Notre Dame Health System

What it reported doing in 2021

Notre dame health system operates skilled nursing facilities (chateau de notre dame, wynhoven health care center, and our lady of wisdom health care center) with a total of 462 dually certified medicare and medicaid beds. The chateau de notre dame facility ("chateau") is licensed for 171 beds (13 of the beds make up the memory care unit). The wynhoven health care facility ("wynhoven") is licensed for 188 beds (22 of the beds make up the memory care unit) and the our lady of wisdom health care facility ("wisdom") is licensed for 138 beds. The average daily census for medicare was 22.23 at chateau, 7.87 at wynhoven, and 7.41 at wisdom. The average daily census for medicaid was 89.56 at chateau, 78.62 at wynhoven, and (continued on schedule o) 70.69 at wisdom. The average daily census for semi private and private was 33.46 at chateau, 6.81 at wynhoven, and 27.69 at wisdom. Physical, occupational, and speech rehabilitation therapy as prescribed for the individual patient by the attending physician are available if needed at the skilled nursing facilities. Custodial care and hospice services are also provided at chateau, wynhoven, and wisdom. These facilities operate with the belief that remaining mentally and physically active is the key to maximizing quality of life. As such, we encourage residents to take part in the many individual and group activities offered, ranging from arts and crafts to reading, games, parties, movies, the ever-popular bingo, and more. Most importantly, however, we believe that the most fulfilled life is the one strengthened by faith, lived in a supportive environment built on strong spiritual foundations. At the forefront of our mission, notre dame health system provides deep faith-based care to assist and encourage residents of all faiths along their own individual journeys.

Financial Efficiency

• Mission deployment rate: 97.5%; rating input score 97
• Program expense ratio: 70%; rating input score 70
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 67th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 75th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 83.3%; rating input score 83; 30th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • 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: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: -39.3%; rating input score 2; 2nd percentile among comparable filings
• Total-asset coverage ratio: 0.3; rating input score 10; 10th percentile among comparable filings
• Liabilities to assets ratio: 0.76; rating input score 17; 17th percentile among comparable filings
• Officer compensation ratio: 1.6%; rating input score 63; 63rd percentile among comparable filings

Growth

• Program expense growth: 8.7% per year; rating input score 100; 73rd percentile among comparable filings
• Revenue growth: 9.9% per year; rating input score 100; 78th percentile among comparable filings
• Asset growth: 2.9% per year; rating input score 100; 22nd percentile among comparable filings