Wheaton Franciscan Healthcare - Terrace at St Francis Inc

What it reported doing in 2024

The filing organization is a part of the ascension catholic health ministry. Ascension is a faith-based healthcare organization that delivers personalized, compassionate care to all, especially to those who need it the most. Wheaton franciscan healthcare's service to southeast Wisconsin dates back to 1879 when the franciscan sisters began operating a health care ministry out of a small house. Five years later they opened their first hospital in milwaukee - st. Joseph. Over the next 100 years, the sisters - known as the wheaton franciscans after 1947 - expanded their milwaukee health care ministry and, in 1993, partnered with the felician sisters. Through the union of numerous separate but common functions including boards of directors, medical groups, and corporate services, wheaton franciscan healthcare has created a fully integrated region that allows it to share best practices and create cost efficiencies. In fy2019, the region was further expanded as a new corporate member of ascension health senior care. Charity care is defined as free or discounted health services provided to those who cannot afford to pay and who meet all criteria for financial assistance. Charity care is based on actual costs, not charges, and does not include bad debt. Unreimbursed cost of public programs: $728,551 is defined as the shortfall experienced when payments received are below the cost of treating public beneficiaries through medicaid and other local public programs. A total of $96,949 in the following types of community services benefits were provided during fy 2025: community health improvement services are defined as clinical and non-clinical services designed to improve community health, which are provided to the community for free or for fees that did not cover costs. Financial contributions are defined as contributions, including cash, non-cash items such as food, furniture, equipment, supplies, and loaned staff for volunteer and charitable purposes, made to individuals, community groups, or nonprofit organizations for charitable purposes. Health professions education is defined as direct costs incurred for accredited training and education programs for physicians, nurses, allied health professionals and technicians (does not include ongoing education for staff). Community building activities are defined as programs that, while not directly related to health care, provide opportunities to address the root causes of health problems, such as poverty, homelessness, and environmental issues. Costs for these activities include cash and in-kind donations. Community benefit operations are defined as costs associated with dedicated staff and community health needs and/or assets assessment, as well as other costs associated with community benefit strategy and operations. Wheaton franciscan transitional care facilities (southeast Wisconsin) franciscan woods, a 102-bed skilled care nursing home and the terrace at st. Francis, a 73-bed skilled care nursing home, both meet community needs for services between hospital and home, and is designed for people who need care for a few days or weeks after discharge from the hospital but are not yet fully able to resume their normal routine. It can involve the provision of complex patient care services including intravenous (iv) medications, feeding tubes, intravenous nutrition, blood transfusions, dialysis, and post-operative recovery. The skilled nurses are also trained in cancer care, palliative care, respiratory, rehabilitative care, and wound care. Transitional care through wheaton franciscan healthcare offers advantages that no other provider can match. Hospital-based medical directors and consulting specialists provide extensive physician involvement. Outstanding clinical care is provided by teams of specially educated nurses, therapists, and other health care professionals. The integrated health care network ensures ready access to hospital, home health, outpatient, physician, and care management se

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 80.9%; rating input score 81
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 0%; rating input score 0; 3rd percentile among comparable filings
• Governance controls: 6 of 9 controls in place; rating input score 67
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -33.7%; rating input score 3; 3rd percentile among comparable filings
• Total-asset coverage ratio: 0.41; rating input score 12; 12th percentile among comparable filings
• Liabilities to assets ratio: 0.36; rating input score 40; 40th percentile among comparable filings
• Officer compensation ratio: 5.2%; rating input score 49; 49th percentile among comparable filings

Growth

• Program expense growth: 7.1% per year; rating input score 100; 56th percentile among comparable filings
• Revenue growth: 6.7% per year; rating input score 100; 57th percentile among comparable filings
• Asset growth: 8.1% per year; rating input score 100; 55th percentile among comparable filings