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 570906045 LEXINGTON MEDICAL CENTER FOUNDATION INC LEXI 8037912000 2720 SUNSET BOULEVARD WEST COLUMBIA SC 29169 JEFF BRILLHART SENIOR VICE PRESIDENT & CFO 8037912000 2024-02-06 1 JEFF BRILLHART XXX-XX-XXXX 0 SHELLIE S JOHNSON P00294226 8037718943 2024-02-06 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JEFF BRILLHART 2720 SUNSET BOULEVARD WEST COLUMBIA SC 29169 32808871 0 X N/A X 1990 SC TO ENSURE THAT QUALITY HEALTH SERVICES AND PATIENT-CENTERED CARE ARE AVAILABLE FOR THE PEOPLE OF THE MIDLANDS THROUGH THE DEVELOPMENT OF PHILANTHROPIC RESOURCES ON A SUSTAINING BASIS TO SUPPORT LEXINGTON HEALTH INC. 19 14 0 293 0 0 3385961 10331992 0 0 465691 1180490 314122 111090 4165774 11623572 3237321 3322597 0 0 0 0 0 0 0 469458 368078 3706779 3690675 458995 7932897 9393467 16419277 1186580 47284 8206887 16371993 TO ASSURE HIGH-VALUE, QUALITY HEALTH SERVICES AND PATIENT-CENTERED CARE ARE AVAILABLE TO THE PEOPLE OF THE MIDLANDS THROUGH THE DEVELOPMENT OF PHILANTHROPIC RESOURCES ON A SUSTAINING BASIS TO SUPPORT LEXINGTON HEALTH INC. 0 0 590337 590337 8172 THE WE CARE PROGRAM PROVIDES GRANTS FOR INNOVATIVE PROGRAMS, EQUIPMENT, AND PATIENT CARE ITEMS AND SERVICES TO ENHANCE PATIENT CARE THROUGHOUT LEXINGTON HEALTH INC. THE PROGRAMS AND SERVICES FUNDED THROUGH WE CARE HELP OUR HOSPITAL TO DELIVER EXCEPTIONAL, COMPASSIONATE CARE TO OUR PATIENTS AND COMMUNITY. 1330650 1330650 1330650 THE MISSION OF THE COMMUNITY OUTREACH COMMITTEE FUNDING IS TO PROVIDE SUPPORT FOR MIDLAND'S COMMUNITY ORGANIZATIONS THAT PROVIDE HEALTHCARE OR MEDICAL SERVICES ARE STRATEGICALLY ALIGNED WITH LEXINGTON HEALTH INC'S ORGANIZATIONAL GOALS. EXTERNAL FUNDING REQUESTS MUST ADDRESS COMMUNITY HEALTH CARE NEEDS, ADHERE TO THE CORE MISSION OF THE HOSPITAL, BRIDGE THE HEALTH CARE GAPS WITHIN OUR SERVICE AREA OR REFLECT PROJECTS THAT ARE DEEMED TO BE IN THE BEST INTEREST OF THE HOSPITAL. ORGANIZATIONS MUST BE A NON-PROFIT ORGANIZATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE OR OTHER APPROVED ACCREDITED AGENCY. 265000 200000 THE HEALTHCARE SCHOLARHSIP PROGRAM PROVIDES SCHOLARSHIPS TO OUTSTANDING HEALTHCARE STUDENTS IN THE COMMUNITY, MANY OF WHO WORK OR PLAN TO WORK AT LEXINGTON MEDICAL CENTER. THESE SCHOLARSHIPS ARE AN INVESTMENT TO BUILD A HIGHLY-SKILLED AND PASSIONATE HEALTHCARE WORKFORCE IN OUR COMMUNITY. 1136610 1401610 9200963 1136610 1401610 9200963 3322597 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 15 0 1 0 0 0 0 0 0 0 0 0 0 0 X 19 14 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X LEXINGTON MEDICAL CENTER ACCOUNTING 8037912000 1000 CENTER POINT ROAD COLUMBIA SC 29210 ANUKA CHAMPANERI BOARD MEMBER 0.10 X 0 0 0 CLARK HAVIRD BOARD MEMBER 0.10 X 0 0 0 DR ROBERT CALLIS BOARD MEMBER 0.10 32.00 X 0 65329 203 JACKEE MOYE BOARD MEMBER 0.10 X 0 0 0 KENYON WELLS BOARD MEMBER 0.10 X 0 0 0 MELISA MCLEOD BOARD MEMBER 0.10 X 0 0 0 PAULA RAWL CALHOON BOARD MEMBER 0.10 X 0 0 0 SUZANNE PUCCI BOARD MEMBER 0.10 X 0 0 0 TERRY PROSSER BOARD MEMBER 0.10 X 0 0 0 TERRY SCHMOYER BOARD MEMBER 0.10 X 0 0 0 THAD WESTBROOK BOARD MEMBER 0.10 X 0 0 0 DR QUILLIAN DAVIS