2025-02-17T15:46:47-06:00 2024-09-30 570940019 BAUKNIGHT PIETRAS & STORMER PA 1501 MAIN ST SUITE 600 COLUMBIA SC 29201 990 2023-10-01 570906045 LEXINGTON MEDICAL CENTER FOUNDATION INC LEXI 8037912000 2720 SUNSET BOULEVARD WEST COLUMBIA SC 29169 JEFF BRILLHART SENIOR VICE PRESIDENT & CFO 8037912000 2025-02-12 1 0 SHELLIE S JOHNSON P00294226 8037718943 2025-02-12 2023 2025-03-06 01:10:19Z JEFF BRILLHART 2720 SUNSET BOULEVARD WEST COLUMBIA SC 29169 9966980 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. 20 18 0 282 0 0 10331992 3746983 0 0 1180490 527189 111090 27695 11623572 4301867 3322597 4992456 0 0 0 0 0 0 0 368078 239862 3690675 5232318 7932897 -930451 16419277 17818256 47284 155480 16371993 17662776 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 1027271 1027271 56386 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. 1390500 1390500 1400500 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. 363500 300000 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. 2211185 2574685 1778154 2211185 2574685 1778154 4992456 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 1 1 0 0 0 0 X 20 18 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 60717 1325 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 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 KATRINA GOGGINS BOARD MEMBER 0.10 X 0 0 0 CHIP JOHNSON BOARD MEMBER 0.10 X 0 0 0 DR JOSH MCCAIN BOARD MEMBER 0.10 X 0 0 0 MEREDITH AMICK BOARD MEMBER 0.10 X 0 0 0 DR CHARLES HAM SECRETARY 0.10 X 0 0 0 DR JOHN SPALDING CHAIR 0.10 X 0 0 0 JAN BURT TREASURER 0.10 X 0 0 0 SUZANNE PUCCI VICE CHAIR 0.10 X 0 0 0 TED NISSEN IMMEDIATE PAST CHAIR 0.10 X 0 0 0 TOD A AUGSBURGER PRESIDENT/CEO 0.10 42.00 X 0 4447824 911672 AMY SHEALY LANIER EXECUTIVE DIRECTOR 40.00 X 0 159119 52987 JEFFREY D BRILLHART SENIOR VICE PRESIDENT/CFO 1.00 40.00 X 0 832631 215444 MARK SHELLEY VP - CHIEF MKTING & DEV OFFICER 1.00 40.00 X 0 453352 73052 JEFFREY SCOTT WILSON GENERAL COUNSEL SRVP 1.00 40.00 X 0 655762 156131 DR CHARLES P TOUSSAINT PHYSICIAN 1.00 40.00 X 0 1999768 88209 DR SCOTT B BOYD PHYSICIAN 1.00 40.00 X 0 1657852 88169 DR QUILLIAN DAVIS PHYSICIAN 1.00 40.00 X 0 1722213 87027 DR JOSHUA LAWSON PHYSICIAN 1.00 40.00 X 0 1726042 88170 DR DAVID LEE PHYSICIAN 1.00 40.00 X 0 1631208 88158 0 15346488 1850344 0 0 1 0 0 45113 201975 3499895 66964 3746983 449302 449302 5266890 5189003 77887 77887 77887 503805 201975 476110 27695 27695 4301867 0 0 554884 4588456 4588456 404000 404000 1994 1994 43697 43697 SPECIAL ACTIVITIES 100471 100471 MEMBERSHIP DEVELOPMENT 35575 35575 BANK FEES 29611 29611 DUES & SUBSCRIPTIONS 28320 28320 194 194 5232318 4992456 239862 0 1573615 1575116 739480 423302 38581 38581 0 28204 13826379 15497915 241222 255138 16419277 17818256 188 115 0 53651 47096 101714 47284 155480 X 11400424 12954125 4971569 4708651 16371993 17662776 16419277 17818256 X -930451 2252608 -31374 X X 0 1 X 1 0 X X 1 LEXINGTON HEALTH INC 852276567 3 1 2417771 0 1 2417771 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 1.00000 0 0 0 DUE TO LEXINGTON MEDICAL CENTER 101714 101714 X PART X, LINE 2: THE ORGANIZATION 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. WINE ON THE RIVER 134710 1037 133673 1087 27141 95673 GALA GOLF TOURNAMENT 505300 199308 305992 104050 171849 1 65770 1630 64140 55332 20978 705780 201975 503805 1087 186523 288500 476110 27695 1 LEXINGTON HEALTH INC 2720 SUNSET BLVD WEST COLUMBIA SC 29169 852276567 LEXINGTON COUNTY 1027271 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 1390500 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. SCHOLARSHIPS 139 404000 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 1336924 0 634168 0 2476732 0 881296 0 30376 0 5359496 0 2415101 DR CHARLES P TOUSSAINT PHYSICIAN 0 1945373 0 53075 0 1320 0 57948 0 30261 0 2087977 0 0 DR JOSHUA LAWSON PHYSICIAN 0 1705722 0 19000 0 1320 0 57948 0 30222 0 1814212 0 0 DR QUILLIAN DAVIS PHYSICIAN 0 1701893 0 19000 0 1320 0 57948 0 29079 0 1809240 0 0 DR SCOTT B BOYD PHYSICIAN 0 1426490 0 230042 0 1320 0 57948 0 30221 0 1746021 0 0 DR DAVID LEE PHYSICIAN 0 1538055 0 91833 0 1320 0 57948 0 30210 0 1719366 0 0 JEFFREY D BRILLHART SENIOR VICE PRESIDENT/CFO 0 608079 0 209314 0 15238 0 185279 0 30165 0 1048075 0 0 JEFFREY SCOTT WILSON GENERAL COUNSEL SRVP 0 473031 0 169912 0 12819 0 126150 0 29981 0 811893 0 0 MARK SHELLEY VP - CHIEF MKTING & DEV OFFICER 0 355055 0 90535 0 7762 0 59594 0 13458 0 526404 0 0 AMY SHEALY LANIER EXECUTIVE DIRECTOR 0 148704 0 9375 0 1040 0 27886 0 25101 0 212106 0 0 PART I, LINE 4B TOD AUGSBURGER, JEFFREY BRILLHART, AND JEFFREY WILSON PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. X 627 66964 FAIR MARKET VALUE X 4100 23350 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: INCOME NOT REPORTED ON FINANCIAL STATEMENTS -31,374. 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 816606 FAIR MARKET VALUE OF SERVICES LEXINGTON HEALTH INC B 2417771 CASH GRANTS PAID LEXINGTON HEALTH SERVICE DISTRICT B 750000 CASH GRANTS PAID