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Nonprofiteer
← CARE INITIATIVES

Form 990 for tax year 2024

Filed by CARE INITIATIVES.

Totals

Total revenue
$271,912,461
Total expenses
$265,428,959
Contributions and grants received
$619,729
Grants paid
$63,639
Program service revenue
$269,133,667
Investment income
$1,347,990
Other revenue
$811,075
Total assets, end of year
$173,770,747
Total liabilities, end of year
$98,931,093
Net assets or fund balances, end of year
$74,839,654
Program services expenses (Part IX)
$243,620,609
Management and general expenses
$21,808,350
Fundraising expenses
$0
Program service expenses (Part III)
$243,620,609

Program services were 91.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $555,239

  • 1f · All other contributions, gifts and grants

    $64,490

  • 2a · Program service revenue: NURSING HOME SERVICES

    total $246,130,160 · related or exempt $246,130,160

  • 2b · Program service revenue: HOSPICE SERVICES

    total $22,501,733 · related or exempt $22,501,733

  • 2c · Program service revenue: ASSISTED LIVING SERVIC

    total $308,484 · related or exempt $308,484

  • 2d · Program service revenue: SENIOR LIVING APARTMEN

    total $149,564 · related or exempt $149,564

  • 2e · Program service revenue: GUEST MEALS

    total $35,706 · excluded $35,706

  • 2f · All other program service revenue

    total $8,020 · excluded $8,020

  • 3 · Investment income

    total $1,269,070 · excluded $1,269,070

  • 7a · Gross sales of assets other than inventory

    other assets $119,620

  • 7b · Less cost or other basis and sales expenses

    other assets $40,700

  • 7c · Gain or loss

    other assets $78,920

  • 7d · Net gain or loss

    total $78,920 · excluded $78,920

  • 11a · Other revenue: LTC PHARMCO LLC

    total $650,616 · related or exempt $602,239 · unrelated business $48,377

  • 11b · Other revenue: SUBPART F INCOME

    total $160,459 · excluded $160,459

  • 11e · Other revenue, total

    $811,075

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $16,281 · program services $16,281

  • 2 · Grants to domestic individuals

    total $47,358 · program services $47,358

  • 5 · Compensation of officers, directors and key employees

    total $2,026,782 · management and general $2,026,782

  • 7 · Other salaries and wages

    total $150,178,243 · program services $138,749,841 · management and general $11,428,402

  • 8 · Pension plan contributions

    total $245,654 · program services $206,192 · management and general $39,462

  • 9 · Other employee benefits

    total $7,526,283 · program services $6,852,918 · management and general $673,365

  • 10 · Payroll taxes

    total $11,164,436 · program services $10,459,171 · management and general $705,265

  • 11b · Fees: legal

    total $285,598 · management and general $285,598

  • 11c · Fees: accounting

    total $207,926 · management and general $207,926

  • 11g · Fees: other

    total $17,931,755 · program services $17,399,754 · management and general $532,001

  • 12 · Advertising and promotion

    total $768,717 · program services $653,211 · management and general $115,506

  • 13 · Office expenses

    total $1,434,111 · program services $1,273,264 · management and general $160,847

  • 14 · Information technology

    total $4,511,855 · management and general $4,511,855

  • 16 · Occupancy

    total $10,177,644 · program services $9,877,555 · management and general $300,089

  • 17 · Travel

    total $5,196,487 · program services $4,845,870 · management and general $350,617

  • 20 · Interest

    total $2,816,918 · program services $2,741,413 · management and general $75,505

  • 22 · Depreciation, depletion and amortization

    total $8,197,669 · program services $7,981,863 · management and general $215,806

  • 23 · Insurance

    total $4,495,368 · program services $4,467,428 · management and general $27,940

  • 24a · Other expenses: MEDICAL EXPENSE

    total $13,376,240 · program services $13,376,240

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $11,527,848 · program services $11,527,848

  • 24c · Other expenses: DIETARY SUPPLIES

    total $7,529,131 · program services $7,529,131

  • 24d · Other expenses: MAINTENANCE

    total $2,128,855 · program services $2,128,855

  • 24e · All other expenses

    total $3,637,800 · program services $3,486,416 · management and general $151,384

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $17,690 · end of year $17,055

