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WILLOW HEALTH CARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WILLOW HEALTH CARE INC (EIN 43-1124995)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-04-18
IRS object ID
201431089349300403
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-04-18T09:03:39-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN431124995EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WILLOW HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% SHERRY MILLER VP OF FINANCEInCareOfName
Name ControlWILLNameControl
Phone4174690204Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 309AddressLine1
Address Line2SuiteAddressLine2
CityWILLOW SPRINGSCity
StateMOState
ZIP Code65793ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJACK WHITAKERName
TitleEXECUTIVE DIRECTORTitle
Phone4174690204Phone
Date Signed2014-02-27DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJACK WHITAKERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 309AddressLine1
CityWILLOW SPRINGSCity
StateMOState
ZIP Code65793ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17474794GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.willowhealthcare.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionAS A COMMUNITY ORIENTED HEALTH CARE PROVIDER, WILLOW HEALTH CARE, INC. DEDICATES ITS RESOURCES TO DELIVER QUALITY, COST EFFECTIVE HEALTHCARE. SEE SCHEDULE O FOR ADDITIONAL DETAIL.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees652TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI9073TotalGrossUBI
Contributions Grants Prior Year2850ContributionsGrantsPriorYear
Contributions Grants Current Year2380ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17005750ProgramServiceRevenuePriorYear
Program Service Revenue CY17468414ProgramServiceRevenueCY
Investment Income Prior Year-1294InvestmentIncomePriorYear
Investment Income Current Year185InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year17007306TotalRevenuePriorYear
Total Revenue Current Year17470979TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9863538SalariesEtcPriorYear
Salaries Etc Current Year10169512SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7127968OtherExpensePriorYear
Other Expenses Current Year7262519OtherExpensesCurrentYear
Total Expenses Prior Year16991506TotalExpensesPriorYear
Total Expenses Current Year17432031TotalExpensesCurrentYear
Revenues Less Expenses Prior Year15800RevenuesLessExpensesPriorYear
Revenues Less Expenses CY38948RevenuesLessExpensesCY
Total Assets BOY12019975TotalAssetsBOY
Total Assets EOY12030630TotalAssetsEOY
Total Liabilities BOY7792469TotalLiabilitiesBOY
Total Liabilities EOY7764176TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4227506NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4266454NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWILLOW HEALTH CARE, INC. TAKES EXCEPTIONAL CARE OF OUR COMMUNITY AND EMPLOYEES, BY DEDICATING OUR RESOURCES TOWARDS IMPROVING OPERATIONS, TECHNOLOGY, AND SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense12709848Expense
Revenue15507661Revenue
DescriptionWILLOW HEALTH CARE, INC. OWNS AND OPERATES 3 SKILLED NURSING FACILITIES IN HOWELL COUNTY, MISSOURI: WILLOW CARE NURSING HOME LOCATED IN WILLOW SPRINGS, MO, MTN. VIEW HEALTHCARE LOCATED IN MTN. VIEW, MO, AND BROOKE HAVEN HEALTHCARE LOCATED IN WEST PLAINS, MO. THESE NURSING HOMES PROVIDED 85,175 DAYS OF CARE IN THE THREE FACILITIES THROUGHOUT FISCAL YEAR ENDING 06/30/13. EACH FACILITY OFFERS LONG TERM CARE SERVICES AND OUTPATIENT THERAPY SERVICES TO THE COMMUNITY. SEE SCHEDULE O FOR MORE INFORMATION ABOUT THIS PROGRAM SERVICE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense782458Expense
Revenue1035989Revenue
DescriptionWILLOW HEALTH CARE, INC. OWNS AND OPERATES A SKILLED HOME HEALTH AND HOME CARE AGENCY SERVING 7 COUNTIES IN SOUTHWEST MISSOURI. THE AGENCY PROVIDED CARE TO 10,863 HOME HEALTH CLIENTS AND 3,565 HOME CARE CLIENTS THROUGHOUT FISCAL YEAR ENDING 06/30/13. SEE SCHEDULE O FOR MORE INFORMATION ABOUT THIS PROGRAM SERVICE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense577895Expense
Revenue915691Revenue
DescriptionWILLOW HEALTH CARE, INC. OWNS AND OPERATES 2 ASSISTED LIVING FACILITIES IN HOWELL COUNTY, MISSOURI: WILLOW WEST APARTMENTS LOCATED IN WILLOW SPRINGS, MO, AND PARK PLACE APARTMENTS LOCATED IN MTN. VIEW, MO. THESE ASSISTED LIVING FACILITIES PROVIDED 14,686 DAYS OF CARE IN THE TWO FACILITIES THROUGHOUT FISCAL YEAR ENDING 06/30/13. SEE SCHEDULE O FOR MORE INFORMATION ABOUT THIS PROGRAM SERVICE.Description
FieldValueIRS element (for citing)
Total Program Service Expense14070201TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109635NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees652NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSHERRY MILLER VP OF FINANCENamePerson
Telephone Number4174690204TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 309AddressLine1
CityWILLOW SPRINGSCity
StateMOState
ZIP Code65793ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
REV CHARLES W MILLNER
DIRECTOR1.0X000
JAMES E OGDEN
CHAIRMAN1.0X00X
LEON WALKER
VICE CHAIR1.0X00X
DEANNA MCNEW
DIRECTOR1.0X00
DENNIS K VONALLMEN
TREASURER1.0X00X
ELQUIN AUALA
SECRETARY1.0X00X
LINDA ELIJAH
DIRECTOR1.0X00
JACK WHITAKER
EXECUTIVE DIRECTOR40.080343014153X
SHERRY MILLER
VP OF FINANCE40.08504708228X
