STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

WILLOW HEALTH CARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WILLOW HEALTH CARE INC (EIN 43-1124995)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-11
IRS object ID
201330429349301413
Schema version
2011v1.5
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)
Timestamp2013-02-11T15:57:46-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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
CityWILLOW SPRINGSCity
StateMOState
ZIP Code65793ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJACK WHITAKERName
TitleEXECUTIVE DIRECTORTitle
Date Signed2013-01-28DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
Date Prepared2013-01-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts17013062GrossReceipts
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 Employees661TotalNbrEmployees
Total Nbr Volunteers26TotalNbrVolunteers
Total Gross UBI12865TotalGrossUBI
Net Unrelated Business Txbl Income-1589NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2581ContributionsGrantsPriorYear
Contributions Grants Current Year2850ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17047058ProgramServiceRevenuePriorYear
Program Service Revenue CY17005750ProgramServiceRevenueCY
Investment Income Prior Year-39114InvestmentIncomePriorYear
Investment Income Current Year-1294InvestmentIncomeCurrentYear
Other Revenue Prior Year259047OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year17269572TotalRevenuePriorYear
Total Revenue Current Year17007306TotalRevenueCurrentYear
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 Year9961928SalariesEtcPriorYear
Salaries Etc Current Year9863538SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6653345OtherExpensePriorYear
Other Expenses Current Year7127968OtherExpensesCurrentYear
Total Expenses Prior Year16615273TotalExpensesPriorYear
Total Expenses Current Year16991506TotalExpensesCurrentYear
Revenues Less Expenses Prior Year654299RevenuesLessExpensesPriorYear
Revenues Less Expenses CY15800RevenuesLessExpensesCY
Total Assets BOY12072583TotalAssetsBOY
Total Assets EOY12019975TotalAssetsEOY
Total Liabilities BOY7860877TotalLiabilitiesBOY
Total Liabilities EOY7792469TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4211706NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4227506NetAssetsOrFundBalancesEOY
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
Expense12554714Expense
Revenue15136529Revenue
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 84,455 DAYS OF CARE IN THE THREE FACILITIES THROUGHOUT FISCAL YEAR ENDING 06/30/12. 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)
Expense506096Expense
Revenue728760Revenue
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 11,932 DAYS OF CARE IN THE TWO FACILITIES THROUGHOUT FISCAL YEAR ENDING 06/30/12. SEE SCHEDULE O FOR MORE INFORMATION ABOUT THIS PROGRAM SERVICE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense885419Expense
Revenue1127596Revenue
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 149 HOME HEALTH CLIENTS AND 90 HOME CARE CLIENTS THROUGHOUT FISCAL YEAR ENDING 06/30/12. SEE SCHEDULE O FOR MORE INFORMATION ABOUT THIS PROGRAM SERVICE.Description
FieldValueIRS element (for citing)
Total Program Service Expense13946229TotalProgramServiceExpense
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 LiabilitiestrueReportOtherLiabilities
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees661NumberOfEmployees
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 (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
REV CHARLES W MILLNER
CHAIRMAN1.0XX00
JAMES E OGDEN
VICE-CHAIR1.0XX
JIM JOHNSON
DIRECTOR, THROUGH 03/121.0X00
LEON WALKER
DIRECTOR1.0X00
DEANNA MCNEW
DIRECTOR1.0X00
DENNIS K VONALLMEN
TREASURER1.0XX00
ELQUIN AUALA
SECRETARY1.0XX00
LINDA ELIJAH
DIRECTOR, BEGINNING 05/121.0X00
JACK WHITAKER
EXECUTIVE DIRECTOR40.0X76786013848
SHERRY MILLER
VP OF FINANCE40.0X8265107755
RITA HAFF
VP OF OPERATIONS40.0X7946208887
FieldValueIRS element (for citing)
Total Reportable Comp From Org238899TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation30490TotalOtherCompensation
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 SERVICES1139004
BKD LLP
AUDIT/TAX/CONSULTING131201
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions2850AllOtherContributions
Total Contributions2850TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE6239901685008816850088
MEALS7222101494314943
BAKERY/SODA SHOPS7222105589855898
CATERING7223201286512865
CABLE TV9000991237512375

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column59581TotalRevenueColumn
Related Or Exempt Function Income59581RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue17005750TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4462TotalRevenueColumn
Exclusion$4,462ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other5756Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-5756Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-5756TotalRevenueColumn
Exclusion-$5,756ExclusionAmount

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 Column17007306TotalRevenueColumn
Related Or Exempt Function Income16992885RelatedOrExemptFunctionIncome
Unrelated Business Revenue12865UnrelatedBusinessRevenue
Exclusion-$1,294ExclusionAmount

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)
Total289620Total
Management And General289620ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total181688Total
Program Services181688ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7808286Total
Program Services6694957ProgramServices
Management And General1113329ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total909181Total
Program Services700758ProgramServices
Management And General208423ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total674763Total
Program Services503054ProgramServices
Management And General171709ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total50881Total
Management And General50881ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total121433Total
Management And General121433ManagementAndGeneral