  • 2 · Savings and temporary cash investments

    beginning of year $34,555,753 · end of year $38,051,709

  • 4 · Accounts receivable

    beginning of year $29,621,132 · end of year $26,876,067

  • 8 · Inventories for sale or use

    beginning of year $655,921 · end of year $637,514

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,817,584 · end of year $1,788,102

  • 10a · Land, buildings and equipment: cost or other basis

    $267,239,819

  • 10b · Land, buildings and equipment: accumulated depreciation

    $189,080,239

  • 10c · Land, buildings and equipment, net

    beginning of year $80,422,926 · end of year $78,159,580

  • 11 · Investments: publicly traded securities

    beginning of year $18,446,227 · end of year $14,525,544

  • 13 · Investments: program-related

    beginning of year $2,646,798 · end of year $3,264,136

  • 15 · Other assets

    beginning of year $3,191,131 · end of year $10,451,040

  • 17 · Accounts payable and accrued expenses

    beginning of year $39,850,639 · end of year $35,813,297

  • 20 · Tax-exempt bond liabilities

    beginning of year $45,546,276 · end of year $42,664,637

  • 23 · Secured mortgages and notes payable

    beginning of year $19,896,000 · end of year $19,696,000

  • 25 · Other liabilities

    beginning of year $1,093,876 · end of year $757,159

  • 27 · Net assets without donor restrictions

    beginning of year $66,988,371 · end of year $74,839,654

Mission and programs · 2024

Mission

IMPROVING QUALITY OF LIFE FOR IOWANS AND THEIR FAMILIES DURING LIFE'S HEALTH TRANSITIONS THROUGH COMPASSIONATE INDIVIDUALIZED CARE.

Activities or mission (Part I)

CHARITABLE NON-PROFIT: 43 SKILLED NURSING CARE LOCATIONS, 2 ASSISTED LIVING LOCATIONS, 7 INDEPENDENT LIVING LOCATIONS AND 7 HOSPICE LOCATIONS.

