HEALTH CARE ASSOCIATION THAT 14.5% OF DUES WOULD BE SPENT ON LOBBYING AND OTHER EXPENDITURES SUBJECT TO CODE SEC 162 (E) (1). DURING 2024, CARE INITIATIVES PAID DUES TO IHCA OF $252,098. CARE INITIATIVES WAS NOTIFIED BY AMERICAN HEALTH CARE ASSOCIATION THAT 30.0% OF DUES WOULD BE SPENT ON LOBBYING AND OTHER EXPENDITURES SUBJECT TO CODE SEC 162 (E) (1). DURING 2024 CARE INITIATIVES PAID DUES TO AHCA OF $57,354.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$553,177BeginningBalanceAmt
Additions During Year$8,219,231AdditionsDuringYearAmt
Distributions During Year$8,288,479DistributionsDuringYearAmt
Ending Balance$483,929EndingBalanceAmt
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$181,130,447OtherCostOrOtherBasisAmt
Depreciation$126,040,396DepreciationAmt
Book Value$55,090,051BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,127,644OtherCostOrOtherBasisAmt
Depreciation$4,563,889DepreciationAmt
Book Value$3,563,755BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,988,443OtherCostOrOtherBasisAmt
Depreciation$46,818,874DepreciationAmt
Book Value$10,169,569BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,440,174OtherCostOrOtherBasisAmt
Depreciation$11,657,080DepreciationAmt
Book Value$783,094BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$78,159,580TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DEPOSITS WHOSE USE IS RESTRICTED$8,959,973
BOND ISSUANCE COSTS$669,311
DEPOSITS ON UTILITIES$64,597
RIGHT OF USE ASSET$757,159
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,451,040TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
SHORT TERM RIGHT TO USE LIABILITY$617,774
LONG TERM RIGHT TO USE LIABILITY$139,385
FieldValueIRS element (for citing)
Total Liability$757,159TotalLiabilityAmt
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 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$67,140
CENTRAL AMERICA & THE CARIBBEAN10INVESTMENTSN/A$195,299
FieldValueIRS element (for citing)
Subtotal Offices2SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office2TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$262,439SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$262,439TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1IOWA HEALTH CARE ASSOCIATION FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11775 90TH STREETAddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50266ZIPCd
FieldValueIRS element (for citing)
Recipient EIN424326564RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$10,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantGENERAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeHARDSHIP FUNDS/FINANCIAL ASSISTANCEGrantTypeTxt
Recipient11RecipientCnt
Cash Grant$47,358CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt

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 11 INDIVIDUALS AT A VALUE OF $47,358.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 PaymentYes (1)SeverancePaymentInd
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 (9 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$691,050$0$0$0$38,100$0$0$0$27,676$0$756,826$0$0$0
DAVID DIXON
SVP/CFO/TREASURER$399,257$0$0$0$38,100$0$0$0$2,647$0$440,004$0$0$0
EMILY DRAKE
VP GENERAL COUNSEL$259,989$0$0$0$38,100$0$0$0$27,239$0$325,328$0$0$0
JESSICA MCDYER
VP SKILLED NURSING OPERATI$262,473$0$0$0$34,833$0$0$0$26,583$0$323,889$0$0$0
JOHANNA VOLM
VP CLINICAL SERVICES$272,318$0$0$0$38,100$0$0$0$11,678$0$322,096$0$0$0
DARLINE ETIENNE
CHARGE NURSE RN$311,770$0$0$0$0$0$0$0$9,280$0$321,050$0$0$0
JOEILYNN LEONHARDT
VP HUMAN RESOURCES$249,427$0$0$0$38,100$0$0$0$24,794$0$312,321$0$0$0
JERAMY KUHN
CHIEF COMPLIANCE OFFICER$256,928$0$0$0$38,100$0$0$0$10,400$0$305,428$0$0$0
JENNIFER HARWOOD
VP HOSPICE$173,282$0$0$0$101,620$0$0$0$6,167$0$281,069$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, 4A, SEVERANCE:VP HOSPICE JENNIFER HARWOOD RESIGNED EFFECT 8/8/2024, AS PART OF THIS TRANSITION SHE WAS GRANTED A SEVERANCE PAYMENT OF $82,778. THESE AMOUNTS WERE INCLUDED IN PART II, COLUMN B (III).
PART II, COLUMN B (III), OTHER REPORTABLE COMPENSATION:CARE INITIATIVES HAS A 457B PLAN FOR ITS EXECUTIVES. IT WAS FUNDED BY THE ORGANIZATION TO THE FOLLOWING INDIVIDUALS IN THE AMOUNTS LISTED BELOW: MICHAEL BEAL $22,500; DAVID DIXON $22,500; EMILY DRAKE $22,500; JESSICA MCDYER $19,233; JOHANNA VOLM $22,500; JOEILYNN LEONHARDT $22,500; JERAMY KUHN $22,500. ; JENNIFER HARWOOD $6,842. THE ABOVE MENTIONED AMOUNTS ARE INCLUDED IN PART II, COLUMN B (III).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
IOWA FINANCE AUTHORITY
A5216998862018-12-19$10,592,000REFUND PRIOR BONDS (6/1/15)000
IOWA FINANCE AUTHORITY
B5216998862014-12-11$41,736,000SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$5,659,429$10,592,000$208,389$10,383,6112013Yes (1)0Yes (1)Yes (1)
B$12,004,473$41,736,496$414,991$21,406,0072016Yes (1)0Yes (1)Yes (1)$19,915,498

