2019-05-15T14:05:50-05:00 2018-06-30 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2017-07-01 364825354 Emerald Upper Midwest Healthcare Holding Corporation EMER 6156479004 PO BOX 159098 NASHVILLE TN 372159098 Douglass B Smith President 2019-05-15 true RACHEL SPURLOCK P00520729 5023263996 2017 2019-02-21 02:37:17Z Douglass B Smith PO BOX 159098 NASHVILLE TN 372159098 19393119 false 5138 X N/A X 2016 WI THIS ORGANIZATION OWNS AND OPERATES NURSING FACILITIES FOR THE ELDERLY. 7 4 587 50 0 0 245 0 21713609 19105277 1403 80 5341 287762 21720598 19393119 0 0 13383850 11246559 0 0 14988692 14685065 28372542 25931624 -6651944 -6538505 20093947 21589756 27477722 35512036 -7383775 -13922280 THIS ORGANIZATION OWNS AND OPERATES NURSING FACILITIES FOR THE ELDERLY. false false 23296387 19393039 THIS ORGANIZATION INCLUDES THE FOLLOWING: 1) ARPIN FACILITY COMPANY OWNS A 111 BED NURSING CENTER (BETHEL CENTER, LLC) LOCATED IN ARPIN, WISCONSIN. 2) COLBY FACILITY COMPANY OWNS A 95 BED NURSING CENTER (COLONIAL CENTER, LLC) LOCATED IN COLBY, WISCONSIN. 3) MADISON FACILITY COMPANY OWNS A 103 BED NURSING CENTER (KARMENTA CENTER, LLC) LOCATED IN MADISON, WISCONSIN. 4) EAU CLAIRE FACILITY COMPANY OWNS A 161 BED LONG-TERM HEALTH CARE FACILITY (CLEARWATER CARE CENTER, LLC) IN EAU CLAIRE, WISCONSIN. 23296387 true false false false false false false false false true false false true true false false false false false false false false false false false false false false true true false false false false false false false false false false false false false false true true false false false true 115 0 true 587 true false false false false false false true false false false X 7 4 true true false false false false false true false false false true true true true true true false false false X Douglass B Smith 6156479004 PO BOX 159098 NASHVILLE TN 372159098 Stephen F Wood Sr DIRECTOR/CEO OF EMERALD SHELTER GROUP 3.0 37.0 X X 0 725000 0 Douglass Smith Director/President of Emerald Shelter Group 10.0 30.0 X X 0 319603 13778 John G Foos DIRECTOR 0.2 6.8 X 0 70000 0 John E Gillmor Director 0.2 6.8 X 0 36250 0 Jo Ann Corbitt Director 0.2 6.8 X 0 37500 0 Stephen F Wood Jr DIRECTOR 0.2 6.8 X 0 66250 0 Jim Ridenour DIRECTOR 0.2 6.8 X 0 68750 0 Andrea Barach VP AND CORPORATE SECRETARY (AS OF 9/2017) 10.0 30.0 X 0 56834 1958 John Noffsinger COO (as of 10/2017) 10.0 25.0 X 0 44636 549 0 1424823 16285 0 false true false HEALTHCARE SERVICES GROUP 322 TILLMAN DRIVE SUITE 300 BENSALEM PA 19050 LAUNDRY, FOOD, ENVIRONMENTAL 1800144 MEDICAL REHABILITATION CENTER 1050 CHINOE RD SUITE 350 LEXINGTON KY 40502 MANAGEMENT SERVICES 1733227 GENESIS REHABILITATION SERVICES PO BOX 821322 PHILADELPHIA PA 19182 REHABILITATION 1582398 PATHWAY HEALTH SERVICES 11240 STILLWATER BLVD N LAKE ELMO MN 55042 HEALTH CONSULTING 609474 OMNICARE INC PO BOX 78000 DETROIT MI 48228 PHARMACY SERVICES 606517 10 0 Patient Service Revenue 623000 19105277 19105277 0 0 0 0 19105277 80 80 0 0 0 0 MISCELLANEOUS REVENUE 900099 287762 287762 0 0 0 0 287762 19393119 19393039 0 80 X 11233190 9548212 1684978 1975 1679 296 11394 9685 1709 705678 599826 105852 107907 91721 16186 114796 97577 17219 5785978 5785978 0 0 121510 103284 18226 488455 415187 73268 1278066 1086356 191710 49379 41972 7407 52823 44900 7923 1123432 954917 168515 1214645 1032448 182197 MEDICAL RECORDS/SUPPLIES/EQUIPMENT 1597162 1597162 GOODWILL IMPAIRMENT LOSS 17347 17347 REVENUE ASSESSMENT FEES 962880 962880 PROVISION FOR DOUBTFUL ACCOUNTS 1063386 903878 159508 1621 1378 243 0 25931624 23296387 2635237 0 423752 328923 1978257 4275659 0 0 0 0 265049 499765 17614921 2546276 16104168 15068645 0 0 1322721 1416764 20093947 21589756 2286007 3453568 10530000 10047786 0 7656973 7717940 7004742 14292742 27477722 35512036 X -7383775 -13922280 -7383775 -13922280 20093947 21589756 -6538505 0 X true X false true false X 245 0 245 5265518 21713609 19105277 46084404 0 0 0 0 0 5265518 21713854 19105277 46084649 