Marco Island Hospital Inc

Nonprofit profile at a glance

EIN
592315435
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
Marco Island, FL, USA
Phone
2396246338
Rating
75
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$4,692,455
Expenses
$3,639,082
Assets
$15,971,309
Liabilities
$1,331,297

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

Leadership & pay

37 people listed

Executive titles in this filing

  • PAUL HILTZ (PRESIDENT/CEO/TRUSTEE)
  • JIM MAHON (SENIOR VICE PRESIDENT)

Highest reported compensation

  • PAUL HILTZ (PRESIDENT/CEO/TRUSTEE): $2,398,419 total reported compensation
  • KRISTIN MASCOTTI MD TRM 224 (FORMER CHIEF MEDICAL OFFICER): $1,060,342 total reported compensation
  • JONATHAN KLING (CHIEF OPERATING OFFICER SYSTEM): $950,393 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Helping everyone live a longer, happier, and healthier life.

What it reported doing in 2024

Marco island hospital, inc., operates an 11 1/2-hour/7-days a week urgent care facility and services patients without regard to their ability to pay. During fye 09/30/2025, 6,416 patients were treated. Of these patients, 5.78% were classified as medicaid, charity, or bad debts.

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 - The filed numbers largely add up and a large share of available resources goes toward mission work. Program spending has declined or grown slowly and reported officer compensation is a large share of total spending, which may reflect staffing concentration.

Rating breakdown

  • Financial Efficiency: 60
  • Transparency & Controls: 89
  • Accountability: 88
  • Sustainability: 69
  • Growth: 60

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 61%; rating input score 61
  • Program expense ratio: 78.7%; rating input score 79
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 80%; rating input score 80; 14th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 22.4%; rating input score 79; 79th percentile among comparable filings
  • Total-asset coverage ratio: 4.39; rating input score 81; 81st percentile among comparable filings
  • Liabilities to assets ratio: 0.08; rating input score 62; 62nd percentile among comparable filings
  • Officer compensation ratio: 22%; rating input score 10; 10th percentile among comparable filings

Growth

  • Program expense growth: -0% per year; rating input score 0; 14th percentile among comparable filings
  • Revenue growth: 1.8% per year; rating input score 100; 19th percentile among comparable filings
  • Asset growth: 3.4% per year; rating input score 100; 26th percentile among comparable filings

Details

  • Where the money goes: 61% of revenue deployed · 78.7% of spending went to programs
  • Governance: 12 of 15 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $2.9M in reported program spending
  • Leadership: top reported pay $2.4M · 37 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 2 contractors listed · $4.8M reported
  • Consistency: 24 of 24 current checks pass
  • Schedules: 6 filed schedules · includes executive pay and related organizations
  • Filing history: 15 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Related organizations: 12 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 — Growth: Program expense growth scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 10/100.