Defiance Hospital Inc
Nonprofit profile at a glance
- EIN
- 344446484
- IRS 990 coverage
- 2010–2024
- Forms available
- Form 990 2024
- Location
- Toledo, OH, USA
- Phone
- 4192525772
- Rating
- 64
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $103,937,496
- Expenses
- $69,608,448
- Assets
- $46,643,100
- Liabilities
- $12,251,163
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
28 people listed
Executive titles in this filing
- KEITH BURMEISTER (PRESIDENT)
- ARTURO POLIZZI (CEO)
Highest reported compensation
- ARTURO POLIZZI (CEO): $3,133,332 total reported compensation
- DAWN BUSKEY (TRUSTEE/CHIEF ACUTE CARE OFFICER): $1,354,936 total reported compensation
- TERRENCE METZGER (TREASURER/CFO): $1,215,928 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Our mission is to be the leader in providing quality healthcare services that meet the needs and exceed the expectations of our customers
What it reported doing in 2024
Defiance hospital, inc. (d/b/a promedica defiance regional hospital) is a member of promedica health system, inc. (promedica), a mission-based, locally owned, nonprofit healthcare organization highly focused on achieving core values. Headquartered in toledo, Ohio, promedica serves 28 states across the country and is one of the nation's leading health systems. Our stewardship of resources has enabled us to wisely invest in patient-centered care, advanced technology, innovative programs, and family-oriented facilities that help to ensure patients and area residents have equal access to high-quality, safe care in the most appropriate setting, regardless of patients' ability to pay. Promedica defiance regional hospital (drh) is a 25-bed, critical access, general acute care hospital in defiance, Ohio that includes a 10-bed, distinct behavioral health unit. The 200,000-square-foot facility provides healthcare services to residents in the Ohio counties of defiance, paulding, henry, fulton, putnam, and williams. In 2024, drh received the outstanding patient experience award from healthgrades for its commitment to providing exceptional care and ensuring positive experience for patients. Blue distinction centers for maternity care 2024 program. The chartis center for rural health, the award honors top quartile performance among rural hospitals in patient perspective.drh offers a broad spectrum of services to meet the community's identified healthcare needs, including full-service emergency center and level iii trauma center, surgical services, health education programming, the coping center for patients with mental health issues, advanced diagnostics, women's services, and a sleep disorders center. As a testament to our commitment to provide high-quality care to area residents, drh also offers an expanded visiting physician clinic including urology and other specialties and subspecialties. A medical office building on the campus includes five clinical suites for specialties such as orthopaedics, rehabilitation services, ophthalmology, and behavioral health services as well as numerous primary care providers.as a community-based hospital, drh hosts various support groups and community outreach activities to promote health and wellness, including medication disposal, health screenings, addressing food insecurity, and maternal and infant health classes. Drh is accredited by the joint commission and has earned in acute care, cardiac catheterization lab, cardiac surgery, ct scanner, ear/nose/throat surgery, eeg/ekg/emg lab, gastroenterology, gynecological surgery, interventional radiology, labor & delivery, mri, mammography, medical/surgical unit, medical icu, nuclear medicine, ophthalmology, orthopedic surgery, outpatient clinics, psychiatric unit, sleep lab, and vascular surgery. Drh's charge is to improve the health and well-being of those individuals whom we serve through prevention, education and quality care. As part of promedica's commitment to addressing the community's health needs, defiance regional hospital is an active partner of the promoting overall wellness and empowering residents (power)defiance coalition. The hospital participates and provides financial contributions to the conducting of the county health assessment, development and implementation of the community health improvement plan. In 2024, drh served 1,602 inpatients and 94,160 outpatients. Additionally, 12,695 individuals sought emergency care at drh. The hospital contributed $13,155,000 in community benefit in 2024 through community benefit expenditures, financial assistance and government-sponsored, means-tested health care . Through community health services, subsidized health services, cash and in-kind contributions, and community benefit operations, drh contributed $731,000 to the community during 2024 . Included in this amount are programs and services such as: community health education through numerous health promotions and wellness programs; tobacco and ni
Operating model
- Revenue model
- Earned-program. 100% 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 - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.
Rating breakdown
- Financial Efficiency: 54
- Transparency & Controls: 69
- Accountability: 74
- Sustainability: 67
- Growth: 80
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 51.3%; rating input score 51
- Program expense ratio: 76.7%; rating input score 77
- Fundraising efficiency: Limited
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: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 72.2%; rating input score 72; 22nd 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: 33%; rating input score 93; 93rd percentile among comparable filings
- Total-asset coverage ratio: 0.67; rating input score 26; 26th percentile among comparable filings
- Liabilities to assets ratio: 0.26; rating input score 60; 60th percentile among comparable filings
- Officer compensation ratio: 1.2%; rating input score 70; 70th percentile among comparable filings
Growth
- Program expense growth: 1.9% per year; rating input score 100; 15th percentile among comparable filings
- Revenue growth: 3.4% per year; rating input score 100; 26th percentile among comparable filings
- Asset growth: -8.1% per year; rating input score 0; 1st percentile among comparable filings
Details
- Where the money goes: 51.3% of revenue deployed · 76.7% of spending went to programs
- Governance: 13 of 18 board members independent · 7 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $53.4M in reported program spending
- Leadership: top reported pay $3.1M · 28 people listed · 0 of 6 pay-setting controls reported
- Consistency: 29 of 29 current checks pass
- Schedules: 9 filed schedules · includes major donors and executive pay
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 5 filed money-flow records
- Related organizations: 71 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.
- Review — Financial Efficiency: Mission deployment rate scored 51/100.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- High — Sustainability: Total-asset coverage ratio scored 26/100.
- High — Growth: Asset growth scored 0/100.