Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Idaho · California · Oregon · Ranked 429 of 1033 by CEO pay.

Saint Alphonsus Regional Medical Center

David Mcfadyen, Dir; Pres Sahs & CEO West Region. Fiscal year ending 2025-06.

$981,376
CEO total compensation
Form 990 Part VII, columns D+E+F
1.58%
of expenses spent on charity care
Schedule H Part I line 7a
2.9%
CEO pay as a share of all charity care

Most of the reported compensation ($800,711 of $981,376) came from a related organization (Part VII column E) and was reported on this filing.

Also listed with a chief executive title in the same filings: Odette Bolano, Frmr Offcr;Sahs Pres;CEO West Region, $1,598,874. Where a chief executive retired during the year, the filing reports the final-year payout.

§1The filing

Total revenue
$2,242,207,185
Total expenses
$2,155,074,565
Net assets
$1,632,258,612
Employees
5,079
Hospitals covered
8 facilities across 6 filings
Charity care, net
$34,059,617
Bad debt
$39,536,833
Medicare surplus (shortfall), as filed
($17,584,009)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$800,711
Other compensation, including deferred pay and nontaxable benefits (col. F)
$180,665
CEO total compensation (D+E+F)
$981,376 to David Mcfadyen

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Saint Alphonsus Regional Medical Center, EIN 82-0200895, fiscal year ending 2025-06, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$153.1M Of which charity care to patients who could not pay (line 7a)$34.1M (22%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($39.5M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Saint Alphonsus Regional Medical Center Inc82-02008952025-06$998.6M$17.7M1.85%990
Saint Agnes Medical Center94-14377132025-06$733.5M$5.8M0.77%990
Saint Alphonsus Medical Center - Nampa Inc82-02008962025-06$374.4M$8.1M2.78%990
Saint Alphonsus Medical Center - Ontario Inc27-17898472025-06$81.9M$1.6M2.06%990
Saint Alphonsus Medical Center - Baker City Inc27-17900522025-06$35.5M$874,1872.30%990
Saint Alphonsus Diversified Care Inc94-30289782024-06$18.3M$65,0270.67%990

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

§Share

Saint Alphonsus Regional Medical Center: CEO pay $981,376, charity care 1.58% of expenses