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46084649 107 1403 80 1590 0 0 0 107 1403 80 1590 0 0 0 0 5341 287762 293103 0 0 5265625 21720598 19393119 46379342 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 5341.0, COLUMN E - 287762.0, COLUMN F - 293103.0; 13987216 1702238 12284978 1372765 635107 737658 2254940 208931 2046009 15068645 ESCROW DEPOSITS AND REPLACEMENT RESERVE 1334395 ASSETS LIMITED TO USE 82369 1416764 ACCOUNTS PAYABLE TO RELATED PARTY 14292742 14292742 false false false false false false false false false Stephen F Wood Sr DIRECTOR/CEO OF EMERALD SHELTER GROUP 0 725000 0 0 0 0 0 0 0 0 0 725000 0 0 Douglass Smith Director/President of Emerald Shelter Group 0 319603 0 0 0 0 0 0 0 13778 0 333381 0 0 A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97710BBY7 2008-06-11 12000000 REFINANCE 11/01/2003 WISCONSIN BONDS FOR FACILITY ACQUISITION, ADDITIONS, AND IMPROVEMENTS false false false A 1700000 12000000 993271 2383148 8623581 2008 true false true true A false false false false 0.0 0.0 0.0 false false true A false false false true false false true PACKERKISS SECURITIES 7.0 true false false A false Schedule K, Part IV, Line 2c COLUMN A Issuer name: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 10/15/2013 Form 990, Part VI, Line 15a COMPENSATION COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED ORGANIZATION, THEREFORE LINE 15A IS NOT APPLICABLE AND HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL BY THE BOARD OF DIRECTORS. COMPENSATION IS BASED ON AN INDEPENDENT COMPENSATION STUDY AND INCREASES IN COMPENSATION ARE AT THE DISCRETION OF THE BOARD. DURING THE FILING YEAR A COMPENSATION STUDY WAS PERFORMED BY A THIRD PARTY AND INCLUDED A REVIEW OF THE ECONOMIC RESEARCH INSTITUTE'S EXECUTIVE ASSESSOR DATABASE, THE MERCER EXECUTIVE BENCHMARK DATABASE AND SURVEY DATA FROM A GROUP OF PEER COMPANIES WITHIN THE ASSISTED AND LONG-TERM CARE INDUSTRY. Form 990, Part VI, Line 15b COMPENSATION COMPENSATION FOR ALL OTHER OFFICERS OR KEY EMPLOYEES IS PAID BY A RELATED ORGANIZATION, THEREFORE LINE 15B IS NOT APPLICABLE AND HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL BY THE BOARD OF DIRECTORS. COMPENSATION IS BASED ON AN INDEPENDENT COMPENSATION STUDY AND INCREASES IN COMPENSATION ARE AT THE DISCRETION OF THE BOARD. DURING THE FILING YEAR A COMPENSATION STUDY WAS PERFORMED BY A THIRD PARTY AND INCLUDED A REVIEW OF THE ECONOMIC RESEARCH INSTITUTE'S EXECUTIVE ASSESSOR DATABASE, THE MERCER EXECUTIVE BENCHMARK DATABASE AND SURVEY DATA FROM A GROUP OF PEER COMPANIES WITHIN THE ASSISTED AND LONG-TERM CARE INDUSTRY. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons STEPHEN F. WOOD, SR. & STEPHEN F. WOOD, JR. - Family relationship Form 990, Part VI, Line 3 Delegation of management duties THE ORGANIZATION HAS A MANAGEMENT AGREEMENT WITH MEDICAL REHABILITATION CENTERS, LLC, D/B/A EXCEPTIONAL LIVING CENTERS. MANAGEMENT SERVICES INCLUDE SUPERVISION OF FACILITY OPERATIONS, ADMINISTRATIVE SERVICES, MANAGEMENT INFORMATION SYSTEM SERVICES, ACCOUNTING, AND COST REPORT PREPARATION. THERE ARE NO CURRENT OFFICERS, DIRECTORS, OR HIGHEST COMPENSATED EMPLOYEES WHO WERE COMPENSATED BY THE MANAGEMENT COMPANY. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY, THEREFORE THIS QUESTION HAS BEEN MARKED "NO" IN ACCORDANCE TO THE IRS INSTRUCTIONS. Form 990, Part VI, Line 11b Review of form 990 by governing body A COMPLETE COPY OF THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S LEGAL COUNSEL AND AN AUTHORIZED MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. ADDITIONALLY, A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy ANNUAL CERTIFICATIONS ARE RECEIVED FROM ALL OFFICERS AND DIRECTORS TO DETERMINE WHETHER ANY POTENTIAL CONFLICTS OF INTEREST EXIST. THE BOARD OF DIRECTORS DISCUSS THE ANNUAL CERTIFICATIONS AT THE BOARD MEETI Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS AND POLICIES ARE AVAILABLE FOR PUBLIC INSPECTION AT THE ORGANIZATION'S OFFICE DURING REGULAR BUSINESS HOURS