2024-02-14T11:09:04-06:00 2023-09-30 570940019 BAUKNIGHT PIETRAS & STORMER PA 1501 MAIN ST SUITE 600 COLUMBIA SC 29201 990 2022-10-01 570874078 LEXMED INC LEXM 8037912522 815 OLD CHEROKEE ROAD LEXINGTON SC 29072 JEFF BRILLHART SENIOR VICE PRESIDENT & CFO 8037912000 2024-02-06 1 JEFF BRILLHART XXX-XX-XXXX 1 SHELLIE S JOHNSON P00294226 8037718943 2024-02-06 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JEFF BRILLHART 2720 SUNSET BLVD WEST COLUMBIA SC 29169 35490290 0 X N/A X 2021 SC TO PROMOTE AND FACILITATE THE PROVISION OF CONGREGATE CARE, NURSING, AND OPERATE HEALTH CARE RELATED FACILITIES FOR THE AGED. 6 4 650 107 0 0 3973007 1532000 30807918 33877952 226 -174545 0 0 34781151 35235407 0 0 0 0 27284122 27755727 0 0 0 9850152 10351493 37134274 38107220 -2353123 -2871813 19804956 19667617 13979526 16714000 5825430 2953617 TO PROMOTE AND FACILITATE THE PROVISION OF CONGREGRATE CARE, NURSING, AND OPERATE HEALTH CARE RELATED FACILITIES FOR THE AGED IN LEXINGTON COUNTY, SOUTH CAROLINA AND THE SURROUNDING AREAS. 0 0 18292954 33703407 TO PROMOTE AND FACILITATE THE PROVISION OF CONGREGATE CARE, NURSING, AND OPERATE HEALTH CARE RELATED FACILITIES FOR THE AGED IN LEXINGTON COUNTY, SOUTH CAROLINA AND THE SURROUNDING AREAS. 18292954 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 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 0 0 0 1 19 0 1 650 1 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X LEXINGTON MEDICAL CENTER ACCOUNTING 8037912000 1000 CENTER POINT ROAD COLUMBIA SC 29210 LARRY STROUD VICE CHAIRMAN 0.30 X 0 0 0 DR RICHARD MURRAY BOARD MEMBER 1.00 40.00 X 0 317634 58136 MICKEY LAYDEN BOARD MEMBER 0.30 X 0 0 0 RANDY SENN BOARD MEMBER 0.30 X 0 0 0 FRANK SHUMPERT BOARD MEMBER 0.30 X 0 0 0 TOD A AUGSBURGER PRESIDENT AND CEO 2.00 40.00 X 0 1869206 567446 JEFFREY BRILLHART SR VICE PRESIDENT/CFO 1.00 40.00 X 0 737806 160005 KATHRYN DIANE GILL EXECUTIVE 1.00 40.00 X 0 329797 75087 JEFFREY SCOTT WILSON GENERAL COUNSEL SENIOR VIC 3.00 40.00 X 0 604555 249283 DR SCOTT B BOYD PHYSICAN 1.00 40.00 X 0 1451534 78469 DR QUILLIN GOURLEY DAVIS PHYSICAN 1.00 40.00 X 0 1640128 50051 DR JOSHUA D LAWSON PHYSICAN 1.00 40.00 X 0 1622956 78474 DR DAVID K LEE PHYSICAN 1.00 40.00 X 0 1620031 78431 DR CHARLES P TOUSSAINT PHYSICAN 1.00 40.00 X 0 1771072 78546 0 11964719 1473928 14 0 1 0 0 1532000 1532000 PATIENT CARE REVENUE 621400 33531848 33531848 OTHER CARE REVENUE 621400 319578 319578 OTHER DEPARTMENTAL REVENUE 621400 26526 26526 33877952 338 338 80000 254883 -174883 -174883 -174883 35235407 33703407 0 0 21619921 16300450 5319471 6135806 6135806 236809 19395 217414 110347 59798 50549 1976 1976 1559299 1559299 35962 35962 OTHER EXPENSES 3267522 720429 2547093 SUPPLIES 3259053 535465 2723588 UTILITIES 748573 748573 DRUGS 628492 601219 27273 503460 56198 447262 38107220 18292954 19814266 0 1608 1625 249301 165476 2955832 3636224 252269 185808 86189 39066 41695429 26056011 16259757 15639418 19804956 19667617 3092981 2770620 10886545 13943380 13979526 16714000 X 0 0 0 0 5825430 2953617 5825430 2953617 19804956 19667617 -2871813 0 X X 0 1 X 1 0 X X 1 LEXINGTON HEALTH INC 852276567 3 1 1266293 0 1 1266293 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 1426908 1426908 28990676 19705478 9285198 11277845 6350533 4927312 15639418 DUE TO AFFILIATE 13943380 13943380 X PART X, LINE 2: LEXMED 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. X X X X 0 1 0 0 0 0 0 0 0 TOD A AUGSBURGER PRESIDENT AND CEO 0 1242382 0 574636 0 52188 0 538265 0 29181 0 2436652 0 0 DR CHARLES P TOUSSAINT PHYSICAN 0 1724679 0 45073 0 1320 0 50051 0 28495 0 1849618 0 0 DR JOSHUA D LAWSON PHYSICAN 0 1594557 0 27079 0 1320 0 50051 0 28423 0 1701430 0 0 DR DAVID K LEE PHYSICAN 0 1544211 0 74500 0 1320 0 50051 0 28380 0 1698462 0 0 DR QUILLIN GOURLEY DAVIS PHYSICAN 0 1611808 0 27000 0 1320 0 50051 0 0 0 1690179 0 0 DR SCOTT B BOYD PHYSICAN 0 1252441 0 197773 0 1320 0 50051 0 28418 0 1530003 0 0 JEFFREY BRILLHART SR VICE PRESIDENT/CFO 0 557295 0 168190 0 12321 0 160005 0 0 0 897811 0 0 JEFFREY SCOTT WILSON GENERAL COUNSEL SENIOR VIC 0 436155 0 136323 0 32077 0 220654 0 28629 0 853838 0 0 KATHRYN DIANE GILL EXECUTIVE 0 254747 0 69928 0 5122 0 48516 0 26571 0 404884 0 0 DR RICHARD MURRAY BOARD MEMBER 0 295314 0 21000 0 1320 0 32080 0 26056 0 375770 0 0 PART I, LINE 4B TOD AUGSBURGER, JEFFREY BRILLHART, AND JEFFREY WILSON PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. 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 LEXMED INC REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH THE CORPORATE COMPLIANCE OFFICER AND HOTLINE OF ITS SUPPORTED ORGANIZATION, LEXINGTON HEALTH INC. 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 XII, LINE 2C: NO CHANGES TO THE OVERSIGHT PROCESS IN CURRENT YEAR. LEXINGTON HEALTH INC 2720 SUNSENT BLVD WEST COLUMBIA SC 29169 852276567 HOSPITAL AND HEALTH CARE SC N/A 501(C)(3) YES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 LEXINGTON HEALTH INC O 1172884 FAIR MARKET VALUE OF SERVICES LEXINGTON HEALTH INC P 245910 FAIR MARKET VALUE OF SERVICES