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
A000000Yes (1)
B000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (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: 12/31/2016 (A) ISSUER NAME: IOWA FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2018 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. NOTE REGARDING THE 12/31/2018 REBATE COMPUTATION: 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. PART I, LINE B, COLUMN (F): EXPLANATION: BUILDINGS, ADDITIONS, REFUND PRIOR BONDS (9/30/10) PART II, LINE 3 - 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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6, VOLUNTEERS:CARE INITIATIVES HAD 6,093 RECORDED VOLUNTEER HOURS IN 2024. THE AVERAGE VOLUNTEER WORKS ONE HOUR PER WEEK RESULTING IN A CALCULATED NUMBER OF VOLUNTEERS OF 117. 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 INITIATIVES' PRESIDENT/CEO, SVP/CFO, VP SKILLED NURSING OPERATIONS AND VP 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 2024 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, VP SKILLED NURSING OPERATIONS AND VP 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 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 XI, LINE 9:ADJUSTMENT DUE TO OWNERSHIP CHANGE OF THREE LIMITED LIABILITY COMPANIES -92,670. BOOK/TAX DIFFERENCE AMERICAN HEALTH HOLDINGS LLC 89,793. BOOK/TAX DIFFERENCE LC PHARMCO LLC K-1 35,496. BOOK/TAX DIFFERENCE IOWA INDEMNITY COMPANY 44,075.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ODEBOLT LIVING LLC
1611 WEST LAKES PKWYWEST DES MOINESIA502668212203738090LOW INCOME HOUSINGIA$7,036$1,756CARE INITIATIVES
DUNLAP LIVING LLC
1611 WEST LAKES PKWYWEST DES MOINESIA502668212203738210LOW INCOME HOUSINGIA$1,548-$479CARE INITIATIVES
LAMONI LIVING LLC
1611 WEST LAKES PKWYWEST DES MOINESIA502668212203738239LOW INCOME HOUSINGIA$12,484$1,669CARE INITIATIVES
PANORA LIVING LLC
1611 WEST LAKES PKWYWEST DES MOINESIA502668212203738136LOW INCOME HOUSINGIA$0$800CARE INITIATIVES
CI HEALTHCARE LLC
1611 WEST LAKES PKWYWEST DES MOINESIA502668212882702000HOSPICE SERVICESIA$0-$653,406CARE INITIATIVES

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 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
AMERICAN HEALTH HOLDINGS OF IOWA LLC
201 JORDAN RD SUITE 200FRANKLINTN37067612001857ISNPTNN/AUNRELATED$3,023$584,993000.20810
LTC PHARMCO LLC
703 MAIN STREETDUBUQUEIA52001883847954PHARMACYIAN/ARELATED$650,891$2,800,305000.50000

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$160,459ShareOfTotalIncomeAmt
Share Of EOY Assets$3,055,770ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
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 OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1LTC PHARMCO LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeSTransactionTypeTxt
Involved$120,000InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt