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WILLOW HEALTH CARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WILLOW HEALTH CARE INC (EIN 43-1124995)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-01
IRS object ID
201230619349302703
Schema version
2010v3.7
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)
Timestamp2012-03-01T15:08:18-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN431124995EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WILLOW HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWILLNameControl
Phone4174693152Phone

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 Signed2012-03-01DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts17313489GrossReceipts
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.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees706TotalNbrEmployees
Total Nbr Volunteers48TotalNbrVolunteers
Total Gross UBI6563TotalGrossUBI
Net Unrelated Business Txbl Income-498NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2318ContributionsGrantsPriorYear
Contributions Grants Current Year2581ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16672949ProgramServiceRevenuePriorYear
Program Service Revenue CY17047058ProgramServiceRevenueCY
Investment Income Prior Year241812InvestmentIncomePriorYear
Investment Income Current Year-39114InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year259047OtherRevenueCurrentYear
Total Revenue Prior Year16917079TotalRevenuePriorYear
Total Revenue Current Year17269572TotalRevenueCurrentYear
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 Year9436964SalariesEtcPriorYear
Salaries Etc Current Year9961928SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6929763OtherExpensePriorYear
Other Expenses Current Year6653345OtherExpensesCurrentYear
Total Expenses Prior Year16366727TotalExpensesPriorYear
Total Expenses Current Year16615273TotalExpensesCurrentYear
Revenues Less Expenses Prior Year550352RevenuesLessExpensesPriorYear
Revenues Less Expenses CY654299RevenuesLessExpensesCY
Total Assets BOY10783374TotalAssetsBOY
Total Assets EOY12072583TotalAssetsEOY
Total Liabilities BOY7225967TotalLiabilitiesBOY
Total Liabilities EOY7860877TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3557407NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4211706NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWILLOW HEALTH CARE, INC. WILL ASSUME A LEADERSHIP ROLE IN PROVIDING A CONTINUUM OF CARE TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. FOR MORE INFORMATION, SEE SCHEDULE O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11694983Expense
Revenue14772300Revenue
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 84,552 DAYS OF CARE IN THE THREE FACILITIES THROUGHOUT FISCAL YEAR ENDING 06/30/11. 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)
Expense527403Expense
Revenue769525Revenue
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 13,720 DAYS OF CARE IN THE TWO FACILITIES THROUGHOUT FISCAL YEAR ENDING 06/30/11. SEE SCHEDULE O FOR MORE INFORMATION ABOUT THIS PROGRAM SERVICE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense838573Expense
Revenue1040531Revenue
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 113 HOME HEALTH CLIENTS AND 110 HOME CARE CLIENTS THROUGHOUT FISCAL YEAR ENDING 06/30/11. SEE SCHEDULE O FOR MORE INFORMATION ABOUT THIS PROGRAM SERVICE.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp774693TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev458139TotalOfOtherProgramServiceRev
Total Program Service Expense13835652TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 AssetstrueReportOtherAssets
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 With109628NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees706NumberOfEmployees
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 DocstrueChangesToOrganizingDocs
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 Number4174693152TelephoneNumber

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 DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
REV CHARLES W MILLNER
CHAIRMAN1.0XX000
JAMES E OGDEN
VICE-CHAIR1.0XX000
JIM JOHNSON
DIRECTOR1.0X000
LEON WALKER
DIRECTOR1.0X000
DEANNA MCNEW
DIRECTOR1.0X000
DENNIS K VONALLMEN
TREASURER1.0XX000
ELQUIN AUALA
SECRETARY1.0XX000
JACK WHITAKER
EXECUTIVE DIRECTOR40.0X76885013823
SHERRY MILLER
VP OF FINANCE40.0X8002107830
RITA HAFF
VP OF OPERATIONS40.0X7876607652
FieldValueIRS element (for citing)
Total Reportable Comp From Org235672TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation29305TotalOtherCompensation
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 SERVICES1040634
BKD LLP
AUDIT/TAX/CONSULTING124283
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions2581AllOtherContributions
Total Contributions2581TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE6239901658235616582356
MEALS7222101279012790
BAKERY/SODA SHOPS7222106263462634
CATERING72232065636563
CABLE TB9000991457014570

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column368145TotalRevenueColumn
Related Or Exempt Function Income368145RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue17047058TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4803TotalRevenueColumn
Exclusion$4,803ExclusionAmount

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)
Other43917Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-43917Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-43917TotalRevenueColumn
Exclusion-$43,917ExclusionAmount

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

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionGAIN ON INVOLUNTARY CONVERSIONDescription
Total Revenue Column259047TotalRevenueColumn
Exclusion$259,047ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue259047TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17269572TotalRevenueColumn
Related Or Exempt Function Income17040495RelatedOrExemptFunctionIncome
Unrelated Business Revenue6563UnrelatedBusinessRevenue
Exclusion$219,933ExclusionAmount

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)
Total264977Total
Management And General264977ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total180515Total
Program Services180515ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7853040Total
Program Services6710580ProgramServices
Management And General1142460ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total991249Total
Program Services780487ProgramServices
Management And General210762ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total672147Total
Program Services514036ProgramServices
Management And General158111ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total28875Total
Management And General28875ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total118408Total
Management And General118408ManagementAndGeneral

