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Nonprofiteer
← DAVIS MEMORIAL HOSPITAL

Form 990 for tax year 2024

Filed by DAVIS MEMORIAL HOSPITAL.

Totals

Total revenue
$115,130,875
Total expenses
$137,718,664
Contributions and grants received
$244,397
Grants paid
$0
Program service revenue
$113,420,026
Investment income
$57,288
Other revenue
$1,409,164
Total assets, end of year
$74,271,161
Total liabilities, end of year
$123,554,069
Net assets or fund balances, end of year
-$49,282,908
Program services expenses (Part IX)
$114,564,621
Management and general expenses
$23,154,043
Fundraising expenses
$0
Program service expenses (Part III)
$114,564,621

Program services were 83.2% 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.

  • 1d · Related organizations

    $244,397

  • 2a · Program service revenue: PATIENT SERVICES

    total $112,110,748 · related or exempt $112,110,748

  • 2b · Program service revenue: PHARMACY REVENUE

    total $1,309,278 · related or exempt $1,309,278

  • 3 · Investment income

    total $58,660 · unrelated business $34,787 · excluded $23,873

  • 6a · Gross rents

    real property $82,644

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $82,644

  • 6d · Net rental income or loss

    total $82,644 · unrelated business $12,492 · excluded $70,152

  • 7b · Less cost or other basis and sales expenses

    securities $1,372

  • 7c · Gain or loss

    securities -$1,372

  • 7d · Net gain or loss

    total -$1,372 · excluded -$1,372

  • 11a · Other revenue: CAFETERIA

    total $1,135,298 · excluded $1,135,298

  • 11b · Other revenue: MANAGEMENT FEES

    total $41,670 · unrelated business $41,670

  • 11d · All other revenue

    total $149,552 · related or exempt $149,552

  • 11e · Other revenue, total

    $1,326,520

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $883,917 · management and general $883,917

  • 6 · Compensation of disqualified persons

    total $111,715 · program services $111,715

  • 7 · Other salaries and wages

    total $49,977,899 · program services $42,950,077 · management and general $7,027,822

  • 8 · Pension plan contributions

    total $1,360,871 · program services $1,170,349 · management and general $190,522

  • 9 · Other employee benefits

    total $14,681,247 · program services $12,402,531 · management and general $2,278,716

  • 10 · Payroll taxes

    total $3,295,034 · program services $2,636,027 · management and general $659,007

  • 11a · Fees: management

    total $657,085 · management and general $657,085

  • 11b · Fees: legal

    total $198,207 · management and general $198,207

  • 11c · Fees: accounting

    total $323,039 · management and general $323,039

  • 11f · Fees: investment management

    total $66,678 · management and general $66,678

  • 11g · Fees: other

    total $21,097,179 · program services $19,023,512 · management and general $2,073,667

  • 12 · Advertising and promotion

    total $241,501 · program services $241,501

  • 13 · Office expenses

    total $4,820,124 · program services $3,871,006 · management and general $949,118

  • 14 · Information technology

    total $819,425 · program services $655,540 · management and general $163,885

  • 16 · Occupancy

    total $4,656,606 · program services $3,612,452 · management and general $1,044,154

  • 17 · Travel

    total $174,007 · program services $139,810 · management and general $34,197

  • 19 · Conferences, conventions and meetings

    total $16,066 · program services $12,853 · management and general $3,213

  • 20 · Interest

    total $4,493,148 · management and general $4,493,148

  • 21 · Payments to affiliates

    total $42,000 · program services $42,000

  • 22 · Depreciation, depletion and amortization

    total $3,782,705 · program services $3,026,164 · management and general $756,541

  • 23 · Insurance

    total $433,573 · program services $433,573

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $17,867,879 · program services $17,867,879

  • 24b · Other expenses: PROVIDER TAX

    total $3,455,941 · program services $3,455,941

  • 24c · Other expenses: REPAIRS AND MAINTENANCE

    total $2,116,003 · program services $1,692,802 · management and general $423,201

  • 24d · Other expenses: LICENSE/FEES

    total $1,028,906 · program services $822,001 · management and general $206,905

  • 24e · All other expenses

    total $1,117,909 · program services $396,888 · management and general $721,021

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $5,639,442 · end of year $5,443,515

