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      <Description>DURING 2010, CARE PROVIDED SERVICES TO 2,620 RESIDENTS IN 44 IOWA NURSING HOMES, 8 ASSISTED LIVING FACILITIES AND 4 INDEPENDENT LIVING FACILITIES. CARE PROVIDED THESE RESIDENTS, WHICH ARE COMPRISED OF ELDERLY, INFIRM AND FINANCIALLY LIMITED INDIVIDUALS WITH A COMFORTABLE, CLEAN, HOME LIKE ATMOSPHERE. CARE PROVIDES HIGH QUALITY HEALTH CARE FREE OF AS MANY RESTRAINTS AND PSYCHOTROPIC MEDICATIONS AS IS PRUDENT FOR THEIR SAFETY AND THE SAFETY OF OTHER RESIDENTS AT THE LOWEST POSSIBLE COST. SERVICES PROVIDED INCLUDE ROOM AND BOARD, PROVISION FOR DIETARY REQUIREMENTS, ASSISTANCE WITH PERSONAL HYGIENE WHERE NEEDED, AND PHYSICAL AND SOCIAL ACTIVITIES TO MAINTAIN THE HIGHEST PHYSICAL AND MENTAL QUALITY OF LIFE ATTAINABLE. ADDITIONAL SERVICES INCLUDE OCCUPATIONAL, SPEECH AND PHYSICAL THERAPY, OUTPATIENT THERAPY SERVICES, SKILLED NURSING CARE IN ALL CARE CENTERS, INDEPENDENT LIVING APARTMENTS AT SEVERAL LOCATIONS AND ASSISTED LIVING IN EIGHT LOCATIONS. IN ADDITION, CARE HAS INITIATED A PROGRAM OF RESTORATIVE NURSING CARE TO HASTEN RESIDENT'S OPPORTUNITY TO RETURN TO THEIR HOMES.DURING 2010, CARE PROVIDED HOSPICE SERVICES TO A DAILY AVERAGE OF 131 PATIENTS THROUGH SIX HOSPICE LOCATIONS. CARE PROVIDES COMPASSIONATE HEALTH CARE AND PALLIATIVE SUPPORT FOR PEOPLE FACING LIFE-LIMITING ILLNESSES OR CONDITIONS. SOME OF THE SERVICES PROVIDED INCLUDE NURSING CARE, PHYSICIAN CARE, HOME HEALTH AIDE, PHYSICAL AND SPEECH THERAPY, MASSAGE THERAPY, MUSIC THERAPY, SPIRITUAL SUPPORT, AND BEREAVEMENT SUPPORT.CARE IS THE LARGEST NURSING HOME SERVICE PROVIDER FOR MEDICAID RESIDENTS IN IOWA. 1,291 RESIDENTS PARTICIPATED IN THE MEDICAID PROGRAM WHICH REIMBURSED LESS THAN CHARGES AMOUNTING TO $11,117,823 ($11,126,000 LESS THAN COST). THOSE RESIDENTS WHO PAY PRIVATELY AND BECOME UNABLE TO PAY FULL PRIVATE RATES BUT DID NOT QUALIFY FOR GOVERNMENT ASSISTANCE WERE NOT DISCHARGED IN FOLLOWING CARE'S PRACTICE OF NOT DENYING CARE TO FINANCIALLY LIMITED INDIVIDUALS. CARE HAS AN OPEN ADMISSION POLICY 24 HOURS PER DAY AND 7 DAYS PER WEEK, WITHOUT MEDICAL OR FINANCIAL SCREENING. NO RESIDENT OF CARE IS DENIED MEDICATION, NURSING SUPPLY OR THERAPY, REGARDLESS OF THEIR ABILITY TO PAY. IN THE CASE OF BAD DEBTS DUE TO INABILITY TO PAY, CARE DOES NOT USE COLLECTION AGENCIES OR THE COURTS.CARE'S 2010 EARNINGS ($9.4 MILLION) PROVIDED FOR SIGNIFICANT COMMUNITY INVESTMENT PROGRAMS IN 2010 AND ON INTO 2011. APPROXIMATELY $3.7 MILLION IS BEING INVESTED IN CARE'S DIRECT CARE PROVIDERS THROUGH INCREASED WAGES, BENEFITS AND EDUCATION. CARE IS INVESTING IN EXCESS OF $5 MILLION NEW EQUIPMENT AND IMPROVEMENTS TO ITS NURSING FACILITIES. IN ADDITION CARE RETIRED OVER $4.8 MILLION IN DEBT.HISTORY OF MODERNIZATION AND REPLACEMENT OF NURSING FACILITIES: SINCE INCEPTION, CARE HAS INVESTED MORE THAN $85 MILLION TO MODERNIZE ITS CENTERS. IMPROVEMENTS INCLUDE AIR CONDITIONING, FIRE SPRINKLERS, REPLACEMENT OF HVAC AND ELECTRICAL SYSTEMS, AND PAVED PARKING LOTS. EVERY CARE CENTER THAT HAS NOT YET BEEN REPLACED WITH A NEW REPLACEMENT BUILDING HAS HAD EXTENSIVE RENOVATIONS. SINCE INCEPTION, CARE HAS INVESTED MORE THAN $72 MILLION IN TEN NEW REPLACEMENT CENTER BUILDINGS THROUGHOUT IOWA.CARE PROMOTES ECONOMIC DEVELOPMENT IN THE COMMUNITIES IT SERVES BY ADDRESSING HOUSING, EMPLOYMENT, EDUCATIONAL OR ENVIRONMENTAL NEEDS AND CONCERNS. IN 2010, CARE CONTRIBUTED TO ITS COMMUNITIES BY PAYING PROPERTY TAX OF $3.2 MILLION. IN MANY OF ITS COMMUNITIES, CARE IS THE LARGEST EMPLOYER AND THEIR FAMILIES THE LARGEST STUDENT POPULATION BASE FOR THE LOCAL SCHOOL DISTRICT.CARE FACILITIES WERE A GATHERING PLACE FOR COMMUNITY VOLUNTEERS WHO PROVIDED 50,834 HOURS TO HELP THE ELDERLY. USING THE INDEPENDENT SECTOR'S ESTIMATED DOLLAR VALUE OF VOLUNTEER TIME, THE ESTIMATED VALUE OF VOLUNTEER TIME TOTALED $1,085,814.CARE'S CONTINUUM OF CARE EXTENDED INTO THE COMMUNITIES IT SERVES BY PROVIDING REDUCED OR NO-FEE SERVICES SUCH AS MEALS-ON-WHEELS, MEALS FOR COUNTY JAILS, EDUCATIONAL SERVICES AND PUBLIC AWARENESS PROGRAMS.</Description>
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        <NamePerson>PEARL BAUDER</NamePerson>
        <Title>VP/DIR OF QUALITY</Title>
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        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>151189</ReportableCompFromOrganization>
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        <OtherCompensation>11219</OtherCompensation>
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      <Form990PartVIISectionA>
        <NamePerson>STEVE SPURLOCK</NamePerson>
        <Title>DIRECTOR OF INFORMATION SYSTEMS</Title>
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        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
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      <NumberIndividualsGT100K>26</NumberIndividualsGT100K>
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      <TotalCompGT150K>1</TotalCompGT150K>
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          <NameBusiness>
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        <AddressOfContractor>
          <AddressUS>
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            <State>TX</State>
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        </AddressOfContractor>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
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          <AddressUS>
