Civic Intelligence

Willow Health Care Inc

EIN 43-1124995 • 501(c)3 • Willow Springs, MO

Profile

Willow health care, inc takes exceptional care of our community and employees, by dedicating our resources towards improving operations, technology, and services.

P O Box 309Willow Springs, MO 65793

www.willowhealthcare.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

77th percentile

0.56x

Higher debt load relative to assets than 77% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

73rd percentile

0.71x

Higher debt load relative to revenue than 73% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

39th percentile

0.8%

Higher net margin than 39% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

28th percentile

$183,379

Higher top officer pay than 28% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

25th percentile

-1.3%

Faster asset growth than 25% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

14th percentile

-15%

Faster revenue growth than 14% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$41,834,328

Up $5,633,362 (+16%) from 2022

Liabilities

Down

$23,873,465

Down $1,587,969 (-6.2%) from 2022

Net Assets

Up

$17,960,863

Up $7,221,331 (+67%) from 2022

Revenue

Up

$37,947,464

Up $6,130,180 (+19%) from 2022

Expenses

Up

$30,726,133

Up $122,441 (+0.4%) from 2022

Net Income

Up

$7,221,331

Up $6,007,739 (+495%) from 2022

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2010: $10,783,374Liabilities 2010: $7,225,967Net Assets 2010: $3,557,4072010Assets 2011: $12,072,583Liabilities 2011: $7,860,877Net Assets 2011: $4,211,7062011Assets 2012: $12,019,975Liabilities 2012: $7,792,469Net Assets 2012: $4,227,5062012Assets 2013: $12,030,630Liabilities 2013: $7,764,176Net Assets 2013: $4,266,4542013Assets 2014: $13,800,225Liabilities 2014: $9,650,812Net Assets 2014: $4,149,4132014Assets 2015: $15,048,866Liabilities 2015: $10,324,405Net Assets 2015: $4,724,4612015Assets 2016: $22,989,716Liabilities 2016: $17,876,432Net Assets 2016: $5,113,2842016Assets 2017: $23,606,427Liabilities 2017: $17,394,679Net Assets 2017: $6,211,7482017Assets 2018: $24,007,114Liabilities 2018: $17,765,099Net Assets 2018: $6,242,0152018Assets 2019: $32,418,440Liabilities 2019: $26,068,299Net Assets 2019: $6,350,1412019Assets 2020: $35,651,940Liabilities 2020: $28,911,520Net Assets 2020: $6,740,4202020Assets 2021: $36,879,770Liabilities 2021: $27,353,830Net Assets 2021: $9,525,9402021Assets 2022: $36,200,966Liabilities 2022: $25,461,434Net Assets 2022: $10,739,5322022Assets 2023: $41,834,328Liabilities 2023: $23,873,465Net Assets 2023: $17,960,8632023

Highlighted filing

2023

Assets$41,834,328
Liabilities$23,873,465
Net Assets$17,960,863

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0-$10MExpenses 2010: $16,366,7272010Expenses 2011: $16,615,2732011Expenses 2012: $16,991,5062012Expenses 2013: $17,432,0312013Revenue 2014: $18,177,330Expenses 2014: $18,294,371Net Income 2014: -$117,0412014Revenue 2015: $19,494,166Expenses 2015: $18,919,118Net Income 2015: $575,0482015Revenue 2016: $24,553,388Expenses 2016: $24,164,565Net Income 2016: $388,8232016Revenue 2017: $27,003,859Expenses 2017: $25,905,395Net Income 2017: $1,098,4642017Revenue 2018: $26,392,942Expenses 2018: $26,362,675Net Income 2018: $30,2672018Revenue 2019: $27,424,786Expenses 2019: $27,316,660Net Income 2019: $108,1262019Revenue 2020: $30,612,109Expenses 2020: $30,221,830Net Income 2020: $390,2792020Revenue 2021: $34,137,750Expenses 2021: $31,352,230Net Income 2021: $2,785,5202021Revenue 2022: $31,817,284Expenses 2022: $30,603,692Net Income 2022: $1,213,5922022Revenue 2023: $37,947,464Expenses 2023: $30,726,133Net Income 2023: $7,221,3312023

