Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS DAVIDSON HEALTHCARE, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | DECISIONS OF THE ORGANIZATION'S GOVERNING BODY WHICH REQUIRE APPROVAL BY THE SOLE MEMBER, DAVIDSON HEALTHCARE, INC., INCLUDE AMENDMENTS 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 SOLE MEMBER, DAVIDSON HEALTHCARE, INC., INCLUDE AMENDMENTS 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 SOLE MEMBER OF THE ORGANIZATION, DAVIDSON HEALTHCARE, INC., 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. THE ORGANIZATION HAS ADOPTED THIS POLICY IN ACCORDANCE WITH ITS BYLAWS. | |
| 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 OF THE MEMMBER, DAVIDSON HEALTHCARE, INC., 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 SOLE MEMBER OF THE FILING ORGANIZATION LEXPROPERTIES, INC., IS DAVIDSON HEALTHCARE, INC., THE MEMBERS OF WHICH ARE 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, WFUBMC, WFUHS AND NCBH. | |
| FORM 990, PART VII, COLUMN B | THE FOLLOWING PERSONS WERE COMPENSATED DIRECTLY BY LEXINGTON MEMORIAL HOSPITAL, INC., THE FILING ORGANIZATION, 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 / CHAIR, FILING ORGANIZATION 0.1 HOUR PER WEEK CHAIR, LEXHEALTH, INC. 0.1 HOUR PER WEEK CEO, LEXINGTON MEMORIAL HOSPITAL, INC. 24.7 HOURS PER WEEK PRESIDENT / CEO, DAVIDSON HEALTHCARE, INC. 1.0 HOUR PER WEEK PRESIDENT / CEO, LEXINGTON MEMORIAL HOSPITAL, FOUNDATION INC. 0.1 HOUR PER WEEK PRESIDENT / CHAIR, LEXMEDICAL, INC. 14.0 HOURS PER WEEK DANNY SQUIRES VP / CFO, FILING ORGANIZATION 1.0 HOUR PER WEEK VP / CFO, LEXHEALTH, INC. 1.0 HOUR PER WEEK VP / CFO, LEXINGTON MEMORIAL HOSPITAL, INC. 26.0 HOURS PER WEEK VP / CFO, DAVIDSON HEALTHCARE, INC. 1.0 HOUR PER WEEK CFO, DAVIE COUNTY EMERGENCY HEALTH CORPORATION 2.0 HOURS PER WEEK VP / CFO, LEXINGTON MEMORIAL HOSPITAL FOUNDATION, INC. 2.0 HOURS PER WEEK VP / CFO, LEXMEDICAL, INC. 7.0 HOURS PER WEEK BARBARA B. SMITH SECRETARY, FILING ORGANIZATION 1.0 HOUR PER WEEK SECRETARY, LEXINGTON MEMORIAL HOSPITAL, INC. 34.0 HOURS PER WEEK SECRETARY, DAVIDSON HEALTHCARE, INC. 1.0 HOUR PER WEEK SECRETARY, LEXINGTON MEMORIAL HOSPITAL FOUNDATION, INC. 2.0 HOURS PER WEEK SECRETARY, LEXMEDICAL, 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, DAVIDSON HEALTHCARE, INC. 1.0 HOUR PER WEEK ASSISTANT TREASURER, LEXINGTON MEMORIAL HOSPITAL FOUNDATION, INC. 2.0 HOURS PER WEEK ASSISTANT TREASURER, LEXMEDICAL, INC. 5.0 HOURS PER WEEK CHARLES MILLER, JR. DIRECTOR, FILING ORGANIZATION 1.0 HOUR PER WEEK CHAIR, LEXINGTON MEMORIAL HOSPITAL, INC. 1.0 HOUR PER WEEK CHAIR, DAVIDSON HEALTHCARE, INC. 1.0 HOUR PER WEEK DIRECTOR, LEXMEDICAL, INC. 1.0 HOUR PER WEEK | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | CONTRIBUTIONS TO AFFILIATES (NET) -302,893. TOTAL TO FORM 990, PART XI, LINE 5: -302,893. |
| FORM 990, PART XI, LINE 2C | NO CHANGES FROM PRIOR YEAR METHOD OF OVERSIGHT. |
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