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            <City>FORT SMITH</City>
            <State>AR</State>
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        </AddressOfContractor>
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      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>DAVIS BROWN KOEHN SHORS</BusinessNameLine1>
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        <AddressOfContractor>
          <AddressUS>
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            <City>DES MOINES</City>
            <State>IA</State>
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        </AddressOfContractor>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
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          <AddressUS>
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          </AddressUS>
        </AddressOfContractor>
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      <NoncashContributions>948</NoncashContributions>
      <TotalContributions>58083</TotalContributions>
      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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        <ExclusionAmount>28864</ExclusionAmount>
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      <IncomeFromInvestBondProceeds>
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      <TotalRevenue>
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      <GrantsToDomesticOrgs>
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        <ProgramServices>160714</ProgramServices>
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      <GrantsToDomesticIndividuals>
        <Total>37798</Total>
        <ProgramServices>37798</ProgramServices>
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      <CompCurrentOfficersDirectors>
        <Total>2246397</Total>
        <ManagementAndGeneral>2246397</ManagementAndGeneral>
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      <OtherSalariesAndWages>
        <Total>73366552</Total>
        <ProgramServices>69882651</ProgramServices>
        <ManagementAndGeneral>3483901</ManagementAndGeneral>
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        <Total>125939</Total>
        <ProgramServices>113205</ProgramServices>
        <ManagementAndGeneral>12734</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
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        <ProgramServices>3326433</ProgramServices>
        <ManagementAndGeneral>17835</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>5346163</Total>
        <ProgramServices>5079078</ProgramServices>
        <ManagementAndGeneral>267085</ManagementAndGeneral>
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      <FeesForServicesManagement>
        <Total>15100</Total>
        <ProgramServices>15100</ProgramServices>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>213076</Total>
        <ManagementAndGeneral>213076</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>1280419</Total>
        <ManagementAndGeneral>1280419</ManagementAndGeneral>
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      <FeesForServicesOther>
        <Total>12078331</Total>
        <ProgramServices>11827089</ProgramServices>
        <ManagementAndGeneral>251242</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>875129</Total>
        <ProgramServices>838226</ProgramServices>
        <ManagementAndGeneral>36903</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>16633706</Total>
        <ProgramServices>16468890</ProgramServices>
        <ManagementAndGeneral>164816</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>259584</Total>
        <ManagementAndGeneral>259584</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>8627377</Total>
        <ProgramServices>8423009</ProgramServices>
        <ManagementAndGeneral>204368</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>1372038</Total>
        <ProgramServices>1214725</ProgramServices>
        <ManagementAndGeneral>157313</ManagementAndGeneral>
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      <Interest>
        <Total>5774424</Total>
        <ProgramServices>5635685</ProgramServices>
        <ManagementAndGeneral>138739</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>9237371</Total>
        <ProgramServices>9037368</ProgramServices>
        <ManagementAndGeneral>200003</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
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        <ProgramServices>3354485</ProgramServices>
        <ManagementAndGeneral>40999</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>899762</Total>
        <ProgramServices>875153</ProgramServices>
        <ManagementAndGeneral>24609</ManagementAndGeneral>
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      <OtherExpenses>
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        <ProgramServices>475418</ProgramServices>
        <ManagementAndGeneral>45176</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>DUES</Description>
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        <ProgramServices>290036</ProgramServices>
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      <OtherExpenses>
        <Description>IMPAIRMENT</Description>
        <Total>200000</Total>
        <ProgramServices>200000</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>TC LLC LOSS</Description>
        <Total>194450</Total>
        <ProgramServices>194450</ProgramServices>