Highlighted filing

2023

Revenue$37,947,464
Expenses$30,726,133
Net Income$7,221,331

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$41.8$23.9$18.0$37.9$30.7$7.22
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$36.2$25.5$10.7$31.8$30.6$1.21
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$36.9$27.4$9.53$34.1$31.4$2.79
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$35.7$28.9$6.74$30.6$30.2$0.39
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$32.4$26.1$6.35$27.4$27.3$0.11
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$24.0$17.8$6.24$26.4$26.4$0.03
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$23.6$17.4$6.21$27.0$25.9$1.10
2016Detailed filing. Detailed filing data is available for this year.$23.0$17.9$5.11$24.6$24.2$0.39
2015Detailed filing. Detailed filing data is available for this year.$15.0$10.3$4.72$19.5$18.9$0.58
2014Detailed filing. Detailed filing data is available for this year.$13.8$9.65$4.15$18.2$18.3$0.12
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.0$7.76$4.27$17.4
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.0$7.79$4.23$17.0
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.1$7.86$4.21$16.6
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.8$7.23$3.56$16.4
Latest Detailed Filing

The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2020 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
Jul 15, 2021
Return Version
2019v5.1
Gross Receipts
$30,648,843
Mission and Program Overview

Mission

Willow health care, inc takes exceptional care of our community and employees, by dedicating our resources towards improving operations, technology, and services.

As a community oriented health care provider, willow health care, inc. Dedicates its resources to deliver quality, cost effective healthcare. See sch o for additional detail.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$25,572,702$25,687,380▲ $114,678
Cash and Non-Interest-Bearing Accounts$2,256,443$3,086,114▲ $829,671
Accounts Receivable$2,437,528$2,521,671▲ $84,143
Savings and Temporary Cash Investments$181,564$2,344,173▲ $2,162,609
Intangible Assets$500,000$444,500▼ $55,500
Prepaid Expenses and Deferred Charges$181,590$231,545▲ $49,955
Inventories for Sale or Use$121,777$224,304▲ $102,527
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$32,418,440$35,651,940▲ $3,233,500
Other Assets Total$1,166,836$1,112,253▼ $54,583
Liabilities
Mortgage Notes Payable Secured by Investment Property$22,895,178$24,995,075▲ $2,099,897
Accounts Payable and Accrued Expenses$2,834,523$2,116,263▼ $718,260
Deferred Revenue$8,600$1,505,009▲ $1,496,409
Escrow Account Liability$71,226$150,135▲ $78,909
Other Liabilities$258,772$145,038▼ $113,734
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$26,068,299$28,911,520▲ $2,843,221
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$6,350,141$6,740,420▲ $390,279
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$6,350,141$6,740,420▲ $390,279
Total Liabilities and Net Assets / Fund Balance$32,418,440$35,651,940▲ $3,233,500

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$21,289,149$10,343,605$31,632,754
Equipment$1,587,912$3,780,494$5,368,406
Land$2,719,533-$2,719,533
Other Land Buildings$90,786$0$90,786
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sherry MillerCFOFT$99,461$14,672$114,133
Rita HaffCOOFT$104,367$8,803$113,170
Shirley AlterCEOFT$97,190$9,285$106,475
Roy PaceVP of Operations Start 8-2019FT$95,136$7,968$103,104
Jack WhitakerCEO End 07/2019FT$86,446$4,194$90,640

Board Members and Trustees

NameTitle
Jamie OgdenChairman
Linda ElijahVice Chairman
Brian VanfossonDirector
Gary YarberDirector
Mary AdamsDirector
Elquin AualaSecretary
Dennis VonallmenTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Encore Rehabilitation ServicesTherapy ServicesPO BOX 933195, Cleveland, OH 44193$259,322
BkdAudit,tax,consultingPO BOX 1190, Springfield, MO 65801-1190$186,697
Haven Rehab LLCTherapy Services850 N 25TH STREET, Ozark, MO 65721$179,322
Revenue and Support

Revenue Composition

Contributions and Grants
$632,445
Program Service Revenue
$29,999,880
Investment Income
$-20,216
Other Revenue
$0
All Other Contributions
$4,119
Change in Net Assets
$390,279