PHYSICIAN 1.00 40.00 X 0 1640128 78502 DR CHARLES HAM SECRETARY 0.10 X 0 0 0 DR JOHN SPALDING VICE CHAIR 0.10 X 0 0 0 JAN BURT TREASURER 0.10 X 0 0 0 LESTER JOHNSON JR IMMEDIATE PAST CHAIR 0.10 X 0 0 0 TED NISSEN CHAIR 0.10 X 0 0 0 AMY SHEALY LANIER EXECUTIVE DIRECTOR 40.00 X 0 153315 50142 TOD A AUGSBURGER PRESIDENT/CEO 0.10 42.00 X 0 1869206 567446 JEFFREY D BRILLHART SENIOR VICE PRESIDENT 1.00 40.00 X 0 737806 188839 MARK SHELLEY SENIOR VP MARKETING 1.00 40.00 X 0 427166 65884 JEFFREY SCOTT WILSON GENERY COUNSEL 1.00 40.00 X 0 604555 132768 DR CHARLES P TOUSSAINT PHYSICIAN 1.00 40.00 X 0 1771072 78546 DR SCOTT B BOYD PHYSICIAN 1.00 40.00 X 0 1451534 78469 DR JOSHUA LAWSON PHYSICIAN 1.00 40.00 X 0 1622956 78474 DR DAVID LEE PHYSICIAN 1.00 40.00 X 0 1620031 78431 DR JAMES MCINTOSH JR PHYSICIAN 1.00 40.00 X 0 1274194 76219 0 13237292 1473923 0 0 1 0 0 41352 292209 9998431 6925413 10331992 372697 372697 21691827 20884034 807793 807793 807793 412355 292209 301265 111090 111090 11623572 0 0 1291580 3004097 3004097 318500 318500 92500 92500 18417 18417 88000 88000 SPECIAL ACTIVITIES 77990 77990 DUES & SUBSCRIPTIONS 54144 54144 BANK FEES 21140 21140 MEMBERSHIP DEVELOPMENT 7908 7908 7979 7979 3690675 3322597 368078 0 1178824 1573615 390057 739480 38581 38581 7560402 13826379 225603 241222 9393467 16419277 162 188 1186418 47096 1186580 47284 X 3026347 11400424 5180540 4971569 8206887 16371993 9393467 16419277 X 7932897 230872 1337 X X 0 1 X 1 0 X X 1 LEXINGTON HEALTH INC 852276567 3 1 1520987 0 1 1520987 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION C, LINE 1: THE FOUNDATION'S BOARD OF DIRECTORS INCLUDES KEY EMPLOYEES OF THE SUPPORTED ORGANIZATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 348000 348000 348000 348000 348000 348000 348000 348000 348000 348000 0 0 0 DUE TO LEXINGTON MEDICAL CENTER 47096 47096 X PART X, LINE 2: THE ORGANIZATION DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS UNDER FIN 48. THE ORGANIZATION HAS NOT RECORDED ANY RESERVES OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS. WOMEN'S NIGHT OUT 60207 4080 56127 3023 31018 20732 GALA GOLF TOURNAMENT 571575 215346 356229 7290 102416 136786 1 72782 72782 704564 292208 412356 10313 133434 157518 301265 111091 1 LEXINGTON HEALTH INC 2720 SUNSET BLVD WEST COLUMBIA SC 29169 852276567 LEXINGTON COUNTY 590337 0 WECARE PROVIDES SUPPORT WITH ITEMS THAT ENHANCE PATIENT CARE AND PARTNERS PROGRAM PROVIDES INTERNSHIPS FOR APROXIMATELY 100 STUDENTS. LEXINGTON HEALTH INC 2720 SUNSET BLVD WEST COLUMBIA SC 29169 852276567 LEXINGTON COUNTY 930650 0 THE MISSION OF THE COMMUNITY OUTREACH COMMITTEE FUNDING IS TO PROVIDE SUPPORT FOR MIDLAND'S COMMUNITY ORGANIZATIONS THAT PROVIDE HEALTHCARE OR MEDICAL SERVICES AND ARE STRATEGICALLY ALIGNED WITH LMC'S ORGANIZATIONAL GOALS. EXTERNAL FUNDING REQUESTS MUST ADDRESS COMMUNITY HEALTH CARE NEEDS, ADHERE TO THE CORE MISSION OF THE HOPSITAL, BRIDGE THE HEALTH CARE GAPS WITHIN OUR SERVICE AREA, OR REFLECT PROJECTS THAT ARE DEEMED TO BE IN TEH BEST INTEREST OF THE HOSPITAL. ORGANIZATIONS MUST BE A NON-PROFIT ORGANIZATION UNDER 501(C)3 OF THE INTERNAL REVENUE CODE OR OTHER