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      <TotalFunctionalExpenses>
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        <ProgramServices>137449513</ProgramServices>
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        <Fundraising>0</Fundraising>
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      <SavingsAndTempCashInvestments>
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      </OtherNotesLoansReceivableNet>
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        <EOY>533790</EOY>
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        <EOY>633395</EOY>
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        <EOY>19391091</EOY>
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      <TotalAssets>
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        <EOY>183908087</EOY>
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        <EOY>121063257</EOY>
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      <TotalLiabilities>
        <BOY>148637714</BOY>
        <EOY>144808955</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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        <BOY>29567994</BOY>
        <EOY>39099132</EOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>39099132</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>178205708</BOY>
        <EOY>183908087</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>9446138</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>85000</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">
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      <GiftsGrantsContribReceived509>
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        <CurrentTaxYearMinus3Years>1240415</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>111753</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>47992</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>58083</CurrentTaxYear>
        <Total>2640054</Total>
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      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>137967228</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>143629471</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>145558385</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>154111473</CurrentTaxYear>
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        <CurrentTaxYearMinus3Years>139207643</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>143741224</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>145606377</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>154169556</CurrentTaxYear>
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      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
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      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
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      </SupportFromDQPsEtc>
      <PublicSupportTotal509>720483949</PublicSupportTotal509>
      <GrossInvestmentIncome509>
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        <CurrentTaxYearMinus1Year>1158870</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>540650</CurrentTaxYear>
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        <CurrentTaxYear>36074</CurrentTaxYear>
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        <CurrentTaxYearMinus1Year>146793355</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>154746280</CurrentTaxYear>
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      <InvestmentIncomePercentage>0.01330</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01460</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <GeneralExplanation>SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: 2006 $89,928 SUBPART F INCOME 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</GeneralExplanation>
    </IRS990ScheduleA>
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      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>1</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>28110</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>0</OtherActivities>
      <TotalLobbyingExpendituresIIB>28110</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF OTHER LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1I:</ReturnReference>
        <Explanation>DURING 2010, 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 2010, CARE INITIATIVES PAID DUES TO IHCA OF $197,959.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <EndingBalance>242498</EndingBalance>
      <IncludedOnFS>0</IncludedOnFS>
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        <BookValue>7355618</BookValue>
      </Land>
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      <Equipment>
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      </Equipment>
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        <BookValue>6905502</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>93700627</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>BOND SINKING FUND</Description>
        <BookValue>5273007</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>BOND DEBT SERVICE RESERVE FUND</Description>
        <BookValue>9006697</BookValue>
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      <OtherAssets>
        <Description>DEPOSITS</Description>
        <BookValue>66772</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CAPITAL DEPOSIT -IIC</Description>
