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HOSPITAL DEVELOPMENT CO

EIN 55-0484469 SPENCER, WV

Browse the largest nonprofits in West Virginia

Revenue 2024
$79,682,370
Expenses 2024
$70,472,217

Program services were 73.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

As filed

Subsection
03
Classification
1000
Street
200 HOSPITAL DR

These codes are the IRS's own and are shown exactly as filed. What each one means is in the Business Master File documentation (opens in a new tab).

Other organizations at this address

1 other organization in the IRS Business Master File lists the same street address. matched by us

We match the street line and ZIP code as the IRS gives them, ignoring case and outer spaces and nothing else, so "AVE" and "AVENUE" count as different streets and this list can miss some. A shared address can mean related organizations or a shared office, but it can also be a registered agent, a mail drop or a service provider holding mail for unrelated clients. It is not, by itself, evidence that two organizations are connected.

Mission and programs · 2024

Mission

Roane General Hospital is dedicated to the delivery of high-quality, cost effective health care to all members of our community. The work we do makes a difference in people's lives.

Activities or mission (Part I)

To promote the general health and welfare of Roane County and surrounding areas and all of the citizens thereof by furthering all legitimate methods for the prevention and treatment of disease and the positive promotion of health, both personal and public, including but not limited to the operation of hospitals, nursing schools, nursing homes and medical research facilities; to foster and conduct education in medicine in all its branches and in those adjacent and kindred arts and sciences such as nursing and technical training which contribute to the diagnosis, treatment, care and prevention of disease.

  • Roane General Hospital generated gross revenue of $147,936,974 of which $83,491,512 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 $4,960,294. Additionally, charges for patients meeting 200% of the poverty level and who qualified for charity care were written off totaling $1,151,571.

    Expenses $51,589,864 · Revenue $75,740,790

  • As a Critical Access Hospital, we provided health care services to our community which included the following days of care: Skilled/Intermediate Care Facility 12,193; Swing 1,120; Respite 6; and Acute Care 1,051.Additionally, we provided 49,073 outpatient diagnostic visits; 7,121 emergency room visits and 42,775 rural health clinic provider visits.Revenue and expenses related to these services are included above in box 4a.

  • The Hospital provided community health education and health screening services at reduced fees during the year including health fairs; diabetes education seminars and screenings; nutrition education classes and sports physicials. The Hospital also provided a free, comprehensive wellness program with persons at risk for chronic diseases that encompasses fitness, nutrition and lab metrics. The Hospital served a total of 27,401 community participants through its community health education and health screening programs.

    Expenses $255,794

  • Other programs provided include Cardiac Rehab, Laboratory Services, Emergency Room, Pharmacy, Radiology, CT Scan, Ultrasound, MRI, Nuclear Medicine, Physical Therapy, Operating Room and RHC's. Revenue and expenses related to these services are included above in box 4a.

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Officers and directors · 2024

As listed in Part VII of the 2024 return, in the order the filer printed them. Each return names its own; this is not a roster the organization keeps with us.

  • Brent Watson MD

    Medical Director

    Total calculated
    $652,751
    From this org
    $636,097
    From related orgs
    $0
    Other
    $16,654
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $614,418
    Bonus
    $18,073
    Other
    $3,606
    Deferred
    $13,200
    Nontaxable benefits
    $3,454
    Filer's total
    $652,751
  • Scott Duffy MD

    Chief of Medical Staff

    Total calculated
    $559,109
    From this org
    $516,614
    From related orgs
    $0
    Other
    $42,495
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $495,971
    Bonus
    $18,350
    Other
    $2,293
    Deferred
    $13,200
    Nontaxable benefits
    $29,295
    Filer's total
    $559,109
  • Doug Bentz

    CEO

    Total calculated
    $500,622
    From this org
    $452,336
    From related orgs
    $0
    Other
    $48,286
    Hours/week
    40 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $381,468
    Bonus
    $70,868
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $35,086
    Filer's total
    $500,622
  • Hong-Kin Ng MD

    Physician

    Total calculated
    $488,016
    From this org
    $441,658
    From related orgs
    $0
    Other
    $46,358
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $434,450
    Bonus
    $4,700
    Other
    $2,508
    Deferred
    $13,200
    Nontaxable benefits
    $33,158
    Filer's total
    $488,016
  • Grant Parkins DO

    Chief of Staff and Bd Member

    Total calculated
    $402,311
    From this org
    $351,393
    From related orgs
    $0
    Other
    $50,918
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $337,914
    Bonus
    $13,140
    Other
    $339
    Deferred
    $13,200
    Nontaxable benefits
    $37,718
    Filer's total
    $402,311
  • Ethan Westbrook DO

    Physician

    Total calculated
    $388,582
    From this org
    $386,831
    From related orgs
    $0
    Other
    $1,751
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $369,687
    Bonus
    $17,144
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $1,751
    Filer's total
    $388,582
  • Richard Bowman MD

    Physician

    Total calculated
    $385,938
    From this org
    $341,033
    From related orgs
    $0
    Other
    $44,905
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $213,943
    Bonus
    $122,090
    Other
    $5,000
    Deferred
    $11,747
    Nontaxable benefits
    $33,158
    Filer's total
    $385,938
  • Jonathan White MD

    Physician

    Total calculated
    $331,291
    From this org
    $290,385
    From related orgs
    $0
    Other
    $40,906
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $286,200
    Bonus
    $4,185
    Other
    $0
    Deferred
    $11,320
    Nontaxable benefits
    $29,586
    Filer's total
    $331,291
  • Julie Carr MSN

