2024-05-14T08:00:31-05:00 2023-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-07-01 431124995 WILLOW HEALTH CARE INC % TRACEY AMYX CFO WILL 4174690204 PO BOX 309 WILLOW SPRINGS MO 65793 EMILY COUNTS CEO 4174690204 2024-05-15 true SHIRLEY ALTER XXX-XX-XXXX Brian D Todd P00422601 4178658701 2024-05-15 2 2022 2023-04-26 12:10:37Z EMILY COUNTS PO BOX 309 WILLOW SPRINGS MO 65793 37951669 false X WWW.WILLOWHEALTHCARE.COM X 1978 MO AS A COMMUNITY ORIENTED HEALTH CARE PROVIDER, WILLOW HEALTH CARE, INC. DEDICATES ITS RESOURCES TO DELIVER QUALITY, COST EFFECTIVE HEALTHCARE. SEE SCH O FOR ADDITIONAL DETAIL. 7 7 982 7 0 0 2300586 142737 29525230 30944249 -8532 52765 0 6807713 31817284 37947464 0 0 0 0 16925647 17451652 0 0 0 13678045 13274481 30603692 30726133 1213592 7221331 36200966 41834328 25461434 23873465 10739532 17960863 X WILLOW HEALTH CARE, INC TAKES EXCEPTIONAL CARE OF OUR COMMUNITY AND EMPLOYEES, BY DEDICATING OUR RESOURCES TOWARDS IMPROVING OPERATIONS, TECHNOLOGY, AND SERVICES. false false 23104745 28371373 WILLOW HEALTH CARE, INC OWNS AND OPERATES 5 SKILLED NURSING FACILITIES IN MISSOURI - WILLOW CARE NURSING HOME (WILLOW SPRINGS, MO), MTN. VIEW HEALTHCARE (MTN. VIEW, MO), BROOKE HAVEN HEALTHCARE (WEST PLAINS, MO), OZARK RIVERVIEW MANOR (OZARK, MO) AND COPPER ROCK (ROGERSVILLE, MO). THESE FACILITIES PROVIDED 125,980 DAYS OF CARE THROUGHOUT FISCAL YEAR ENDED JUNE 30, 2023. EACH FACILITY OFFERS LONG TERM CARE, POST ACUTE SHORT-TERM STAYS AND OUTPATIENT THERAPY SERVICES TO THE COMMUNITY. SEE SCH O FOR ADDITIONAL PROGRAM SERVICE INFORMATION. 1213530 1138925 WILLOW HEALTH CARE, INC. OWNS AND OPERATES 2 ASSISTED LIVING FACILITIES AND 1 RESIDENTIAL CARE FACILITY IN MISSOURI: WILLOW WEST APARTMENTS LOCATED IN WILLOW SPRINGS, MO, AND PARK PLACE APARTMENTS LOCATED IN MTN. VIEW, MO. THESE ASSISTED LIVING FACILITIES PROVIDED 10,026 DAYS OF CARE THROUGHOUT FISCAL YEAR ENDING 06/30/23. RIVERVIEW RESIDENTIAL PLACE LOCATED IN OZARK, MO, A RESIDENTIAL CARE FACILITY PROVIDING 4,787 DAYS OF CARE THROUGHOUT FISCAL YEAR ENDING 6/30/2023. SEE SCHEDULE O FOR MORE INFORMATION ABOUT THIS PROGRAM SERVICE. 796275 832985 WILLOW HEALTH CARE, INC. OWNS AND OPERATES A SKILLED HOME HEALTH AN HOME CARE AGENCY SERVING 7 COUNTIES IN SOUTHWEST MISSOURI. THE AGENCY PROVIDED CARE TO 139 HOME HEALTH CLIENTS AND 73 HOME CARE CLIENTS THROUGHOUT FISCAL YEAR ENDING 06/30/2023. SEE SCHEDULE O FOR MORE INFORMATION ABOUT THIS PROGRAM SERVICE. 600966 25114550 true true false true false false false false true false true false false true true false true false false false false false false false false false false false false false false false false false false false false false true false false false false false false false false true 48 0 true 982 true false false false false false false false false false false false false X 7 7 false false false false true true true true true false false true true true true true true true true false X TRACEY AMYX CFO 4174690204 PO BOX 309 WILLOW SPRINGS MO 65793 KRYSTAL COLVIN FAMILY NURSE PRACTIONER 40.0 0.0 X 137164 0 11710 SHIRLEY ALTER CEO 40.0 0.0 X 136153 0 5979 SHERRY MILLER CFO 40.0 0.0 X 119264 0 16551 EMILY COUNTS CCO 40.0 0.0 X 135452 0 0 ROY PACE ADMINISTRATOR 40.0 0.0 X 119661 0 13346 MARY GREGORY