Michael Beal, President and CEO
Mike Beal, MBA, has over 30 years of post-acute healthcare experience. Mr. Beal began his healthcare career with Kindred Healthcare based in Louisville, KY. Over the span of three decades he earned his way through the ranks from nursing home administrator to President of Nursing Center Division, where he managed operations of Kindred’s billion-dollar multi-state portfolio of skilled nursing and assisted living locations. Prior to becoming Care Initiatives’ President & CEO, Mr. Beal was Chief Operating Officer at Senior Care Centers in Texas, overseeing a $1 billion healthcare company which provided skilled nursing care, assisted living, independent living, rehabilitation and hospice services. Mr. Beal earned his Bachelor of Science in electrical engineering and a Master of Business Administration from the University of Maine.     

Joseph Reese, Senior Vice President and COO
Joseph Reese, MHA has over 25 years of post-acute care and leadership experience.  Mr. Reese has held positions as a nursing home administrator in Idaho, Washington, Oregon, and Utah.  He has also served as a vice president of operations for Life Care Centers of America, Genesis Healthcare, and Sava Senior Care spanning across 11 different western states throughout the past 15-years.  In addition to his extensive operational experience, Mr. Reese has served as a member of multiple state healthcare associations including board and committee positions in leadership, reimbursement, survey, and legislative affairs.  Mr. Reese earned his Bachelor of Science and Masters of Healthcare Administration from Weber State University in Ogden, UT.

Dave Dixon, Vice President and CFO
Dave Dixon, CPA, Chief Financial Officer, has over three decades of experience in accounting and finance, serving over 20 years with Care Initiatives as Director of Finance prior to his appointment in 2016 as CFO. Prior to joining Care Initiatives Mr. Dixon worked in public accounting in Des Moines. Mr. Dixon is currently the Chair of the Iowa Health Care Association (IHCA) Board of Directors, Chair of the IHCA Foundation Board, and serves on the board of Extended Care Services of Iowa, Inc. (ECSI) a group-purchasing subsidiary of IHCA. Mr. Dixon also sits on the American Health Care Association's Not for Profit Council, the Regional Multi-Facility Council, and the Business Management Committee. Mr. Dixon’s charitable works include 20 years on the board of the Des Moines Ronald McDonald House, serving as President and Treasurer and nine years on the board of Children and Family Urban Movement, serving as Treasurer. 

Johanna Volm, RN, BSN, Vice President of Clinical Services
Johanna Volm has over 30 years of experience serving elders in long term care.  Ms. Volm started her career in long term care as a certified nursing assistant in a county skilled nursing facility as she worked through nursing school.  After completing her BSN, she worked as a State Surveyor of nursing homes for the Bureau of Quality Assurance in the State of Wisconsin for 13 years.  Ms. Volm went back to the provider side of the business and worked for Extendicare as a Regional Nurse Consultant.  Later, Ms. Volm took a position as Risk Manager for a multi-state assignment of skilled nursing homes and assisted living.  Ms. Volm has experience as a Director of Clinical Services with multi-state assignments that included start-up facilities and working as a Nurse Consultant for skilled nursing facilities as well as assisted living.  for skilled nursing facilities as well as assisted living. Ms. Volm joined Care Initiatives in the middle of the COVID-19 pandemic and in addition to her new leadership role, she has been active on the frontline providing healthcare for residents and support for staff where needed. 

Miriam Yocum, RN BS RAC-CT, Vice President - Hospice
Miriam Yocum, RN, became Vice President of Care Initiatives Hospice January 1, 2018. She formerly served as Team Director of the Care Initiatives Hospice Des Moines office and more recently as corporate Clinical Director. Yocum’s background includes over 30 years working in both hospice clinical and administrative roles. Yocum joined Care Initiatives Hospice during its development in 2008, but has been a hospice nurse since 1987.  

Jeramy D. Kuhn, JD PT CHC CHPC - Corporate Compliance Officer/Privacy Officer
Jeramy Kuhn, an Iowa licensed attorney and physical therapist, has been with Care Initiatives since 2000 and has served a variety of Care locations as a clinical physical therapist and, since 2005, as the Corporate Compliance Officer/Privacy Officer.  Mr. Kuhn has over 25 years of health care experience, primarily focused in long-term care. He is a member of the American and Iowa Bar Associations as well as the American Health Care Association and American Health Lawyers Association. Mr. Kuhn maintains active membership in the American and Iowa Physical Therapy Associations and is a past Ethics Chair of the southwest district of the IPTA. Mr. Kuhn was a 2016 appointee to the Iowa Board of Physical and Occupational Therapy and currently serves as its Vice-Chair. Mr. Kuhn holds the Certification in Health Care Compliance (“CHC”) & Certification in Health Care Privacy Compliance (“CHPC”) designations from the Health Care Compliance Association.

Abhay Nadipuram, JD - Vice President and General Counsel
Abhay Nadipuram, J.D. began his role as Vice President and General Counsel of Care Initiatives on November 9, 2020.  Prior to joining Care Initiatives, Mr. Nadipuram was in-house counsel at the Iowa Hospital Association and Principal® in Des Moines, Iowa.  Mr. Nadipuram started his legal career as a civil litigator, representing individuals, corporations, municipalities, and health care providers.  Mr. Nadipuram serves on the board of directors for the Des Moines Choral Society was the Iowa State Bar Association’s Young Lawyers Division 2019-2020 President.  In 2020, Mr. Nadipuram was named to the Business Record’s Forty Under 40 List, which recognizes local business leaders are under the age of 40 who have demonstrated impressive career achievements and unparalleled community involvement.  Mr. Nadipuram holds a Bachelor of Arts in political science from Wartburg College and a Juris Doctor from the University of Iowa College of Law.

Tanya Gilyard - Vice President of Business Development
Tanya Gilyard has more than 20 years of experience in healthcare business development. Starting as Admissions Director for a family-owned company Health Facilities Management in Missouri, she later served as regional director. She gained experience in hospice care as a sales consultant for VITAS Innovative Hospice Care and returned to acting regional director of sales and marketing for Life Care Centers of America.  Later Mrs. Gilyard worked as Manager of Business Development for Heartland Home Health and hospice. In 2015, Mrs. Gilyard turned her attention to help launch Asana Hospice, which provided end-of-life care for patients and families in Pennsylvania, Ohio, Missouri, Kansas and Texas. She joined Care Initiatives as Vice President and Director of Business Development in 2020. Throughout her career Mrs. Gilyard has been active with the Missouri Healthcare Association on its education committee and later helped start the Missouri Bio-ethics Committee. She also participated in Texas Healthcare Association, partnered with the American Heart Association and the Alzheimer’s Association and most recently joined IHCA public relations committee.