Civic Intelligence

Saint Alphonsus Health System Inc

EIN 27-1929502 • 501(c)3 • Boise, ID

Profile

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 health system, inc. Is a member of trinity health.

1055 North Curtis RoadBoise, ID 83706-1370

www.saintalphonsus.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

95th percentile

1.06x

Higher debt load relative to assets than 95% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

69th percentile

0.73x

Higher debt load relative to revenue than 69% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

32nd percentile

-0.1%

Higher net margin than 32% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

93rd percentile

$1,598,874

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

93rd percentile

41%

Faster asset growth than 93% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

60th percentile

13%

Faster revenue growth than 60% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$63,421,189

Up $26,738,837 (+73%) from 2022

Liabilities

Up

$67,454,519

Up $27,560,823 (+69%) from 2022

Net Assets

Down

-$4,033,330

Down $821,986 (-26%) from 2022

Revenue

Up

$92,317,516

Up $10,391,017 (+13%) from 2022

Expenses

Up

$92,387,015

Up $10,735,117 (+13%) from 2022

Net Income

Down

-$69,499

Down $344,100 (-125%) from 2022

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100M$50M$0-$50MAssets 2013: $2,066,190Liabilities 2013: $6,807,630Net Assets 2013: -$4,741,4402013Assets 2014: $2,021,143Liabilities 2014: $12,293,909Net Assets 2014: -$10,272,7662014Assets 2015: $6,005,554Liabilities 2015: $21,438,657Net Assets 2015: -$15,433,1032015Assets 2016: $7,112,338Liabilities 2016: $21,306,675Net Assets 2016: -$14,194,3372016Assets 2017: $13,379,360Liabilities 2017: $24,076,753Net Assets 2017: -$10,697,3932017Assets 2018: $15,756,662Liabilities 2018: $28,273,762Net Assets 2018: -$12,517,1002018Assets 2019: $17,179,285Liabilities 2019: $23,259,761Net Assets 2019: -$6,080,4762019Assets 2020: $27,211,183Liabilities 2020: $30,920,262Net Assets 2020: -$3,709,0792020Assets 2021: $30,323,841Liabilities 2021: $33,809,786Net Assets 2021: -$3,485,9452021Assets 2022: $36,682,352Liabilities 2022: $39,893,696Net Assets 2022: -$3,211,3442022Assets 2024: $63,421,189Liabilities 2024: $67,454,519Net Assets 2024: -$4,033,3302024

Highlighted filing

2024

Assets$63,421,189
Liabilities$67,454,519
Net Assets-$4,033,330

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0-$50MExpenses 2013: $55,554,8072013Revenue 2014: $29,702,938Expenses 2014: $35,234,264Net Income 2014: -$5,531,3262014Revenue 2015: $37,415,812Expenses 2015: $42,576,149Net Income 2015: -$5,160,3372015Revenue 2016: $46,643,977Expenses 2016: $45,405,211Net Income 2016: $1,238,7662016Revenue 2017: $49,936,309Expenses 2017: $46,546,136Net Income 2017: $3,390,1732017Revenue 2018: $56,065,287Expenses 2018: $58,003,902Net Income 2018: -$1,938,6152018Revenue 2019: $65,675,646Expenses 2019: $59,241,106Net Income 2019: $6,434,5402019Revenue 2020: $64,951,070Expenses 2020: $62,568,173Net Income 2020: $2,382,8972020Revenue 2021: $65,041,457Expenses 2021: $64,833,381Net Income 2021: $208,0762021Revenue 2022: $81,926,499Expenses 2022: $81,651,898Net Income 2022: $274,6012022Revenue 2024: $92,317,516Expenses 2024: $92,387,015Net Income 2024: -$69,4992024

Highlighted filing

2024

Revenue$92,317,516
Expenses$92,387,015
Net Income-$69,499

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 14, 2025
Return Version
2023v6.0
Gross Receipts
$92,323,918
Mission and Program 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 health system is a member of trinity health.

To provide health care system management and support

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$17,711,866$20,529,480▲ $2,817,614
Land, Buildings, and Equipment, Net$12,715,511$11,566,114▼ $1,149,397
Investments Other Securities$418,058$286,997▼ $131,061
Other Notes and Loans Receivable, Net$265,250$213,868▼ $51,382
Prepaid Expenses and Deferred Charges$62,127$150,767▲ $88,640
Accounts Receivable-$6,932-
Cash and Non-Interest-Bearing Accounts$400$400→ $0
Total Assets$45,104,760$63,421,189▲ $18,316,429
Other Assets Total$13,931,548$30,666,631▲ $16,735,083
Liabilities
Other Liabilities$39,532,666$47,866,676▲ $8,334,010
Accounts Payable and Accrued Expenses$9,476,393$19,587,843▲ $10,111,450
Total Liabilities$49,009,059$67,454,519▲ $18,445,460
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-3,904,299$-4,033,330▼ $129,031
Total Net Assets Fund Balance$-3,904,299$-4,033,330▼ $129,031
Total Liabilities and Net Assets / Fund Balance$45,104,760$63,421,189▲ $18,316,429

