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Nonprofiteer
← DAVIE MEDICAL CENTER

Form 990 for tax year 2023

Filed by DAVIE MEDICAL CENTER.

Totals

Total revenue
$141,261,888
Total expenses
$103,022,038
Contributions and grants received
$11,071
Grants paid
$19,264
Program services expenses (Part IX)
$96,444,207
Management and general expenses
$6,577,831
Fundraising expenses
$0
Program service expenses (Part III)
$96,444,207

Program services were 93.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BRADLEY A CLARK

    TREASURER

    Total calculated
    $1,577,771
    From this org
    $1,431,976
    From related orgs
    $0
    Other
    $145,795
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $991,783
    Bonus
    $356,324
    Other
    $83,869
    Deferred
    $109,999
    Nontaxable benefits
    $35,796
    Filer's total
    $1,577,771

  • CATHLEEN WHEATLEY

    CHAIR (FR 7/23/23)

    Total calculated
    $1,176,364
    From this org
    $0
    From related orgs
    $1,142,653
    Other
    $33,711
    Hours/week
    1 + 3 related

    Schedule J breakdown matched by us

    Base
    $0 + $736,540 related
    Bonus
    $0 + $239,695 related
    Other
    $0 + $166,418 related
    Deferred
    $0 + $22,913 related
    Nontaxable benefits
    $0 + $10,798 related
    Filer's total
    $0 + $1,176,364 related

  • J MCLAIN WALLACE JR

    SECRETARY

    Total calculated
    $1,019,508
    From this org
    $0
    From related orgs
    $983,574
    Other
    $35,934
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $611,075 related
    Bonus
    $0 + $228,185 related
    Other
    $0 + $144,314 related
    Deferred
    $0 + $20,425 related
    Nontaxable benefits
    $0 + $15,509 related
    Filer's total
    $0 + $1,019,508 related

  • MICHAEL T WAID

    BOARD MEMBER

    Total calculated
    $855,814
    From this org
    $0
    From related orgs
    $797,934
    Other
    $57,880
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $492,096 related
    Bonus
    $0 + $187,259 related
    Other
    $0 + $118,579 related
    Deferred
    $0 + $22,775 related
    Nontaxable benefits
    $0 + $35,105 related
    Filer's total
    $0 + $855,814 related

  • DEBORAH HARDING

    BOARD MEMBER

    Total calculated
    $599,068
    From this org
    $0
    From related orgs
    $526,303
    Other
    $72,765
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $402,655 related
    Bonus
    $0 + $117,439 related
    Other
    $0 + $6,209 related
    Deferred
    $0 + $34,711 related
    Nontaxable benefits
    $0 + $38,054 related
    Filer's total
    $0 + $599,068 related

  • JENA FOLGER

    BOARD MEMBER

    Total calculated
    $540,540
    From this org
    $0
    From related orgs
    $491,375
    Other
    $49,165
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $359,408 related
    Bonus
    $0 + $97,510 related
    Other
    $0 + $34,457 related
    Deferred
    $0 + $24,894 related
    Nontaxable benefits
    $0 + $24,271 related
    Filer's total
    $0 + $540,540 related

  • CHAD BROWN

    PRESIDENT

    Total calculated
    $530,351
    From this org
    $475,430
    From related orgs
    $0
    Other
    $54,921
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $321,782
    Bonus
    $99,710
    Other
    $53,938
    Deferred
    $23,000
    Nontaxable benefits
    $31,921
    Filer's total
    $530,351

  • BARRY WALD

    FINANCE DIRECTOR

    Total calculated
    $282,465
    From this org
    $0
    From related orgs
    $245,756
    Other
    $36,709
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $219,323 related
    Bonus
    $0 + $25,955 related
    Other
    $0 + $478 related
    Deferred
    $0 + $17,715 related
    Nontaxable benefits
    $0 + $18,994 related
    Filer's total
    $0 + $282,465 related

  • LORI KOETHE

    CHIEF NURSING OFFICER

    Total calculated
    $257,503
    From this org
    $0
    From related orgs
    $224,334
    Other
    $33,169
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $202,452 related
    Bonus
    $0 + $20,000 related
    Other
    $0 + $1,882 related
    Deferred
    $0 + $10,856 related
    Nontaxable benefits
    $0 + $22,313 related
    Filer's total
    $0 + $257,503 related

