The Franciscan Skemp Medical Center is an affiliate of the Mayo Clinic. Franciscan Skemp, which was the first western Wisconsin hospital to open its doors in 1883 as St. Francis Hospital, was started by the Catholic Franciscan Sisters of Perpetual Adoration, who still are associated with the medical center. In 1995, Franciscan Skemp merged with Mayo Clinic Health Systems in Rochester, Minnesota, located 60 miles away. A new trauma and emergency department, helicopter pad, and surgery wing recently opened in 2007.