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Nonprofiteer
← DAVIS HEALTH SYSTEM INC

Form 990 for tax year 2024

Filed by DAVIS HEALTH SYSTEM INC.

Totals

Total revenue
$1,378,761
Total expenses
$11,538,465
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$1,313,679
Investment income
$65,082
Other revenue
$0
Total assets, end of year
$7,914,044
Total liabilities, end of year
$16,634,175
Net assets or fund balances, end of year
-$8,720,131
Program services expenses (Part IX)
$8,965,429
Management and general expenses
$2,573,036
Fundraising expenses
$0
Program service expenses (Part III)
$8,965,429

Program services were 77.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

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

    CEO (END 6/24)

    Total calculated
    $620,331
    From this org
    $0
    From related orgs
    $393,822
    Other
    $226,509
    Hours/week
    3 + 37 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

  • MARK DOAK

    DIRECTOR/INTERIM CEO

    Total calculated
    $56,250
    From this org
    $0
    From related orgs
    $56,250
    Other
    $0
    Hours/week
    5 + 36 related

  • RONALD ANDRO

    DIRECTOR

    Total calculated
    $37,371
    From this org
    $0
    From related orgs
    $37,284
    Other
    $87
    Hours/week
    5 + 37 related

  • HUGH HITCHCOCK

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • JAMES TRIPLETT

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JOHN KABLER

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • WILLIAM HARTMAN

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • ASHTON CURTIS DPM

    DIRECTOR (END 7/24)

    Total calculated
    $0
    Hours/week
    1

  • BRIDGETTE WILSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JEFF POWELSON

    DIRECTOR (END 7/24)

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MARY CARPENTER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • WILLIAM KOCH

    VP FINANCE AND CFO

    Total calculated
    $179,999
    From this org
    $0
    From related orgs
    $155,808
    Other
    $24,191
    Hours/week
    5 + 35 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

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

  • 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, 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 VANDALIA HEALTH 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 THE 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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2024
Filed
17 November 2025
IRS schema version
2024v5.2
Source object
202543219349317139

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