Audited Revenue Reconciliation

Revenue per Audited Statements
$30,648,843
Revenue Not Reported on Financial Statements
$-36,734
Other Revenue Adjustments
$-36,734
Total Revenue per Audited Statements
$30,648,843
Total Revenue per Form 990
$30,612,109
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$17,594,365
Other Expenses$12,627,465
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$12,223,579$2,170,754-$14,394,333
Fees for Services Other$1,820,918$376,819-$2,197,737
Other Expenses$1,853,169$85,801-$1,853,169
Depreciation Depletion$1,261,032$297,703-$1,558,735
Other Employee Benefits$1,194,571$251,226-$1,445,797
Occupancy$906,042$223,652-$1,129,694
Payroll Taxes$899,119$221,944-$1,121,063
Interest$647,599$159,857-$807,456
Information Technology-$664,650-$664,650
Current Officers, Directors, Trustees, and Key Employees-$527,523-$527,523
Office Expenses$71,064$339,252-$410,316
Insurance-$273,401-$273,401
Fees for Services Accounting-$172,182-$172,182
Travel$66,676$91,997-$158,673
Comp Disqual Persons$105,649--$105,649
Advertising-$48,104-$48,104
Fees for Services Legal-$45,104-$45,104
Conferences and Meetings$8,213$33,225-$41,438
Total Functional Expenses$24,238,636$5,983,194$0$30,221,830

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$30,258,564
Expenses per Audited Statements$30,221,830
Total Expenses per Form 990$30,221,830
Expenses Not Reported on Form 990$36,734
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Connie FikterHalf-sister of Rita HaffEmployee CompensationNo$105,649

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other Liabilities$145,038
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6, 7A, & 7B

Corporate membership: membership qualification: (1) to make application for membership, (2) to be interested in the provision of health services, (3) to be a contributor to the fund drive - $200 membership fee, (4) to be approved by the board of directors, (5) to be of legal voting age. Membership fees: membership fees are to be determined by the board of directors at the beginning of the fiscal year. Members voting rights: each member shall be entitled to one vote on each matter submitted to a vote of the members. All members vote on the board of director members at the annual membership meeting.

Form 990, Part VI, Section B, Line 11B

990 review process: the form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. Prior to filing, a draft version of form 990 is first reviewed by the cfo and then provided to the board of directors for full review.

Form 990, Part VI, Section B, Line 12C

Conflict of interest policy: the conflict of interest policy is annually reviewed with the board and each board member must sign the policy noting their understanding and compliance with such. Any conflict of interest is brought out at that time and a written disclosure is signed by the board member involved, which specifically states the nature of the conflict and that they will abstain from voting on any matter related to this conflict.

Form 990, Part VI, Section B, Line 15A &15B

Compensation review policies: annually, compensation comparisons are obtained through industry publications and annually the board is presented with a comparison of salaries based on this data for all key positions, including the organization's executive management, other officers and key employees. Individual compensation levels are reviewed and approved by the board as a part of the annual budget review and approval. This approval is documented in the minutes of the board. Salaries of all administrative and management employees are reviewed annually by the executive staff. A comparison of these wage levels is made with industry publications and all are presented to the board and approved as a part of the annual budget process. All wages are annually reviewed by the ceo and vp of human resources as compared to industry standards. All wages are also reviewed and approved through the budget process approval by the board of directors.

Form 990, Part VI, Section C, Line 19

Document disclosure: the organization's governing documents, conflict of interest policy, and financial statements are made available upon written request

Filing and Contact Details

Filer

Filer Name
Willow Health Care Inc
EIN
43-1124995
In Care Of
% SHERRY MILLER CFO
Phone
4174690204
Address
P O BOX 309, WILLOW SPRINGS, MO 65793

Signing Officer

Name
Shirley Alter
Title
Chief Executive Offi
Phone
4174690204
Signed
2021-07-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Shirley Alter
Formed
1978
Legal Domicile
Mo
Voting Board Members
8
Independent Board Members
7
Employees
946
Volunteers
30

Preparer

Firm
Bkd Llp
Address
910 E ST LOUIS 200/PO BOX 1190, SPRINGFIELD, MO 65806-2523
Preparer
Brian D Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1

Organizational mission: willow health care, inc. Will assume a leadership role in providing a continuum of care to improve the health status of the community. Our continuum of care will be adapted to successfully anticipate change in the health needs of the community. The range of services will encompass general and specialized services providing: long term skilled nursing, post-acute care, rehabilitation (inpatient and outpatient), housing, wellness, transportation, nutrition, independent living & assisted living.

Form 990, Part I, Line 6

Total number of volunteers: total number of volunteers includes non-compensated members of the board of directors and members of the community who volunteer their time to serve residents and participate in special activities, included bingo, dinners, etc.

