Saint Alphonsus Health System

Legal name: Saint Alphonsus Health System Inc

Nonprofit profile at a glance

EIN
271929502
IRS 990 coverage
2011–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Boise, ID, USA
Phone
1 (877) 341-2121
Rating
72
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospitals and Related Primary Medical Care Facilities

Official website

Reported finances

Revenue
$95,589,600
Expenses
$97,505,639
Assets
$51,617,499
Liabilities
$54,040,233

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

29 people listed

Executive titles in this filing

  • DAVID MCFADYEN (DIR; PRES SAHS & CEO WEST REGION)
  • MARK NASSIR MD (PRESIDENT ST. ALPHONSUS MED GROUPS)
  • ODETTE BOLANO (PRES SAHS & CEO W REGION THR 6/24)

Highest reported compensation

  • ODETTE BOLANO (PRES SAHS & CEO W REGION THR 6/24): $1,409,324 total reported compensation
  • MARK LEPAGE MD (DIRECTOR; TRINITY SVP MED GROUPS): $1,328,570 total reported compensation
  • DAVID MCFADYEN (DIR; PRES SAHS & CEO WEST REGION): $981,376 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

What it reported doing in 2024

Organized in 2010, saint alphonsus health system is located in boise, Idaho and is the sole member of four nonprofit hospital organizations. Together, their purpose is to serve the 21st century health care needs of the people who live within the region spanning from the treasure valley to the i-84 corridor in eastern Oregon. This year, the system's 7,800 employees, including over 600 physicians, provided over 127,000 days of inpatient care and almost 1.4 million outpatient visits. The health system governs, manages, and provides long-range strategic planning, financial, legal and other expertise and support services to its subsidiaries. As a result of these services, the system helps its constituent entities achieve their objective of providing state-of-the-art health care services to many segments of the community, including those who are traditionally underserved such as the poor and elderly.please visit our website for additional information: www.saintalphonsus.org

Operating model

Revenue model
Earned-program. 99% 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

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 78
  • Transparency & Controls: 62
  • Accountability: 80
  • Sustainability: 23
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 88.2%; rating input score 88
  • Program expense ratio: 86.4%; rating input score 86
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th 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: 82.4%; rating input score 82; 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: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -2%; rating input score 19; 19th percentile among comparable filings
  • Total-asset coverage ratio: 0.53; rating input score 20; 20th percentile among comparable filings
  • Liabilities to assets ratio: 1.05; rating input score 5; 5th percentile among comparable filings
  • Officer compensation ratio: 1.4%; rating input score 66; 66th percentile among comparable filings

Growth

  • Program expense growth: 11% per year; rating input score 100; 78th percentile among comparable filings
  • Revenue growth: 8.9% per year; rating input score 100; 72nd percentile among comparable filings
  • Asset growth: 19.9% per year; rating input score 100; 93rd percentile among comparable filings

Details

  • What they do: 4 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 88.2% of revenue deployed · 86.4% of spending went to programs
  • Governance: 14 of 17 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $84.3M in reported program spending
  • Leadership: top reported pay $1.4M · 29 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $3.6M reported
  • Consistency: 34 of 34 current checks pass
  • Schedules: 6 filed schedules · includes executive pay and related organizations
  • Filing history: 14 filing years from 2011 to 2024
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Related organizations: 309 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.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Sustainability: Operating margin scored 19/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 20/100.
  • High — Sustainability: Liabilities to assets ratio scored 5/100.