2012-05-15T10:09:18-05:00 2011-06-30 TURLINGTON AND COMPANY LLP 1338 WESTGATE CENTER DRIVE WINSTONSALEM NC 27103 990 2010-07-01 561474399 DAVIDSON HEALTHCARE INC DAVI 3362485161 PO BOX 1817 LEXINGTON NC 272931817 DANNY W SQUIRES 3362485161 2012-05-15 1 W BENNETT BRUFF 3367652410 2010 2016-02-24 21:20:13Z DANNY W SQUIRES 250 HOSPITAL DRIVE LEXINGTON NC 27292 0 0 X N/A X 1985 NC TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY IN SUPPORT OF LEXINGTON MEMORIAL HOSPITAL, INC. TO PROMOTE CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES BY SUPPORTING, COORDINATING AND OPERATING FOR THE BENEFIT OF LEXINGTON MEMORIAL HOSPITAL, A NOT FOR PROFIT CORPORATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 20 16 0 0 0 0 0 0 0 0 13 0 0 0 13 0 0 0 0 0 0 0 0 0 0 11377 10565 11377 10565 -11364 -10565 1358781 1339892 28129 26679 1330652 1313213 TO PROMOTE CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES BY SUPPORTING, COORDINATING AND OPERATING FOR THE BENEFIT OF LEXINGTON MEMORIAL HOSPITAL, A NOT FOR PROFIT CORPORATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 0 0 10565 PROMOTED CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES BY COORDINATING AND OPERATING FOR THE BENEFIT OF LEXINGTON MEMORIAL HOSPITAL, A NOT FOR PROFIT CORPORATION EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 10565 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 X 20 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X DANNY W SQUIRES 3362485161 PO BOX 1817 250 HOSPITAL DRIVE LEXINGTON NC 272931817 X STEVEN C SHULTZ 1.00 X X 307703 0 49372 CHARLES D MILLER JR 1.00 X 0 0 0 ROBERT B SMITH JR 1.00 X 0 0 0 DAN BRIGGS 1.00 X 0 0 0 TERRY L HALES JR 3.00 X 0 0 0 RAY N HOWELLIII PHD 1.00 X 0 0 0 GORDON C KAMMIRE MD 1.00 X 0 0 0 EVELYN KEPLEY 1.00 X 0 0 0 DONNY C LAMBETH 1.00 X 749092 0 408315 JEFF MAST 1.00 X 0 0 0 STALEY J NANCE 1.00 X 0 0 0 J SIMMONS RIGGAN MD 1.00 X 0 0 0 PATRICIA SHOEMAKER 1.00 X 0 0 0 ROBERT CRAVEN 1.00 X 0 0 0 MARK BREEDEN 1.00 X 0 0 0 DAVID WAGNER MD 1.00 X 0 0 0 JAMES HOEKSTRA MD 1.00 X 0 0 0 LARRY POTTS 1.00 X 0 0 0 W LEON RIVES 1.00 X 0 0 0 WILLIAM W WOODRUFF MD 1.00 X 0 0 0 DANNY W SQUIRES 1.00 X 0 162435 20201 BARBARA B SMITH 1.00 X 0 176629 14509 CHRISTOPHER T WHITE 1.00 X 0 90831 18024 DENNIS R AYERS 50.00 X 0 1020473 16024 REBECCA B DALEY 50.00 X 0 260035 20269 JOHN A CASHION 50.00 X 0 254647 19119 1056795 1965050 565833 2 1 1 1 0 0 0 0 0 8250 8250 PROFESSIONAL FEES 2315 2315 10565 10565 0 0 54909 704 1303872 1339188 1358781 1339892 28129 26679 28129 26679 X 1330652 1313213 1330652 1313213 1358781 1339892 X -10565 -6874 X X 0 1 1 X 0 X X X 0 0 0 LEXINGTON MEMORIAL HOSPITAL INC 