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      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>149955</TotalOtherCompensation>
      <NumberIndividualsGT100K>29</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ONR INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
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            <City>AUSTIN</City>
            <State>TX</State>
            <ZIPCode>78746</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYS, OCC, SP THERAPY</DescriptionOfServices>
        <Compensation>7851781</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>AUSTIN BUILDERS LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>3811 NE RIO CT PO BOX 484</AddressLine1>
            <City>ANKENY</City>
            <State>IA</State>
            <ZIPCode>50021</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
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        <Compensation>613197</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>AEGIS THERAPIES INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 8103</AddressLine1>
            <City>FORT SMITH</City>
            <State>AR</State>
            <ZIPCode>72902</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYS, OCC, SP THERAPY</DescriptionOfServices>
        <Compensation>285755</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>STOTT BARRIENTOS &amp; ASSOC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1421 S BELL AVE STE 1010</AddressLine1>
            <City>AMES</City>
            <State>IA</State>
            <ZIPCode>50010</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ARCHITECTURE</DescriptionOfServices>
        <Compensation>285396</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>A-1 CAREERS</BusinessNameLine1>
          </NameBusiness>
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        <AddressOfContractor>
          <AddressUS>
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            <State>KS</State>
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        </AddressOfContractor>
        <DescriptionOfServices>NURSE STAFFING</DescriptionOfServices>
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      </ContractorCompensation>
      <NumberOfContractorsGT100K>12</NumberOfContractorsGT100K>
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        <TotalRevenueColumn>146436762</TotalRevenueColumn>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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        <BusinessCode>722210</BusinessCode>
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      <NetGainOrLossInvestments>
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      <GrantsToDomesticOrgs>
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        <ProgramServices>196105</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
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        <ProgramServices>23486</ProgramServices>
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      <CompCurrentOfficersDirectors>
        <Total>2228520</Total>
        <ManagementAndGeneral>2228520</ManagementAndGeneral>
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      <OtherSalariesAndWages>
        <Total>76013272</Total>
        <ProgramServices>72133991</ProgramServices>
        <ManagementAndGeneral>3879281</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>268012</Total>
        <ProgramServices>246822</ProgramServices>
        <ManagementAndGeneral>21190</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
        <Total>3677733</Total>
        <ProgramServices>3619414</ProgramServices>
        <ManagementAndGeneral>58319</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>5622495</Total>
        <ProgramServices>5329246</ProgramServices>
        <ManagementAndGeneral>293249</ManagementAndGeneral>
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      <FeesForServicesLegal>
        <Total>164720</Total>
        <ManagementAndGeneral>164720</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>2386709</Total>
        <ManagementAndGeneral>2386709</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>12778043</Total>
        <ProgramServices>12597940</ProgramServices>
        <ManagementAndGeneral>180103</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>1048680</Total>
        <ProgramServices>946754</ProgramServices>
        <ManagementAndGeneral>101926</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>1493779</Total>
        <ProgramServices>1315717</ProgramServices>
        <ManagementAndGeneral>178062</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>333199</Total>
        <ManagementAndGeneral>333199</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>9051597</Total>
        <ProgramServices>8870875</ProgramServices>
        <ManagementAndGeneral>180722</ManagementAndGeneral>
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      <Travel>
        <Total>1850821</Total>
        <ProgramServices>1660613</ProgramServices>
        <ManagementAndGeneral>190208</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>5332311</Total>
        <ProgramServices>5199774</ProgramServices>
        <ManagementAndGeneral>132537</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>8510330</Total>
        <ProgramServices>8281430</ProgramServices>
        <ManagementAndGeneral>228900</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>3887476</Total>
        <ProgramServices>3882666</ProgramServices>
        <ManagementAndGeneral>4810</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>7380049</Total>
        <ProgramServices>7380049</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DIETARY SUPPLIES</Description>
        <Total>5878966</Total>
        <ProgramServices>5878966</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MAINTENANCE</Description>
        <Total>1370956</Total>
        <ProgramServices>1370956</ProgramServices>
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      <OtherExpenses>
        <Description>HOUSEKEEPING SUPPLIES</Description>
        <Total>1132519</Total>
        <ProgramServices>1132519</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>2306238</Total>