RITA HAFF
VP OF OPERATIONS40.08255609266X
FieldValueIRS element (for citing)
Total Reportable Comp From Org247946TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation31647TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
AEGIS THERAPY
THERAPY SERVICES1069447
BKD LLP
AUDIT/TAX/CONSULTING138434
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions2380AllOtherContributions
Total Contributions2380TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE6239901737538617375386
MEALS7225131694416944
BAKERY/SODA SHOPS7225134992349923
CATERING72232090739073
OTHER INCOME9000991708817088
FieldValueIRS element (for citing)
Total Program Service Revenue17468414TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4000TotalRevenueColumn
Exclusion$4,000ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other3815Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-3815Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3815TotalRevenueColumn
Exclusion-$3,815ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17470979TotalRevenueColumn
Related Or Exempt Function Income17459341RelatedOrExemptFunctionIncome
Unrelated Business Revenue9073UnrelatedBusinessRevenue
Exclusion$185ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total279593Total
Management And General279593ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total192914Total
Program Services192914ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8023891Total
Program Services6827267ProgramServices
Management And General1196624ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total995123Total
Program Services749019ProgramServices
Management And General246104ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total677991Total
Program Services498074ProgramServices
Management And General179917ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total30200Total
Management And General30200ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total128345Total
Management And General128345ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1510136Total
Program Services1403963ProgramServices
Management And General106173ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total40740Total
Management And General40740ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total322642Total
Program Services107630ProgramServices
Management And General215012ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total218152Total
Management And General218152ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total700787Total
Program Services514821ProgramServices
Management And General185966ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total189596Total
Program Services120876ProgramServices
Management And General68720ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4159Total
Program Services4159ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total291831Total
Program Services214389ProgramServices
Management And General77442ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total660575Total
Program Services485280ProgramServices
Management And General175295ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total165730Total
Management And General165730ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT168533168533
MEDICAL SUPPLIES & DRUGS16877431687743
LICENSES, DUES, SUBSCRIPTIONS4781747817
PROVIDER TAX AND FEES10955331095533

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17432031Total
Program Services14070201ProgramServices
Management And General3361830ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY354546BOY
EOY1090069EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1609467BOY
EOY800892EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2053991BOY
EOY1791856EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY140643BOY
EOY167096EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY260025BOY
EOY293264EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis16545545LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9169776LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7144884BOY
EOY7375769EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY456419BOY
EOY511684EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12019975BOY
EOY12030630EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY997145BOY
EOY1174703EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4200BOY
EOY3400EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY21258BOY
EOY22909EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6736466BOY
EOY6563164EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY33400BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7792469BOY
EOY7764176EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4227506BOY
EOY4266454EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4227506BOY
EOY4266454EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12019975BOY
EOY12030630EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses38948ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2900CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2318CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2581CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2850CurrentTaxYearMinus1Year
Current Tax Year2380CurrentTaxYear
Total13029Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15624285CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16660471CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17040495CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16992885CurrentTaxYearMinus1Year
