Roane General Hospital

Legal name: Hospital Development Co

Nonprofit profile at a glance

EIN
550484469
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Spencer, WV, US
Phone
(304) 927-4444
Rating
76
Verdict
SUPPORTED
Rating confidence
Moderate

Official website

Reported finances

Revenue
$79,682,370
Expenses
$70,472,217
Assets
$64,335,954
Liabilities
$36,705,037

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

Leadership & pay

20 people listed

Executive titles in this filing

  • Doug Bentz (CEO)
  • Jack D Garrett II (Board President)
  • William G Downey Jr (Board Vice President)

Highest reported compensation

  • Brent Watson MD (Medical Director): $652,751 total reported compensation
  • Scott Duffy MD (Chief of Medical Staff): $559,109 total reported compensation
  • Doug Bentz (CEO): $500,622 total reported compensation

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

Overview

Mission

Care you can trust... close to home.

What it reported doing in 2024

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.

Operating model

Revenue model
Earned-program. 94% 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.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - The filed numbers largely add up and a large share of available resources goes toward mission work. Total assets are small relative to annual expenses; liquid coverage is unknown and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 61
  • Transparency & Controls: 90
  • Accountability: 84
  • Sustainability: 51
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 65%; rating input score 65
  • Program expense ratio: 73.6%; rating input score 74
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th 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: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 80%; rating input score 80; 28th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • 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: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 11.6%; rating input score 76; 76th percentile among comparable filings
  • Total-asset coverage ratio: 0.91; rating input score 36; 36th percentile among comparable filings
  • Liabilities to assets ratio: 0.57; rating input score 30; 30th percentile among comparable filings
  • Officer compensation ratio: 5.9%; rating input score 12; 12th percentile among comparable filings

Growth

  • Program expense growth: 7.1% per year; rating input score 100; 57th percentile among comparable filings
  • Revenue growth: 8.1% per year; rating input score 100; 67th percentile among comparable filings
  • Asset growth: 10.7% per year; rating input score 100; 73rd percentile among comparable filings

Details

  • What they do: 7 programs and campaigns described on the official site · 2 operating locations identified
  • Where the money goes: 65% of revenue deployed · 73.6% of spending went to programs
  • Governance: 8 of 10 board members independent · 8 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $51.8M in reported program spending
  • Leadership: top reported pay $653K · 20 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $4.8M reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 9 filed schedules · includes major donors and executive pay
  • Filing history: 15 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 10 filed money-flow records
  • Related organizations: 2 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.

  • Moderate — Sustainability: Total-asset coverage ratio scored 36/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • High — Sustainability: Officer compensation ratio scored 12/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 30/100.