        <ProgramServices>2212064</ProgramServices>
        <ManagementAndGeneral>94174</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>152936016</Total>
        <ProgramServices>142279387</ProgramServices>
        <ManagementAndGeneral>10656629</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>22325</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
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        <EOY>17431201</EOY>
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      <OtherNotesLoansReceivableNet>
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        <EOY>661852</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
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        <EOY>531926</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>633395</BOY>
        <EOY>6596370</EOY>
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      <LandBuildingsEquipmentBasisNet>
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        <EOY>89827458</EOY>
      </LandBuildingsEquipmentBasisNet>
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        <EOY>23231568</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsProgramRelated>
        <BOY>1011887</BOY>
        <EOY>788471</EOY>
      </InvestmentsProgramRelated>
      <OtherAssetsTotal>
        <BOY>19391091</BOY>
        <EOY>20007862</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>183908087</BOY>
        <EOY>183962804</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>23745698</BOY>
        <EOY>24804403</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
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        <EOY>115807236</EOY>
      </TaxExemptBondLiabilities>
      <TotalLiabilities>
        <BOY>144808955</BOY>
        <EOY>140611639</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>39099132</BOY>
        <EOY>43351165</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>39099132</BOY>
        <EOY>43351165</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>183908087</BOY>
        <EOY>183962804</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>4157033</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>95000</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>1240415</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>111753</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>47992</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>58083</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>62754</CurrentTaxYear>
        <Total>1520997</Total>
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      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>143629471</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>145558385</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>154111473</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>156577592</CurrentTaxYear>
        <Total>737844149</Total>
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      <Total509>
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        <CurrentTaxYearMinus3Years>143741224</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>145606377</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>154169556</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>156640346</CurrentTaxYear>
        <Total>739365146</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
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      <GrossInvestmentIncome509>
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        <CurrentTaxYear>418150</CurrentTaxYear>
        <Total>7711246</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus1Year>540650</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>418150</CurrentTaxYear>
        <Total>7711246</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
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        <CurrentTaxYearMinus3Years>54742</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>28108</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>36074</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>14114</CurrentTaxYear>
        <Total>826250</Total>
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        <CurrentTaxYearMinus3Years>146246036</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>146793355</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>154746280</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>157072610</CurrentTaxYear>
        <Total>747902642</Total>
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      <PublicSupportPercentage509>0.98860</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98540</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01030</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01330</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <GeneralExplanation>SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: 2007 $93,212 SUBPART F INCOME 2007 $600,000 LIABILITY INSURANCE REIMBURSEMENT 2008 $54,472 SUBPART F INCOME 2009 $28,108 SUBPART F INCOME 2010 $36,074 SUBPART F INCOME 2011 $14,114 SUBPART F INCOME</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>1</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>41830</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>0</OtherActivities>
      <TotalLobbyingExpendituresIIB>41830</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1:</ReturnReference>
        <Explanation>DURING 2011, CARE INITIATIVES HAD NO DIRECT EXPENSES FOR LOBBYING ACTIVITIES. CARE INITIATIVES WAS NOTIFIED BY IOWA HEALTH CARE ASSOCIATION THAT 14.2% OF DUES WOULD BE SPENT ON LOBBYING AND OTHER EXPENDITURES SUBJECT TO CODE SEC. 162(E)(1). DURING 2011, CARE INITIATIVES PAID DUES TO IHCA OF $164,507. CARE INITIATIVES WAS NOTIFIED BY AMERICAN HEALTH CARE ASSOCIATION THAT 27.0% OF DUES WOULD BE SPENT ON LOBBYING AND OTHER EXPENDITURES SUBJECT TO CODE SEC. 162(E)(1). DURING 2011, CARE INITIATIVES PAID DUES TO AHCA OF $68,409.</Explanation>
      </Form990ScheduleCPartIV>
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      <IncludedOnFS>0</IncludedOnFS>
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        <BookValue>5323841</BookValue>
