Paramount Advantage

Nonprofit profile at a glance

EIN
203376102
IRS 990 coverage
2015–2024
Forms available
Form 990 2024
Location
Toledo, OH, USA
Phone
4192525772
Rating
44
Verdict
MIXED
Rating confidence
Moderate

Official website

Reported finances

Revenue
$4,154,106
Expenses
$972,754
Assets
$500
Liabilities
$0

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

Leadership & pay

6 people listed

Executive titles in this filing

  • LORI JOHNSTON (PRESIDENT - PART YEAR)
  • TERRENCE METZGER (TREASURER/PRESIDENT/CFO)
  • ARTURO POLIZZI (CEO)

Highest reported compensation

  • ARTURO POLIZZI (CEO): $3,133,332 total reported compensation
  • LORI JOHNSTON (PRESIDENT - PART YEAR): $1,615,512 total reported compensation
  • TERRENCE METZGER (TREASURER/PRESIDENT/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 improve the health and well-being of the communities we serve.

What it reported doing in 2024

Paramount advantage is a member of promedica health system, inc. (promedica), a mission-based, locally owned, nonprofit healthcare organization. Headquartered in toledo, Ohio, promedica offers comprehensive health services including medical, surgical, psychiatric, rehabilitative, skilled nursing, home health, and hospice services in 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. Paramount advantage was a medicaid managed care plan (mcp) contracted through the Ohio department of medicaid (odm) that provided health care services to Ohio residents eligible for aged, blind or disabled, covered families and children, or adult extension medicaid benefits via a statewide health maintenance organization (hmo) platform. The medicaid contract with odm has ended and paramount advantage discontinued its main business operations during 2023. For 2024, paramount advantage worked to wrap up any remaining business.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
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

MIXED - Most filed governance safeguards are in place and revenue comfortably covers expenses. 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: 29
  • Transparency & Controls: 55
  • Accountability: 62
  • Sustainability: 65
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 9.4%; rating input score 9
  • Program expense ratio: 72.1%; rating input score 72
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 10th 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: No; rating input score 0

Accountability

  • Independent voting board: 50%; rating input score 50; 8th 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: 76.6%; rating input score 97; 97th percentile among comparable filings
  • Total-asset coverage ratio: 0; rating input score 1; 1st percentile among comparable filings
  • Liabilities to assets ratio: 0; rating input score 97; 97th percentile among comparable filings
  • Officer compensation ratio: 3.2%; rating input score 67; 67th percentile among comparable filings

Growth

  • Program expense growth: -13% per year; rating input score 0; 2nd percentile among comparable filings
  • Revenue growth: -11.6% per year; rating input score 0; 1st percentile among comparable filings
  • Asset growth: -11% per year; rating input score 0; 2nd percentile among comparable filings

Details

  • Where the money goes: 9.4% of revenue deployed · 72.1% of spending went to programs
  • Governance: 1 of 2 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $702K in reported program spending
  • Leadership: top reported pay $3.1M · 6 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 19 of 20 current checks pass · 1 finding to review
  • Schedules: 4 filed schedules · includes executive pay
  • Filing history: 9 filing years from 2015 to 2024
  • Contacts: How to reach this organization
  • 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.

  • High — Financial Efficiency: Mission deployment rate scored 9/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Independent voting board scored 50/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Transparency & Controls: Related-party transparency scored 0/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 1/100.
  • High — Growth: Asset growth scored 0/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.