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)
Total1535401Total
Program Services1442564ProgramServices
Management And General92837ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total32714Total
Management And General32714ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total322111Total
Program Services100267ProgramServices
Management And General221844ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total85903Total
Management And General85903ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total633154Total
Program Services472033ProgramServices
Management And General161121ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total206685Total
Program Services135823ProgramServices
Management And General70862ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4983Total
Program Services4966ProgramServices
Management And General17ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total299062Total
Program Services222959ProgramServices
Management And General76103ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total647778Total
Program Services482936ProgramServices
Management And General164842ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total140417Total
Management And General140417ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT235268235268
MEDICAL SUPPLIES & DRUGS17599351759935
LICENSES, DUES, SUBSCRIPTIONS4322243222
PROVIDER TAX AND FEES10090211009021

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16991506Total
Program Services13946229ProgramServices
Management And General3045277ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY368058BOY
EOY354546EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1208335BOY
EOY1609467EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1886291BOY
EOY2053991EOY

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)
BOY136001BOY
EOY140643EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY306713BOY
EOY260025EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15739100LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8594216LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7342101BOY
EOY7144884EOY

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)
BOY825084BOY
EOY456419EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12072583BOY
EOY12019975EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1134679BOY
EOY997145EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3800BOY
EOY4200EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY21371BOY
EOY21258EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6650499BOY
EOY6736466EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY50528BOY
EOY33400EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7860877BOY
EOY7792469EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4211706BOY
EOY4227506EOY

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)
BOY4211706BOY
EOY4227506EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12072583BOY
EOY12019975EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses15800ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5038CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2900CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2318CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2581CurrentTaxYearMinus1Year
Current Tax Year2850CurrentTaxYear
Total15687Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14321099CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15624285CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16660471CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17040495CurrentTaxYearMinus1Year
Current Tax Year16992885CurrentTaxYear
Total80639235Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14326137CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15627185CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16662789CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17043076CurrentTaxYearMinus1Year
Current Tax Year16995735CurrentTaxYear
Total80654922Total
FieldValueIRS element (for citing)
Public Support Total50980654922PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years50952CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15305CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8065CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4803CurrentTaxYearMinus1Year
Current Tax Year4462CurrentTaxYear
Total83587Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years50952CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15305CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8065CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4803CurrentTaxYearMinus1Year
Current Tax Year4462CurrentTaxYear
Total83587Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14377089CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15642490CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16670854CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17047879CurrentTaxYearMinus1Year
Current Tax Year17000197CurrentTaxYear
Total80738509Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99896PublicSupportPercentage509
Prior Year Support Percentage0.99820PriorYearSupportPercentage
Investment Income Percentage0.00103InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00181PriorYrInvestIncomePercentage
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 LegislatorstrueDirectContactLegislators
Direct Contact Legislators$228DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$4,740OtherActivitiesAmount
Total Lobbying Expenditures IIB4968TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALSIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1GReturnReference
ExplanationMEMBERS OF TOP MANAGEMENT ANNUALLY MEET WITH LOCALLY ELECTED MISSOURI SENATORS AND REPRESENTATIVES TO DISCUSS MATTERS AFFECTING THE ORGANIZATION. OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1I THE 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
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis204655OtherCostOrOtherBasis
Book Value204655BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12169453OtherCostOrOtherBasis
Depreciation6328956Depreciation
Book Value5840497BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3000800OtherCostOrOtherBasis
Depreciation2071480Depreciation
Book Value929320BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis364192OtherCostOrOtherBasis
Depreciation193780Depreciation
Book Value170412BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7144884TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO THIRD PARTY PAYERSDescription
Amount$33,400Amount
FieldValueIRS element (for citing)
Total Of Amounts33400TotalOfAmounts
Total Revenue17007306TotalRevenue
Total Expenses16991506TotalExpenses
Excess Or Deficit For Year15800ExcessOrDeficitForYear
Excess Or Deficit Per FS15800ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17007306TotRevenueEtcAuditedFinclStmt
Revenue Subtotal17007306RevenueSubtotal
Total Revenue Per Form99017007306TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16991506TotExpensesEtcAuditedFinclStmt
Expenses Subtotal16991506ExpensesSubtotal
Total Expenses Per Form99016991506TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ESCROW ACCOUNT LIABILITYSCHEDULE D, PART IV, LINE 2THE CORPORATION IS THE TRUSTEE OF $21,258 AND $21,371, AT JUNE 30, 2012 AND 2011, 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 MILLER88147EMPLOYEE COMPENSATIONfalse
CONNIE FIKTER
HALF-SISTER OF RITA HAFF72730EMPLOYEE COMPENSATI0Nfalse
JULIE OWENS
DAUGHTER OF DEANNA MCNEW20811EMPLOYEE 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, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST.