2026-02-16T12:10:01-06:00 2025-09-30 920749631 SMITH & HOWARD ADVISORY LLC 1501 MAIN ST SUITE 600 COLUMBIA SC 29201 990 2024-10-01 852276567 LEXINGTON HEALTH INC LEXI 8778295500 2720 SUNSET BLVD WEST COLUMBIA SC 29169 JEFFREY BRILLHART SENIOR VICE PRESIDENT & CFO 8778295500 2026-02-11 1 0 SHELLIE S JOHNSON P00294226 8037718943 2026-02-11 2024 2025-03-06 01:10:19Z JEFFREY BRILLHART 2720 SUNSET BLVD WEST COLUMBIA SC 29169 2003306439 0 X WWW.LEXMED.COM X 2020 SC TO PROVIDE HEALTHCARE SERVICES, PARTICIPATE IN ANY ACTIVITY DESIGNED TO PROMOTE THE GENERAL HEALTH OF LEXINGTON COUNTY AND SURROUNDING AREAS. 19 18 5868 486 498847 0 113925 165716 1622750177 1741288955 24728614 27192619 0 0 1647592716 1768647290 0 0 0 0 943241782 1029592934 0 0 0 638220918 678353072 1581462700 1707946006 66130016 60701284 2199150329 2302885018 755834581 748972041 1443315748 1553912977 TO PROVIDE QUALITY HEALTH SERVICES THAT MEET THE NEEDS OF OUR COMMUNITIES. 0 0 1328172506 1740790108 TO PROVIDE QUALITY HEALTH SERVICES THAT MEET THE NEEDS OF OUR COMMUNITIES. 1328172506 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 0 1 195 0 1 5868 1 1 1 0 0 0 0 0 0 0 1 0 X 19 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LEXINGTON MEDICAL CENTER ACCOUNTING 8037912000 1000 CENTER POINT ROAD COLUMBIA SC 29210 JAN BURT DIRECTOR 3.00 X 0 0 0 LUANNE DYER DIRECTOR 3.00 X 0 0 0 REV CHARLES JACKSON JR DIRECTOR 3.00 X 0 0 0 KRIS CATO DIRECTOR 3.00 X 0 0 0 LEIGH PROVOST DIRECTOR 3.00 X 0 0 0 FRANK SHUMPERT DIRECTOR 3.00 X 0 0 0 JEFF SALTERS DIRECTOR 3.00 X 0 0 0 LARRY STROUD DIRECTOR 3.00 X 0 0 0 RICHARD WESTBROOK DIRECTOR 3.00 X 0 0 0 LEE BUSSELL DIRECTOR 3.00 X 0 0 0 GREGG HENDRIX DIRECTOR 3.00 X 0 0 0 CHIP JOHNSON DIRECTOR 3.00 X 0 0 0 DR MATT THOMA DIRECTOR 3.00 X 0 0 0 NIKKI SETZLER DIRECTOR 3.00 X 0 0 0 DEBBIE SUMMERS DIRECTOR 3.00 X 0 0 0 DR DAVID LAMB BOARD MEMBER 3.00 X 990675 0 19800 MICKEY LAYDEN SECRETARY 3.00 X 0 0 0 RANDY SENN CHAIRMAN 3.00 X 0 0 0 JUSTIN STRICKLAND VICE CHARIMAN 3.00 X 0 0 0 TOD AUGSBURGER PRESIDENT AND CEO 40.00 4.00 X 3468120 0 793703 JEFFREY BRILLHART SR VICE PRESIDENT AND CFO 40.00 3.00 X 847530 0 240959 KIRK T JENKINS SR VP OF PHYSICIAN NETWORK 40.00 X 752017 0 188568 ROGER LEE SIPE SR VP OF OPERATIONS 40.00 X 638912 0 200002 JEFFREY SCOTT WILSON GENERAL COUNSEL SR VICE PR 40.00 5.00 X 675502 0 140876 BRIAN SMITH SR VP OF HUMAN RESOURCES 40.00 4.00 X 578848 0 194419 DR SCOTT B BOYD PHYSICIAN 40.00 X 1604057 0 85007 DR QUILLIN GOURLEY DAVIS PHYSICIAN 40.00 X 1488283 0 84923 DR DAVID K LEE PHYSICIAN 40.00 X 1673179 0 57948 DR CHARLES P TOUSSAINT PHYSICIAN 40.00 X 1897695 0 85070 DR STEPHEN E VAN HORN JR PHYSICIAN 40.00 X 1472385 0 57948 16087203 0 2149223 1185 0 1 0 AHEAD LLC 75 REMITTANCE DRIVE DEPT 6980 CHICAGO IL 60675 IT MANAGEMENT SERVICES 1132421 PATHOLOGY ASSOCIATES OF LEXINGTON 2720 SUNSET BLVD WEST COLUMBIA SC 29169 MEDICAL SERVICES 1015583 NEURO SURGICAL RESOURCES LLC 945 NORTH POINT DR 1406 ALPHARETTA GA 30022 MEDICAL SERVICES 814794 HEALTHFUSE LLC 606 E JUNEAU AVE PO BOX 510050 MILWAUKEE WI 53202 MEDICAL SERVICES 560988 CLOUDMED SOLUTIONS LLC 5700 GRANITE PKWY STE 940 PLANO TX 75024 FINANCIAL SERVICES 556443 5 37716 128000 128000 165716 NET PATIENT SERVICE REVENUE 621110 1702225006 1702225006 OTHER DEPARTMENTAL REVENUE 621110 45779518 45280671 498847 INCOME FROM SUBSIDIARIES 621110 -6715569 -6715569 1741288955 29498184 29498184 232351792 1792 234607544 51605 -2255752 -49813 -2305565 -2305565 1768647290 1740790108 498847 27192619 18236426 18236426 765487585 620598659 144888926 245868923 184291978 61576945 11056736 8410226 2646510 20731188 8435 20722753 64002876 27822338 36180538 11597875 3659592 7938283 MEDICAL SUPPLIES 233551811 225172880 8378931 DRUGS 179984119 179984119 0 OTHER OPERATING EXPENSE 80230615 27788423 52442192 REPAIRS AND MAINTENANCE 45098103 22622115 22475988 32099749 9577315 22522434 1707946006 1328172506 379773500 0 24682023 31847573 179989512 95554054 242979236 265692278 30686440 37165989 1876382529 983046070 893583929 893336459 779092655 934114466 48136534 45174199 2199150329 2302885018 144708988 164231690 556723233 539174735 54402360 45565616 755834581 748972041 X 1438681658 1549237297 4634090 4675680 1443315748 1553912977 2199150329 2302885018 X 60701284 49483898 412047 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 85361 85361 0 96751170 96751170 1146708830 491972271 654736559 632922529 491073799 141848730 893336459 LEASE PAYABLE 53949421 DUE TO AFFILIATES -8143265 BOND ISSUANCE COSTS -240540 45565616 X PART X, LINE 2: LEXINGTON HEALTH INC. IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A)AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3), AND THEREFORE, RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. 1 1 1 X 1 X 1 1 1 0 0 1 111911685 170742548 206904586 -36162038 X 1 1 1 1 LEXINGTON HEALTH INC 2720 SUNSET BLVD WEST COLUMBIA SC 29169 LEXHEALTH.COM/MEDICAL-SERVICES/COMMUNI HTL-0960 X X X X LEXINGTON HEALTH INC DBA LEXINGTON MEDIC 1 0 0 1 X X X X X X X X 22 1 1 1 1 X HTTPS://LEXHEALTH.COM/MEDICAL-SERVICES/COMMUNITY-HEALTH X 1 22 1 HTTPS://LEXHEALTH.COM/MEDICAL-SERVICES/COMMUNITY-HEALTH 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X HTTPS://LEXHEALTH.COM/BILLING-INSURANCE/FINANCIAL-ASSISTANCE X SAME AS ABOVE X SAME AS ABOVE X X X X X X 1 X 0 X X X X 1 X 0 0 LEXINGTON HEALTH INC DBA LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 3J: OUR STATEMENT INCLUDES A COPY OF OUR FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY WITH THE FOLLOWING INFORMATION: HOW TO APPLY, DETERMINATION OF ELIGIBILITY, AND INFORMATION AND ASSISTANCE REGARDING THE FAP PROGRAM. LEXINGTON HEALTH INC DBA LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 5: IN ADDITION TO THE PHYSICAL SURVEY LEXINGTON HEALTH INC CONDUCTED (14) KEY INFORMANT INTERVIEWS AND (1) FOCUS GROUP. THE INTENTION OF THE LATTER TWO METHODS WAS TO ADD CONTEXT TO THE SURVEY DATA. BELOW ARE THE INDIVIDUALS WE INTERVIEWED.SARA FAWCETT, PRESIDENT/CEO OF UNITED WAY OF THE MIDLANDSTOD AUGSBURGER, PRESIDENT/CEO OF LEXINGTON HEALTH INC.ANGELLE LABRODE, PRESIDENT/CEO OF LEXINGTON CHAMBER OF COMMERCEJAY KOON, SHERIFF OF LEXINGTON COUNTY POLICE DEPARTMENTDEBBIE SUMMERS, COUNCILWOMAN OF LEXINGTON COUNTY COUNCILCARL BLACKSTONE, PRESIDENT/CEO OF COLUMBIA CHAMBER OF COMMERCEJULIE ANN AVIN, EXECUTIVE DIRECTOR OF MIRCITOM LEDBETTER, AVP OF MIDLANDS TECHPAMELA BYNOE-REED, DIRECTOR OF MARKETING OF CENTRAL MIDLANDS REGIONAL TRANSIT AUTHORITYMARIA OWENS, STRATEGIC PARTNERSHIPS DIRECTOR OF RICHLAND COUNTY SCHOOL DISTRICT 2ROBIN COOPER, HEALTH EDUCATOR - MIDLANDS OF SC DHECGREG FROHNAPPEL, LEXINGTON COUNTY DIRECTOR OF SC DSS - LEXINGTON COUNTYLARRY SALLEY, EXECUTIVE DIRECTOR OF GREATER COLUMBIA COMMUNITY RELATIONS COUNCILBRYANT DAVIS, ASSISTANT DIRECTOR OF GOVERNMENT AND COMMUNITY SERVICES OF RICHLAND COUNTY LEXINGTON HEALTH INC DBA LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 6A: LEXINGTON HEALTH INC. PARTNERED WITH THE MEDICAL UNIVERSITY OF SOUTH CAROLINA TO CONDUCT THE 2022 CHNA. LEXINGTON HEALTH INC DBA LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 6B: LEXINGTON HEALTH INC ALSO PARTNERED WITH THE ALLIANCE FOR A HEALTHIER SOUTH CAROLINA AND THE SOUTH CAROLINA DEPARTMENT FOR HEALTH AND ENVIRONMENTAL CONTROL. LEXINGTON HEALTH INC DBA LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 11: LISTED BELOW ARE PROGRAMS THAT HAVE BEEN IMPLEMENTED THUS FAR TO ADDRESS THE PRIORITIZED HEALTH NEEDS.ACCESS TO CARE AND CLINICAL PREVENTIVE SERVICES- WE OFFER FREE FLU VACCINES, COVID-19 VACCINES, BIOMETRIC SCREENINGS, SMOKING CESSATION, AND CANCER SCREENINGS TO THE COMMUNITY. LEXINGTON MEDICAL CENTER IMPLEMENTED ITS PRIMARY CARE CONNECT PROGRAM TO ASSIST PATIENTS WITH FINDING A PRIMARY CARE PROVIDER- SINGLE NUMBER TO CALL THAT HAS ACCESS TO ALL PROVIDERS AND CAN SCHEDULE APPOINTMENT WITH A PROVIDER ACCEPTING NEW PATIENTS. IN FEBRUARY OF 2023 WE IMPLEMENTED UNITE US, A SOCIAL DETERMINANTS OF HEALTH PLATFORM THAT INTEGRATES INTO OUR EMR. IT COORDINATES ELECTRONIC REFERRALS AND CASES MANAGEMENT TASKS BETWEEN HEALTH AND SOCIAL SERVICE ORGANIZATIONS ON A COMMON PLATFORM. CLOSES THE LOOP ON REFERRALS AND OUTCOMES TO ENSURE PROPER ACCESS TO CARE. OBESITY AND DIABETES- ASSISTED HARVEST HOPE WITH FUNDING, PREPARATION AND DISTRIBUTION OF DIABETIC FOOD FRIENDLY BOXES FOR RESIDENTS IN LEXINGTON COUNTY. PROVIDED OVER 19,000 DIABETIC FRIENDLY MEALS SINCE 2022.MENTAL HEALTH- LMC IS THE DRIVING FORCE IN THE CREATION OF UPLIFT LEXINGTON COUNTY. THIS IS A COLLABORATIVE COALITION TO INCREASE ACCESS TO MENTAL HEALTH CARE IN LEXINGTON COUNTY. COALITION PARTNERS INCLUDE LEXINGTON COUNTY COMMUNITY MENTAL HEALTH, SERVE AND CONNECT, LEXINGTON COUNTY SHERIFF'S DEPARTMENT, AND LEXINGTON COUNTY EMERGENCY MEDICAL SERVICES. IT RECEIVED A DUKE ENDOWMENT GRANT FOR 3 YEARS TOTALING $980,000. LMC RECEIVED FUNDING FOR THE ESTABLISHMENT OF AN EMPATH UNIT DESIGNED AND STAFFED TO TREAT ALL EMERGENCY PSYCHIATRIC PATIENTS, NO EXCLUSIONS. LEXINGTON HEALTH INC DBA LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 13B: CATASTROPHIC IS NOT BASED ON FPG. PART I, LINE 3C: THE GROSS ANNUAL INCOME OF THE APPLICANT AND FAMILY IS MEASURED AGAINST THE ANNUAL POVERTY GUIDELINES FOR THE APPROPRIATE SIZE FAMILY. GROSS ANNUAL INCOME SHOULD BE REPRESENTATIVE OF THE FAMILY'S AVERAGE EARNINGS. FOR THIS REASON, THE METHOD OF CALCULATING GROSS ANNUAL INCOME WILL VARY DEPENDENT UPON THE EMPLOYMENT STATUS OF THE FAMILY MEMBERS. THE FOLLOWING METHODS MAY BE USED TO COMPUTE GROSS ANNUAL INCOME BASED ON THE MANNER IN WHICH THE INCOME IS RECEIVED: FIXED MONTHLY INCOME; HOURLY/SALARY WITH BONUSES, COMMISSIONS, AND OVERTIME; IRREGULAR INCOME; SELF-EMPLOYMENT INCOME; AND INABILITY TO WORK. CATASTROPHIC AND DISCRETIONARY FINANCIAL ASSISTANCE DO NOT USE THE FPGS. CATASTROPHIC FINANCIAL ASSISTANCE WILL OCCUR WHEN THE PATIENT'S BILL IS 3 TIMES MORE THAN THE ANNUAL HOUSEHOLD INCOME. DISCRETIONARY FINANCIAL ASSISTANCE WILL APPLY WHEN THE PATIENT IS DECEASED AND HAS NO CONFIRMED ESTATE OR IF THEY ARE HOMELESS. PART III, LINE 2: LHI IS COMMITTED TO HELPING PATIENTS UNDERSTAND AND MANAGE THE COST OF SERVICES BEFORE THOSE SERVICES ARE DELIVERED. LHI EPXECTS PATIENTS, GUARANTORS OR THEIR THIRD PARTY INSURERS TO PAY IN FULL FOR SERVICES PROVIDED. LHI WILL BILL THIRD PARTY INSURERS IN ACCORDANCE WITH THE REQUIREMENTS OF APPLICABLE LAW, CONTRACTS WITH THIRD PARTY INSURERS AND APPLICABLE BILLING GUIDELINES. A PATIENT'S FAILURE TO PAY OR MAKE SATISFACTORY FINANCIAL ARRANGEMENTS WILL RENDER THE ACCOUNT DELINQUENT. LHI RESERVES THE RIGHT TO TAKE COLLECTION ACTIONS AS PERMITTED BY LAW AND THIS POLICY CONCERNING BALANCES DUE FROM EITHER THE PATIENT OR THIRD PARTY INSURERS. PART III, LINE 4: PATIENTS WHO ARE COVERED BY THIRD PARTY PAYERS ARE RESPONSIBLE FOR PATIENT RESPONSIBILITY BALANCES, INCLUDING DEDUCTIBLES AND CO-INSURANCE, WHICH VARY IN AMOUNT. LHI ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY EXPLICIT PRICE CONCESSIONS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAS DEBT EXPENSE. PART III, LINE 9B: PATIENTS THAT DID NOT QUALIFY FOR 100% CHARITY, THE FOLLOWING OCCURS: LEXINGTON HEALTH, INC WILL USE THE SAME REASONABLE COLLECTION EFFORTS AND PROCESSES FOR COLLECTING AMOUNTS DUE FOR SERVICES PROVIDED TO ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. COLLECTION ACTIVITIES WILL