Care Initiatives is a 501(c)(3) organization based in Wdm, Iowa, registered in 1989, with $271,912,461 in FY2024 revenue. CharityIndex grades it A+, and it directs about 92% of spending to programs.
Revenue (FY2024)
$271.9M
▲ 4.2% vs prior year
Health median: $840K
Expenses (FY2024)
$265.4M
Net assets
$74.8M
Employees
5,686
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Care Initiatives: 92% to programs · $0 to raise $100 earns a A+ on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Care Initiatives: 3 mo reserves · +2% margin earns a A on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Care Initiatives: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Care Initiatives: 5 of 5 disclosure signals earns a A+ on this criterion. See the exact thresholds →
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Charitable non-profit: 43 skilled nursing care locations, 2 assisted living locations, 7 independent living locations and 7 hospice locations.
Care is an iowa leader in direct contributions to the community. in 2016, $200,385 in charitable contributions were made to support charitable organizations that further care's exempt mission. of this over $150,060 was contributed to the alzheimer's association (the "association"). care is the statewide sponsor for the association's walk to end alzheimer's.
Revenue grew from $167.8M (FY2013) to $271.9M (FY2024) across 12 reported years.
Financial snapshot
Operating margin
2.4%
Revenue exceeded expenses in the latest fiscal year.
Total assets
$173.8M
Total liabilities
$98.9M
Net assets
$74.8M
Salaries & benefits
$171.1M
64% of expenses
Board members
8
7 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2024 | $271,912,461▲4.2% | $265,428,959▲1.4% | $74,839,654▲11.7% | $173,770,747▲0.2% | 990 |
| 2023 | $261,075,251▲9.7% | $261,808,342▲2.9% | $66,988,371▲1.0% | $173,375,162▼2.5% | 990 |
| 2022 | $237,982,008▲6.3% | $254,494,807▲15.1% | $66,317,810▼20.1% | $177,858,014▼5.1% | 990 |
| 2021 | $223,919,944▲5.1% | $221,174,551▲6.8% | $82,988,230▲2.5% | $187,351,959▼1.4% | 990 |
| 2020 | $212,958,169▲10.5% | $207,120,775▲8.2% | $80,992,837▲9.1% | $190,076,380▲3.6% | 990 |
| 2019 | $192,722,659▲2.1% | $191,399,173▲1.4% | $74,239,443▲1.8% | $183,418,361▼2.9% | 990 |
| 2018 | $188,697,841▼2.7% | $188,773,157▼2.2% | $72,915,957▼0.5% | $188,887,260▼5.4% | 990 |
| 2017 | $193,844,725▲0.2% | $192,976,658▲2.6% | $73,301,273▲1.2% | $199,589,695▼3.8% | 990 |
| 2016 | $193,497,205▲3.3% | $188,083,693▲3.2% | $72,458,206▲8.1% | $207,397,458▲1.3% | 990 |
| 2015 | $187,326,133▲3.0% | $182,194,021▲4.5% | $67,059,694▲8.3% | $204,646,395▲2.1% | 990 |
| 2014 | $181,907,858▲8.4% | $174,314,197▲6.7% | $61,907,582▲14.0% | $200,490,728▲2.1% | 990 |
| 2013 | $167,835,514 | $163,405,673▲3.9% | $54,288,921▲8.7% | $196,387,274▲2.0% | 990 |
| 2012 | — | $157,211,798▲2.8% | $49,949,080▲15.2% | $192,542,392▲4.7% | 990 |
| 2011 | — | $152,936,016▲4.4% | $43,351,165▲10.9% | $183,962,804 | 990 |
| 2010 | — | $146,533,932 | $39,099,132 | $183,908,087 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: Michael Beal — $729,150 (0.27% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Michael Beal | President/ceo/vice Chair | 40 | $729,150 |
| David Dixon | Svp/cfo/treasurer | 40 | $437,357 |
| Darline Etienne | Charge Nurse Rn | 90 | $311,770 |
| Johanna Volm | Vp Clinical Services | 40 | $310,418 |
| Emily Drake | Vp General Counsel | 40 | $298,089 |
| Jessica Mcdyer | Vp Skilled Nursing Operati | 40 | $297,306 |
| Jeramy Kuhn | Chief Compliance Officer | 40 | $295,028 |
| Joeilynn Leonhardt | Vp Human Resources | 40 | $287,527 |
| Jennifer Harwood | Vp Hospice | 40 | $274,902 |
| Cami Black | Vp Hospice | 40 | $28,723 |
| Denise Sturm | Chair | 2 | $28,000 |
| Elizabeth Rust | Director | 3 | $28,000 |
| Keith Krein | Director | 3 | $28,000 |
| Kevin Childs | Director | 1 | $28,000 |
| Lane Bowen | Director | 1 | $28,000 |
| Linda Upmeyer | Director | 2 | $28,000 |
| Mary Jane Carothers | Secretary | 2 | $28,000 |
| Contractor | Services | Paid |
|---|---|---|
| Blue Stone Therapy Inc | Phys/occ/sp Therapy | $5,176,248 |
| Reliant Pro Rehab LLC | Phys/occ/sp Therapy | $4,642,145 |
| Curana Health of Iowa Pllc | Medical Director Services | $1,270,507 |
| Grape Tree Medical Staffing LLC | Nurse Staffing | $1,012,019 |
| Shiftkey LLC | Nurse Staffing | $954,330 |
1 grant totaling $10K in FY2024. All grants made by Care Initiatives →
| Recipient | Purpose | Amount |
|---|---|---|
| Iowa Health Care Association Foundation | General support | $10,000 |
Explore more
Data for Care Initiatives (EIN 76-0262402) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.