Skip to content
Nonprofiteer
← DAVIS HEALTH SYSTEM INC

Form 990 for tax year 2022

Filed by DAVIS HEALTH SYSTEM INC.

Totals

Total revenue
$139,573
Total expenses
$138,561
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$139,573
Investment income
$0
Other revenue
$0
Total assets, end of year
$1,848,742
Total liabilities, end of year
$1,106,649
Net assets or fund balances, end of year
$742,093
Program services expenses (Part IX)
$0
Management and general expenses
$138,561
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: ADMINISTRATIVE SERVICE

    total $139,573 · related or exempt $139,573

Functional expenses

Part IX, the statement of functional expenses.

  • 11g · Fees: other

    total $38,986 · management and general $38,986

  • 12 · Advertising and promotion

    total $99,575 · management and general $99,575

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $47,952 · end of year $6,237

  • 10a · Land, buildings and equipment: cost or other basis

    $5,518

  • 10b · Land, buildings and equipment: accumulated depreciation

    $5,518

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $1,802,620 · end of year $1,842,505

  • 25 · Other liabilities

    beginning of year $1,086,504 · end of year $1,106,649

  • 27 · Net assets without donor restrictions

    beginning of year $764,068 · end of year $742,093

Mission and programs · 2022

Mission

DAVIS HEALTH SYSTEM IS COMMITTED TO PROVIDING QUALITY, PATIENT-FRIENDLY HEALTHCARE TO ITS COMMUNITIES.

Activities or mission (Part I)

DAVIS HEALTH SYSTEM, INC. EXERCISES CONTROL OVER AFFILIATED SUBSIDIARY ORGANIZATIONS TO PROMOTE INCREASED AWARENESS AND AVAILABILITY OF HEALTHCARE TO THE COMMUNITY.

  • THE ORGANIZATION PROVIDED SUPPORT TO OTHER EXEMPT ORGANIZATIONS, INCLUDING DAVIS MEMORIAL HOSPITAL AND BROADDUS HOSPITAL; AND PLANNED AND PROMOTED HEALTHCARE IN THE COMMUNITY THROUGH VARIOUS OTHER ORGANIZATIONS.

    Revenue $139,573

As filed on the 2022 return.

Listed in Part VII

  • Bridgette Wilson

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Ashton Curtis Dpm

    VICE CHAIRMAN

    Total calculated
    $93,940
    From this org
    $0
    From related orgs
    $72,181
    Other
    $21,759
    Hours/week
    1 + 39 related

  • Hugh Hitchcock

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • John Kabler

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • James Triplett

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Mary Ann Carpenter

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • William Hartman

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jeff Powelson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Vance Jackson

    CEO

    Total calculated
    $386,465
    From this org
    $0
    From related orgs
    $358,038
    Other
    $28,427
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $357,936 related
    Bonus
    $0 + $102 related
    Other
    $0
    Deferred
    $0 + $3,565 related
    Nontaxable benefits
    $0 + $24,862 related
    Filer's total
    $0 + $386,465 related

  • William Koch

    VP AND CFO

    Total calculated
    $131,592
    From this org
    $0
    From related orgs
    $129,285
    Other
    $2,307
    Hours/week
    1 + 39 related

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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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 3
THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES FOR DAVIS MEMORIAL HOSPITAL IS RESPONSIBLE FOR THE OVERSIGHT OF THE COMPENSATION FOR THE SENIOR STAFF. A CONSULTANT (YAFFE & COMPANY) IS ENGAGED WHO FACILITATES THE ANNUAL EVALUATION PROCESS FOR DETERMINING COMPENSATION FOR EXECUTIVES. THE CONSULTANT COORDINATES A SERIES OF MEETINGS, LEADS DISCUSSIONS ON THE CHIEF EXECUTIVE OFFICER'S PERFORMANCE EVALUATION, PRESENTS MARKET ANALYSIS INFORMATION FOR KEY POSITIONS AND PROVIDES RECOMMENDATIONS FOR SALARY LEVELS BASED ON THAT INFORMATION. THE COMMITTEE MAKES THEIR DECISION USING THE GUIDANCE OF THE CONSULTANT.

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 corporations and trusts

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

  • CENTRAL WV MEDCORP INC

    C · HEALTHCARE PROVIDER · WV · 100% owned

    Directly controlled by DAVIS MEMORIAL HOSPITAL

  • HEALTH FACILITIES INC

    C · EQUIPMENT SALES AND RENTALS · WV · 100% owned

    Directly controlled by DAVIS MEMORIAL HOSPITAL

  • DAVIS REGIONAL HEALTH PARTNERS INC

    C · HOSPITAL/PHYSICIAN ORGANIZATION · WV · 100% owned

    Directly controlled by DAVIS MEMORIAL HOSPITAL

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202333199349318043

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.