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)
Total1490919Total
Program Services1408132ProgramServices
Management And General82787ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total28677Total
Management And General28677ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total295989Total
Program Services97234ProgramServices
Management And General198755ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total84080Total
Management And General84080ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total666069Total
Program Services509388ProgramServices
Management And General156681ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total193927Total
Program Services131581ProgramServices
Management And General62346ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5122Total
Program Services5122ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total279322Total
Program Services213616ProgramServices
Management And General65706ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total586148Total
Program Services448267ProgramServices
Management And General137881ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total144304Total
Program Services144304ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT128382128382
LICENSES, DUES & SUBSCRIPTIONS3911539115
PROVIDER TAX AND FEES856144856144
MEDICAL SUPPLIES & DRUGS17078641707864

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16615273Total
Program Services13835652ProgramServices
Management And General2779621ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1063692BOY
EOY368058EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1008561BOY
EOY1208335EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1678015BOY
EOY1886291EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY122272BOY
EOY136001EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY331615BOY
EOY306713EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15430383LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8088282LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6121677BOY
EOY7342101EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY457542BOY
EOY825084EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10783374BOY
EOY12072583EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1106978BOY
EOY1134679EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3400BOY
EOY3800EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY23838BOY
EOY21371EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6024440BOY
EOY6650499EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY67311BOY
EOY50528EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7225967BOY
EOY7860877EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3557407BOY
EOY4211706EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3557407BOY
EOY4211706EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10783374BOY
EOY12072583EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses654299ReconcilationRevenueExpenses
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
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years100CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5038CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2900CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2318CurrentTaxYearMinus1Year
Current Tax Year2581CurrentTaxYear
Total12937Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12840632CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14321099CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15624285CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16660471CurrentTaxYearMinus1Year
Current Tax Year17040495CurrentTaxYear
Total76486982Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12840732CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14326137CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15627185CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16662789CurrentTaxYearMinus1Year
Current Tax Year17043076CurrentTaxYear
Total76499919Total
FieldValueIRS element (for citing)
Public Support Total50976499919PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years59185CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years50952CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15305CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8065CurrentTaxYearMinus1Year
Current Tax Year4803CurrentTaxYear
Total138310Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years59185CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years50952CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15305CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8065CurrentTaxYearMinus1Year
Current Tax Year4803CurrentTaxYear
Total138310Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12899917CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14377089CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15642490CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16670854CurrentTaxYearMinus1Year
Current Tax Year17047879CurrentTaxYear
Total76638229Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99820PublicSupportPercentage509
Prior Year Support Percentage0.99763PriorYearSupportPercentage
Investment Income Percentage0.00181InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00237PriorYrInvestIncomePercentage
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$2,116DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$4,812OtherActivitiesAmount
Total Lobbying Expenditures IIB6928TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALSSCHEDULE C, PART II-B, LINE 1GMEMBERS OF TOP MANAGEMENT ANNUALLY MEET WITH LOCALLY ELECTED MISSOURI SENATORS AND REPRESENTATIVES TO DISCUSS MATTERS AFFECTING THE ORGANIZATION.
OTHER LOBBYING ACTIVITIESSCHEDULE C, PART II-B, LINE 1ITHE ORGANIZATION PAYS ANNUAL DUES TO AHCA AND MHCA. A PORTION OF THESE DUES IS ATTRIBUTABLE TO LOBBYING EXPENSE.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FStrueIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis204655OtherCostOrOtherBasis
Book Value204655BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis10879690OtherCostOrOtherBasis
Depreciation5968670Depreciation
Book Value4911020BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2856931OtherCostOrOtherBasis
Depreciation1928239Depreciation
Book Value928692BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1489107OtherCostOrOtherBasis
Depreciation191373Depreciation
Book Value1297734BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7342101TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES396801
CERTIFICATE OF NEED LICENSE401989
DUE FROM THIRD PARTY PAYERS26294
FieldValueIRS element (for citing)
Total Book Value Other Assets825084TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO THIRD PARTY PAYERSDescription
Amount$50,528Amount
FieldValueIRS element (for citing)
Total Of Amounts50528TotalOfAmounts
Total Revenue17269572TotalRevenue
Total Expenses16615273TotalExpenses
Excess Or Deficit For Year654299ExcessOrDeficitForYear
Excess Or Deficit Per FS654299ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17269572TotRevenueEtcAuditedFinclStmt
Revenue Subtotal17269572RevenueSubtotal
Total Revenue Per Form99017269572TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16615273TotExpensesEtcAuditedFinclStmt
Expenses Subtotal16615273ExpensesSubtotal
Total Expenses Per Form99016615273TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ESCROW ACCOUNT LIABILITYSCHEDULE D, PART IV, LINE 2THE CORPORATION IS THE TRUSTEE OF $21,371 AND $23,838, AT JUNE 30, 2011 AND 2010, 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 MILLER86699EMPLOYEE COMPENSATIONfalse
CONNIE FIKTER
HALF-SISTER OF RITA HAFF77525EMPLOYEE COMPENSATI0Nfalse
JULIE OWENS
DAUGHTER OF DEANNA MCNEW16291EMPLOYEE COMPENSATIONfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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.
ORGANIZATION MISSIONFORM 990, PART III, 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.
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. TWO 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.
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTSFORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION'S BYLAWS WERE AMENDED TO ALLOW ANY MEMBER OF THE CORPORATION TO SUBMIT ADDITIONAL NOMINATIONS FOR BOARD MEMBERS BY PROVIDING THE NAME AND ADDRESS OF THE NOMINEE TO THE EXECUTIVE DIRECTOR AT LEAST 60 DAYS PRIOR TO THE NEXT SCHEDULE ANNUAL MEETING OF THE CORPORATION.
CORPORATE MEMBERSHIPFORM 990, PART VI, SECTION A, LINES 6 & 7MEMBERSHIPS 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.