  • DURING 2024, CARE INITIATIVES PROVIDED SERVICES TO A DAILY AVERAGE OF 2,269 INDIVIDUALS IN 43 SKILLED NURSING CARE LOCATIONS, TWO ASSISTED LIVING LOCATIONS AND SEVEN INDEPENDENT LIVING LOCATIONS. CARE INITIATIVES PROVIDES QUALITY HEALTH CARE, AT THE LOWEST POSSIBLE COST TO OUR RESIDENTS AND PATIENTS. SERVICES PROVIDED INCLUDE LODGING, NUTRITIOUS MEALS, ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, ENGAGING ACTIVITIES TO MAINTAIN THE HIGHEST PHYSICAL AND MENTAL QUALITY OF LIFE ATTAINABLE. ADDITIONAL SERVICES INCLUDE OCCUPATIONAL, SPEECH AND PHYSICAL THERAPY, OUTPATIENT THERAPY SERVICES, SKILLED NURSING CARE, SENIOR LIVING APARTMENTS AND ASSISTED LIVING LOCATIONS. IN ADDITION, CARE INITIATIVES HAS INITIATED A PROGRAM OF REHAB TO HOME CARE TO PROVIDE INDIVIDUALS THE OPPORTUNITY TO SAFELY RETURN TO THEIR HOMES. IN ADDITION, CARE INITIATIVES PROVIDES LIMITED OUTPATIENT THERAPY SERVICES IN THE COMMUNITIES IT SERVES.DURING 2024, CARE INITIATIVES ALSO PROVIDED HOSPICE SERVICES TO A DAILY AVERAGE OF 376 PATIENTS THROUGH SEVEN HOSPICE LOCATIONS. CARE INITIATIVES HOSPICE PROVIDES COORDINATED CARE WITH COMPASSION, RESPECT AND DIGNITY TO PATIENTS AND THEIR FAMILIES EXPERIENCING SERIOUS ILLNESS AND GRIEF FOR A LOVED ONE. SOME OF THE SERVICES PROVIDED INCLUDE NURSING CARE, PHYSICIAN CARE, PHYSICAL AND SPEECH THERAPY, MASSAGE THERAPY, MUSIC THERAPY, SPIRITUAL SUPPORT, RESPITE CARE AND BEREAVEMENT SUPPORT.CARE INITIATIVES IS THE LARGEST NONPROFIT SKILLED NURSING PROVIDER FOR MEDICAID RESIDENTS IN IOWA. IN 2024, A DAILY AVERAGE OF 1,364 RESIDENTS PARTICIPATED IN THE MEDICAID PROGRAM. CARE INITIATIVES' COST FOR THESE RESIDENTS EXCEEDED REVENUE BY $25,233,000. NO RESIDENT IS DENIED A MEDICATION, NURSING SUPPLY OR THERAPY, REGARDLESS OF THEIR ABILITY TO PAY.CARE INITIATIVES HAS A HISTORY OF MODERNIZATION AND REPLACEMENT OF NURSING FACILITIES. SINCE INCEPTION, CARE INITIATIVES HAS INVESTED MORE THAN $147 MILLION TO MODERNIZE ITS COMMUNITIES. SINCE INCEPTION, CARE INITIATIVES HAS INVESTED MORE THAN $111 MILLION IN FOURTEEN NEW REPLACEMENT FACILITIES THROUGHOUT IOWA.CARE INITIATIVES PROMOTES ECONOMIC DEVELOPMENT IN THE COMMUNITIES WE SERVE BY ADDRESSING HOUSING, EMPLOYMENT, EDUCATIONAL OR ENVIRONMENTAL NEEDS AND CONCERNS. IN 2024, CARE INITIATIVES CONTRIBUTED TO OUR LOCAL COMMUNITIES BY PAYING PROPERTY TAX OF $2.52 MILLION. IN MANY COMMUNITIES WE SERVE, CARE INITIATIVES IS AMONG THE LARGEST EMPLOYERS.CARE INITIATIVES SUPPORTS OUR COMMUNITY VOLUNTEERS WHO PROVIDED 6,093 HOURS TO HELP OUR RESIDENTS AND PATIENTS. USING THE INDEPENDENT SECTOR'S ESTIMATED DOLLAR VALUE OF VOLUNTEER TIME, THE ESTIMATED VALUE OF VOLUNTEER TIME TOTALED APPROXIMATELY $182,556.CARE INITIATIVES' CONTINUUM OF CARE EXTENDED INTO THE COMMUNITIES IT SERVES BY PROVIDING REDUCED OR NO-FEE SERVICES SUCH AS MEALS-ON-WHEELS, MEALS FOR COUNTY JAILS, EDUCATIONAL SERVICES AND PUBLIC AWARENESS PROGRAMS.IN 2024, $16,281 IN CHARITABLE CONTRIBUTIONS WERE MADE TO SUPPORT CHARITABLE ORGANIZATIONS THAT FURTHER CARE INITIATIVES' NONPROFIT MISSION.

    Expenses $243,620,609 · Grants $63,639 · Revenue $269,692,180

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Michael Beal

    PRESIDENT/CEO/VICE CHAIR

    Total calculated
    $756,826
    From this org
    $729,150
    From related orgs
    $0
    Other
    $27,676
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $691,050
    Bonus
    $0
    Other
    $38,100
    Deferred
    $0
    Nontaxable benefits
    $27,676
    Filer's total
    $756,826

  • Denise Sturm

    CHAIR

    Total calculated
    $28,000
    From this org
    $28,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Mary Jane Carothers

    SECRETARY

    Total calculated
    $28,000
    From this org
    $28,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Lane Bowen

    DIRECTOR

    Total calculated
    $28,000
    From this org
    $28,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Kevin Childs

    DIRECTOR

    Total calculated
    $28,000
    From this org
    $28,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Keith Krein

    DIRECTOR

    Total calculated
    $28,000
    From this org
    $28,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Elizabeth Rust

    DIRECTOR

    Total calculated
    $28,000
    From this org
    $28,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Linda Upmeyer

    DIRECTOR

    Total calculated
    $28,000
    From this org
    $28,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • David Dixon

    SVP/CFO/TREASURER

    Total calculated
    $440,004
    From this org
    $437,357
    From related orgs
    $0
    Other
    $2,647
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $399,257
    Bonus
    $0
    Other
    $38,100
    Deferred
    $0
    Nontaxable benefits
    $2,647
    Filer's total
    $440,004