Form 990, Part III, Line 4A

Skilled nursing facilities: our skilled nursing facilities are active in the communities they operate in. We participate in many community events and offer a continuum of care to the community members. Our facilities offer extensive therapy services including an sub-acute rehab unit at one facility offered to our inpatient residents. We also offer a full range of outpatient therapy services, including aquatic therapy services at the indoor therapy pool at one location. We have excellent dietary department offering a full range of baked goods and a soda shop with lunch options for our residents, staff, and visitors. Three of our facilities currently offer locked special care units with services geared towards meeting the special needs of patients with dementia. We have mid level practitioners available in our howell county facilities several times a week to address concerns of families and the nursing staff with our resident needs as well as physicians visits monthly.

Form 990, Part III, Line 4B

Assisted living facilities: our assisted living and residential care facilities offer apartments for our residents offering all the amenities of home. Dining services are available at all three meals, activities are planned on site and out in the communities, assistance with medications, and security are all available. These facilities offer the independence of your own apartment, but the safety of having staff available for the things you need on a daily basis. Beauty shop services are also available on site for the residents.

Form 990, Part III, Line 4C

Skilled home health and home care agency: the home health agency is actively involved in the approved counties of service. The agency participates in health fairs held in our area meeting the community, offering free blood pressure checks and information regarding the options of care they have available to people in their homes. Our nurses, therapists, and care givers take an active role in meeting the needs of their clients in their homes. The agency works with the client's physicians and family members to offer to the client the best care options possible for that client's needs, while allowing them to have the luxury of remaining or returning to their home after a medical procedure.

Form 990, Part III, Line 4D

Other program service description: willow health care, inc. Operates a rural health clinic in willow springs, mo. This clinic had 5,360 nurse practitioner and 1,637 physician encounters billed through the clinic in fiscal year ending 06/30/2020.

Financial Statement Notes

Schedule D, Part IV, Line 2B

Escrow account liability: the corporation is the trustee of $150,135 and $71,226, at june 30, 2020 and 2019, respectively, in funds received on behalf of various residents. The corporation has fiduciary responsibility for the administration of the bank account and the distribution of the funds to residents.

Schedule D, Part X, Line 2

Uncertain tax positions: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

Schedule D, Part XI, Line 4B

Amounts included on form 990, part viii, line 12, but not on line 1: $ (36,734) loss on sale of asset

Schedule D, Part XII, Line 2D

Amounts included on line 1, but not on form 990, part ix, line 25: $ 36,734 loss on sale of asset

Raw XML AppendixShowing 400 of 649 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0AS A COMMUNITY ORIENTED HEALTH CARE PROVIDER, WILLOW HEALTH CARE, INC. DEDICATES ITS RESOURCES TO DELIVER QUALITY, COST EFFECTIVE HEALTHCARE. SEE SCH O FOR ADDITIONAL DETAIL.
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IRS990/MissionDesc0WILLOW HEALTH CARE, INC TAKES EXCEPTIONAL CARE OF OUR COMMUNITY AND EMPLOYEES, BY DEDICATING OUR RESOURCES TOWARDS IMPROVING OPERATIONS, TECHNOLOGY, AND SERVICES.
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IRS990/ProgSrvcAccomActy2Grp/Desc0WILLOW HEALTH CARE, INC. OWNS AND OPERATES 2 ASSISTED LIVING FACILITIES AND 1 RESIDENTIAL CARE FACILITY IN MISSOURI: WILLOW WEST APARTMENTS LOCATED IN WILLOW SPRINGS, MO, AND PARK PLACE APARTMENTS LOCATED IN MTN. VIEW, MO. THESE ASSISTED LIVING FACILITIES PROVIDED 19,990 DAYS OF CARE THROUGHOUT FISCAL YEAR ENDING 06/30/20. RIVERVIEW RESIDENTIAL PLACE LOCATED IN OZARK, MO, A RESIDENTIAL CARE FACILITY PROVIDING 6,579 DAYS OF CARE THROUGHOUT FISCAL YEAR ENDING 6/30/20. SEE SCHEDULE O FOR MORE INFORMATION ABOUT THIS PROGRAM SERVICE.
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IRS990/ProgSrvcAccomActy3Grp/Desc0WILLOW 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 138 HOME HEALTH CLIENTS AND 89 HOME CARE CLIENTS THROUGHOUT FISCAL YEAR ENDING 06/30/20. SEE SCHEDULE O FOR MORE INFORMATION ABOUT THIS PROGRAM SERVICE.
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