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      <OtherAssets>
        <Description>BOND DEBT SERVICE RESERVE FUND</Description>
        <BookValue>9077035</BookValue>
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      <OtherAssets>
        <Description>DEPOSITS</Description>
        <BookValue>64597</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CAPITAL DEPOSIT -IIC</Description>
        <BookValue>175081</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>SELF INSURANCE TRUST FUND</Description>
        <BookValue>3155349</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEBT ISSUANCE</Description>
        <BookValue>1644204</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ASSETS HELD FOR SALE</Description>
        <BookValue>217755</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>TRUSTEE HELD CONSTRUCTION FUND</Description>
        <BookValue>350000</BookValue>
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      <TotalBookValueOtherAssets>20007862</TotalBookValueOtherAssets>
      <Form990ScheduleDPartXIV>
        <Explanation>CARE IS CLASSIFIED AS A TAX-EXEMPT ORGANIZATION AND IS NOT 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 THEIR MATERIAL TAX POSITIONS AND DETERMINED THAT THERE ARE NO INCOME TAX EFFECTS WITH RESPECT TO THE FINANCIAL STATEMENTS. CARE IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS PRIOR TO 2008.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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        <Region>CENTRAL AMERICA &amp; THE CARIBBEAN</Region>
        <NumberOfOffices>1</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>PROFESSIONAL &amp; GENERAL LIABILITY INSURANCE</TypeOfActivitiesConducted>
        <SpecificServicesProvided>N/A</SpecificServicesProvided>
        <TotalExpenditures>73665</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
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        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>INVESTMENTS</TypeOfActivitiesConducted>
        <SpecificServicesProvided>N/A</SpecificServicesProvided>
        <TotalExpenditures>175081</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfOffices>1</SubtotalNumberOfOffices>
      <SubtotalNumberOfEmployees>0</SubtotalNumberOfEmployees>
      <ContNumberOfOffices>0</ContNumberOfOffices>
      <ContNumberOfEmployees>0</ContNumberOfEmployees>
      <TotalNumberOfOffices>1</TotalNumberOfOffices>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <SubtotalAmountSpent>248746</SubtotalAmountSpent>
      <ContAmountSpent>0</ContAmountSpent>
      <TotalAmountSpent>248746</TotalAmountSpent>
      <TransferToForeignCorp>0</TransferToForeignCorp>
      <InterestInForeignTrust>0</InterestInForeignTrust>
      <OwnForeignCorp>1</OwnForeignCorp>
      <PassiveForeignInvestCo>0</PassiveForeignInvestCo>
      <ForeignPartnership>0</ForeignPartnership>
      <BoycottCountries>0</BoycottCountries>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ALZHEIMERS ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1730 28TH STREET</AddressLine1>
          <City>WEST DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50266</ZIPCode>
        </AddressUS>
        <EINOfRecipient>421520582</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>129386</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>FOOD BANK OF IOWA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>EAST 17TH STREET</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50316</ZIPCode>
        </AddressUS>
        <EINOfRecipient>421177880</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>IOWA SPORTS FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1421 SOUTH BELL</AddressLine1>
          <City>AMES</City>
          <State>IA</State>
          <ZIPCode>50010</ZIPCode>
        </AddressUS>
        <EINOfRecipient>421278326</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNITED WAY OF CENTRAL IA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1111 9TH ST</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50309</ZIPCode>
        </AddressUS>
        <EINOfRecipient>420680425</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>8320</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>4</TotalNbrOf501C3AndGovtGrants>
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        <TypeOfGrant>HARDSHIP FUNDS/FINANCIAL ASSISTANCE</TypeOfGrant>
        <NumberOfRecipients>10</NumberOfRecipients>
        <AmountOfCashGrant>23486</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Explanation>ORGANIZATIONS ARE SELECTED BASED UPON RELATEDNESS TO CARE INITIATIVES EXEMPT MISSION. NO ADDITIONAL MONITORING IS PERFORMED. THE FILING ORGANIZATION BASES THE NUMBER OF RECIPIENTS FOR ASSISTANCE BASED UPON THE ACTUAL BOOKS AND RECORDS OF THE ORGANIZATION.</Explanation>
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    </IRS990ScheduleI>
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      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
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      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
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      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>MILES KING</NamePerson>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MIKE MCDANIEL</NamePerson>
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        <TotalCompensationFilingOrg>329385</TotalCompensationFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>ROBERT HAYDEN</NamePerson>
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        <BonusFilingOrg>58516</BonusFilingOrg>
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        <OtherCompensationFilingOrg>29334</OtherCompensationFilingOrg>
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        <DeferredCompFilingOrg>686</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>23433</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>306058</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM HAVEKOST</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>57400</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>28544</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>676</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20544</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>301370</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PEARL BAUDER</NamePerson>