  • CHRISTINA MAFFUCCI

    INTERNAL TEMP NURSE

    Total calculated
    $204,806
    From this org
    $0
    From related orgs
    $204,806
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $204,806 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $204,806 related

  • CHARLES HARTIS

    PHARMACIST PRACTICE LEADER

    Total calculated
    $197,984
    From this org
    $0
    From related orgs
    $157,764
    Other
    $40,220
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $157,178 related
    Bonus
    $0
    Other
    $0 + $586 related
    Deferred
    $0 + $9,991 related
    Nontaxable benefits
    $0 + $30,229 related
    Filer's total
    $0 + $197,984 related

  • WILL PEARSALL

    PHARMACY CLINICAL COORDINATOR

    Total calculated
    $186,581
    From this org
    $0
    From related orgs
    $153,382
    Other
    $33,199
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $150,149 related
    Bonus
    $0
    Other
    $0 + $3,233 related
    Deferred
    $0 + $9,578 related
    Nontaxable benefits
    $0 + $23,621 related
    Filer's total
    $0 + $186,581 related

  • SARAH GRIFFIN

    PHARMACY CLINICAL COORDINATOR

    Total calculated
    $161,371
    From this org
    $0
    From related orgs
    $142,668
    Other
    $18,703
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $142,582 related
    Bonus
    $0
    Other
    $0 + $86 related
    Deferred
    $0 + $8,690 related
    Nontaxable benefits
    $0 + $10,013 related
    Filer's total
    $0 + $161,371 related

  • CHARLES L BRANCH JR MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 38 related

  • CRAIG GREVEN MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 38 related

  • CYNTHIA EMORY

    BOARD MEMBER (FR 7/1/23)

    Total calculated
    $0
    Hours/week
    2

  • DARRIN HARTNESS

    BOARD MEMBER (TO 7/11/23)

    Total calculated
    $0
    Hours/week
    2

  • DAVID W ZAAS MD

    BOARD MEMBER (FR 10/1/23)

    Total calculated
    $0
    Hours/week
    2 + 38 related

  • KENNETH PEACOCK

    BOARD MEMBER (TO 10/6/23)

    Total calculated
    $0
    Hours/week
    2

  • KENNETH RETHMEIER

    BOARD MEMBER (TO 7/27/23)

    Total calculated
    $0
    Hours/week
    2

  • KEVIN P HIGH MD

    CHAIR (TO 10/1/23)

    Total calculated
    $0
    Hours/week
    1 + 39 related

  • L ANDREW KOMAN MD

    BOARD MEMBER (TO 7/1/23)

    Total calculated
    $0
    Hours/week
    2 + 38 related

  • PHILLIP FULLER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • RUSSELL M HOWERTON MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.2 + 39.8 related

  • STEPHEN L ROBERTSON

    BOARD MEMBER (TO 12/31/23)

    Total calculated
    $0
    Hours/week
    2 + 8 related

  • TERRY RENEGAR

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • WILLIAM JUNKER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

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 — 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.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
CERTAIN DIRECTORS AND OFFICERS OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN (RESTORATION OR SERP). THE DETERMINATION OF THE PAYMENT AMOUNT FROM THE NON-QUALIFIED DEFERRED COMPENSATION PLANS FOLLOWED THE EMPLOYMENT ORGANIZATION'S COMPENSATION PROCEDURES. THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE CURRENT TAX YEAR: BRADLEY A. CLARK 80,393 CATHLEEN WHEATLEY 151,939 CHAD BROWN 29,631 J. MCLAIN WALLACE, JR. 114,290 JENA FOLGER 29,632 MICHAEL T. WAID 91,177
FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATION
BRADLEY A. CLARK WAS COMPENSATED BY THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (CMHA, DOING BUSINESS AS ATRIUM HEALTH), AN AFFILIATED BUT UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO THE ORGANIZATION. SEE PART VII AND SCHEDULE J FOR COMPENSATION.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202403209349301710

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