Saint Alphonsus Regional Medical Center Inc

Nonprofit profile at a glance

EIN
820200895
IRS 990 coverage
2009–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Boise, ID, USA
Phone
2083672121
Rating
76
Verdict
SUPPORTED
Rating confidence
Standard
Sector
Hospitals and Related Primary Medical Care Facilities

Official website

Reported finances

Revenue
$998,570,100
Expenses
$976,839,978
Assets
$960,637,861
Liabilities
$274,632,555

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

Leadership & pay

31 people listed

Executive titles in this filing

  • DAVID MCFADYEN (DIR; PRES SAHS & CEO WEST REGION)
  • TRAVIS LEACH (DIRECTOR AND PRESIDENT AS OF 5/25)
  • MARCIE HARPER (VICE PRESIDENT OF FINANCE)
  • SCOTT CHRISTENSEN (VICE PRESIDENT OF OPERATIONS)
  • ODETTE BOLANO (PRES SAHS & CEO W REGION THR 6/24)

Highest reported compensation

  • ROBERT FARIVAR MD PHD (CARDIOTHORACIC SURGEON): $2,348,068 total reported compensation
  • ADAM GRIMALDI MD (CARDIAC ELECTROPHYSIOLOGIST): $1,610,611 total reported compensation
  • CHRISTOPHER REISING MD (SURGEON): $1,412,510 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, saint alphonsus health system and trinity health, serve together in the spirit of the gospel as a compassionate and transforming healing presence within our communities. Saint alphonsus regional medical center is a member of saint alphonsus health system and trinity health.

What it reported doing in 2024

Saint alphonsus regional medical center (sarmc) is a medical / surgical / acute care hospital located in boise, Idaho, whose history starts over 125 years ago. Sarmc serves residents throughout southwest Idaho, eastern Oregon and northern Nevada. Sarmc offers a full range of services in an inpatient and outpatient setting as well as 24-hour emergency care, surgical services, cancer care, breast care, brain injury program, pediatrics, spine care, and stroke center as well as many other services.sarmc now has the state's only neuro, surgical, trauma intensive care unit, including a stepdown component, allowing Idaho residents to receive timely care for complex injuries or illness of the brain or spine. Sarmc also offers convenient access to health care services with numerous health plazas and clinic locations. Please see schedule h and visit our website for additional information about our services, recognitions and awards: www.saintalphonsus.org

Operating model

Revenue model
Earned-program. 97% 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.
  • Includes noncash contributions: Reported contributions include donated property or goods.

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 fundraising costs are high for each dollar raised.

Rating breakdown

  • Financial Efficiency: 82
  • Transparency & Controls: 66
  • Accountability: 80
  • Sustainability: 49
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 88.3%; rating input score 88
  • Program expense ratio: 90.6%; rating input score 91
  • Fundraising efficiency: $5.25 raised per $1 spent on fundraising; rating input score 22; 22nd percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th 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: 1 of 8 controls in place; rating input score 12
    • Claims monitoring procedures: Pass
    • Requires narrative reports: Limited
    • Conducts field audits: Limited
    • May suspend future funding: Limited
    • Requires financial reports: Limited
    • Conducts site visits: Limited
    • Requires grant agreements: Limited
    • May require repayment: 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: 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: 2.2%; rating input score 43; 43rd percentile among comparable filings
  • Total-asset coverage ratio: 0.98; rating input score 39; 39th percentile among comparable filings
  • Liabilities to assets ratio: 0.29; rating input score 57; 57th percentile among comparable filings
  • Officer compensation ratio: 0.1%; rating input score 93; 93rd percentile among comparable filings

Growth

  • Program expense growth: 5.4% per year; rating input score 100; 44th percentile among comparable filings
  • Revenue growth: 4.6% per year; rating input score 100; 38th percentile among comparable filings
  • Asset growth: 2.5% per year; rating input score 100; 18th percentile among comparable filings

Details

  • Where the money goes: 88.3% of revenue deployed · 90.6% of spending went to programs
  • Governance: 14 of 17 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $884.8M in reported program spending
  • Leadership: top reported pay $2.3M · 31 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $49.6M reported
  • Consistency: 43 of 43 current checks pass
  • Schedules: 13 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 12 filed money-flow records
  • Related organizations: 323 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 — Financial Efficiency: Fundraising efficiency scored 22/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • Moderate — Sustainability: Operating margin scored 43/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 39/100.
  • Review — Sustainability: Liabilities to assets ratio scored 57/100.