CONTINUE UNTIL AN ACCOUNT BALANCE IS PAID IN FULL, OR AN ACCOUNT IS SECURED BY A PROTECTED STATUS, I.E. PAYMENT PLANS, PAYROLL DEDUCTIONS, LEGAL ACCOUNTS WITH LETTERS OF PROTECTION, ETC. IF NO ACTIVITY HAS TAKEN PLACE FOR A MINIMUM OF THREE MONTHS, COLLECTION EFFORTS WILL PROGRESS. X X X X 0 1 0 0 0 0 0 0 0 TOD AUGSBURGER PRESIDENT AND CEO 1410997 0 1992423 0 64700 0 765895 0 27808 0 4261823 0 1282750 0 DR CHARLES P TOUSSAINT PHYSICIAN 1852450 0 43925 0 1320 0 57948 0 27122 0 1982765 0 0 0 DR DAVID K LEE PHYSICIAN 1554284 0 117575 0 1320 0 57948 0 0 0 1731127 0 0 0 DR SCOTT B BOYD PHYSICIAN 1395637 0 207100 0 1320 0 57948 0 27059 0 1689064 0 0 0 DR QUILLIN GOURLEY DAVIS PHYSICIAN 1465557 0 21406 0 1320 0 57948 0 26975 0 1573206 0 0 0 DR STEPHEN E VAN HORN JR PHYSICIAN 1449815 0 21250 0 1320 0 57948 0 0 0 1530333 0 0 0 JEFFREY BRILLHART SR VICE PRESIDENT AND CFO 630669 0 202268 0 14593 0 213603 0 27356 0 1088489 0 0 0 DR DAVID LAMB BOARD MEMBER 961421 0 25872 0 3382 0 19800 0 0 0 1010475 0 0 0 KIRK T JENKINS SR VP OF PHYSICIAN NETWORK 555455 0 183525 0 13037 0 188568 0 0 0 940585 0 0 0 ROGER LEE SIPE SR VP OF OPERATIONS 471149 0 150773 0 16990 0 200002 0 0 0 838914 0 0 0 JEFFREY SCOTT WILSON GENERAL COUNSEL SR VICE PR 492721 0 170250 0 12531 0 140876 0 0 0 816378 0 0 0 BRIAN SMITH SR VP OF HUMAN RESOURCES 423012 0 146483 0 9353 0 164512 0 29907 0 773267 0 0 0 PART I, LINE 4B TOD AUGSBURGER, JEFFREY BRILLHART, KIRK JENKINS, ROGER SIPE, BRIAN SMITH, AND JEFFREY WILSON PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. A LEXINGTON COUNTY HEALTH SERVICES DISTRICT 570874077 529050DU7 2011-07-28 62705000 REFUND LCHSD SERIES 1997 REVENUE BONDS 1 1 0 B LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC 570874077 529050EC6 2016-08-18 176580000 CAPITAL PROJECT 1 1 0 C LEXINGTON COUNTY HEALTH SERVICES DISTRICT 570874077 529050EX0 2017-12-22 146510000 REFUND SERIES 2007 BONDS 1 1 0 D LEXINGTON COUNTY HEALTH SERVICES DISTRICT 570874077 2018-02-07 103000000 CAPITAL PROJECT 0 1 0 A 25884000 66206882 65870131 336751 1 0 1 1 B 5000 204673404 596194 176580000 2021 0 0 1 1 C 36730000 3800000 164181436 163615000 566521 1 0 1 1 D 103000000 172932 103000000 2021 0 0 1 1 A 0 0 0 0 0.00060 0.00060 0 0 0 C 0 0 0 0 0.00110 0.00110 0 0 0 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: LEXINGTON COUNTY HEALTH SERVICES DISTRICT DATE THE REBATE COMPUTATION WAS PERFORMED: 11/01/2021 ISSUER NAME: LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC. DATE THE REBATE COMPUTATION WAS PERFORMED: 01/01/2025 ISSUER NAME: LEXINGTON COUNTY HEALTH SERVICES DISTRICT DATE THE REBATE COMPUTATION WAS PERFORMED: 01/01/2025 ISSUER NAME: LEXINGTON COUNTY HEALTH SERVICES DISTRICT DATE THE REBATE COMPUTATION WAS PERFORMED: 01/01/2025 ISSUER NAME: SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/01/2025 ISSUER NAME: SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2022 ISSUER NAME: SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2022 A SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY 570960018 2021-08-05 20189000 REFUND SERIES 2011 BONDS 0 0 0 B SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY 570960018 2022-05-27 120000000 CAPITAL PROJECT 0 0 0 C SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY 570960018 2022-05-27 30000000 CAPITAL PROJECT 0 0 0 A 15246000 20189000 20189000 185000 1 0 1 1 B 2617000 120000000 7923739 378800 120000000 2024 0 0 1 1 C 1121200 30000000 40632 121200 1000000 29000000 2025 0 0 1 1 B 0 0 0 0 0.16010 0.16010 0 0 0 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 DR JOHN SPALDING BOARD MEMBER OF RELATED ORGANIZATION IS EMPLOYEE OF PROVIDER 1065458 CONTRACTED WITH PROVIDER FOR PATHOLOGISTS AND OTHER MEDICAL SERVICES 0 THAD WESTBROOK BOARD MEMBER OF RELATED ORGANIZATION IS PARTNER OF PROVIDER 35307 ATTORNEY SERVICES PROVIDED 0 DR JOSH MCCAIN BOARD MEMBER OF RELATED ORGANIZATION IS EMPLOYEE OF PROVIDER 1108648 RADIOLOGY SERVICES 0 X 1 128000 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B BEFORE FORM 990 IS FILED, THE BOARD MEMBERS HAVE BEEN GIVEN AN OPPORTUNITY TO REVIEW IT IN THE ORGANIZATION'S OFFICE. FORM 990, PART VI, SECTION B, LINE 12C LEXINGTON HEALTH, INC REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH THEIR CORPORATE COMPLIANCE OFFICER AND HOTLINE (ANONYMOUS TIPS). FORM 990, PART VI, SECTION B, LINE 15 LEXINGTON HEALTH, INC CONTRACTS WITH AN INDEPENDENT CONSULTANT TO RESEARCH SALARIES FOR DIRECTORS AND KEY EMPLOYEES. THEN THE BOARD DETERMINES THE SALARIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER OF ASSETS - LEXINGTON COUNTY HEALTH SERVICES DISTRICT 540,047. INCOME ON TAX RETURN NOT ON BOOKS -128,000. LEXMED INC 815 OLD CHEROKEE RD LEXINGTON SC 29072 570874078 CONGREGATE CARE AND OTHER HEALTHCARE RELATED FACILITY SC 501(C)(3) LINE 3 LEXINGTON HEALTH INC 0 LEXINGTON MEDICAL CENTER FOUNDATION INC 2720 SUNSET BLVD WEST COLUMBIA SC 29169 570906045 FUNDRAISING ENTITY THAT BENEFITS AND PROMOTES LEXINGTON HEALTH INC. SC 501(C)(3) LINE 12A, I LEXINGTON HEALTH INC 0 PALMETTO HEALTH SYSTEMS INC 2720 SUNSET BLVD WEST COLUMBIA SC 29169 570779601 HEALTHCARE SC LEXINGTON HEALTH INC C 48 9929 1.00000 1 LEXINGTON HEALTH LIABILITY SERVICES LLC 2720 SUNSET BLVD WEST COLUMBIA SC 29169 872565711 CAPTIVE INSURANCE COMPANY SC LEXINGTON HEALTH INC C -850096 36584461 1.00000 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 LEXINGTON MEDICAL CENTER FOUNDATION O 643599 ACTUAL COST LEXINGTON MEDICAL CENTER FOUNDATION C 2032298 ACTUAL COST LEXMED INC O 1272478 ACTUAL COST LEXMED INC Q 12708 ACTUAL COST LEXINGTON MEDICAL CENTER FOUNDATION C 128000 FAIR MARKET VALUE LEXINGTON MEDICAL CENTER FOUNDATION B 28391 FAIR MARKET VALUE