Lakin Hospital, Jackie Withrow, John Manchin Sr Health Care Center, Hopemont Hospital

This is a composite image of (clockwise from top left) Jackie Withrow Hospital in Beckley, Lakin Hospital in West Columbia, John Manchin Sr. Health Care Center in Fairmont and Hopemont Hospital in Terra Alta.

The New York-based developer now operating four long-term care hospitals in West Virginia says it is making progress on brand-new builds, while lawmakers worry that the new facilities could move elderly patients and jobs out of their communities. 

Marx Development Group and its subsidiary, Majestic Care, aren’t required to rebuild at the current hospital sites, according to a contract with the state. The four hospitals were previously under state ownership. 

Senate President Randy Smith

West Virginia Senate President Randy Smith, R-Preston, is pictured during a Senate floor session on March 7, 2025.

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Sen. Joey Garcia, D-Marion

Sen. Joey Garcia, D-Marion, speaks from the Senate floor, March 2, 2026.

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West Virginia Watch is part of States Newsroom, the nation’s largest state-focused nonprofit news organization.