APPROVED ACCREDITED AGENCY. LEXINGTON COUNTY HEALTH SERVICE DISTRICT 2720 SUNSET BLVD WEST COLUMBIA SC 29169 570874077 LEXINGTON COUNTY 400000 0 THE MISSION OF THE COMMUNITY OUTREACH COMMITTEE FUNDING IS TO PROVIDE SUPPORT FOR MIDLAND'S COMMUNITY ORGANIZATIONS THAT PROVIDE HEALTHCARE OR MEDICAL SERVICES AND ARE STRATEGICALLY ALIGNED WITH LMC'S ORGANIZATIONAL GOALS. EXTERNAL FUNDING REQUESTS MUST ADDRESS COMMUNITY HEALTH CARE NEEDS, ADHERE TO THE CORE MISSION OF THE HOPSITAL, BRIDGE THE HEALTH CARE GAPS WITHIN OUR SERVICE AREA, OR REFLECT PROJECTS THAT ARE DEEMED TO BE IN TEH BEST INTEREST OF THE HOSPITAL. ORGANIZATIONS MUST BE A NON-PROFIT ORGANIZATION UNDER 501(C)3 OF THE INTERNAL REVENUE CODE OR OTHER APPROVED ACCREDITED AGENCY. 1 SCHOLARSHIPS 105 318500 PART I, LINE 2: THE FOUNDATION BOARD REVIEWS SCHOLARSHIP APPLICATIONS AND SELECTS RECIPIENTS BASED ON INFORMATION IN THE APPLICATION. THE CHECKS ARE MADE PAYABLE TO THE SCHOOL TO ENSURE MONEY IS USED TOWARD EDUCATION. X X X X 0 1 0 0 0 0 0 0 0 TOD A AUGSBURGER PRESIDENT/CEO 0 1242382 0 574636 0 52188 0 538265 0 29181 0 2436652 0 0 DR CHARLES P TOUSSAINT PHYSICIAN 0 1724679 0 45073 0 1320 0 50051 0 28495 0 1849618 0 0 DR QUILLIAN DAVIS PHYSICIAN 0 1611808 0 27000 0 1320 0 50051 0 28451 0 1718630 0 0 DR JOSHUA LAWSON PHYSICIAN 0 1594557 0 27079 0 1320 0 50051 0 28423 0 1701430 0 0 DR DAVID LEE PHYSICIAN 0 1544211 0 74500 0 1320 0 50051 0 28380 0 1698462 0 0 DR SCOTT B BOYD PHYSICIAN 0 1252441 0 197773 0 1320 0 50051 0 28418 0 1530003 0 0 DR JAMES MCINTOSH JR PHYSICIAN 0 1229944 0 42930 0 1320 0 50051 0 26168 0 1350413 0 0 JEFFREY D BRILLHART SENIOR VICE PRESIDENT 0 557295 0 168190 0 12321 0 160005 0 28834 0 926645 0 0 JEFFREY SCOTT WILSON GENERY COUNSEL 0 436155 0 136323 0 32077 0 104139 0 28629 0 737323 0 0 MARK SHELLEY SENIOR VP MARKETING 0 336040 0 84942 0 6184 0 53271 0 12613 0 493050 0 0 AMY SHEALY LANIER EXECUTIVE DIRECTOR 0 142450 0 9825 0 1040 0 25988 0 24154 0 203457 0 0 PART I, LINE 4B TOD AUGSBURGER, JEFFREY BRILLHART, AND JEFFREY WILSON PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. X 101408 6925413 FAIR MARKET VALUE X 500 16337 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A BOARD MEMBERS ARE APPOINTED BY THE CHAIRMAN OF THE BOARD OF LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC. 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 THE ORGANIZATION 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 THE FOUNDATION 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: LOSS NOT REPORTED ON FINANCIAL STATEMENTS 1,337. FORM 990, PART XI, LINE 12C: THE BOARD ASSUMES RESPONSIBILITY FOR THE FINANCIAL STATEMENTS. LEXINGTON HEALTH SERVICE DISTRICT 2720 SUNSET BLVD WEST COLUMBIA SC 29169 570874077 HOSPITAL AND HEALTH CARE SC N/A 170(B)(1)(A)(V) N/A 0 LEXINGTON HEALTH INC 2720 SUNSET BLVD WEST COLUMBIA SC 29169 852276567 HOSPITAL AND HEALTH CARE SC 501(C)(3) 170(B)(1)(A)(III) N/A 0 0 1 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 LEXINGTON HEALTH INC O 795278 FAIR MARKET VALUE OF SERVICES LEXINGTON HEALTH INC B 1520987 CASH GRANTS PAID LEXINGTON HEALTH SERVICE DISTRICT B 600000 CASH GRANTS PAID