Hospital Development Co EIN 55-0484469 Form 990 (PDF) Claim this org

Hospital Development Co FY2021 filing

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Improves community health through disease prevention, treatment, and medical education. For fiscal year 2021 it reported $52.0M in revenue, $49.3M in expenses, and $18.6M in net assets.Pt I

Founded
1966
Type
Hospital · Nonprofit
Location
Spencer, WV
Website
roanegeneralhospital.com
Filings
5 on file (2020–2021)
Revenue
$52.0MFY2021
Expenses
$49.3M
Net assets
$18.6M
People
24
Filings
5
Updates
0
More identity details & actions ⌄
EIN  55-0484469 Hospital Spencer, WV Founded 1966
Form 990 (PDF)
You’re viewing the FY2021 filing — not the latest on file. See the latest (FY2024) →
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Figures match the IRS filing checked 7/8/26 · see original: IRS
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Size
$10–100M
What they do
Improves community health through disease prevention, treatment, and medical education.
Leadership
Scott Duffy MD · Member/Chief of Med Staff · $546K
Money in and out
$52.0M revenue, $49.3M expenses
Bottom line
+5% operating surplus
Financial scale & money flow · FY2021
Total revenue
$52.0M
Pt VIII · Ln 12
Total expenses
$49.3M
Pt IX · Ln 25
Net assets
$18.6M
Pt X · Ln 32
Revenue less expenses (Pt I · Ln 19): $2.7M
Where spending went · Part IX cols B–D
Program services $0.79 Management & general $0.21
Operating surplus
+5%
revenue over expenses, this legal entity
Payroll share
54%
of this entity's spending is salaries & benefits
Program spending
79%
of expenses reach program services

Summary of the Filing

Part I · fiscal year 2021 · Form 990
Revenue
$52.0M
FY2021▲ +13%
Expenses
$49.3M
FY2021▲ +10%
Total assets
$52.9M
FY2021▼ -4%
Total liabilities
$34.2M
FY2021▼ -13%
Total revenue
$52.0M
Pt VIII · Ln 12
Total expenses
$49.3M
Pt IX · Ln 25
Net assets
$18.6M
Pt X · Ln 32
Revenue less expensesPt I · Ln 19$2.7M
Total assetsPt X · Ln 16$52.9M
Program-expense ratioPt IX · col B79%
Voting members of governing bodyPt I · Ln 316
Independent voting membersPt I · Ln 414
Mission & Programs · Part III

Where the work happens

3 program services account for $38.8M of program spending, described in the organization's own filed words · FY2020.
01

Roane General Hospital generated gross revenue of $101,074,643 of which $55,438,231 was uncollectible due to contractual agreements with Medicare, Medicaid and other third-party payors. Bad debts due to inability or unwillingness of patients to pay amounted to $2,588,520.

$38.8Mprogram expense
02

The Hospital provided community health education and health screening services at reduced fees during the year including health fairs; diabetes education seminars and screenings; and sports physicals. The Hospital served a total of 4,235 community participants through its community health education and health screening programs.

$25Kprogram expense
03

As a Critical Access hospital we provided health care services to our community which included the following days of care: Skilled/Intermediate Care Facility 11,629; Swing 1,913; Respite 54; and Acute Care 1,072.Additionally, we provided 49,051 outpatient diagnostic visits; 5,952 emergency room visits and 33,611 rural health clinic…

Pt IX · col B

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Identity & Classification

Form 990 Header · IRS Business Master File
Legal nameHdr · item CHospital Development Co
EINHdr · item D55-0484469
Principal addressHdr · item CSpencer, WV
WebsiteHdr · item Jroanegeneralhospital.com
Year of formationHdr · item L1966
State of legal domicileHdr · item MWV
Exempt statusHdr · item I501(c)(3) · active
NTEE classificationIRS BMFNonprofit
Ruling yearIRS BMFSep 1966

Governance & Policies

Part VI
Voting members of the governing bodyPt VI · Ln 1a16
Independent voting membersPt VI · Ln 1b14
Conflict-of-interest policyPt VI · Ln 12aYes
Whistleblower policyPt VI · Ln 13Yes
Document retention policyPt VI · Ln 14Yes
CEO/top-official compensation independently reviewedPt VI · Ln 15aYes
Family or business relationships among officers/directorsPt VI · Ln 2No

Officers, Directors & Key Employees

Part VII, Section A · reportable compensation · most recent filed roster (FY2020); the FY2021 filing did not itemize Part VII
Member/Chief of Med Staff
$545,551Pt VII · Sec A
$511,759Pt VII · Sec A
$502,534Pt VII · Sec A
Medical Director
$480,219Pt VII · Sec A
$428,118Pt VII · Sec A
CEO/Ex Officio
$406,381Pt VII · Sec A
$384,915Pt VII · Sec A
$338,310Pt VII · Sec A

