2017-05-14T11:05:56-05:00 2016-06-30 350921680 CROWE HORWATH LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2015-07-01 364825354 Emerald Upper Midwest Healthcare Holding Corporation EMER 6156479004 PO BOX 159098 NASHVILLE TN 372159098 Douglass Smith President & COO 2017-05-13 true RACHEL SPURLOCK P00520729 5023263996 2015 2021-01-29 14:40:06Z X Steve Wood PO BOX 159098 NASHVILLE TN 372159098 5265625 false 5138 X N/A X 2016 WI THIS ORGANIZATION OWNS AND OPERATES NURSING FACILITIES FOR THE ELDERLY. 7 0 683 82 0 0 0 5265518 107 0 0 5265625 0 0 3009436 0 0 3064244 6073680 0 -808055 0 13913747 0 14645578 0 -731831 THIS ORGANIZATION OWNS AND OPERATES NURSING FACILITIES FOR THE ELDERLY. false false 5555750 5265518 THIS ORGANIZATION OWNS AND OPERATES NURSING FACILITIES FOR THE ELDERLY. 5555750 true false 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 false false false false false false false false false false false false true true false false false true 90 0 true 683 true false false false false false false false false false false X 7 0 true true false false false false false true true 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 OF THE BOARD/CEO OF EMERALD SHELTER GROUP 0.1 40.1 X X 0 643588 0 Bruce Hutson PRESIDENT AND CHAIRMAN OF THE BOARD 0.1 6.8 X X 0 111826 0 John G Foos TREASURER OF THE BOARD 0.1 6.3 X X 0 90826 0 John E Gillmor SECRETARY OF THE BOARD & VP 0.1 6.8 X X 0 111826 0 Douglass Smith DIRECTOR OF THE BOARD/COO OF EMERALD SHELTER GROUP 0.1 40.1 X X 0 246192 8352 Jo Ann Corbitt DIRECTOR OF THE BOARD, VP OF HOUSING 0.1 6.7 X 0 59588 0 Stephen F Wood Jr DIRECTOR OF THE BOARD 0.1 5.1 X 0 38588 0 0 1302434 8352 4 false true false GENESIS REHABILITATION SERVICES PO BOX 821322 PHILADELPHIA PA 19182 REHABILITATION 755524 MEDICAL REHABILITATION CENTER 1050 CHINOE RD SUITE 350 LEXINGTON KY 40502 MANAGEMENT SERVICES 486820 RUNDERWOOD CONSTRUCTION INC 210 COMMERCE DRIVE FRANKLIN IN 46131 CONSTRUCTION 423709 OMNICARE INC PO BOX 78000 DETROIT MI 48228 PHARMACY SERVICES 312347 4 0 Patient Service Revenue 623000 5265518 5265518 0 0 0 0 5265518 107 107 0 0 0 0 0 0 0 0 0 5265625 5265518 0 107 X 2574841 2574841 234567 234567 200028 200028 306960 306960 186427 186427 24543 24543 721749 721749 0 0 619 619 135145 135145 32193 32193 559410 559410 33336 33336 8641 8641 213413 213413 MEDICAL SUPPLIES/EQUIPMENT 587681 587681 REVENUE ASSESSMENT FEES 211480 211480 PROVISION FOR DOUBTFUL ACCOUNTS 40181 40181 Miscellaneous 2466 2466 0 0 0 0 6073680 5555750 517930 0 207775 1643322 0 0 497450 9651070 206460 9444610 0 0 0 2120590 0 13913747 1335800 10745000 0 2564778 0 14645578 X -731831 0 -731831 0 13913747 X -808055 76224 X true X false true false X 0 5265518 5265518 0 0 0 0 0 0 0 5265518 5265518 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5265518 107 107 0 0 0 0 0 107 107 0 0 0 0 0 0 0 0 0 0 0 5265625 5265625 X 591271 591271 7428108 121844 7306264 655891 64824 591067 975800 19792 956008 9444610 Bond Fund Interest 68119 Bond Fund Principal 43082 Escrow Deposits 1059389 Advances to Affliliate 950000 2120590 DUE TO HOOSIER CARE INVESTMENTS, LLC 2564778 2564778 false false false false false false false false false Stephen F Wood Sr DIRECTOR OF THE BOARD/CEO OF EMERALD SHELTER GROUP 0 643588 0 0 0 0 0 0 0 0 0 643588 0 0 Douglass Smith DIRECTOR OF THE BOARD/COO OF EMERALD SHELTER GROUP 0 246192 0 0 0 0 0 0 0 8352 0 254544 0 0 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, arbitrage compliance, IRS and state tax compliance, and consulting services. THERE ARE NO CURRENT OFFICERS, DIRECTORS, OR HIGHEST COMPENSATED EMPLOYEES WHO WERE COMPENSATED BY THE MANAGEMENT COMPANY. 