The Toledo Hospital

Nonprofit profile at a glance

EIN
344428256
IRS 990 coverage
2010–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Toledo, OH, USA
Phone
4192525772
Rating
68
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$1,672,239,052
Expenses
$1,369,345,198
Assets
$1,843,074,955
Liabilities
$1,979,873,809

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

Leadership & pay

29 people listed

Executive titles in this filing

  • ARTURO POLIZZI (CEO)
  • DAWN BUSKEY (PRESIDENT - TTH/CHIEF ACUTE CARE OFFICER)
  • DARRIN ARQUETTE (PRESIDENT OF MONROE REGIONAL HOSPITAL)
  • BRIAN MILLER (VICE PRESIDENT OF PROVIDER MEDICAL OPERATIONS)
  • BRIAN KAMINSKI (VICE PRESIDENT OF METRO MEDICAL AFFAIRS - PROVIDER)
  • JULIE YAROCH (PRESIDENT OF CHARLES VIRGINIA HICKMAN HOSPITAL)

Highest reported compensation

  • ARTURO POLIZZI (CEO): $3,133,332 total reported compensation
  • DAWN BUSKEY (PRESIDENT - TTH/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

As an integral part of promedica health system, inc., we are a valuable community resource providing comprehensive health services with expertise and compassion, and improving the health of those we serve through prevention, education, and superior service.

What it reported doing in 2024

The toledo hospital (d/b/a promedica toledo hospital) is the adult tertiary hospital 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. For more than 150 years, promedica toledo hospital (th) has served metropolitan toledo and surrounding communities with state-of-the-art emergency, medical, diagnostic, and surgical services. The 794-bed hospital offers access to the area's largest board-certified medical staff, with more than 1,000 primary care and specialty physicians as well as advance practice providers, offering the largest board-certified medical staff in the area. Additionally, th offers a number of key services to the metro-toledo area, such as the center for women's health, which includes maternal-fetal medicine for high-risk pregnancies and a level iii perinatal unit; jobst vascular institute; promedica breast care; and a level i trauma center. Other programs and services include well-established neurosciences, cardiovascular and orthopaedic departments, a nationally recognized bariatric program, a certified comprehensive stroke center, and an emergency center that treats more than 100,000 patients annually. All services are fully backed by accredited ancillary services, such as laboratory, radiology, as well as physical, speech, and occupational therapies.the promedica russell j. Ebeid children's hospital (ech) operates as part of th, providing pediatric tertiary care. Ech exclusively serves the healthcare needs of children and adolescents under the age of 18. Ech's medical staff includes board-certified physicians and advance practice providers, while a newborn intensive care unit includes a neonatal physician and pediatric hospitalist who are on duty 24 hours a day. Other ech specialty services include a pediatric cancer center, asthma treatment and education services, pediatric psychiatry, and a dedicated level ii pediatric trauma center. In 2024, promedica toledo hospital earned a five-star rating from the centers for medicare & medicaid services (cms) as part of its updated overall hospital quality star rating. The th recognition was earned in a collaborative effort with promedica flower and wildwood orthopaedic and spine hospitals.th was named on of healthgrades america's 50 best hospitals in the nation for exhibiting clinical excellence for at least four consecutive years. Th also was rated the number 1 hospital in the metro toledo area by u.s. News and world report.promedica flower hospital (fh), a division of th, is a 315-bed facility in sylvania, Ohio, which provides extensive healthcare services including emergency medicine, inpatient rehabilitation, surgical services, cardiac and pulmonary rehabilitation, labor and delivery, inpatient oncology care, outpatient oncology services through the hickman cancer center, and a full range of diagnostic, laboratory and radiology services. Fh also houses the largest adult inpatient psychiatric unit in northwest Ohio and southeast Michigan. In 2024, fh received america's 100 best hospital awards for cardiac care, pulmonary care, gastrointestinal care, and gastrointestinal surgery. The hospital was also recognized with the stroke care excellence award and excellence in outpatient orthopaedic surgery awards. Fh earned joint commission certifications for hip and knee replacements. Promedica wildwood orthopaedic and spine hospital (wosh), also a division of th, is an all-digital, 42-bed acute care facility that provides inpat

Operating model

Revenue model
Earned-program. 98% 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 - 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 some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 62
  • Transparency & Controls: 64
  • Accountability: 76
  • Sustainability: 66
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 64.3%; rating input score 64
  • Program expense ratio: 79%; rating input score 79
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th 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: 75%; rating input score 75; 24th 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: 18.1%; rating input score 86; 86th percentile among comparable filings
  • Total-asset coverage ratio: 1.35; rating input score 50; 50th percentile among comparable filings
  • Liabilities to assets ratio: 1.07; rating input score 5; 5th percentile among comparable filings
  • Officer compensation ratio: 0.3%; rating input score 89; 89th percentile among comparable filings

Growth

  • Program expense growth: 4.7% per year; rating input score 100; 37th percentile among comparable filings
  • Revenue growth: 6.9% per year; rating input score 100; 60th percentile among comparable filings
  • Asset growth: 2.9% per year; rating input score 100; 20th percentile among comparable filings

Details

  • Where the money goes: 64.3% of revenue deployed · 79% of spending went to programs
  • Governance: 15 of 20 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $1.1B in reported program spending
  • Leadership: top reported pay $3.1M · 29 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 30 of 31 current checks pass · 1 finding to review
  • Schedules: 10 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: 8 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.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • Review — Sustainability: Total-asset coverage ratio scored 50/100.
  • High — Sustainability: Liabilities to assets ratio scored 5/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.