    Chief Clinical Officer

    Total calculated
    $225,369
    From this org
    $203,762
    From related orgs
    $0
    Other
    $21,607
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $183,232
    Bonus
    $20,530
    Other
    $0
    Deferred
    $8,253
    Nontaxable benefits
    $13,354
    Filer's total
    $225,369
  • Amy W Downey CPA MPA

    Chief Financial Officer

    Total calculated
    $212,340
    From this org
    $187,487
    From related orgs
    $0
    Other
    $24,853
    Hours/week
    40 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $168,311
    Bonus
    $19,176
    Other
    $0
    Deferred
    $7,713
    Nontaxable benefits
    $17,140
    Filer's total
    $212,340
  • Jack D Garrett II

    Board President

    Total calculated
    $0
    Hours/week
    0.5
  • William G Downey Jr

    Board Vice President

    Total calculated
    $0
    Hours/week
    0.5
  • John A Varda

    Board Treasurer

    Total calculated
    $0
    Hours/week
    0.5
  • G Jeanette Atkinson

    Board Secretary

    Total calculated
    $0
    Hours/week
    0.5
  • Robert E Zdanek

    Board Member (until 5/2025)

    Total calculated
    $0
    Hours/week
    0.5
  • R Floyd Bowlby

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related
  • Paul Hughes

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related
  • John H Taylor

    Board Member

    Total calculated
    $0
    Hours/week
    0.5
  • Emily Westfall

    Board Member (Until 9/2025)

    Total calculated
    $0
    Hours/week
    0.5
  • Kevin M Gaughan

    Board Member

    Total calculated
    $0
    Hours/week
    0.5

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us. Earlier years are each on their own filing page.

Filings

  • 2024
    Revenue
    $79,682,370
    Expenses
    $70,472,217
    Contributions
    $3,913,119
    Grants paid
    $0
  • 2023
    Revenue
    $66,854,891
    Expenses
    $66,334,151
    Contributions
    $304,791
    Grants paid
    $0
  • 2022
    Revenue
    $62,515,507
    Expenses
    $62,525,549
    Contributions
    $83,056
    Grants paid
    $0

The four totals the IRS asks for on Part I of the Form 990, as filed. A dash means the figure was not present on the return — not that it was zero.

Other returns filed

  • 2021 · 990

    Revenue
    $56,627,091
    Expenses
    $58,246,041
    Assets (EOY)
    $49,105,663
  • 2020 · 990

    Revenue
    $52,048,469
    Expenses
    $49,312,721
    Assets (EOY)
    $52,869,915
  • 2019 · 990

    Revenue
    $46,111,124
    Expenses
    $44,828,787
    Assets (EOY)
    $55,344,941
  • 2017 · 990

    Revenue
    $41,232,928
    Expenses
    $39,212,755
    Assets (EOY)
    $25,182,757
  • 2016 · 990

    Revenue
    $39,228,828
    Expenses
    $37,327,603
    Assets (EOY)
    $24,207,131
  • 2015 · 990

    Revenue
    $33,383,097
    Expenses
    $32,582,591
    Assets (EOY)
    $20,056,858
  • 2014 · 990

    Revenue
    $27,602,139
    Expenses
    $28,389,840
    Assets (EOY)
    $17,997,633
  • 2013 · 990

    Revenue
    $29,302,400
    Expenses
    $28,690,894
    Assets (EOY)
    $17,075,008
  • 2012 · 990

    Revenue
    not reported
    Expenses
    $26,820,897
    Assets (EOY)
    $17,398,082
  • 2011 · 990

    Revenue
    not reported
    Expenses
    $26,106,542
    Assets (EOY)
    $15,658,762

Nonprofiteer parses Forms 990, 990-EZ and 990-PF, in a window of recent tax years. These returns are recorded from the IRS e-file index, so their figures were extracted by that index rather than read from the return here — treat them as a different source from the filings above, not as more of the same record. A dash means the index carries no figure; Form 990-T listings carry none at all. Showing the 10 most recent; the API carries the rest.

Grants made

No itemized grants to organizations. Schedule I is filed only by organizations that granted more than $5,000 to a recipient, so most filers have none.

Grants received

Related organizations

From Schedule R Part II, where a filer lists the tax-exempt organizations it is related to by control. It does not record shared board members or money.

Declared on its 2024 return

Taxable family

From Schedule R Parts I, III and IV: entities that legally are the filer, and taxable partnerships, corporations and trusts it is related to. These record ownership and control, not shared board members or money.

Related corporations and trusts on its 2024 return

  • Roane Medical Building Inc

    C · Health care and social assistance - offices of physicians · WV · 100% owned · share of income $2,906 · share of assets $31,880

Other IRS files

Auto-Revocation List

Not listed. The IRS publishes this list for organizations whose exemption was automatically revoked for failing to file for three consecutive years.

Publication 78

Listed as of 13 October 2026, under deductibility PC.

These are two separate IRS files on two separate schedules, shown as published and not reconciled with each other. Neither is a statement about whether a contribution is deductible today: 19,245 organizations appear in Publication 78 while the IRS's own revocation file lists them as currently revoked, more than half of those revoked before 2019. Absence from Publication 78 is evidence of nothing, and presence is not evidence either. Verify current status with the IRS before relying on it.

What this page reflects

The registration facts above come from the IRS Business Master File published 13 October 2026 and read 1 November 2026, for every organization at once. Returns through tax year 2024, the newest we have parsed for this organization.