2023-11-14T11:01:40-06:00 2022-12-31 990 2022-01-01 581876553 LEXINGTON MEDICAL CENTER FOUNDATION INC LEXI 3367164445 PO BOX 1817 250 HOSPITAL DRIVE LEXINGTON NC 272931817 BRADLEY A CLARK TREASURER 3367164445 2023-11-14 BRADLEY CLARK 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z WILLIAM B JAMES PO BOX 1817 250 HOSPITAL DRIVE LEXINGTON NC 272931817 213746 0 X WWW.WAKEHEALTH.EDU/LOCATIONS/HOSPITALS/LEXINGTON- X 1989 NC TO PROMOTE AND ADVANCE CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES BY SUPPORTING AND OPERATING FOR THE BENEFIT OF AND TO CARRY OUT THE PURPOSES OF LEXINGTON MEDICAL CENTER (DBA ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER). 20 19 0 50 0 0 143249 33826 0 0 0 0 96962 58201 240211 92027 31041 12229 0 0 0 0 0 0 0 1925 5552 32966 17781 207245 74246 1935563 2009809 0 0 1935563 2009809 X TO PROMOTE AND ADVANCE CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES BY SUPPORTING AND OPERATING FOR THE BENEFIT OF AND TO CARRY OUT THE PURPOSES OF LEXINGTON MEDICAL CENTER (DBA ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER), A NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER IRC SECTION 501(C)(3). 0 0 17474 12229 0 PROMOTED AND ADVANCED CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES BY SUPPORTING AND OPERATING FOR THE BENEFIT OF AND TO CARRY OUT THE PURPOSES OF LEXINGTON MEDICAL CENTER (DBA ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER). 17474 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 14 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 20 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X ERIN KOEWING 3367164445 MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 TERRY CARTER DIRECTOR 2.00 0.00 X 0 0 0 PAULA TURLINGTON DIRECTOR 2.00 2.00 X 0 0 0 ROBERT SINK DIRECTOR 2.00 0.00 X 0 0 0 DANIEL TIMBERLAKE DIRECTOR 2.00 0.00 X 0 0 0 DONALD HOLT DIRECTOR 2.00 0.00 X 0 0 0 JERI W BOWYER DIRECTOR 2.00 0.00 X 0 0 0 JIM BLACK MD DIRECTOR 2.00 0.00 X 0 0 0 LARRY LINK CHAIR 2.00 0.00 X X 0 0 0 MEREDITH ANDREWS DIRECTOR 2.00 0.00 X 0 0 0 MICHELLE O'BRYANT DIRECTOR 2.00 0.00 X 0 0 0 NANCY NUCKOLS DIRECTOR 2.00 0.00 X 0 0 0 SARA DELAPP DIRECTOR 2.00 0.00 X 0 0 0 WILL MILLER DIRECTOR 2.00 0.00 X 0 0 0 BIRKE MCNEIL VICE CHAIR 2.00 0.00 X X 0 0 0 KATIE TWOMLEY MD DIRECTOR 2.00 38.00 X 0 564496 19130 STACY VANZANT DIRECTOR 2.00 0.00 X 0 0 0 JIMMY HOLSHOUSER DIRECTOR (FR 1/1/22) 2.00 0.00 X 0 0 0 DAVID HUNEYCUTT DIRECTOR (FR 1/1/22) 2.00 0.00 X 0 0 0 GENE KLUMP DIRECTOR (FR 1/1/22) 2.00 0.00 X 0 0 0 KAY LEONARD DIRECTOR (FR 1/1/22) 2.00 0.00 X 0 0 0 BRADLEY A CLARK TREASURER 0.10 39.90 X 1335054 0 135513 WILLIAM B JAMES PRESIDENT 2.00 38.00 X 0 471531 90111 DENISE HEGE SECRETARY 2.00 38.00 X 0 72222 12519 DANNY SQUIRES FINANCE DIRECTOR 1.00 39.00 X 0 257565 38748 1335054 1365814 296021 0 0 1 1 0 22613 11213 33826 179920 22613 121719 58201 58201 92027 0 0 58201 12229 12229 2852 2852 2700 2393 307 17781 17474 307 0 1555672 1758634 84125 31321 295766 219854 1935563 2009809 0 0 X 1828481 1955726 107082 54083 1935563 2009809 1935563 2009809 74246 0 X 0 1 X 1 0 X X 1 LEXINGTON MEDICAL CENTER 560543238 3 1 12229 0 1 12229 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 INTERCOMPANY RECEIVABLE 219854 219854 X PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS CALENDAR YEAR ENDED DECEMBER 31, 2022 AND SHORT PERIOD ENDED DECEMBER 31, 2021, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2022 AND SHORT PERIOD ENDED DECEMBER 31, 2021. SPORTSMEN'S SATURDAY 202533 22613 179920 11213 92230 2727 7000 8549 202533 22613 179920 11213 92230 2727 7000 8549 121719 58201 1 LEXINGTON MEDICAL CENTER 250 HOSPITAL DRIVE LEXINGTON NC 27293 560543238 501(C)(3) 12229 0 TO SUPPORT OPERATIONS AND MISSION OF LEX MED CTR. 1 0 PART I, LINE 2: THE ORGANIZATION FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE ORGANIZATION MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED. 0 1 0 0 0 0 0 0 0 BRADLEY A CLARK TREASURER 790574 0 506925 0 37555 0 100623 0 34890 0 1470567 0 34657 0 KATIE TWOMLEY MD DIRECTOR 0 561903 0 2323 0 270 0 16940 0 2190 0 583626 0 0 WILLIAM B JAMES PRESIDENT 0 317610 0 108841 0 45080 0 59774 0 30337 0 561642 0 40279 DANNY SQUIRES FINANCE DIRECTOR 0 221339 0 33121 0 3105 0 18129 0 20619 0 296313 0 0 PART I, LINE 4B CERTAIN DIRECTORS AND OFFICERS OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN (RESTORATION OR SERP). THE DETERMINATION OF THE PAYMENT AMOUNT FROM THE NON-QUALIFIED DEFERRED COMPENSATION PLANS FOLLOWED THE EMPLOYMENT ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE FORM 990, IF APPLICABLE. THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE CURRENT TAX YEAR: WILLIAM B. JAMES $40,280 BRADLEY A. CLARK $34,775 FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATION BRADLEY A. CLARK WAS COMPENSATED BY CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY ("CMHA", DOING BUSINESS AS ATRIUM HEALTH), AN AFFILIATED BUT UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO THE ORGANIZATION. SEE PART VII AND SCHEDULE J FOR HIS COMPENSATION. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS LEXINGTON MEDICAL CENTER, A NORTH CAROLINA NONPROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A LEXINGTON MEDICAL CENTER (LMC), THE ORGANIZATION'S SOLE MEMBER, HAS THE POWER TO ELECT AND REMOVE OFFICERS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE ORGANIZATION'S GOVERNING BODY WHICH REQUIRE APPROVAL BY THE SOLE MEMBER, LEXINGTON MEDICAL CENTER, INCLUDE AMENDMENTS TO CERTAIN FUNDAMENTAL DOCUMENTS (ARTICLES OF INCORPORATION AND BYLAWS) AND ELECTION AND REMOVAL OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FILING ORGANIZATION'S BOARD RECEIVES A COPY OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS. FORM 990, PART VI, SECTION B, LINE 12C THE BYLAWS OF THE ORGANIZATION HAVE CONFLICT OF INTEREST PROVISIONS WHICH ARE REVIEWED, ACCEPTED, AND SIGNED BY EACH OFFICER AND VOTING BOARD MEMBER ON AN ANNUAL BASIS. PURSUANT TO THESE PROVISIONS 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 PAYS NO COMPENSATION TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES. ALL COMPENSATION PAID TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES WAS PAID BY A RELATED ORGANIZATION, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") OR UNRELATED ORGANIZATION, CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY ("CMHA", DBA ATRIUM HEALTH) AND THE DETERMINATION OF THE COMPENSATION OF SUCH INDIVIDUALS IS CONDUCTED VIA THE PROCESS UTILIZED BY THE WFUBMC BOARD, AS FOLLOWS: THE DIVERSITY, INCLUSION, & COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE ATRIUM HEALTH, INC. BOARD OF DIRECTORS HAS AUTHORITY AS THE WFUBMC BOARD DELEGATES TO IT, FOR THE REVIEW AND APPROVAL OF SENIOR EXECUTIVE COMPENSATION, INCLUDING SENIOR EXECUTIVE INCENTIVE PLANS. NO MEMBER OF THE COMMITTEE IS AN EMPLOYEE OF WFUBMC OR OF THE FILING ORGANIZATION. THE COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH WFUBMC AND FILING ORGANIZATION POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE, STRUCTURE, AND COMPLEXITY AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE MAINTAINED IN THE ATRIUM HEALTH, INC. LEGAL DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. LEXINGTON MEDICAL CENTER 250 HOSPITAL DRIVE LEXINGTON NC 27292 560543238 HEALTHCARE NC 501(C)(3) LINE 3 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 510190238 HEALTHCARE NC 501(C)(3) LINE 12A, I 0 NORTHWEST COMMUNITY CARE NETWORK 2000 W 1ST STREET WINSTON SALEM NC 27104 020774853 HEALTHCARE NC 501(C)(3) LINE 7 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 FAITHHEALTH INNOVATIONS INC MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 237426944 HEALTHCARE NC 501(C)(3) LINE 10 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 DAVIE MEDICAL CENTER 329 NC HWY 801N BERMUDA RUN NC 27006 562276994 HEALTHCARE NC 501(C)(3) LINE 3 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 WRMC HOSPITAL OPERATING CORPORATION PO BOX 609 NORTH WILKESBORO NC 28659 830343789 HEALTHCARE NC 501(C)(3) LINE 3 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 HIGH POINT REGIONAL HEALTH PO BOX HP-5 HIGH POINT NC 27261 560532309 HEALTHCARE NC 501(C)(3) LINE 3 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 HIGH POINT REGIONAL HEALTH FOUNDATION 601 N ELM STREET HIGH POINT NC 27261 272854711 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 12A, I HIGH POINT REGIONAL HEALTH 0 WILKES MEDICAL CENTER FOUNDATION 1370 WEST D STREET NORTH WILKESBORO NC 28659 822345613 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 12A, I WRMC HOSPITAL OPERATING CORPORATION 0 MS LAND HOLDING CO 1901 MOONEY STREET WINSTON SALEM NC 27103 824005370 REAL ESTATE NC N/A 0 0 HIGH POINT SURGERY CENTER LLC 600 N LINDSAY STREET HIGH POINT NC 27262 561867005 HEALTHCARE NC N/A 0 0 HHI-WS LLC 1201 EDWARDS MILL RD ST 300 RALEIGH NC 27607 874035164 INVESTMENT NC N/A 0 0 HIGH POINT HEALTH CARE VENTURES INC 601 NORTH ELM STREET HIGH POINT NC 27262 561497164 REAL ESTATE NC N/A C 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1