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 MEETINGS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IF A CONFLICT IS DETERMINED TO EXIST, THAT PERSON WOULD BE RECUSED FROM TAKING PART IN ANY DECISIONS CONCERNING THE CONFLICTING ISSUE. 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 PURCHASED SERVICES - Total Expense: 721749, Program Service Expense: 721749, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances INHERENT CONTRIBUTION FROM ACQUISITION - 76224; ARPIN FACILITY COMPANY LLC PO BOX 159098 NASHVILLE TN 37215 SKILLED NURSING AND REHABILITATION WI 133282 2844000 EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION COLBY FACILITY COMPANY LLC PO BOX 159098 NASHVILLE TN 37215 SKILLED NURSING AND REHABILITATION IL 0 2647099 EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION MADISON FACILITY COMPANY LLC PO BOX 159098 NASHVILLE TN 37215 SKILLED NURSING AND REHABILITATION WI 0 5020920 EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION EAU CLAIRE FACILITY COMPANY LLC PO BOX 159098 NASHVILLE TN 37215 SKILLED NURSING AND REHABILITATION WI 0 0 EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION BETHEL CENTER LLC PO BOX 159098 NASHVILLE TN 37215 SKILLED NURSING AND REHABILITATION WI 1520383 628820 EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION COLONIAL CENTER LLC PO BOX 159098 NASHVILLE TN 37215 SKILLED NURSING AND REHABILITATION IL 1512430 425269 EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION KARMENTA CENTER LLC PO BOX 159098 NASHVILLE TN 37215 SKILLED NURSING AND REHABILITATION WI 2232705 4319938 EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION BIRCHWOOD SENIOR HOUSING CORPORATION PO BOX 159098 NASHVILLE TN 37215 204800428 SENIOR HOUSING CO 501(c)(3 9 HEALTH AND HOUSING SUPPORT SERVICES INC false CLAREMONT HEALTH SYSTEM INC PO BOX 159098 NASHVILLE TN 37215 621486858 NURSING HOME NJ 501(c)(3 9 HEALTH AND HOUSING SUPPORT SERVICES INC false CLEVELAND SENIOR HOUSING CORPORATION PO BOX 159098 NASHVILLE TN 37215 264739076 SENIOR HOUSING TN 501(c)(3 9 HEALTH AND HOUSING SUPPORT SERVICES INC false DELAWARE HEALTH CORPORATION PO BOX 159098 NASHVILLE TN 37215 621548336 NURSING HOME DE 501(c)(3 9 HEALTH AND HOUSING SUPPORT SERVICES INC false EMERALD SPRING HILL INC PO BOX 159098 NASHVILLE TN 37215 474584314 NURSING HOME TN 501(c)(3 9 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 9 HEALTH AND HOUSING SUPPORT SERVICES INC false HOOSIER CARE III INC PO BOX 159098 NASHVILLE TN 37215 621459304 NURSING HOME DE 501(c)(3 9 HEALTH AND HOUSING SUPPORT SERVICES INC false HOOSIER CARE PROPERTIES INC PO BOX 159098 NASHVILLE TN 37215 200377349 HOLDING COMPANY IN 501(c)(3 9 HEALTH AND HOUSING SUPPORT SERVICES INC false HOOSIER CARE INC PO BOX 159098 NASHVILLE TN 37215 311262572 NURSING HOME IN 501(c)(3 9 HEALTH AND HOUSING SUPPORT SERVICES INC false HOOSIER HOUSING GROUP INC PO BOX 159098 NASHVILLE TN 37215 463491686 HOLDING COMPANY NV 501(c)(3 9 HEALTH AND HOUSING SUPPORT SERVICES INC false LAURELWOOD SENIOR HOUSING CORPORATION PO BOX 159098 NASHVILLE TN 37215 320362338 SENIOR HOUSING TN 501(c)(3 9 HEALTH AND HOUSING SUPPORT SERVICES INC false VICTORIA HEALTH CORPORATION PO BOX 159098 NASHVILLE TN 37215 621518645 NURSING HOME NJ 501(c)(3 9 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 false false false false false false false false false false false false false false false false false false false