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,755,172$5,881,298$8,636,470
Buildings$4,279,630$919,593$5,199,223
Land$3,842,585-$3,842,585
Other Land Buildings$670,430-$670,430
Leasehold Improvements$18,297$9,035$27,332
Other Assets Org$2,537,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Patrice Burgess MdChief Medical OfficerPT$349,060$99,674$448,734

Board Members and Trustees

NameTitle
Michael BallantyneDIRECTOR; CHAIR
Mark Nassir MdPresident St. Alphonsus Med Groups
Adam RichinsDIRECTOR; VICE CHAIR AS OF 1/24
Toni NielsenDIRECTOR; VICE CHAIR THROUGH 12/23
Angela TaylorDirector
Beth IneckDirector
Geraldine Hoyler CscDirector
Judge Robert OliverDirector
Kirk JacobsonDirector
Marie Guadalupe WisselDirector
Michael Coughlin MdDirector
Robert LadenburgerDirector
Suzanne Brennan CscDirector
Luis SantanaDirector 7/23 Through 12/23
Bea BlackDirector as of 1/24
Ron WathenDirector as of 1/24
Stephanie WilliamsDirector as of 1/24
Anabel Ortiz-chavollaDirector Through 12/23
Susan MorrisDirector Through 12/23
Odette BolanoDIRECTOR; PRES SAHS; CEO WEST REGION
Mark Lepage MdDIRECTOR; TRINITY SVP MED GROUPS
Jacqueline FearnsideAssociate Counsel
Steven Nemerson MdFormer Key Employee
Stephanie WestermeierSECRETARY; VP & MANAGING COUNSEL
Stacy PeweSVP Hr, West Service Area
B Lannie CheckettsTREASURER; CFO
Michael MaloneVP Chief Health Informatics Officer
Pam ThomasVP Mission Strategy Partner
Tiffany Whitmore SeibertVP Strategic Planning & Development

Highest Paid Contractors

ContractorServicesLocationCompensation
Crosstown Courier Service INCDelivery ServicesPO BOX 206, Blackstone, MA 01504$1,261,438
Media Place PartnersMarketing Services3351 CLAYSTONE ST SE SUITE 102, Grand Rapids, MI 49546$718,544
Rqi Partners LLCTraining ServicesPO BOX 841213, Dallas, TX 75284$568,362
Gem State Radiology LLPRadiology Services1055 N CURTIS RD, Boise, ID 83706$255,583
SterlingLandscaping ServicesPO BOX 35626, Newark, NJ 07193$249,850
Revenue and Support

Revenue Composition

Contributions and Grants
$12,837
Program Service Revenue
$91,224,835
Investment Income
$25,638
Other Revenue
$1,054,206
Change in Net Assets
$-69,499
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$66,440,664
Other Expenses$25,946,351
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$46,002,766$4,780,146-$50,782,912
Other Employee Benefits$5,019,939$778,133-$5,798,072
Information Technology$4,155,234$773,008-$4,928,242
Payroll Taxes$3,056,164$568,546-$3,624,710
Current Officers, Directors, Trustees, and Key Employees-$3,605,433-$3,605,433
Fees for Services Other$2,297,201$358,022-$2,655,223
Pension Plan Contributions$1,940,395$261,976-$2,202,371
Depreciation Depletion$1,188,700$221,137-$1,409,837
Advertising$1,109,990$206,494-$1,316,484
All Other Expenses$936,345$71,677-$1,008,022
Occupancy$547,036$101,766-$648,802
Other Expenses$542,227$1,631,495-$542,227
Comp Disqual Persons-$427,166-$427,166
Travel$341,903$63,605-$405,508
Office Expenses$314,285$58,467-$372,752
Fees for Services Legal-$203,908-$203,908
Conferences and Meetings$135,286$25,168-$160,454
Insurance$38,742$7,207-$45,949
Total Functional Expenses$78,243,661$14,143,354$0$92,387,015
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Accounts Payable$27,953,982
Deferred Compensation Liability$19,859,820
Operating Lease Liabilities$52,874
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole member of saint alphonsus health system is trinity health corporation. See line 7 for additional information.

Form 990, Part VI, Section A, Line 7A

Trinity health corporation is the sole member of saint alphonsus health system. Trinity health corporation has the right to appoint all persons to the board of directors of saint alphonsus health system.

Form 990, Part VI, Section A, Line 7B

As sole member, trinity health corporation must approve certain decisions of the governing body, including the strategic plan, annual capital plan, and annual operating budget. Trinity health corporation must also approve significant changes such as a merger, dissolution, sale of assets in excess of certain limits, and modifications to governing documents.

Form 990, Part VI, Section B, Line 11B

Prior to filing, the form 990 for saint alphonsus health system is reviewed by senior management. In addition, certain key sections of the form are reviewed by the saint alphonsus health system planning and finance committee. Each member of the board receives a copy of the return in its final form before it is filed with the internal revenue service.