        <BookValue>174641</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>SELF INSURANCE TRUST FUND</Description>
        <BookValue>3120514</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEBT ISSUANCE</Description>
        <BookValue>1531705</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ASSETS HELD FOR SALE</Description>
        <BookValue>217755</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>19391091</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 2007.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <AcctsActvsOutUSTable>
        <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>73392</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfEmployees>0</SubtotalNumberOfEmployees>
      <ContNumberOfEmployees>0</ContNumberOfEmployees>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <SubtotalAmountSpent>73392</SubtotalAmountSpent>
      <ContAmountSpent>0</ContAmountSpent>
      <TotalAmountSpent>73392</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>100575</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>10000</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>8000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CHEROKEE COMMUNITY FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>416 WEST MAIN STREET</AddressLine1>
          <City>CHEROKEE</City>
          <State>IA</State>
          <ZIPCode>51012</ZIPCode>
        </AddressUS>
        <EINOfRecipient>300036983</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORTGENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>5</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>HARDSHIP FUNDS/FINANCIAL ASSISTANCE</TypeOfGrant>
        <NumberOfRecipients>6</NumberOfRecipients>
        <AmountOfCashGrant>37798</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>OTHER INFORMATION:</Identifier>
        <ReturnReference>PART IV:</ReturnReference>
        <Explanation>ORGANIZATIONS ARE SELECTED BASED UPON RELATEDNESS TO CARE INITIATIVES EXEMPT MISSION. THE FILING ORGANIZATION BASES THE NUMBER OF RECIPIENTS FOR ASSISTANCE BASED UPON THE ACTUAL BOOKS AND RECORDS OF THE ORGANIZATION.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>MILES KING</NamePerson>
        <BaseCompensationFilingOrg>455459</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>135265</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>40611</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>1029</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>23942</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>656306</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MIKE MCDANIEL</NamePerson>
        <BaseCompensationFilingOrg>311338</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>92723</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>40971</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>1029</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13563</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>459624</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHARLEEN SCHLEPP</NamePerson>
        <BaseCompensationFilingOrg>142831</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>41282</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>18239</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>805</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7710</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>210867</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT CONLON</NamePerson>
        <BaseCompensationFilingOrg>201992</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>60755</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>40971</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>1029</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>17596</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>322343</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT HAYDEN</NamePerson>
        <BaseCompensationFilingOrg>188551</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>56811</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>18852</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>1029</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14662</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>279905</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM HAVEKOST</NamePerson>
        <BaseCompensationFilingOrg>168990</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>49440</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>18155</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>755</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>23805</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>261145</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JERAMY KUHN</NamePerson>
        <BaseCompensationFilingOrg>124383</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>37080</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>16763</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9161</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>187387</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID DIXON</NamePerson>
        <BaseCompensationFilingOrg>128502</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>38733</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1500</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>696</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7667</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>177098</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PEARL BAUDER</NamePerson>
