2011-09-27T12:21:41-07:00 2011-06-30 990 2010-07-01 362839091 WILLOWS HEALTH CENTER WILL 8153161500 4141 N Rockton Ave Rockford IL 61103 Mark Ticknor 8153161518 2011-09-27 2010 2016-03-07 17:11:31Z William Pratt 4141 N Rockton Ave Rockford IL 61103 10151398 0 X www.wesleywillows.org X 1984 IL Willows Health Center provides housing and services for senior citizens with a policy to maintain residents that become unable to pay. Willows Health Center's stated purposes include promoting christian principles for the development and improvement of persons of retirement age, and inspiring seniors to celebrate life. 15 15 201 450 0 0 548246 344453 9582820 9806945 0 0 0 0 10131066 10151398 0 0 0 0 6762916 6814119 0 0 65922 2924389 2991365 9687305 9805484 443761 345914 5399417 5819844 595659 670172 4803758 5149672 Willows Health Center's mission statement is "We promote active, secure lifestyles for seniors through ongoing, personalized care". Willows Health Center's cause statement is "Inspiring seniors to celebrate life". 0 0 8226650 0 9806945 Willows Health Center provides nursing and related services for approximately 150 senior citizens with a policy to maintain residents that become unable to pay. Related services include laundry, housekeeping, meals, nursing, programming activities, transportation and chaplaincy. Willows Health Center's purpose is to promote christian principles for the intellectual, moral, spiritual and physical development and improvement of persons of retirement age, including the promotion of harmony, health and happiness of such persons in accordance with Willows Health Center's mission statement "We promote active, secure lifestyles for seniors through ongoing personalized care" and cause statement "Inspiring seniors to celebrate life". 0 0 0 8226650 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 201 0 1 201 1 0 0 0 0 0 0 X 15 15 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Mark Ticknor 8153161518 4141 N Rockton Avenue Rockford IL 61103 Carolyn Allison 1 X 0 0 0 Patricia Atwood 2.00 X 0 0 0 Erin Calkins 1 X 0 0 0 Michael Davis 2.00 X 0 0 0 Darlene Furst 1 X 0 0 0 Michael Gann 1 X X 0 0 0 Samuel Miller 1 X 0 0 0 John Mink 1 X 0 0 0 David Sanderson 4.00 X 0 0 0 David Schmitt 4.00 X 0 0 0 Jim Seigfreid 1 X 0 0 0 William Sims 1.50 X 0 0 0 Dennis Staaland 5.00 X X 0 0 0 Lori Wazny 1 X 0 0 0 Donald Williams 3.00 X X 0 0 0 William Pratt 40 X X 0 194803 46328 Mark Ticknor 40 X 0 111150 21129 Debra Adkins 40 X 0 102321 19509 0 408274 86966 3 0 1 0 Rehabcare Group PO Box 503534 St Louis MO 631503534 Therapy services 628645 1 0 0 0 342933 0 1520 0 344453 Net Resident Services 623000 8266733 8266733 0 0 Other Operating Revenue 623000 1540212 1540212 0 0 0 0 0 0 9806945 0 0 0 0 0 0 10151398 9806945 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5225498 4765200 460298 0 85943 0 85943 0 1141008 621059 519949 0 361670 325123 36547 0 4200 0 4200 0 0 0 0 0 28114 0 28114 0 0 0 0 0 0 0 0 0 0 0 749986 747108 2878 0 20988 20988 0 0 49328 3212 46116 0 30160 0 30160 0 0 0 0 0 264709 214886 49823 0 14217 12167 2050 0 0 0 0 0 10137 0 10137 0 0 0 0 0 0 0 0 0 328394 328394 0 0 144000 0 144000 0 Nursing Supplies 438677 438677 0 0 Housekeeping & laundry supplies 192421 192421 0 0 Food service costs 464454 464454 0 0 Maintenance supplies 67538 67538 0 0 Fund development & miscellaneous 184042 25423 92697 65922 0 0 0 0 9805484 8226650 1512912 65922 721034 1502960 0 0 0 0 539000 473107 0 0 0 0 0 0 14713 14486 0 0 8460086 4631505 4061396 3828581 63274 710 0 0 0 0 0 0 0 0 5399417 5819844 595659 670172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 595659 670172 X 4803048 5148962 0 0 710 710 4803758 5149672 5399417 5819844 345914 0 X 0 0 0 X 7879 59230 0 548246 344453 959808 8521866 8882618 9513173 9582820 9806945 46307422 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8529745 8941848 9513173 10131066 10151398 47267230 0 0 0 0 0 0 1580078 2112794 2000157 2247664 2059754 10000447 1580078 2112794 2000157 2247664 2059754 10000447 37266783 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8529745 8941848 9513173 10131066 10151398 47267230 0.78843 0.81434 0 0.00102 X 60414 1520 0 0 61224 0 710 62387 2805 0 0 4778 0 60414 65797 0 0 0 3410 0 62387 0 1 0 0 0 0 21736 21736 0 7208325 3852992 3355333 0 0 0 0 0 1230025 778513 451512 0 0 0 0 3828581 SchD_P05_S00_L04 Schedule D, Part V, Line 4 Willows Health Center endowment funds are used to provide funds for the Alzheimer's program. X X X 0 1 0 0 0 0 0 0 0 William Pratt 0 158103 0 32866 0 3834 0 25276 0 21052 0 241131 0 243581 SchJ_P01_S00_L03 Schedule J, Part I, Line 3 The compensation of the President/CEO is governed by the Board of Trustees. The Board has established an executive compensation committee to review compensation and compensation philosophy annually. An independent consultant provides consulting on salary ranges and compensation. SchJ_P01_S00_L04 Schedule J, Part I, Line 4 Wesley Willows contributed $19,432 to a non qualified deferred compensation benefit program as directed by the executive compensation committee. F990_P06_S0A_L02 Form 990, Part VI, Section A, Line 2 One board member is the agent for an insurance company that provides insurance to Willows Health Center. The same insurance company provides insurance to other board members personally and or to their employers. No special terms are offered by the insurance company and insurance contracts are determined based on fair market value. F990_P06_S0B_L11a Form 990, Part VI, Section B, Line 11a The Treasurer prepares the Form 990 from the combined audited financial reports, and a hard copy of the 990 is made available to all board members before filing. The Treasurer makes a presentation of the return to the finance committee and offered to members of the full board before filing. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c All board members, executives and key employees are given a copy of the conflict of interest policy each year. Each member completes the conflict of interest annual statement. The completed statements are reviewed and if a conflict is identified, all identified parties are informed. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 Compensation for executives is governed by the Board of Trustees. The Board has established a standing Executive Compensation Committee comprised of members of the Executive Committee, who review executive compensation annually. Upon request, an independent external executive compensation firm provides consulting on salary ranges and compensatin philosophy. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Policies are available upon request and changes are distributed at annual board meetings, but generally not accessable to the general public. Governing documents are available by request from the President/CEO. Audited financial reports are available by request from the Treasurer. Wesley Willows 4141 N Rockton Avenue Rockford IL 61103 362540488 Senior Housing IL 501(c)3 9 N/A 0 Willows Cottages 4141 N Rockton Avenue Rockford IL 61103 363531646 Senior Housing IL 501(c)3 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Wesley Willows n 1450796 Estimated allocations of wages paid. Wesley Willows r 342933 Contribution transferred based upon need per policy.