Current Tax Year17459341CurrentTaxYear
Total83777477Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15627185CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16662789CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17043076CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16995735CurrentTaxYearMinus1Year
Current Tax Year17461721CurrentTaxYear
Total83790506Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50983790506PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15305CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8065CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4803CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4462CurrentTaxYearMinus1Year
Current Tax Year4000CurrentTaxYear
Total36635Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15305CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8065CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4803CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4462CurrentTaxYearMinus1Year
Current Tax Year4000CurrentTaxYear
Total36635Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15642490CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16670854CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17047879CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17000197CurrentTaxYearMinus1Year
Current Tax Year17465721CurrentTaxYear
Total83827141Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99956PublicSupportPercentage509
Prior Year Support Percentage0.99896PriorYearSupportPercentage
Investment Income Percentage0.00044InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00103PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationTHE ORGANIZATION PAYS ANNUAL DUES TO AHCA AND MHCA. A PORTION OF THESE DUES IS ATTRIBUTABLE TO LOBBYING EXPENSE.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FStrueIncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis254887OtherCostOrOtherBasis
Book Value254887BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12183637OtherCostOrOtherBasis
Depreciation6724452Depreciation
Book Value5459185BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3385539OtherCostOrOtherBasis
Depreciation2243387Depreciation
Book Value1142152BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis721482OtherCostOrOtherBasis
Depreciation201937Depreciation
Book Value519545BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7375769TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt17470979TotRevenueEtcAuditedFinclStmt
Revenue Subtotal17470979RevenueSubtotal
Total Revenue Per Form99017470979TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17432031TotExpensesEtcAuditedFinclStmt
Expenses Subtotal17432031ExpensesSubtotal
Total Expenses Per Form99017432031TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ESCROW ACCOUNT LIABILITYSCHEDULE D, PART IV, LINE 2BTHE CORPORATION IS THE TRUSTEE OF $22,909 AND $21,258, AT JUNE 30, 2013 AND 2012, 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.
UNCERTAIN TAX POSITIONSSCHEDULE D, PART X, LINE 2MANAGEMENT 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BRAD MILLER
SPOUSE OF SHERRY MILLER93966EMPLOYEE COMPENSATIONfalse
CONNIE FIKTER
SISTER OF RITA HAFF78020EMPLOYEE COMPENSATI0Nfalse
JULIE OWENS
DAUGHTER OF DEANNA MCNEW20928EMPLOYEE COMPENSATIONfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION MISSIONFORM 990, PART I, LINE 1WILLOW 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 AND ASSISTED LIVING.
TOTAL NUMBER OF VOLUNTEERSFORM 990, PART I, LINE 6TOTAL 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, INCLUDING BINGO, DINNERS, ETC.
PROGRAM SERVICE DESCRIPTIONSFORM 990, PART III, LINE 4OUR 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 AN ACUTE REHAB UNIT AT ONE FACILITY OFFERED TO OUR INPATIENT RESIDENTS. WE ALSO OFFER A FULL RANGE OF OUT PATIENT THERAPY SERVICES, INCLUDING AQUATIC THERAPY SERVICES AT THE INDOOR THERAPY POOL, AT ONE LOCATION. WE HAVE EXCELLENT DIETARY DEPARTMENTS OFFERING A FULL RANGE OF BAKED GOODS AND A SODA SHOP WITH LUNCH OPTIONS FOR OUR RESIDENTS, STAFF AND VISITORS. ALL 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 FACILITIES SEVERAL TIMES A WEEK TO ADDRESS CONCERNS OF FAMILIES AND THE NURSING STAFF WITH OUR RESIDENT NEEDS, AS WELL AS PHYSICIANS VISITS MONTHLY. OUR ASSISTED LIVING 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. 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.
CORPORATE MEMBERSHIPFORM 990, PART VI, SECTION A, LINES 6, 7A & 7BMEMBERSHIPS QUALIFICATIONS: (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, (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. MEMBERSHIP 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.
990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BTHE 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 VP OF FINANCE AND THEN PRESENTED TO THE BOARD OF DIRECTORS FOR FULL REVIEW.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CTHE 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.
COMPENSATION REVIEW POLICIESFORM 990, PART VI, SECTION B, LINE 15ANNUALLY, 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 OF DIRECTORS AND APPROVED AS A PART OF THE ANNUAL BUDGET PROCESS.
DOCUMENT DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST.