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Nonprofiteer
← DAVIE MEDICAL CENTER

Form 990 for tax year 2022

Filed by DAVIE MEDICAL CENTER.

Totals

Total revenue
$123,555,917
Total expenses
$92,256,042
Contributions and grants received
$536,865
Grants paid
$3,895
Program service revenue
$122,863,938
Investment income
$155,114
Other revenue
$0
Total assets, end of year
$200,496,290
Total liabilities, end of year
$61,366,694
Net assets or fund balances, end of year
$139,129,596
Program services expenses (Part IX)
$86,894,359
Management and general expenses
$5,361,683
Fundraising expenses
$0
Program service expenses (Part III)
$86,894,359

Program services were 94.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JENA FOLGER

    BOARD MEMBER (FR 1/1/22)

    Total calculated
    $520,880
    From this org
    $0
    From related orgs
    $435,790
    Other
    $85,090
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $325,290 related
    Bonus
    $0 + $100,464 related
    Other
    $0 + $10,036 related
    Deferred
    $0 + $61,880 related
    Nontaxable benefits
    $0 + $23,210 related
    Filer's total
    $0 + $520,880 related

  • MICHAEL T WAID

    BOARD MEMBER (FR 1/1/22)

    Total calculated
    $948,848
    From this org
    $0
    From related orgs
    $806,565
    Other
    $142,283
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $474,436 related
    Bonus
    $0 + $214,939 related
    Other
    $0 + $117,190 related
    Deferred
    $0 + $111,317 related
    Nontaxable benefits
    $0 + $30,966 related
    Filer's total
    $0 + $948,848 related

  • DEBORAH HARDING

    BOARD MEMBER (FR 5/1/22)

    Total calculated
    $654,498
    From this org
    $0
    From related orgs
    $536,280
    Other
    $118,218
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $394,486 related
    Bonus
    $0 + $136,250 related
    Other
    $0 + $5,544 related
    Deferred
    $0 + $90,746 related
    Nontaxable benefits
    $0 + $27,472 related
    Filer's total
    $0 + $654,498 related

  • KEVIN P HIGH MD

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 39 related

  • L ANDREW KOMAN MD

    BOARD MEMBER (TO 12/31/22)

    Total calculated
    $0
    Hours/week
    2 + 38 related

  • RUSSELL HOWERTON MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.2 + 39.8 related

  • CHARLES L BRANCH JR MD

    BOARD MEMBER (TO 12/31/22)

    Total calculated
    $0
    Hours/week
    2 + 38 related

  • DARRIN HARTNESS PHD

    BOARD MEMBER (TO 12/31/22)

    Total calculated
    $0
    Hours/week
    2

  • KENNETH PEACOCK

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • KENNETH RETHMEIER

    BOARD MEMBER (TO 12/31/22)

    Total calculated
    $0
    Hours/week
    2

  • PHILLIP FULLER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • STEPHEN ROBERTSON

    BOARD MEMBER

    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

  • CRAIG M GREVEN MD

    BOARD MEMBER (TO 12/31/22)

    Total calculated
    $0
    Hours/week
    2 + 38 related

  • BRADLEY A CLARK

    TREASURER

    Total calculated
    $1,470,567
    From this org
    $1,335,054
    From related orgs
    $0
    Other
    $135,513
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $790,574
    Bonus
    $506,925
    Other
    $37,555
    Deferred
    $100,623
    Nontaxable benefits
    $34,890
    Filer's total
    $1,470,567

  • J MCLAIN WALLACE JR

    SECRETARY

    Total calculated
    $1,143,860
    From this org
    $0
    From related orgs
    $984,139
    Other
    $159,721
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $590,200 related
    Bonus
    $0 + $252,513 related
    Other
    $0 + $141,426 related
    Deferred
    $0 + $144,251 related
    Nontaxable benefits
    $0 + $15,470 related
    Filer's total
    $0 + $1,143,860 related

  • CHAD BROWN

    PRESIDENT

    Total calculated
    $562,802
    From this org
    $0
    From related orgs
    $472,429
    Other
    $90,373
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $311,097 related
    Bonus
    $0 + $109,644 related
    Other
    $0 + $51,688 related
    Deferred
    $0 + $62,372 related
    Nontaxable benefits
    $0 + $28,001 related
    Filer's total
    $0 + $562,802 related

  • BARRY WALD

    FINANCE DIRECTOR

    Total calculated
    $277,461
    From this org
    $0
    From related orgs
    $243,007
    Other
    $34,454
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $211,682 related
    Bonus
    $0 + $30,880 related
    Other
    $0 + $445 related
    Deferred
    $0 + $17,835 related
    Nontaxable benefits
    $0 + $16,619 related
    Filer's total
    $0 + $277,461 related

  • AMANDA JACKSON

    NTWRK DIR NURSING

    Total calculated
    $153,813
    From this org
    $0
    From related orgs
    $137,245
    Other
    $16,568
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $133,097 related
    Bonus
    $0 + $4,000 related
    Other
    $0 + $148 related
    Deferred
    $0 + $8,321 related
    Nontaxable benefits
    $0 + $8,247 related
    Filer's total
    $0 + $153,813 related

  • CHARLES HARTIS

    PHARMACIST PRACTICE LEADER

    Total calculated
    $196,538
    From this org
    $0
    From related orgs
    $159,287
    Other
    $37,251
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $153,198 related
    Bonus
    $0 + $2,500 related
    Other
    $0 + $3,589 related
    Deferred
    $0 + $10,490 related
    Nontaxable benefits
    $0 + $26,761 related
    Filer's total
    $0 + $196,538 related

  • SARAH GRIFFIN

    PHARMACY CLINICAL COORDINA

    Total calculated
    $152,041
    From this org
    $0
    From related orgs
    $135,811
    Other
    $16,230
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $133,235 related
    Bonus
    $0 + $2,500 related
    Other
    $0 + $76 related
    Deferred
    $0 + $8,118 related
    Nontaxable benefits
    $0 + $8,112 related
    Filer's total
    $0 + $152,041 related

  • WILL PEARSALL

    PHARMACY CLINICAL COORDINA

    Total calculated
    $178,567
    From this org
    $0
    From related orgs
    $148,113
    Other
    $30,454
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $138,770 related
    Bonus
    $0 + $2,500 related
    Other
    $0 + $6,843 related
    Deferred
    $0 + $9,515 related
    Nontaxable benefits
    $0 + $20,939 related
    Filer's total
    $0 + $178,567 related

  • KRISTA HOLCOMB

    NURSE MGR

    Total calculated
    $149,526
    From this org
    $0
    From related orgs
    $133,333
    Other
    $16,193
    Hours/week
    40

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, and on a Form 990-PF Part VIII's — 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 $34,775 CHAD BROWN $29,877 J. MCLAIN WALLACE, JR. $116,382 JENA FOLGER $4,979 MICHAEL T. WAID $93,078
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 HIS 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

No itemized grants to organizations 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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202343189349305069

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