UPON REQUEST. Form 990, Part IX, Line 11g Other Fees CONTRACT LABOR - Total Expense: 5723548, Program Service Expense: 5723548, Management and General Expenses: , Fundraising Expenses: ; MEDICAL PROFESSIONAL FEES AND SERVICES - Total Expense: 62430, Program Service Expense: 62430, Management and General Expenses: , Fundraising Expenses: ; ARPIN FACILITY COMPANY LLC PO BOX 159098 NASHVILLE TN 37215 SKILLED NURSING AND REHABILITATION WI 399845 2756428 EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION BETHEL CENTER LLC PO BOX 159098 NASHVILLE TN 37215 SKILLED NURSING AND REHABILITATION WI 3788537 1490653 EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION CLEARWATER CARE CENTER LLC PO BOX 159098 NASHVILLE TN 37215 SKILLED NURSING AND REHABILITATION WI 6410265 2394405 EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION COLBY FACILITY COMPANY LLC PO BOX 159098 NASHVILLE TN 37215 SKILLED NURSING AND REHABILITATION IL 388815 0 EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION COLONIAL CENTER LLC PO BOX 159098 NASHVILLE TN 37215 SKILLED NURSING AND REHABILITATION IL 3981064 1362868 EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION EAU CLAIRE FACILITY COMPANY LLC PO BOX 159098 NASHVILLE TN 37215 SKILLED NURSING AND REHABILITATION WI 629506 6551516 EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION KARMENTA CENTER LLC PO BOX 159098 NASHVILLE TN 37215 SKILLED NURSING AND REHABILITATION WI 5213173 4912008 EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION MADISON FACILITY COMPANY LLC PO BOX 159098 NASHVILLE TN 37215 SKILLED NURSING AND REHABILITATION WI 622435 471977 EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION BIRCHWOOD SENIOR HOUSING CORPORATION PO BOX 159098 NASHVILLE TN 37215 204800428 SENIOR HOUSING CO 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false CLAREMONT HEALTH SYSTEM INC PO BOX 159098 NASHVILLE TN 37215 621486858 NURSING HOME NJ 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false CLEVELAND SENIOR HOUSING CORPORATION PO BOX 159098 NASHVILLE TN 37215 264739076 SENIOR HOUSING TN 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false DELAWARE HEALTH CORPORATION PO BOX 159098 NASHVILLE TN 37215 621548336 NURSING HOME DE 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false EMERALD SPRING HILL INC PO BOX 159098 NASHVILLE TN 37215 474584314 NURSING HOME TN 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false HEALTH AND HOUSING SUPPORT SERVICES INC PO BOX 159098 NASHVILLE TN 37215 452449379 SUPPORTING ORGANIZATION NV 501(c)(3) Type II HEALTH AND HOUSING SUPPORT SERVICES INC false HOOSIER CARE II INC PO BOX 159098 NASHVILLE TN 37215 311274121 NURSING HOME IN 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false HOOSIER CARE III INC PO BOX 159098 NASHVILLE TN 37215 621459304 NURSING HOME DE 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false HOOSIER CARE PROPERTIES INC PO BOX 159098 NASHVILLE TN 37215 200377349 HOLDING COMPANY IN 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false HOOSIER CARE INC PO BOX 159098 NASHVILLE TN 37215 311262572 NURSING HOME IN 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false HOOSIER HOUSING GROUP INC PO BOX 159098 NASHVILLE TN 37215 463491686 HOLDING COMPANY NV 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false LAURELWOOD SENIOR HOUSING CORPORATION PO BOX 159098 NASHVILLE TN 37215 320362338 SENIOR HOUSING TN 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false GATE MANOR HOUSING GP LLC PO BOX 159098 NASHVILLE TN 37215 352531184 AFFORDABLE HOUSING PROJECTS TN NA C Corporation false KNOXVILLE HOUSING PORTFOLIO GP LLC PO BOX 159098 NASHVILLE TN 37215 474536542 AFFORDABLE HOUSING PROJECTS TN NA C Corporation false Jackson Housing Portfolio GP LLC PO Box 159098 Nashville TN 37215 364843724 Affordable Housing Projects TN NA C Corporation false false false false false false false false false false false false false false false false false false false false