2011-05-12T14:16:08-05:00 2010-06-30 Turlington and Company LLP 1338 Westgate Center Drive WinstonSalem NC 27103 990 2009-07-01 561474399 Davidson Healthcare Inc DAVI 3362485161 PO Box 1817 Lexington NC 272931817 Danny W Squires 3362485161 2011-05-12 1 Terry J Berrier 3367652410 2009 2016-02-24 21:20:13Z Danny W Squires 250 Hospital Drive Lexington NC 27292 13 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. 16 15 0 0 0 0 0 0 23 13 0 23 13 0 0 0 0 0 11523 11377 11523 11377 -11500 -11364 1213861 1358781 28128 28129 1185733 1330652 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 11377 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. 11377 1 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 16 15 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 0 0 0 Charles D Miller Jr 1.00 X 0 0 0 W Leon Rives 1.00 X 0 0 0 Dan Briggs 1.00 X 0 0 0 Terry L Hales Jr 1.00 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 0 0 0 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 B Smith Jr 1.00 X 0 0 0 Mark Breeden 1.00 X 0 0 0 David Wagner MD 1.00 X 0 0 0 Danny W Squires 1.00 X 0 154681 20265 Barbara B Smith 1.00 X 0 168495 17638 CHRISTOPHER T WHITE 1.00 X 0 89989 18302 0 413165 56205 0 0 1 0 0 13 13 13 0 0 13 9000 9000 37 37 Professional Fees 2340 2340 11377 11377 0 0 16457 54909 1197404 1303872 1213861 1358781 28128 28129 28128 28129 X 1185733 1330652 1185733 1330652 1213861 1358781 X 0 1 1 X 0 X X X X 0 0 0 Lexington Memorial Hospital Inc 560543238 3 1 1 1 5701710 LexHealth Inc 561474400 3 1 1 1 356976 2 6058686 0 Investment in Subsidiary 1303872 C 1303872 13 11377 -11364 156283 156283 144919 13 0 13 0 13 11377 0 11377 0 11377 Part X: Description of Uncertain Tax Positions Under FIN 48: 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 July 1, 2009. 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, 2006 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, 2010. Part XI, Line 8 - Other Adjustments: Equity in Net Income of Subsidiary: 106468. Contributions to Affiliates (net): 49815. X X X X 0 0 0 0 0 0 0 1 0 Danny W Squires 0 147931 0 6750 0 0 0 5562 0 14703 0 174946 0 0 Barbara B Smith 0 160995 0 7500 0 0 0 6061 0 11577 0 186133 0 0 Part I, Line 7 The Compensation Committee of Lexington Memorial Hospital, Inc. annually determines the annual compensation of the Executive Team based on factors as described in Part VI, Section B, Line 15 of this 990. A portion of this compensation is determined to be "at risk" based upon achievement of specified targeted performance indicators, which include actual to budgeted results, market share growth and other intangible measures such as creativity, analytical skills and community involvement. Certain following individuals listed in Part VII, Section A, Line 1a received payments under this arrangement. Form 990, Part VI, Section A, line 6 The members of the corporation are 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 memebers, Wake Forest University Health Sciences and North Carolina Baptist Hospital, include amendements to certain fundamental documents (Articles of Incorporation and Bylaws); the conveyance or encumbrance of real estate; election and removal of directors; and annual approval of the Organization's budget Form 990, Part VI, Section A, line 7b Decisions of the Organization's governing body which require approval by the Organization's memebers, Wake Forest University Health Sciences and North Carolina Baptist Hospital, include amendements to certain fundamental documents (Articles of Incorporation and Bylaws); the conveyance or encumbrance of real estate; election and removal of directors; and annual approval of the Organization's budget 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 entire governing board reviews and approves the entire compensation package of each person based on comparability factors including but not limited to the size of the Organization, the geographical location of the Organization, and the Employees length of service. The governing body appoints a compensation committee to gather comparable data and to make recommendations to the board. This process is conducted on an annual basis for the following positions: CEO, COO. Form 990, Part VI, Section C, line 19 The Organization makes these documents available upon request at the administration offices. Form 990, Part VII, Column B Total average hours per week devoted to this and all related organizations Steven C. Shultz - 50.00 hours Danny W. Squires - 50.00 hours Barbara B. Smith - 50.00 hours Christopher T. White - 50.00 hours 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 LexProperties Inc 250 Hospital Drive Lexington NC 27292 561474401 Real Estate Holding Company NC 501(c)(2) N/A 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 LexMedical Inc 250 Hospital Drive Lexington NC 27292 561941380 Physician practices NC 501(c)(3) Line 3 N/A Lexington Memorial Hospital Foundation Inc 250 Hospital Drive Lexington NC 27292 581876553 Fundraising NC 501(c)(3) Line 11b, II N/A LexCare Inc 250 Hospital Drive Lexington NC 27292 561474407 Pharmacy NC N/A C 106468 1506546 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 257703 LexMedical Inc B 4505503 LEXINGTON MEMORIAL HOSPITAL INC C 5701710