        <BaseCompensationFilingOrg>113467</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>35119</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2603</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>555</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10664</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>162408</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEVE SPURLOCK</NamePerson>
        <BaseCompensationFilingOrg>110635</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>34299</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1331</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>612</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10191</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>157068</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): IN 2010, CARE INITIATIVES, INC ESTABLISHED A 457B PLAN FOR THEIR KEY OFFICERS. IT WAS FUNDED TO THE FOLLOWING INDIVIDUALS IN THE AMOUNTS LISTED BELOW: MILES KING $22,000; MIKE MCDANIEL $22,000; AND ROBERT CONLON $22,000. 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>
      <Form990ScheduleKPartII>
        <AmountRetired>13175000</AmountRetired>
        <TotalProceeds>94259850</TotalProceeds>
        <AmountInReserveFund>2850824</AmountInReserveFund>
        <RefundingEscrow>68298184</RefundingEscrow>
        <IssuanceCostsFromProceeds>742942</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>25218724</OtherSpentProceeds>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>27420000</TotalProceeds>
        <OtherSpentProceeds>27420000</OtherSpentProceeds>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>0</BondCounselRoutinelyEngaged>
        <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>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>PART III, LINE 3</Identifier>
        <ReturnReference>BOND COUNSEL REVIEW</ReturnReference>
        <Explanation>NO MANAGEMENT/SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATED TO THE FINANCED PROPERTY APPLICABLE IN 2010. THE ORGANIZATION WOULD ENGAGE BOND COUNSEL IF A REVIEW WAS APPLICABLE.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>CHANGES IN PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 3</ReturnReference>
        <Explanation>DURING 2010, CARE DISCONTINUED THEIR PHARMACY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 2</Identifier>
        <Explanation>DURING 2010, DIRECTOR HULON WALKER AND DIRECTOR JOHN K. SMITH EACH HOLD A ONE QUARTER INTEREST IN THE SAME TEXAS CORPORATION THAT OWNED AND OPERATED ONE ASSISTED LIVING FACILITY IN TEXAS. THAT CORPORATION CONDUCTED NO BUSINESS WITH CARE INITIATIVES, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 4</Identifier>
        <Explanation>IN JANUARY 2010, CARE AMENDED ITS BY-LAWS TO INCREASE THE NUMBER OF MEMBERS OF THE BOARD OF DIRECTORS FROM SEVEN TO EIGHT. THE BY-LAWS WERE ALSO AMENDED TO PROVIDE FOR THE CONFIRMATION OF A NEW MEMBER AFTER THEIR FIRST YEAR OF A SIX-YEAR TERM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE DRAFT OF THE ANNUAL FORM 990 IS REVIEWED PRIOR TO FILING BY THE FULL BOARD 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 THE CORPORATION 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 CEO, 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. OTHER LOWER LEVEL OFFICER COMPENSATION IS DETERMINED BY THE PRESIDENT AND 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 CEO, 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 KEY EMPLOYEE COMPENSATION IS DETERMINED ACCORDING TO LONG STANDING PERSONNEL POLICIES ADMINISTERED BY THE CORPORATION'S HUMAN RESOURCES DEPARTMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION 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>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>UNREALIZED GAIN ON INVESTMENTS 85,000. TOTAL TO FORM 990, PART XI, LINE 5: 85,000.</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 IS THE CURRENT YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>VOLUNTEERS:</Identifier>
        <ReturnReference>FORM 990, PART I, LINE 6:</ReturnReference>
        <Explanation>CARE INITIATIVES HAD 50,834 RECORDED VOLUNTEER HOURS IN 2010. THE AVERAGE VOLUNTEER WORKS ONE HOUR PER WEEK RESULTING IN A CALCULATED NUMBER OF VOLUNTEERS OF 978. 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>-4</ShareOfTotalIncome>
        <ShareOfEOYAssets>94</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>106</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>-3</ShareOfTotalIncome>
        <ShareOfEOYAssets>104</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>-6</ShareOfTotalIncome>
        <ShareOfEOYAssets>74</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>36074</ShareOfTotalIncome>
        <ShareOfEOYAssets>1663325</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>11466</AmountInvolved>
        <MethodOfAmtDetermination>GAAP</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ODEBOLT ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>11466</AmountInvolved>
        <MethodOfAmtDetermination>GAAP</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LAMONI ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>11466</AmountInvolved>
        <MethodOfAmtDetermination>GAAP</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PANORA ASSISTED LIVING LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>11466</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 THE CORPORATION'S RELATED 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>