        <BaseCompensationFilingOrg>139639</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>40671</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>25116</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>435</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>16145</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>222006</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JERAMY KUHN</NamePerson>
        <BaseCompensationFilingOrg>127882</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>38192</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>21884</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>8537</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>196495</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID DIXON</NamePerson>
        <BaseCompensationFilingOrg>132453</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>39895</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>3167</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>478</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8284</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>184277</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LANNY WARD</NamePerson>
        <BaseCompensationFilingOrg>126250</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>31172</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1990</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>406</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5683</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>165501</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>PART II, COLUMN B (III): CARE INITIATIVES, INC HAS A 457B PLAN FOR ITS EXECUTIVES. IT WAS FUNDED BY THE ORGANIZATION TO THE FOLLOWING INDIVIDUALS IN THE AMOUNTS LISTED BELOW: MILES KING $16,500; MIKE MCDANIEL $16,500; CHARLEEN SCHLEPP $16,500; ROBERT HAYDEN $7,802; WILLIAM HAVEKOST $7,659; PEARL BAUDER $5,672; AND JERAMY KUHN $5,092. THE ABOVE MENTIONED AMOUNTS ARE INCLUDED IN PART II, COLUMN B (III).</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>IOWA FINANCE AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521699886</IssuerEIN>
        <CUSIPNumber>462466AV5</CUSIPNumber>
        <DateIssued>2006-08-02</DateIssued>
        <IssuePrice>94259850</IssuePrice>
        <DescriptionOfPurpose>REFUND PRIOR BONDS (5/14/96)</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>IOWA FINANCE AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521699886</IssuerEIN>
        <CUSIPNumber>46246PLQ2</CUSIPNumber>
        <DateIssued>2010-09-30</DateIssued>
        <IssuePrice>27420000</IssuePrice>
        <DescriptionOfPurpose>REFUND PRIOR BONDS (11/22/02), (11/15/06)</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>IOWA FINANCE AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521699886</IssuerEIN>
        <DateIssued>2011-12-07</DateIssued>
        <IssuePrice>7000000</IssuePrice>
        <DescriptionOfPurpose>BUILDINGS AND EQUIPMENT</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>16810000</AmountRetired>
        <TotalProceeds>94259850</TotalProceeds>
        <AmountInReserveFund>7911948</AmountInReserveFund>
        <IssuanceCostsFromProceeds>742942</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>93516908</OtherSpentProceeds>
        <YearOfSubstCompletion>2006</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>1450000</AmountRetired>
        <TotalProceeds>27420000</TotalProceeds>
        <OtherSpentProceeds>27420000</OtherSpentProceeds>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>350000</TotalProceeds>
        <AmountUnspent>350000</AmountUnspent>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>0</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
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        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
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      <Form990ScheduleKPartIV>
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        <VariableRateIssue>1</VariableRateIssue>
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        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
      <Form990ScheduleKPartVI>
        <Identifier>PART II, LINE 3, COLUMN A</Identifier>
        <Explanation>THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4.</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>PART II, LINE 3, COLUMN C</Identifier>
        <Explanation>THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) AS THIS DEBT WAS ISSUED ON A DRAW-DOWN BASIS AND THE TOTAL PRINCIPAL AVAILABLE HAS NOT YET BEEN DRAWN.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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 ARE DOCUMENTED IN FORMAL BOARD OF DIRECTOR MINUTES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>CARE'S PRESIDENT/CEO, VICE PRESIDENT/CFO AND VICE PRESIDENT/DIRECTOR OF OPERATIONS HAVE BEEN IDENTIFIED AS DISQUALIFIED PERSONS. COMPENSATION FOR THESE POSITIONS IS DETERMINED BY INDEPENDENT DIRECTORS OF THE COMPENSATION COMMITTEE WITHOUT THE AFFECTED PARTIES BEING PRESENT AND IS SUBSEQUENTLY PROVIDED TO THE FULL BOARD FOR THEIR ACTION OR APPROVAL. FORMAL PERFORMANCE EVALUATIONS AND DOCUMENTATIONS OF EACH STEP IN THE DELIBERATION PROCESS ARE CONTAINED IN RETAINED COMPENSATION COMMITTEE REPORTS. THE DETERMINATION OF THE COMPENSATION COMMITTEE IS SUPPORTED BY A 2008 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. THE MOST RECENT INDEPENDENT COMPENSATION STUDY IS IN THE PROCESS OF BEING COMPLETED IN 2012. 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 AND VICE PRESIDENT/DIRECTOR OF OPERATIONS ARE REVIEWED, ALONG WITH PERFORMANCE EVALUATIONS, INFLATION DATA AND COMPETITIVE FACTORS, ALL TO ESTABLISH COMPENSATION LEVELS. COMPENSATION CHANGES ARE DOCUMENTED AND RETAINED BY THE CORPORATION'S HUMAN RESOURCE DEPARTMENT. OTHER MANAGEMENT COMPENSATION IS DETERMINED ACCORDING TO LONG STANDING PERSONNEL POLICIES ADMINISTERED BY THE CORPORATION'S HUMAN RESOURCES DEPARTMENT. THE COMPENSATION REVIEW PROCESS DESCRIBED ABOVE OCCURS ON AN ANNUAL BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VII, SECTION A, LINE 1A, COLUMN D:</ReturnReference>
