Hospital Development Co
Also known as Roane General Hospital
Hospital Development Co reported $79.7 million in revenue and $70.5 million in expenses for the fiscal year ending September 30, 2025. Of every $100 it spent, $73.57 went to program services, $26.43 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 93.7% of the total. The highest compensation it reported for one person was $652,751 (Medical Director). 42 people received more than $100,000 in reportable compensation. Revenue rose 73% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending September 30, 2025 · Form 990, Part IX, line 25 · total expenses $70MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending September 30, 2025 · Form 990, Part VIII · total revenue $80MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 73.6% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 26.4% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 4.9% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 4.4% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 93.7% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $652,751 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.93% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 42 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 4.7 | 6.6 |
| Independent voting board members Part VI 1a–1b | 8 of 10 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseRoane 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
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
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| Medical Director Key employee, 40.00 hrs/week | $636,097 | $0 | $16,654 | $652,751 |
| Chief of Medical Staff Highest compensated employee, 40.00 hrs/week | $516,614 | $0 | $42,495 | $559,109 |
| CEO Director/trustee, officer, 40.00 hrs/week | $452,336 | $0 | $48,286 | $500,622 |
| Physician Highest compensated employee, 40.00 hrs/week | $441,658 | $0 | $46,358 | $488,016 |
| Chief of Staff and Bd Member Director/trustee, 40.00 hrs/week | $351,393 | $0 | $50,918 | $402,311 |
| Physician Highest compensated employee, 40.00 hrs/week | $386,831 | $0 | $1,751 | $388,582 |
| Physician Highest compensated employee, 40.00 hrs/week | $341,033 | $0 | $44,905 | $385,938 |
| Physician Highest compensated employee, 40.00 hrs/week | $290,385 | $0 | $40,906 | $331,291 |
42 people received more than $100,000 in reportable compensation from Hospital Development Co (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.9M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b10 · 8 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aNo
- Family or business ties among insiders Part VI 2Yes
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5445
- Volunteers Part I, line 635
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| FirstSource Solutions hospital billing and collection services | $1,363,235 |
| Ohio Valley Physician nursing and health staffing | $1,189,320 |
| First Settlement Orthopaedics Orthopaedic physicians | $849,000 |
| ProLink Staffing Services Technology infrastructure and support | $724,384 |
| CPS Solutions LLC pharmacy, physical therapy and supply ch | $664,009 |
Individuals listed as contractors are left out. 26 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from Hospital Development Co's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Hospital Development Co, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Hospital Development Co spent in FY2025, $73.57 went to programs. The full breakdown, from its IRS Form 990:
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All health care charities · Largest charities in West Virginia
Questions people ask
How much of Hospital Development Co's spending goes to programs?
In the fiscal year ending September 30, 2025, Hospital Development Co reported that 73.6% of its $70.5 million in expenses went to program services, 26.4% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Hospital Development Co pay its top executive?
The largest total compensation Hospital Development Co reported for one person in the fiscal year ending September 30, 2025 was $652,751, for the role of Medical Director (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Hospital Development Co get its money?
Of $79.7 million in revenue in the fiscal year ending September 30, 2025, 4.9% came from contributions and grants (including 4.4% from government grants) and 93.7% from program service revenue (Form 990, Part VIII).
Is Hospital Development Co a registered charity?
The IRS lists EIN 55-0484469 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending September 30, 2025, object 202632269349301028 · read the filing
- FY2024: Form 990 for the fiscal year ending September 30, 2024, object 202522259349302327 · read the filing
- FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202441999349301219 · read the filing
- FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202341529349300734 · read the filing
- FY2021: Form 990 for the fiscal year ending September 30, 2021, object 202222279349301302 · read the filing
- FY2020: Form 990 for the fiscal year ending September 30, 2020, object 202102289349300745 · read the filing
All filings for EIN 55-0484469: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.