North Shore Healthcare LLC has emerged as the dominant player in Wisconsin’s skilled nursing facility sector, according to the latest CMS data analysis. The company operates 51 skilled nursing facilities in Wisconsin and 5 in Minnesota, making it the largest skilled nursing provider in the Badger State.

Portfolio Overview

The company’s footprint spans across two Midwestern states with a clear concentration in Wisconsin:

  • Wisconsin: 51 facilities (91% of portfolio)
  • Minnesota: 5 facilities (9% of portfolio)

All 56 facilities in North Shore’s portfolio are skilled nursing facilities, with no diversification into other healthcare sectors based on the most recent CMS data. This specialized focus demonstrates the company’s strategic commitment to the skilled nursing space.

Ownership Structure

North Shore Healthcare’s ownership model reveals a strong preference for full control of its facilities:

  • 52 facilities (93%) are fully owned (100% ownership)
  • 1 facility (2%) has majority ownership (between 50-99%)
  • 3 facilities (5%) have other ownership arrangements

This ownership approach allows the company to maintain consistent operational standards across its portfolio while maximizing control over facility management and care delivery.

Leadership and Business Model

Founded in 2015, North Shore Healthcare (recently rebranded as North Shore Health) has established itself as a leading post-acute care provider in the Upper Midwest. The company’s executive team includes CEO Darren Gee, Managing Partner David Mills, Chief Clinical Officer Tina Belongia, and Chief Financial Officer Lauren Greer.

The organization focuses on providing comprehensive skilled nursing services, including both short-term rehabilitation and long-term care. Their business model emphasizes maintaining local identity for each facility while leveraging the strength of the corporate brand to ensure consistent quality care across all locations.

Market Challenges and Opportunities

Wisconsin’s historically low Medicaid reimbursement rates continue to pressure facility finances, with 148 assisted living communities closing voluntarily in 2023, primarily citing inadequate reimbursements and staffing shortages, according to the Wisconsin Assisted Living Association. The state’s caregiver vacancy rate has increased from 23.8% in 2020 to 27.8% in recent years.