        <Explanation>DURING 2011, FORMER VP/DIRECTOR OF OPERATIONS, ROBERT CONLON'S, REPORTABLE COMPENSATION OF $134,735 INCLUDED A 2010 INCENTIVE PLAN PAYMENT OF $62,577; BASE COMPENSATION OF $26,196; OTHER COMPENSATION OF $2,854; AND BOARD FEES OF $44,000. THE REPORTABLE COMPENSATION WAS REDUCED BY $892 OF INSURANCE PREMIUMS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>PART VII:</ReturnReference>
        <Explanation>MIKE MCDANIEL, CFO, RETIRED EFFECTIVE 12/31/2011. STEPHEN MARLOW WAS HIRED 10/01/2011 ASSUMING ALL CFO DUTIES. THE CROSSOVER IN EMPLOYMENT PROVIDED FOR A SMOOTH TRANSITION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>UNREALIZED GAIN ON INVESTMENTS 95,000. TOTAL TO FORM 990, PART XI, LINE 5: 95,000.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONSOLIDATED AUDIT OF FINANCIAL STATEMENTS:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINES 2A, 2B, 2C:</ReturnReference>
        <Explanation>THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTANT. THE ORGANIZATION HAS AN AUDIT COMMITTEE OF THE BOARD OF DIRECTORS THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE HAS BEEN NO CHANGE IN THIS PROCESS IN THE CURRENT YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>VOLUNTEERS:</Identifier>
        <ReturnReference>FORM 990, PART I, LINE 6:</ReturnReference>
        <Explanation>CARE INITIATIVES HAD 67,841 RECORDED VOLUNTEER HOURS IN 2011. THE AVERAGE VOLUNTEER WORKS ONE HOUR PER WEEK RESULTING IN A CALCULATED NUMBER OF VOLUNTEERS OF 1298. VOLUNTEERS MAINLY PROVIDE ENTERTAINMENT FOR AND CONVERSE WITH RESIDENTS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043500001">
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ODEBOLT ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>13520 CALIFORNIA ST SUITE 250</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68154</ZIPCode>
        </AddressUS>
        <EIN>203738090</EIN>
        <PrimaryActivity>LOW INCOME HOUSING</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-1</ShareOfTotalIncome>
        <ShareOfEOYAssets>307988</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
        <PercentageOwnership>0.00010</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PANORA ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>13520 CALIFORNIA ST SUITE 250</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68154</ZIPCode>
        </AddressUS>
        <EIN>203738136</EIN>
        <PrimaryActivity>LOW INCOME HOUSING</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-7</ShareOfTotalIncome>
        <ShareOfEOYAssets>366119</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
        <PercentageOwnership>0.00010</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DUNLAP ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>13520 CALIFORNIA ST SUITE 250</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68154</ZIPCode>
        </AddressUS>
        <EIN>203738210</EIN>
        <PrimaryActivity>LOW INCOME HOUSING</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-2</ShareOfTotalIncome>
        <ShareOfEOYAssets>301355</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
        <PercentageOwnership>0.00010</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LAMONI ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>13520 CALIFORNIA ST SUITE 250</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68154</ZIPCode>
        </AddressUS>
        <EIN>203738239</EIN>
        <PrimaryActivity>LOW INCOME HOUSING</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-5</ShareOfTotalIncome>
        <ShareOfEOYAssets>187675</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
        <PercentageOwnership>0.00010</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>IOWA INDEMNITY COMPANY LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>BOX 560 BEATRICE BUTTERFIELD BUILDI</AddressLine1>
          <City>PROVIDENCIALES</City>
          <ProvinceOrState>TURKS &amp; CAICOS ISLANDS</ProvinceOrState>
          <Country>TK</Country>
        </AddressForeign>
        <EIN>760262402</EIN>
        <PrimaryActivity>CAPTIVE INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>TK</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>14114</ShareOfTotalIncome>
        <ShareOfEOYAssets>1838968</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>1</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>DUNLAP ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>12018</AmountInvolved>
        <MethodOfAmtDetermination>GAAP</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ODEBOLT ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>12018</AmountInvolved>
        <MethodOfAmtDetermination>GAAP</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LAMONI ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>12018</AmountInvolved>
        <MethodOfAmtDetermination>GAAP</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PANORA ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>12018</AmountInvolved>
        <MethodOfAmtDetermination>GAAP</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>DUNLAP ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>200000</AmountInvolved>
        <MethodOfAmtDetermination>GAAP</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ODEBOLT ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>200000</AmountInvolved>
        <MethodOfAmtDetermination>GAAP</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LAMONI ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>200000</AmountInvolved>
        <MethodOfAmtDetermination>GAAP</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PANORA ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>200000</AmountInvolved>
        <MethodOfAmtDetermination>GAAP</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <Explanation>THE CORPORATION 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.</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>