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2024FY2023FY2022FY2021FY2020
Stephen Groves MD$668,696$521,205$561,033$502,534$454,747
Brent Watson MD$634,197$589,976$551,583$480,219$448,153
Scott Duffy MD$611,664$602,422$611,476$545,551$499,227
Doug Bentz$407,632$597,140$380,212$406,381$380,844
Richard Bowman MD$378,632$387,890$480,311$511,759$524,295
Phillip Prusack$521,939
Christopher Lambert MD$393,092$458,503$428,118$341,639
Hong-Kin Ng MD$405,164$368,541$386,602$384,915

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

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Statement of Revenue

Part VIII
Program service revenue$46.3M · 89%
Contributions & grants$4.7M · 9%
Investment income$262K · 1%
Other revenue$718K · 1%
Program service revenue89%$46.3M
Contributions & grants9%$4.7M
Investment income1%$262K
Other revenue1%$718K
— government grantsLn 1e$4.3M
Total revenueLn 12$52.0M

Statement of Functional Expenses

Part IX · allocated across program, management, and fundraising
Allocation · columns B–D
Program services $0.79 Management & general $0.21
Program services79%$38.8M
Management & general21%$10.5M
Total functional expensesLn 25$49.3M

Balance Sheet

Part X · end of year
CashLn 1$9.3M
Total assetsLn 16$52.9M
Total liabilitiesLn 26$34.2M
Total net assetsLn 32$18.6M
Months of cash on handcomputed2.3

Financial Metrics

Form 990 · FY2021 · each ratio shown with the dollars behind it
Liquidity & Payout
Operating runway
Highly liquid reserves $12.2M · Operating expenses/yr $49.3M
3.0 months
Where the money goes
Program services
Program services $38.8M · Total expenses $49.3M
79%
Management & General
Management & general $10.5M · Total expenses $49.3M
21%
Fundraising
Fundraising $0 · Total expenses $49.3M
0%
Cost to raise $1
Fundraising expense (2-yr avg) $0 · Solicited contributions (2-yr avg) $275K
Solicited contributions below reporting floor
Where the money comes from
Contribution dependence
Contributions & grants $4.7M · Total revenue $52.0M
9%
Government reliance
Government grants $4.3M · Total revenue $52.0M
8%
Earned-income share
Program service revenue $46.3M · Total revenue $52.0M
89%
Investment reliance
Investment income $262K · Total revenue $52.0M
+0.5%
Program self-sufficiency
Program service revenue $46.3M · Total expenses $49.3M
94%
Growth & trend
Revenue growth (YoY)
This year $52.0M · Prior year $46.1M
+13%
Net-asset trend (YoY)
End of year $18.6M · Beginning of year —
Beginning net assets not meaningfully positive — showing dollar change
Balance sheet
Surplus Margin
Revenue $52.0M · Expenses $49.3M
+5%
Liabilities-to-Assets
Total liabilities — · Total assets $52.9M
Net-asset ratio
Net assets $18.6M · Total assets $52.9M
35%
Marketable Investment Share
Publicly traded securities (Pt X, ln 11) $2.2M · Other securities (Pt X, ln 12) $616K · Total assets (Pt X, ln 16) $52.9M
5%
People & payroll
Highest Reported Total Compensation
Individual Scott Duffy MD · Reported title Member/Chief of Med Staff · Highest reported compensation $546K · Total expenses $49.3M
1%
Personnel share
Salaries, benefits & payroll (Pt IX 5-10) $26.5M · Total expenses $49.3M
54%
Peer comparison

Same NTEE category, revenue band, and state where available. Descriptive — not a grade.

MetricThis orgPeer medianPercentile
Program ratio 79%
Overhead ratio 21%
Fundraising cost ratio 0%
Revenue growth 13%
Legal fee ratio 0.1%

Straight from the Form 990 — descriptive, not an evaluation. A ratio is hidden when its base is zero or too small to be meaningful; the dollars are always shown.

Grants

Schedule I · funders on record
Grants received · FY2024
Total grants receivedfrom 1 funder$66K

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Filings & Schedule Manifest

Part IV
III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash
FY2024 (Latest)$66.9M revenue · ⤓ 990 PDF
FY2023$62.5M revenue · ⤓ 990 PDF
FY2022$56.6M revenue · ⤓ 990 PDF
FY2021$52.0M revenue · viewing · ⤓ 990 PDF
FY2020$46.1M revenue · ⤓ 990 PDF

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Sources

Every figure above is drawn from these filings
Form 990 e-file (XML) · FY2021IRS
Classification, formation year, addressIRS Business Master File
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