VP OF HR 40.0 0.0 X 72483 0 795 JAMIE OGDEN CHAIRMAN 1.0 0.0 X X 0 0 0 LINDA ELIJAH VICE CHAIR 1.0 0.0 X X 0 0 0 ELQUIN AUALA SECRETARY 1.0 0.0 X X 0 0 0 DENNIS VONALLMEN TREASURER 1.0 0.0 X X 0 0 0 BRIAN VANFOSSON DIRECTOR 1.0 0.0 X 0 0 0 GARY YARBER DIRECTOR 1.0 0.0 X 0 0 0 MARY ADAMS DIRECTOR 1.0 0.0 X 0 0 0 720177 0 48381 5 false false false FASSNIGHT MEDICAL SOLUTIONS LLC PO BOX 101004 ATLANTA GA 30392 CONTRACT NURSING 403382 FIRST CALL MEDICAL PO BOX 1857 LOCKBOX 1 OWASSO OK 74055 CONTRACT NURSING 331836 WEST PLAINS ROOFING 902 WEST BROADWAY WEST PLAINS MO 65775 CONSTRUCTION SERVICE 304425 FORVIS LLP 910 E ST LOUIS STREET SPRINGFIELD MO 65806 AUDIT/TAX/CONSULTING 244865 4 135858 6879 62102 142737 PATIENT SERVICE 623990 30862319 30862319 MEALS 722210 13838 13838 OTHER 900099 68092 68092 30944249 56970 56970 0 0 0 0 0 4205 -4205 -4205 -4205 0 0 0 0 0 0 0 0 0 GAIN ON INVOLUNTARY CONVERSION 900099 241362 241362 EMPLOYEE RETENTION CREDIT 900099 6566351 6566351 6807713 37947464 30944249 6860478 0 0 0 0 486677 486677 0 14004608 12148003 1856605 0 1882400 1553802 328598 1077967 878903 199064 0 46000 46000 535147 535147 0 0 0 3302637 3160247 142390 27477 27477 200821 38496 162325 489133 489133 0 1447514 1180145 267369 103717 54598 49119 0 36412 36412 740296 603589 136707 0 1497644 1231750 265894 357450 357450 MEDICAL SUPPLIES & DRUGS 2511187 2511187 PROVIDER TAX AND FEES 1752977 1752977 PCC EXPENSE 145352 145352 LICENSES, DUES, SUBSCRIPTIONS 80717 853 79864 30726133 25114550 5611583 0 892413 1864586 6570091 6404963 0 0 2922997 2735365 0 0 0 0 0 0 240361 174799 711139 188125 40398215 17937077 23518643 22461138 0 0 0 0 0 0 333500 278000 1011822 7727352 36200966 41834328 2174203 1351610 0 0 112900 14400 0 0 172634 223773 0 0 22851922 21935398 0 0 149775 348284 25461434 23873465 X 10739532 17960863 0 0 10739532 17960863 36200966 41834328 7221331 X false true X false true true X 6123 632445 3470023 2300586 142737 6551914 27423665 29999880 30617164 29525230 30944249 148510188 0 0 0 27429788 30632325 34087187 31825816 31086986 155062102 0 0 0 155062102 17585 16518 19020 9941 56970 120034 0 17585 16518 19020 9941 56970 120034 0 0 0 0 0 6807713 6807713 27447373 30648843 34106207 31835757 37951669 161989849 0.95723 0.99950 0.00074 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true 29071 29071 false SCHEDULE C, PART II-B, LINE 1F DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS: MEMBERS OF TOP MANAGEMENT ANNUALLY MEET WITH LOCALLY ELECTED MISSOURI SENATORS AND REPRESENTATIVES TO DISCUSS MATTERS AFFECTING THE ORGANIZATION. SCHEDULE C, PART II-B, LINE 1I OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS ANNUAL DUES TO AHCA ($11,493) AND MHCA ($17,578) FOR EACH OF ITS LOCATIONS. A PORTION OF THESE DUES IS ATTRIBUTABLE TO LOBBYING EXPENSE. false true X 2811141 2811141 32182097 13193980 18988117 5366885 4743097 623788 38092 38092 22461138 OTHER RECEIVABLES 99517 CERTIFICATE OF NEED LICENSE 901989 DUE FROM THIRD PARTY PAYERS 159495 ERC RECIEVABLE 6566351 7727352 0 DUE TO THIRD PARTY PAYERS 214617 OTHER LIABILITIES 133667 348284 37951669 37951669 -4205 -4205 37947464 30730338 4205 4205 30726133 30726133 SCHEDULE D, PART IV, LINE 2B ESCROW ACCOUNT LIABILITY: THE CORPORATION IS THE TRUSTEE OF $233,773 AND $172,634, AT JUNE 30, 2023 AND 2022, RESPECTIVELY, IN FUNDS RECEIVED ON BEHALF OF VARIOUS RESIDENTS. THE CORPORATION HAS FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THE BANK ACCOUNT AND THE DISTRIBUTION OF THE FUNDS TO RESIDENTS. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (4,205) LOSS ON SALE OF ASSET SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 4,205 LOSS ON SALE OF ASSET X 1 61776 FMV false false false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTORS: CONTRIBUTIONS WERE FROM A SINGLE DONOR. FORM 990, PART I, LINE 1 ORGANIZATIONAL MISSION: WILLOW HEALTH CARE, INC. WILL ASSUME A LEADERSHIP ROLE IN PROVIDING A CONTINUUM OF CARE TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. OUR CONTINUUM OF CARE WILL BE ADAPTED TO SUCCESSFULLY ANTICIPATE CHANGE IN THE HEALTH NEEDS OF THE COMMUNITY. THE RANGE OF SERVICES WILL ENCOMPASS GENERAL AND SPECIALIZED SERVICES PROVIDING: LONG TERM SKILLED NURSING, POST-ACUTE CARE, REHABILITATION (INPATIENT AND OUTPATIENT), HOUSING, WELLNESS, TRANSPORTATION, NUTRITION, INDEPENDENT LIVING & ASSISTED LIVING. FORM 990, PART I, LINE 6 TOTAL NUMBER OF VOLUNTEERS: TOTAL NUMBER OF VOLUNTEERS INCLUDES NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS AND MEMBERS OF THE COMMUNITY WHO VOLUNTEER THEIR TIME TO SERVE RESIDENTS AND PARTICIPATE IN SPECIAL ACTIVITIES, INCLUDED BINGO, DINNERS, ETC. FORM 990, PART III, LINE 4A SKILLED NURSING FACILITIES: OUR SKILLED NURSING FACILITIES ARE ACTIVE IN THE COMMUNITIES THEY OPERATE IN. WE PARTICIPATE IN MANY COMMUNITY EVENTS AND OFFER A CONTINUUM OF CARE TO THE COMMUNITY MEMBERS. OUR FACILITIES OFFER EXTENSIVE THERAPY SERVICES INCLUDING A SUB-ACUTE REHAB UNIT AT ONE FACILITY OFFERED TO OUR INPATIENT RESIDENTS. WE ALSO OFFER A FULL RANGE OF OUTPATIENT THERAPY SERVICES, INCLUDING AQUATIC THERAPY SERVICES AT THE INDOOR THERAPY POOL AT ONE LOCATION. WE HAVE AN EXCELLENT DIETARY DEPARTMENT OFFERING A FULL RANGE OF BAKED GOODS AND A SODA SHOP WITH LUNCH OPTIONS FOR OUR RESIDENTS, STAFF, AND VISITORS. THREE OF OUR FACILITIES CURRENTLY OFFER LOCKED SPECIAL CARE UNITS WITH SERVICES GEARED TOWARDS MEETING THE SPECIAL NEEDS OF PATIENTS WITH DEMENTIA. WE HAVE MID LEVEL PRACTITIONERS AVAILABLE IN OUR HOWELL COUNTY FACILITIES SEVERAL TIMES A WEEK TO ADDRESS CONCERNS OF FAMILIES AND THE NURSING STAFF WITH OUR RESIDENT NEEDS AS WELL AS PHYSICIANS VISITS MONTHLY. FORM 990, PART III, LINE 4B ASSISTED LIVING FACILITIES: OUR ASSISTED LIVING AND RESIDENTIAL CARE FACILITIES OFFER APARTMENTS FOR OUR RESIDENTS OFFERING ALL THE AMENITIES OF HOME. DINING SERVICES ARE AVAILABLE AT ALL THREE MEALS, ACTIVITIES ARE PLANNED ON SITE AND OUT IN THE COMMUNITIES, ASSISTANCE WITH MEDICATIONS, AND SECURITY ARE ALL AVAILABLE. THESE FACILITIES OFFER THE INDEPENDENCE OF YOUR OWN APARTMENT, BUT THE SAFETY OF HAVING STAFF AVAILABLE FOR THE THINGS YOU NEED ON A DAILY BASIS. BEAUTY SHOP SERVICES ARE ALSO AVAILABLE ON SITE FOR THE RESIDENTS. FORM 990, PART III, LINE 4C SKILLED HOME HEALTH AND HOME CARE AGENCY: THE HOME HEALTH AGENCY IS ACTIVELY INVOLVED IN THE APPROVED COUNTIES OF SERVICE. THE AGENCY PARTICIPATES IN HEALTH FAIRS HELD IN OUR AREA MEETING THE COMMUNITY, OFFERING FREE BLOOD PRESSURE CHECKS AND INFORMATION REGARDING THE OPTIONS OF CARE THEY HAVE AVAILABLE TO PEOPLE IN THEIR HOMES. OUR NURSES, THERAPISTS, AND CARE GIVERS TAKE AN ACTIVE ROLE IN MEETING THE NEEDS OF THEIR CLIENTS IN THEIR HOMES. THE AGENCY WORKS WITH THE CLIENT'S PHYSICIANS AND FAMILY MEMBERS TO OFFER TO THE CLIENT THE BEST CARE OPTIONS POSSIBLE FOR THAT CLIENT'S NEEDS, WHILE ALLOWING THEM TO HAVE THE LUXURY OF REMAINING OR RETURNING TO THEIR HOME AFTER A MEDICAL PROCEDURE. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICE DESCRIPTION: WILLOW HEALTH CARE, INC. OPERATES A RURAL HEALTH CLINIC IN WILLOW SPRINGS, MO. THIS CLINIC HAD 6,244 NURSE PRACTITIONER AND 1,294 PHYSICIAN ENCOUNTERS BILLED THROUGH THE CLINIC IN FISCAL YEAR ENDING 06/30/2023. FORM 990, PART VI, SECTION A, LINE 6, 7A & 7B CORPORATE MEMBERSHIP: MEMBERSHIP QUALIFICATION: (1) TO MAKE APPLICATION FOR MEMBERSHIP, (2) TO BE INTERESTED IN THE PROVISION OF HEALTH SERVICES, (3) TO BE A CONTRIBUTOR TO THE FUND DRIVE - $200 MEMBERSHIP FEE, (4) TO BE APPROVED BY THE BOARD OF DIRECTORS, (5) TO BE OF LEGAL VOTING AGE. MEMBERSHIP FEES: MEMBERSHIP FEES ARE TO BE DETERMINED BY THE BOARD OF DIRECTORS AT THE BEGINNING OF THE FISCAL YEAR. MEMBERS VOTING RIGHTS: EACH MEMBER SHALL BE ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE MEMBERS. ALL MEMBERS VOTE ON THE BOARD OF DIRECTOR MEMBERS AT THE ANNUAL MEMBERSHIP MEETING. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A DRAFT VERSION OF FORM 990 IS FIRST REVIEWED BY THE CFO AND THEN PROVIDED TO THE BOARD OF DIRECTORS FOR FULL REVIEW. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY IS ANNUALLY REVIEWED WITH THE BOARD AND EACH BOARD MEMBER MUST SIGN THE POLICY NOTING THEIR UNDERSTANDING AND COMPLIANCE WITH SUCH. ANY CONFLICT OF INTEREST IS BROUGHT OUT AT THAT TIME AND A WRITTEN DISCLOSURE IS SIGNED BY THE BOARD MEMBER INVOLVED, WHICH SPECIFICALLY STATES THE NATURE OF THE CONFLICT AND THAT THEY WILL ABSTAIN FROM VOTING ON ANY MATTER RELATED TO THIS CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION REVIEW POLICIES: ANNUALLY, COMPENSATION COMPARISONS ARE OBTAINED THROUGH INDUSTRY PUBLICATIONS AND ANNUALLY THE BOARD IS PRESENTED WITH A COMPARISON OF SALARIES BASED ON THIS DATA FOR ALL KEY POSITIONS, INCLUDING THE ORGANIZATION'S EXECUTIVE MANAGEMENT, OTHER OFFICERS AND KEY EMPLOYEES. INDIVIDUAL COMPENSATION LEVELS ARE REVIEWED AND APPROVED BY THE BOARD AS A PART OF THE ANNUAL BUDGET REVIEW AND APPROVAL. THIS APPROVAL IS DOCUMENTED IN THE MINUTES OF THE BOARD. SALARIES OF ALL ADMINISTRATIVE AND MANAGEMENT EMPLOYEES ARE REVIEWED ANNUALLY BY THE EXECUTIVE STAFF. A COMPARISON OF THESE WAGE LEVELS IS MADE WITH INDUSTRY PUBLICATIONS AND ALL ARE PRESENTED TO THE BOARD AND APPROVED AS A PART OF THE ANNUAL BUDGET PROCESS. ALL WAGES ARE ANNUALLY REVIEWED BY THE CEO AND VP OF HUMAN RESOURCES AS COMPARED TO INDUSTRY STANDARDS. ALL WAGES ARE ALSO REVIEWED AND APPROVED THROUGH THE BUDGET PROCESS APPROVAL BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES FEES TOTAL FEES:3062289 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL DIRECTOR FEES TOTAL FEES:125900 FORM 990 PART IX LINE 11G DESCRIPTION:PAYROLL FEES TOTAL FEES:87002 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:20745 FORM 990 PART IX LINE 11G DESCRIPTION:EMPLOYEE BENEFIT FEES TOTAL FEES:6701