Hospital Development Co (EIN 550484469) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1966

Legal Domicile

Principal Officer

Douglas Bentz

Phone

3049274444

Tax Period

2023-10-01 to 2024-09-30

Hospital Development Co, founded in 1966, is a mid-sized nonprofit that reported $66.9M in total revenue in fiscal year 2023.

Mission

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.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $304,791

Program Service Revenue $65,507,575

Investment Income $53,702

Other Revenue $988,823

TOTAL REVENUE $66,854,891

Expense Breakdown

Grants Paid $0

Salaries & Benefits $29,476,184

Fundraising Expenses $0

Program Expenses $49,932,605

Other Expenses $36,857,967

TOTAL EXPENSES $66,334,151

Year-over-Year Comparison

	2023	2022	Change
Revenue	$66,854,891	$62,515,507	+0.1%
Expenses	$66,334,151	$62,525,549	+0.1%
Net Income	$520,740	$-10,042	-52.9%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

446

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$630,403

Total Directors

$1,548,660

Key Employees

$901,314

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Brent Watson MD	Medical Director	40.00	Key Emp	$634,197	$53,889	$688,086
Stephen Groves MD	Physician	40.00	Highest	$668,696	$51,868	$720,564
Scott Duffy MD	Chief of Med Staff until Sept 2024	40.00	Director	$611,664	$52,619	$664,283
PHILLIP PRUSACK	Physician	40.00	Highest	$521,939	$11,964	$533,903
Doug Bentz	CEO/Ex Officio	40.00	Officer Director	$407,632	$41,692	$449,324
Hong-Kin Ng MD	Physician	40.00	Highest	$405,164	$51,985	$457,149
Grant Parkins DO	Chief of Staff and Bd Member as of 9/2024	40.00	Director	$379,078	$55,975	$435,053
Richard Bowman MD	Physician	40.00	Highest	$378,632	$49,578	$428,210
Roselyne Knopf MD	Hospitalist	40.00	Highest	$353,648	$29,855	$383,503
Julie Carr MSN	Chief Clinical Officer	40.00	Key Emp	$178,122	$35,106	$213,228
Amy W Downey CPA MPA	Chief Financial Officer	40.00	Officer	$155,505	$25,574	$181,079
Jack D Garrett II	Board President	0.50	Officer Director	$0	$0	$0
William G Downey Jr	Board Vice President	0.50	Officer Director	$0	$0	$0
G Jeanette Atkinson	Board Secretary	0.50	Officer Director	$0	$0	$0
John A Varda	Board Treasurer	0.50	Officer Director	$0	$0	$0
John H Taylor	Board Member	0.50	Director	$0	$0	$0
Paul Hughes	Board Member	0.50	Director	$0	$0	$0
Emily Westfall	Board Member	0.50	Director	$0	$0	$0
R Floyd Bowlby	Board Member	0.50	Director	$0	$0	$0
Robert E Zdanek	Board Member	0.50	Director	$0	$0	$0
Kevin M Gaughan	Board Member	0.50	Director	$0	$0	$0
Annie Hedges	Board Member	0.50	Director	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$66,854,891	$66,334,151	$51,935,091	$520,740
2023	$62,515,507	$62,525,549	$50,041,902	$-10,042
2022	$56,627,091	$58,246,041	$49,105,663	$-1,618,950
2021	$52,048,469	$49,312,721	$52,869,915	$2,735,748
2020	$46,111,124	$44,828,787	$55,344,941	$1,282,337
2018	$41,232,928	$39,212,755	$25,182,757	$2,020,173

Hospital Development Co