Franciscan Healthcare
Legal name: Franciscan Care Services Inc
Nonprofit profile at a glance
- EIN
- 470486026
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- West Point, NE, US
- Phone
- 402.372.2404
- Rating
- 85
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Hospital, General
- Affiliation
- Christianity
Reported finances
- Revenue
- $62,284,038
- Expenses
- $56,395,806
- Assets
- $115,080,397
- Liabilities
- $12,497,524
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
19 people listed
Executive titles in this filing
- TYLER TOLINE (CEO & PRESIDENT)
Highest reported compensation
- ZACHARY WORDEKEMPER MD (PHYSICIAN): $839,597 total reported compensation
- RHETT ECKMANN MD (PHYSICIAN): $746,059 total reported compensation
- THOMAS COHEE MD (PHYSICIAN): $730,375 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
The Mission of Franciscan Healthcare Is to Live and Promote the Healing Mission of Jesus Christ.
What it reported doing in 2024
Franciscan care services mission is to provide quality health care and health related inpatient, outpatient, home health and physician services to the people of northeastern Nebraska by operating a hospital. The critical access hospital provides a 24-hour emergency room and does not discriminate against any patient regardless of their ability to pay. Our charity care policy follows recommended standards which are based upon the federal poverty guidelines. This policy is communicated to our patients on our website and at our registration desks.franciscan care services, inc. Stats: patients served during the year: total in-patients discharged 428 patient days - acute 1,532 - swing bed 417 - nursery 79 out-patient & registrations 47,936 home health & hospice 3,665physician clinic visits 32,735 the hospital receives generous support from the community not only financially but also from approximately 202 volunteers who donated 1,727 hours of their valuable time.
Operating model
- Revenue model
- Earned-program. 96% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Reported officer compensation is a large share of total spending, which may reflect staffing concentration.
Rating breakdown
- Financial Efficiency: 82
- Transparency & Controls: 83
- Accountability: 94
- Sustainability: 62
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 76.7%; rating input score 77
- Program expense ratio: 87%; rating input score 87
- Fundraising efficiency: $295.9 raised per $1 spent on fundraising; rating input score 92; 92nd percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 3 of 6 controls in place; rating input score 50
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 90%; rating input score 90; 38th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 9.5%; rating input score 71; 71st percentile among comparable filings
- Total-asset coverage ratio: 2.04; rating input score 64; 64th percentile among comparable filings
- Liabilities to assets ratio: 0.11; rating input score 81; 81st percentile among comparable filings
- Officer compensation ratio: 8.6%; rating input score 4; 4th percentile among comparable filings
Growth
- Program expense growth: 5.5% per year; rating input score 100; 45th percentile among comparable filings
- Revenue growth: 5.9% per year; rating input score 100; 52nd percentile among comparable filings
- Asset growth: 5.5% per year; rating input score 100; 40th percentile among comparable filings
Details
- What they do: 11 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 76.7% of revenue deployed · 87% of spending went to programs
- Governance: 9 of 10 board members independent · 9 of 9 filing controls reported
- Programs: 3 filed program accomplishments · $49M in reported program spending
- Leadership: top reported pay $840K · 19 people listed · 3 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $8.1M reported
- Consistency: 35 of 35 current checks pass
- Schedules: 11 filed schedules · includes major donors, grants, and executive pay
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 12 filed money-flow records
- Related organizations: 12 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Sustainability: Officer compensation ratio scored 4/100.