  • Jessica McDyer

    VP SKILLED NURSING OPERATI

    Total calculated
    $323,889
    From this org
    $297,306
    From related orgs
    $0
    Other
    $26,583
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $262,473
    Bonus
    $0
    Other
    $34,833
    Deferred
    $0
    Nontaxable benefits
    $26,583
    Filer's total
    $323,889

  • Jennifer Harwood

    VP HOSPICE

    Total calculated
    $281,069
    From this org
    $274,902
    From related orgs
    $0
    Other
    $6,167
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $173,282
    Bonus
    $0
    Other
    $101,620
    Deferred
    $0
    Nontaxable benefits
    $6,167
    Filer's total
    $281,069

  • Cami Black

    VP HOSPICE

    Total calculated
    $28,994
    From this org
    $28,723
    From related orgs
    $0
    Other
    $271
    Hours/week
    40

  • Darline Etienne

    CHARGE NURSE RN

    Total calculated
    $321,050
    From this org
    $311,770
    From related orgs
    $0
    Other
    $9,280
    Hours/week
    90

    Schedule J breakdown matched by us

    Base
    $311,770
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $9,280
    Filer's total
    $321,050

  • Johanna Volm

    VP CLINICAL SERVICES

    Total calculated
    $322,096
    From this org
    $310,418
    From related orgs
    $0
    Other
    $11,678
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $272,318
    Bonus
    $0
    Other
    $38,100
    Deferred
    $0
    Nontaxable benefits
    $11,678
    Filer's total
    $322,096

  • Emily Drake

    VP GENERAL COUNSEL

    Total calculated
    $325,328
    From this org
    $298,089
    From related orgs
    $0
    Other
    $27,239
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $259,989
    Bonus
    $0
    Other
    $38,100
    Deferred
    $0
    Nontaxable benefits
    $27,239
    Filer's total
    $325,328

  • Jeramy Kuhn

    CHIEF COMPLIANCE OFFICER

    Total calculated
    $305,428
    From this org
    $295,028
    From related orgs
    $0
    Other
    $10,400
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $256,928
    Bonus
    $0
    Other
    $38,100
    Deferred
    $0
    Nontaxable benefits
    $10,400
    Filer's total
    $305,428

  • Joeilynn Leonhardt

    VP HUMAN RESOURCES

    Total calculated
    $312,321
    From this org
    $287,527
    From related orgs
    $0
    Other
    $24,794
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $249,427
    Bonus
    $0
    Other
    $38,100
    Deferred
    $0
    Nontaxable benefits
    $24,794
    Filer's total
    $312,321

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

  • IOWA HEALTH CARE ASSOCIATION FOUNDATION

    $10,000

    GENERAL SUPPORT

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • ODEBOLT LIVING LLC

    LOW INCOME HOUSING · IA · income $7,036 · assets $1,756

    Directly controlled by CARE INITIATIVES

  • DUNLAP LIVING LLC

    LOW INCOME HOUSING · IA · income $1,548 · assets -$479

    Directly controlled by CARE INITIATIVES

  • LAMONI LIVING LLC

    LOW INCOME HOUSING · IA · income $12,484 · assets $1,669

    Directly controlled by CARE INITIATIVES

  • PANORA LIVING LLC

    LOW INCOME HOUSING · IA · income $0 · assets $800

    Directly controlled by CARE INITIATIVES

  • CI HEALTHCARE LLC

    HOSPICE SERVICES · IA · income $0 · assets -$653,406

    Directly controlled by CARE INITIATIVES

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • AMERICAN HEALTH HOLDINGS OF IOWA LLC

    UNRELATED · ISNP · TN · 20.81% owned · share of income $3,023 · share of assets $584,993

  • LTC PHARMCO LLC

    RELATED · PHARMACY · IA · 50% owned · share of income $650,891 · share of assets $2,800,305

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • IOWA INDEMNITY COMPANY LTD

    C · CAPTIVE INSURANCE · TK · 100% owned · share of income $160,459 · share of assets $3,055,770 · controlled entity

Provenance

Return type
form_990
Tax year
2024
Filed
6 November 2025
IRS schema version
2024v5.2
Source object
202543149349303759

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