560543238 3 1 1 1 1576118 LEXHEALTH INC 561474400 3 1 1 1 24332 2 1600450 0 INVESTMENT IN SUBSIDIARY 1339188 C 1339188 0 10565 -10565 -6874 -6874 -17439 0 0 0 0 0 10565 0 10565 0 10565 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: AS REQUIRED UNDER ACCOUNTING STANDARDS FOR INCOME TAXES, THE CORPORATION ADOPTED THE NEW STANDARD REGARDING UNCERTAIN INCOME TAX POSITIONS EFFECTIVE JULY 1, 2009. UNDER THIS NEW STANDARD, THE IMPACT OF AN UNCERTAIN INCOME TAX POSITION ON THE INCOME TAX RETURNS MUST BE RECOGNIZED AT THE LARGEST AMOUNT THAT IS MORE-LIKELY-THAN-NOT TO BE REQUIRED TO BE RECOGNIZED UPON AUDIT BY THE RELEVANT TAXING AUTHORITY. THE STANDARDS ALSO PROVIDE GUIDANCE ON DE-RECOGNITION, MEASUREMENTS, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING FOR INTERIM PERIODS, DISCLOSURE, AND TRANSITION ISSUES WITH RESPECT TO TAX POSITIONS. AS A RESULT OF ADOPTION OF THE NEW STANDARDS REGARDING UNCERTAIN INCOME TAX POSITIONS, THE CORPORATION HAS DETERMINED THAT THEY HAVE NO UNCERTAIN INCOME TAX POSITIONS AS OF THE ADOPTION DATE OF JUNE 30, 2011. ALSO, THE CORPORATION DOES NOT ANTICIPATE ANY INCREASE OR DECREASE IN UNRECOGNIZED TAX BENEFITS DURING THE NEXT TWELVE MONTHS THAT WOULD RESULT IN A MATERIAL CHANGE IN THEIR FINANCIAL POSITION. THE CORPORATION'S INCOME TAX RETURNS FOR YEARS/PERIODS ENDED AFTER SEPTEMBER 30, 2008 REMAIN OPEN FOR EXAMINATION. THE CORPORATION INCLUDES INTEREST AND PENALTIES IN THE CONSOLIDATED FINANCIAL STATEMENTS AS A COMPONENT OF INCOME TAX EXPENSE. NO INTEREST OR PENALTIES ARE INCLUDED IN THE CORPORATION'S INCOME TAX EXPENSE FOR THE YEAR ENDED JUNE 30, 2011. PART XI, LINE 8 - OTHER ADJUSTMENTS: EQUITY IN NET INCOME OF SUBSIDIARY 35,316. CONTRIBUTIONS TO AFFILIATES (NET) -42,190. X X X X 1 1 0 0 0 0 0 0 0 STEVEN C SHULTZ 305300 0 0 0 2403 0 18700 0 30672 0 357075 0 0 0 DONNY C LAMBETH 537997 0 186261 0 24834 0 388496 0 19819 0 1157407 0 0 0 DANNY W SQUIRES 0 153660 0 8775 0 0 0 5810 0 14391 0 182636 0 0 BARBARA B SMITH 0 167204 0 9425 0 0 0 6342 0 8167 0 191138 0 0 DENNIS R AYERS 0 224179 0 5250 0 791044 0 7746 0 8278 0 1036497 0 0 REBECCA B DALEY 0 175100 0 3375 0 81560 0 5976 0 14293 0 280304 0 0 JOHN A CASHION 0 254647 0 0 0 0 0 5050 0 14069 0 273766 0 0 PART I, LINES 4A-B EXECUTIVES OF THE FILING ORGANIZATION DURING THE TAX PERIOD, PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS AND EXECUTIVE BONUS PLANS (ALL OF WHICH IS PAID BY UNRELATED ORGANIZATIONS, WFUHS AND NCBH, AS PART OF THE EXECUTIVE'S COMPENSATION FROM THE UNRELATED ORGANIZATIONS). THE FOLLOWING EXECUTIVE POSITIONS PARTICIPATE IN THIS PROGRAM: CEO, CFO, COO, CNO, PRESIDENT AND VICE PRESIDENTS. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PACKAGES FROM A RELATED ORGANIZATION, LEXINGTON MEMORIAL HOSPITAL, INC.: DENNIS R. AYERS - $245,453 REBECCA B. DALEY - 198,744 JOHN A. CASHION - 273,766 SUPPLEMENTAL INFORMATION PART III THE FOLLOWING INDIVIDUALS RECEIVED COMPENSATION FROM UNREALTED ORGANIZATIONS, WFUHS AND NCBH, FOR SERVICES RENDERED TO THIS ORGANIZATION IN THEIR ROLES AS OFFICER AND DIRECTOR: DONNY C. LAMBETH - $1,157,407 STEVEN C. SHULTZ - 357,075 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE CORPORATION SHALL BE WAKE FOREST UNIVERSITY HEALTH SCIENCES AND NORTH CAROLINA BAPTIST HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A DECISIONS OF THE ORGANIZATION'S GOVERNING BODY WHICH REQUIRE APPROVAL BY THE ORGANIZATION'S MEMBERS, WAKE FOREST UNIVERSITY HEALTH SCIENCES AND NORTH CAROLINA BAPTIST HOSPITAL, INCLUDE AMENDEMENTS TO CERTAIN FUNDAMENTAL DOCUMENTS (ARTICLES OF INCORPORATION AND BYLAWS) AND ELECTION AND REMOVAL OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE ORGANIZATION'S GOVERNING BODY WHICH REQUIRE APPROVAL BY THE ORGANIZATION'S MEMBERS, WAKE FOREST UNIVERSITY HEALTH SCIENCES AND NORTH CAROLINA BAPTIST HOSPITAL, INCLUDE AMENDEMENTS TO CERTAIN FUNDAMENTAL DOCUMENTS (ARTICLES OF INCORPORATION AND BYLAWS) AND ELECTION AND REMOVAL OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION DISTRIBUTES A DRAFT COPY OF THE FORM 990 TO ALL MEMBERS OF THE ORGANIZATION IN ADEQUATE TIME FOR FEEDBACK PRIOR TO FILING A FINALIZED FORM 990 WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED, ACCEPTED, AND SIGNED BY EACH OFFICER AND VOTING BOARD MEMBER ON AN ANNUAL BASIS. PURSUANT TO THIS POLICY EACH OFFICER AND BOARD MEMBER WILL RECUSE THEMSELVES FROM ANY DISCUSSION AND VOTE FOR WHICH A CONFLICT EXISTS FOR THEMSELVES OR THEIR FAMILY. DETERMINATIONS OF WHETHER A CONFLICT EXISTS ARE MADE AT A MANAGEMENT, BOARD MEMBER OFFICER, AND INDIVIDUAL LEVEL. ACTUAL CONFLICTS ARE REVIEWED WITHOUT THE PRESENCE OF THE INTERESTED PARTY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION FOLLOWS THE PROCESS DESCRIBED IN TREASURY REGULATION 4958(6)(C) FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS IN THE REVIEW, APPROVAL, AND DOCUMENTATION OF OFFICER, KEY MANAGEMENT, AND DIRECTOR COMPENSATION. AS PART OF THE ANNUAL BUDGETING PROCESS THE GOVERNING BOARD REVIEWS AND APPROVES THE COMPENSATION AND BENEFITS IN THE ANNUAL BUDGET. THIS IS BASED ON COMPARABILITY FACTORS INCLUDING BUT NOT LIMITED TO THE SIZE OF THE ORGANIZATION, THE GEOGRAPHICAL LOCATION OF THE ORGANIZATION, AND THE EMPLOYEE'S LENGTH OF SERVICE. THIS PROCESS IS CONDUCTED ON AN ANNUAL BASIS FOR THE FOLLOWING POSITIONS: CEO, CFO, COO, CNO, PRESIDENT AND VICE PRESIDENTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST AT THE ADMINISTRATION OFFICES. FORM 990, PART VI, SECTION A, LINE 3: EFFECTIVE JULY 1, 2010, THE GOVERNING BOARDS OF FOUR NORTH CAROLINA NONPROFIT CORPORATIONS (WAKE FOREST UNIVERSITY, NORTH CAROLINA BAPTIST HOSPITAL, WAKE FOREST UNIVERSITY HEALTH SCIENCES, AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER) ENTERED INTO AN AGREEMENT (THE "MEDICAL CENTER INTEGRATION AGREEMENT" OR "MCIA") UNDER WHICH THE POWER TO OPERATE EACH OF NORTH CAROLINA BAPTIST HOSPITAL ("NCBH") AND WAKE FOREST UNIVERSITY HEALTH SCIENCES("WFUHS"), INCLUDING THEIR RESPECTIVE "SUBSIDIARIES, AFFILIATES, AND JOINT VENTURES", WAS DELEGATED TO WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"). WFUHS IS A WHOLLY-CONTROLLED SUBSIDIARY OF WAKE FOREST UNIVERSITY ("WFU"). WFUBMC IS NOW A MEMBERSHIP NONPROFIT CORPORATION WHOSE TWO EQUAL MEMBERS ARE NCBH (WHICH ENTITY IS UNRELATED TO WFU) AND WFU. THIS CONSOLIDATION OF MANAGEMENT IN WFUBMC OF THE VARIOUS ACADEMIC MEDICAL CENTER OPERATIONS, SUBJECT TO SUBSTANTIAL RESERVED POWERS IN EACH OF THE WFU AND NCBH CONSTITUENT MEMBERS' (OR IN WFUHS') BOARDS, MANDATED CHANGES IN THE GOVERNANCE DOCUMENTS OF EACH ORGANIZATION (WFUHS, NCBH, AND WFU), WHICH CHANGES WERE MADE DURING THE TAX YEAR. THE FILING ORGANIZATION IS CONTROLLED BY WFUBMC THROUGH WFUHS AND NCBH. WHILE NO CONFORMING CHANGES TO THE FILING ORGANIZATION'S GOVERNANCE DOCUMENTS WERE MADE DURING THE TAX YEAR, THE FILING ORGANIZATION'S MANAGEMENT HAS BEEN DIRECTLY IMPACTED BY THE MCIA, AS REFLECTED IN THE CHANGES MADE TO THE GOVERNANCE DOCUMENTS OF ITS PARENT, WFUHS. FORM 990, PART VII, COLUMN (B) THE FOLLOWING PERSONS WERE COMPENSATED DIRECTLY BY DAVIDSON HEALTHCARE, INC., THE FILING ORGANIZATION, LEXINGTON MEMORIAL HOSPITAL, INC., NORTH CAROLINA BAPTIST HOSPITAL, AN UNRELATED ORGANIZATION, OR WAKE FOREST UNIVERSITY HEALTH SCIENCES, AN UNRELATED ORGANIZATION, FOR SERVICES PERFORMED FOR THE FILING ORGANIZATION. EACH PERSON;S POSITION IN EACH ORGANIZATION, AND THE AVERAGE HOURS PER WEEK THAT THEY DEVOTE TO EACH ENTITY, ARE SHOWN BELOW. STEVEN C. SHULTZ PRESIDENT / CEO, FILING ORGANIZATION 1.0 HOUR PER WEEK CEO, LEXINGTON MEMORIAL HOSPITAL, INC. 24.7 HOURS PER WEEK PRESIDENT / CEO, LEXINGTON MEMORIAL HOSPITAL, FOUNDATION INC. 0.1 HOUR PER WEEK PRESIDENT / CHAIR, LEXMEDICAL, INC. 14.0 HOURS PER WEEK CHAIR, LEXHEALTH, INC. 0.1 HOUR PER WEEK PRESIDENT / CHAIR, LEXPROPERTIES, INC. 0.1 HOUR PER WEEK TERRY L. HALES, JR. DIRECTOR, FILING ORGANIZATION 3.0 HOURS PER WEEK ASSISTANT TREASURER, WFUHS 24.6 HOURS PER WEEK VICE PRESIDENT, TREASURER, PIEDMONT TRIAD