  • 2 · Savings and temporary cash investments

    beginning of year $26,831 · end of year $1,998,246

  • 4 · Accounts receivable

    beginning of year $17,177,198 · end of year $25,538,764

  • 7 · Other notes and loans receivable

    beginning of year $1,436,856

  • 8 · Inventories for sale or use

    beginning of year $1,733,259 · end of year $1,413,856

  • 9 · Prepaid expenses and deferred charges

    beginning of year $791,198 · end of year $364,343

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

    $24,347,951

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

    $3,271,387

  • 10c · Land, buildings and equipment, net

    beginning of year $2,831,503 · end of year $21,076,564

  • 11 · Investments: publicly traded securities

    beginning of year $1,188,349 · end of year $295,536

  • 12 · Investments: other securities

    beginning of year -$1,381,207

  • 15 · Other assets

    beginning of year $20,898,682 · end of year $18,140,337

  • 17 · Accounts payable and accrued expenses

    beginning of year $23,126,209 · end of year $34,255,688

  • 23 · Secured mortgages and notes payable

    beginning of year $56,303,320 · end of year $56,721,419

  • 25 · Other liabilities

    beginning of year $4,876,940 · end of year $32,576,962

  • 27 · Net assets without donor restrictions

    beginning of year -$33,964,358 · end of year -$49,282,908

Mission and programs · 2024

Mission

WE CARE FOR LIFE.

Activities or mission (Part I)

TO PROVIDE QUALITY HEALTH CARE TO RESIDENTS OF ELKINS, WEST VIRGINIA AND SURROUNDING COMMUNITIES.

  • THE ORGANIZATION OPERATED AN 80 BED ACUTE CARE HOSPITAL IN ELKINS, WEST VIRGINIA.

    Expenses $114,564,621 · Revenue $113,569,578

As filed on the 2024 return.

Listed in Part VII

  • David Goldberg

    DIRECTOR

    Total calculated
    $1,047,723
    From this org
    $0
    From related orgs
    $996,584
    Other
    $51,139
    Hours/week
    1 + 57 related

    Schedule J breakdown matched by us

    Base
    $0 + $736,828 related
    Bonus
    $0 + $241,048 related
    Other
    $0 + $18,708 related
    Deferred
    $0 + $13,800 related
    Nontaxable benefits
    $0 + $37,339 related
    Filer's total
    $0 + $1,047,723 related
  • Vance Jackson

    DHS CEO (END 6/24)

    Total calculated
    $620,331
    From this org
    $0
    From related orgs
    $393,822
    Other
    $226,509
    Hours/week
    35 + 5 related

    Schedule J breakdown matched by us

    Base
    $0 + $166,596 related
    Bonus
    $0 + $150 related
    Other
    $0 + $227,076 related
    Deferred
    $0 + $190,581 related
    Nontaxable benefits
    $0 + $35,928 related
    Filer's total
    $0 + $620,331 related
  • Amanda Pennington MD

    DIRECTOR

    Total calculated
    $445,228
    From this org
    $402,022
    From related orgs
    $0
    Other
    $43,206
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $401,648
    Bonus
    $0
    Other
    $374
    Deferred
    $16,211
    Nontaxable benefits
    $26,995
    Filer's total
    $445,228
  • Misha Phillips-Lee

    DIRECTOR

    Total calculated
    $272,490
    From this org
    $242,415
    From related orgs
    $0
    Other
    $30,075
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $242,415
    Bonus
    $0
    Other
    $0
    Deferred
    $7,484
    Nontaxable benefits
    $22,591
    Filer's total
    $272,490
  • William Koch

    VP FINANCE AND CFO

    Total calculated
    $179,999
    From this org
    $0
    From related orgs
    $155,808
    Other
    $24,191
    Hours/week
    25 + 15 related

    Schedule J breakdown matched by us

    Base
    $0 + $155,658 related
    Bonus
    $0 + $150 related
    Other
    $0
    Deferred
    $0 + $6,331 related
    Nontaxable benefits
    $0 + $17,860 related
    Filer's total
    $0 + $179,999 related
  • Drew Pingley

    VICE CHAIR

    Total calculated
    $142,382
    From this org
    $112,771
    From related orgs
    $0
    Other
    $29,611
    Hours/week
    40
  • Mark Doak

    DIRECTOR/INTERIM CEO

    Total calculated
    $56,250
    From this org
    $56,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    35 + 6 related
  • Ronald Andro

    DHS SVP ADMINISTRATIVE OFFICER

    Total calculated
    $37,371
    From this org
    $0
    From related orgs
    $37,284
    Other
    $87
    Hours/week
    35 + 7 related
  • Danny Franke

    DIRECTOR

    Total calculated
    $23,817
    From this org
    $23,642
    From related orgs
    $0
    Other
    $175
    Hours/week
    14 + 2 related
  • James Triplett

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Chad Shoemaker

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Connie Tenney

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Denise Campbell

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Tom Felton

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Mohamed Fahim

    ANESTHESIOLOGIST

    Total calculated
    $708,526
    From this org
    $643,464
    From related orgs
    $0
    Other
    $65,062
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $639,144
    Bonus
    $0
    Other
    $4,320
    Deferred
    $38,365
    Nontaxable benefits
    $26,697
    Filer's total
    $708,526
  • Michael Galloway