Form 990, Part VI, Section B, Line 12C

Saint alphonsus health system has adopted trinity health's governance policy no. 1, which sets forth the organization's conflict of interest policy and processes. It applies to all "interested persons" of saint alphonsus health system, which includes directors, principal officers, key employees, and members of committees with board-delegated powers. Interested persons are expected to discharge their duties in a manner the person reasonably believes to be in the best interests of saint alphonsus health system and to avoid situations involving a conflict of interest. On an annual basis, interested persons are required to complete a conflict of interest disclosure statement and to affirm their receipt of the conflict of interest policy, compliance with its requirements, and agree to notify the organization of changes impacting their annual disclosure in accordance with the policy. The annual disclosures are provided to the integrity and compliance officer, who collaborates with internal legal counsel to assess the conflict and identify a conflict management plan when necessary. Additionally, the integrity and compliance officer along with legal counsel prepares a report for the board chair and ceo. A summary of potential conflicts is reviewed with the board of directors of saint alphonsus health system (or a delegated committee of the board) on a yearly basis. Interested persons are required to make full disclosure to saint alphonsus health system of any financial or business interests that might result in or have the appearance of a conflict of interest. The board of directors of saint alphonsus health system (or a delegated committee of the board) is responsible for the review of transactions to determine whether an actual conflict of interest exists. In the event of an actual conflict, the board (or a delegated committee of the board) will either avoid the conflict or appropriately scrutinize the transaction to ensure it is in the best interests of saint alphonsus health system. Interested persons are required to recuse themselves from discussion and voting on matters involving a conflict of interest. The policy further addresses the proper documentation of the proceedings and potential disciplinary and corrective action for violations of the policy. The policy is available to the public upon request.

Form 990, Part VI, Section B, Line 15

Questions 15a and 15b are answered "no" because the compensation for certain officers and key management officials of saint alphonsus health system is established and paid by trinity health, a related organization. In establishing ceo and cfo compensation, trinity health follows a process and policy that is intended to mirror the irc section 4958 guidelines for obtaining a "rebuttable presumption of reasonableness" with regard to compensation and benefits. As part of that process, the compensation and benefits of the ceo and cfo of saint alphonsus health system are reviewed at least annually by the trinity health board or the trinity health human resources and compensation committee (hrcc) of the board, authorized to act on behalf of the board with respect to certain compensation matters. As part of its review process, the hrcc retains an independent firm experienced in compensation and benefit matters for not-for-profit health care organizations to advise it in the determinations it makes on the reasonableness of proposed compensation and benefits arrangements. For other executives who are not part of the rebuttable presumption process, trinity health and saint alphonsus health system use a market analysis and management review and approval to determine the appropriateness of the executive's compensation. This process is performed annually.

Form 990, Part VI, Section C, Line 19

Saint alphonsus health system is a subsidiary organization in the trinity health system. Trinity health makes certain of its key documents available to the public on its website, www.trinity-health.org, in the "about us" section. In this section, the consolidated audited financial statements are publicly available. Saint alphonsus health system's governing documents and conflict of interest policy are available upon request.

Filing and Contact Details

Filer

Filer Name
Saint Alphonsus Health System Inc
EIN
27-1929502
Phone
2083672121
Address
1055 NORTH CURTIS ROAD, BOISE, ID 83706-1370
Doing Business As
Saint Alphonsus Health System

Signing Officer

Name
B Lannie Checketts
Title
Treasurer
Phone
2083672121
Signed
2025-05-14

Organization Details

Principal Officer
David Mcfadyen
Formed
2010
Legal Domicile
Id
Voting Board Members
17
Independent Board Members
14
Employees
7,138
Volunteers
18
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Equity transfer to affiliates -59,532.

FORM 990, PART XII, LINE 2:

Saint alphonsus health system's financial statements were included in the fy24 consolidated financial statements of trinity health, which were audited by an independent public accounting firm.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0ORGANIZED 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 300 PHYSICIANS, PROVIDED OVER 118,000 DAYS OF INPATIENT CARE AND ALMOST 1.5 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
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IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR; PRES SAHS; CEO WEST REGION
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR; TRINITY SVP MED GROUPS
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR; CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR; VICE CHAIR AS OF 1/24
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR; VICE CHAIR THROUGH 12/23
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR AS OF 1/24
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR THROUGH 12/23
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR THROUGH 12/23
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR 7/23 THROUGH 12/23
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR AS OF 1/24
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR AS OF 1/24
IRS990/Form990PartVIISectionAGrp/TitleTxt19DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt20TREASURER; CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt21SECRETARY; VP & MANAGING COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt22PRESIDENT ST. ALPHONSUS MED GROUPS
IRS990/Form990PartVIISectionAGrp/TitleTxt23CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt24SVP HR, WEST SERVICE AREA
IRS990/Form990PartVIISectionAGrp/TitleTxt25VP CHIEF HEALTH INFORMATICS OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt26VP MISSION STRATEGY PARTNER
IRS990/Form990PartVIISectionAGrp/TitleTxt27VP STRATEGIC PLANNING & DEVELOPMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt28ASSOCIATE COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt29FORMER KEY EMPLOYEE
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