RESEARCH PARK 4.0 HOURS PER WEEK TREASURER, PTRP DEVELOPMENT CORPORATION 2.0 HOURS PER WEEK DIRECTOR, TREASURER, IDEALLIANCE 0.2 HOUR PER WEEK DIRECTOR, TREASURER, IDEALLIANCE FOUNDATION 0.2 HOUR PER WEEK ASSISTANT TREASURER, DIALYSIS ACCESS GROUP OF WAKE FOREST UNIVERSITY, LLC 1.0 HOUR PER WEEK DIRECTOR/ASSISTANT TREASURER, DIALYSIS CENTERS (GROUP RETURN) 2.0 HOURS PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL 3.0 HOURS PER WEEK DONNY LAMBETH DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK CHAIRMAN, DAVIE COUNTY EMERGENCY HEALTH CORPORATION 1.0 HOUR PER WEEK SECRETARY, NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION (7/1-12/31) 0.1 HOUR PER WEEK TRUSTEE, CARENET, INC. 0.1 HOUR PER WEEK PRESIDENT, NCBH 36.0 HOURS PER WEEK PRESIDENT, WFUBMC COMMUNITY PHYSICIANS 1.0 HOUR PER WEEK DIRECTOR, LEXMEDICAL, INC. 1.0 HOUR PER WEEK CHAIRMAN, HAWTHORNE INN & CONFERENCE CENTER 0.1 HOUR PER WEEK SECRETARY, THE NURSING CENTER AT OAK SUMMIT (7/1-12/31) 0.1 HOUR PER WEEK MEMBER, NORTHWEST COMMUNITY CARE NETWORK, INC. 0.1 HOUR PER WEEK TRUSTEE, SECRETARY, TREASURER, THE MEDICAL FOUNDATION OF WFUHS AND NCBH 0.1 HOUR PER WEEK DANNY SQUIRES VP / CFO, FILING ORGANIZATION 1.0 HOUR PER WEEK CFO, DAVIE COUNTY EMERGENCY HEALTH CORPORATION 2.0 HOURS PER WEEK VP / CFO, LEXINGTON MEMORIAL HOSPITAL, INC. 26.0 HOURS PER WEEK VP / CFO, LEXINGTON MEMORIAL HOSPITAL FOUNDATION, INC. 2.0 HOURS PER WEEK VP / CFO, LEXMEDICAL, INC. 7.0 HOURS PER WEEK VP / CFO, LEXPROPERTIES, INC. 1.0 HOUR PER WEEK VP / CFO, LEXHEALTH, INC. 1.0 HOUR PER WEEK BARBARA B. SMITH SECRETARY, FILING ORGANIZATION 1.0 HOUR PER WEEK SECRETARY, LEXINGTON MEMORIAL HOSPITAL, INC. 34.0 HOURS PER WEEK SECRETARY, LEXINGTON MEMORIAL HOSPITAL FOUNDATION, INC. 2.0 HOURS PER WEEK SECRETARY, LEXMEDICAL, INC. 1.0 HOUR PER WEEK SECRETARY, LEXPROPERTIES, INC. 1.0 HOUR PER WEEK SECRETARY, LEXHEALTH, INC. 1.0 HOUR PER WEEK CHRISTOPHER T. WHITE ASSISTANT TREASURER, FILING ORGANIZATION 1.0 HOUR PER WEEK ASSISTANT TREASURER, LEXINGTON MEMORIAL HOSPITAL, INC. 31.0 HOURS PER WEEK ASSISTANT TREASURER, LEXINGTON MEMORIAL HOPITAL FOUNDATION, INC. 2.0 HOURS PER WEEK ASSISTANT TREASURER, LEXMEDICAL, INC. 5.0 HOURS PER WEEK ASSISTANT TREASURER, LEXPROPERTIES, INC. 1.0 HOUR PER WEEK CHARLES MILLER, JR. CHAIR, FILING ORGANIZATION 1.0 HOUR PER WEEK CHAIR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK DIRECTOR, LEXMEDICAL, INC. 1.0 HOUR PER WEEK DIRECTOR, LEXPROPERTIES, INC. 1.0 HOUR PER WEEK ROBERT B. SMITH, JR. VICE CHAIR, FILING ORGANIZATION 1.0 HOUR PER WEEK VICE CHAIR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK DAN BRIGGS DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK RAY N. HOWELL, III, PHD DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK GORDON C. KAMMIRE, M.D. DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK EVELYN KEPLEY DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL FOUNDATION, INC. 1.0 HOUR PER WEEK JEFF MAST DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK STALEY J. NANCE DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK J. SIMMONS RIGGAN, M.D. DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK PATRICIA SHOEMAKER DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK ROBERT CRAVEN DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK MARK BREEDEN DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK DAVID WAGNER, M.D. DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK JAMES HOEKSTRA, M.D. DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK LARRY POTTS DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK W. LEON RIVES DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK WILLIAM W. WOODRUFF, M.D. DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: EQUITY IN NET INCOME OF SUBSIDIARY 35,316. CONTRIBUTIONS TO AFFILIATES (NET) -42,190. TOTAL TO FORM 990, PART XI, LINE 5: -6,874. FORM 990, PART XI, LINE 2C NO CHANGES FROM PRIOR YEAR METHOD OF OVERSIGHT. LEXINGTON MEMORIAL HOSPITAL INC 250 HOSPITAL DRIVE LEXINGTON NC 27292 560543238 HOSPITAL NC 501(C)(3) LINE 3 N/A 0 LEXPROPERTIES INC 250 HOSPITAL DRIVE LEXINGTON NC 27292 561474401 HOLD REAL ESTATE NC 501(C)(2) N/A 0 LEXHEALTH INC 250 HOSPITAL DRIVE LEXINGTON NC 27292 561474400 PROMOTED AND SUPPORTED COST-EFFECTIVE HEALTH CARE FOR RESIDENTS OF THE TRIAD NC 501(C)(3) LINE 11B, II N/A 0 LEXMEDICAL INC 250 HOSPITAL DRIVE LEXINGTON NC 27292 561941380 PHYSICIAN PRACTICES NC 501(C)(3) LINE 3 N/A 0 LEXINGTON MEMORIAL HOSPITAL FOUNDATION INC 250 HOSPITAL DRIVE LEXINGTON NC 27292 581876553 FUNDRAISING NC 501(C)(3) LINE 11B, II N/A 0 NORTH CAROLINA BAPTIST HOSPITAL MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 560552787 HOSPITAL NC 501(C)(3) LINE 3 N/A 0 WAKE FOREST UNIVERSITY HEALTH SCIENCES MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 223849199 SUPPORT OF WAKE FOREST UNIVERSITY NC 501(C)(3) LINE 11A, I N/A 0 LEXCARE INC 250 HOSPITAL DRIVE LEXINGTON NC 27292 561474407 PHARMACY NC N/A C 35316 1472620 1.00000 MEDICAL PARK OFFICES UNIT OWNERS ASSOCIATION 250 HOSPITAL DRIVE LEXINGTON NC 27292 561685147 CONDO OWNERS ASSOCIATION NC N/A C 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 LEXPROPERTIES INC C 302893 FAIR MARKET VALUE LEXMEDICAL INC B 2184182 FAIR MARKET VALUE LEXINGTON MEMORIAL HOSPITAL INC C 1576118 FAIR MARKET VALUE