    PHYSICIAN

    Total calculated
    $643,745
    From this org
    $603,259
    From related orgs
    $0
    Other
    $40,486
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $582,426
    Bonus
    $0
    Other
    $20,833
    Deferred
    $11,721
    Nontaxable benefits
    $28,765
    Filer's total
    $643,745
  • Arthur Fine

    PHYSICIAN

    Total calculated
    $627,413
    From this org
    $588,364
    From related orgs
    $0
    Other
    $39,049
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $567,851
    Bonus
    $0
    Other
    $20,513
    Deferred
    $11,430
    Nontaxable benefits
    $27,619
    Filer's total
    $627,413
  • Garrett Butler

    PHYSICIAN

    Total calculated
    $546,063
    From this org
    $508,227
    From related orgs
    $0
    Other
    $37,836
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $496,446
    Bonus
    $11,285
    Other
    $496
    Deferred
    $10,001
    Nontaxable benefits
    $27,835
    Filer's total
    $546,063
  • Emad Kowatli

    PHYSICIAN

    Total calculated
    $518,462
    From this org
    $481,471
    From related orgs
    $0
    Other
    $36,991
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $461,462
    Bonus
    $0
    Other
    $20,009
    Deferred
    $9,275
    Nontaxable benefits
    $27,716
    Filer's total
    $518,462

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

  • 1a · Travel for companions
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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 1A
THE HOSPITAL WILL REIMBURSE FOR ALL OF THE REASONABLE TRAVEL, LODGING AND MEAL EXPENSES INCURRED BY THE CEO'S SPOUSE FOR TWO BUSINESS-RELATED MEETINGS OR CONFERENCES PER YEAR.
PART I, LINES 4A-B
VANCE JACKSON RECEIVED $227,026 OF SEVERANCE PAYMENTS DURING TY24. 457(F) INELIGIBLE DEFERRED COMPENSATION PLAN - A 457 F PLAN IS OFFERED TO CERTAIN MANAGEMENT AND/OR HIGHLY COMPENSATED EMPLOYEES TO OFFER THOSE EMPLOYEES A DEFERRED COMPENSATION OPPORTUNITY. THE PLAN IS INTENDED TO BE A "TOP-HAT PLAN", OR UNFUNDED DEFERRED COMPENSATION PLAN MAINTAINED FOR A SELECT GROUP OF EMPLOYEES. PARTICIPANTS MAY BECOME VESTED IN AMOUNTS CREDITED ON JANUARY 1 ELECTED BY THE PARTICIPANT AT THE TIME THE INITIAL DEFERRAL WAS ELECTED. A PARTICIPANT SHALL BECOME FULLY VESTED UPON DEATH, DISABILITY, ATTAINMENT OF AGE 60, OR SEPARATION OF SERVICE, AS DEFINED BY THE PLAN. ANY UNVESTED CONTRIBUTIONS SHALL BE FORFEITED TO THE PLAN OR EMPLOYER. FOR 2024 NO DISTRIBUTIONS / PAYMENTS WERE MADE FROM THE PLAN; DAVID GOLDBERG WAS THE ONLY PARTICIPANT.
PART I, LINE 3:
THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES 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 partnerships

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

  • GENERAL DIVISION MEDICAL OFFICE BUILDING LLC

    MEDICAL OFFICE BUILDING · WV

  • DASCO-CAMC HOME MEDICAL EQUIPMENT LLC

    HOME MEDICAL EQUIPMENT · WV

  • MGH SURGERY LLC

    SURGERY CENTER · WV

  • MON HEALTH-DASCO HOME MEDICAL EQUIPMENT LLC

    HOME MEDICAL EQUIPMENT · OH

  • CHARLESTON SURGICAL HOSPITAL LLC

    SURGERY CENTER · WV

Related corporations and trusts

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

  • VANDALIA INSURANCE COMPANY

    C · INSURANCE · VT · controlled entity

  • MON HEALTH CARE INC

    C · MEDICAL EQUIPMENT · WV · controlled entity

  • STONEWALL HOME OXYGEN THERAPY INC

    C · OXYGEN THERAPY SERVICES · WV · controlled entity

  • HEALTH FACILITIES INC

    C · HEALTH CARE · WV · controlled entity

  • CENTRAL WV MEDCORP INC

    C · PHYSICIAN SERVICES · WV · controlled entity

  • DAVIS REGIONAL HEALTH PARTNERS INC

    C · CONTRACT NEGOTIATIONS · WV · controlled entity

  • XERCOR RE SEGREGATED PORTFOLIO #2 DAVIS

    C · CAPTIVE INSURANCE · CJ · controlled entity

  • FAIRMONT HOME EQUIPMENT AND SUPPLY

    C · EQUIPMENT RENT & SVC · WV · controlled entity

Provenance

Return type
form_990
Tax year
2024
Filed
17 November 2025
IRS schema version
2024v5.2
Source object
202523219349324117

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