Civic Intelligence

Lexington Medical Center

EIN 56-0543238 • 501(c)3 • Lexington, NC

Profile

The mission of lexington medical center is to provide an appropriate level of inpatient and outpatient healthcare services in a high quality, compassionate and cost-effective manner to anyone who presents in need.

PO Box 1817 250 Hospital DriveLexington, NC 27293-1817

www.lexington.wakehealth.edu

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

17th percentile

0.03x

Higher debt load relative to assets than 17% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

10th percentile

0.04x

Higher debt load relative to revenue than 10% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

74th percentile

17%

Higher net margin than 74% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

95th percentile

$2,933,092

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 1.8% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

82nd percentile

16%

Faster asset growth than 82% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

49th percentile

7.7%

Faster revenue growth than 49% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$211,820,048

Up $29,490,331 (+16%) from 2023

Liabilities

Up

$6,573,272

Up $1,351,354 (+26%) from 2023

Net Assets

Up

$205,246,776

Up $28,138,977 (+16%) from 2023

Revenue

Up

$165,203,573

Up $11,856,278 (+7.7%) from 2023

Expenses

Up

$137,064,373

Up $1,513,305 (+1.1%) from 2023

Net Income

Up

$28,139,200

Up $10,342,973 (+58%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0Assets 2010: $33,516,021Liabilities 2010: $22,163,903Net Assets 2010: $11,352,1182010Assets 2011: $34,319,532Liabilities 2011: $23,669,821Net Assets 2011: $10,649,7112011Assets 2012: $44,665,238Liabilities 2012: $23,911,618Net Assets 2012: $20,753,6202012Assets 2013: $59,975,488Liabilities 2013: $28,096,485Net Assets 2013: $31,879,0032013Assets 2014: $65,699,999Liabilities 2014: $27,158,465Net Assets 2014: $38,541,5342014Assets 2015: $66,047,722Liabilities 2015: $12,918,391Net Assets 2015: $53,129,3312015Assets 2016: $82,425,732Liabilities 2016: $14,435,647Net Assets 2016: $67,990,0852016Assets 2017: $94,968,175Liabilities 2017: $13,772,250Net Assets 2017: $81,195,9252017Assets 2018: $101,225,676Liabilities 2018: $7,896,957Net Assets 2018: $93,328,7192018Assets 2019: $117,467,580Liabilities 2019: $8,719,873Net Assets 2019: $108,747,7072019Assets 2020: $126,269,827Liabilities 2020: $6,785,253Net Assets 2020: $119,484,5742020Assets 2021: $152,444,674Liabilities 2021: $6,938,237Net Assets 2021: $145,506,4372021Assets 2022: $165,612,388Liabilities 2022: $6,300,816Net Assets 2022: $159,311,5722022Assets 2023: $182,329,717Liabilities 2023: $5,221,918Net Assets 2023: $177,107,7992023Assets 2024: $211,820,048Liabilities 2024: $6,573,272Net Assets 2024: $205,246,7762024

Highlighted filing

2024

Assets$211,820,048
Liabilities$6,573,272
Net Assets$205,246,776

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200M$150M$100M$50M$0Expenses 2010: $65,808,9492010Expenses 2011: $69,753,2652011Revenue 2012: $81,479,700Expenses 2012: $76,622,398Net Income 2012: $4,857,3022012Expenses 2013: $79,995,8012013Revenue 2014: $77,777,302Expenses 2014: $71,213,293Net Income 2014: $6,564,0092014Revenue 2015: $85,777,268Expenses 2015: $71,154,764Net Income 2015: $14,622,5042015Revenue 2016: $92,632,318Expenses 2016: $77,771,564Net Income 2016: $14,860,7542016Revenue 2017: $107,671,661Expenses 2017: $94,465,821Net Income 2017: $13,205,8402017Revenue 2018: $112,499,121Expenses 2018: $100,366,327Net Income 2018: $12,132,7942018Revenue 2019: $119,691,807Expenses 2019: $104,272,819Net Income 2019: $15,418,9882019Revenue 2020: $125,126,706Expenses 2020: $114,389,839Net Income 2020: $10,736,8672020Revenue 2021: $69,430,267Expenses 2021: $60,350,766Net Income 2021: $9,079,5012021Revenue 2022: $141,675,403Expenses 2022: $127,870,268Net Income 2022: $13,805,1352022Revenue 2023: $153,347,295Expenses 2023: $135,551,068Net Income 2023: $17,796,2272023Revenue 2024: $165,203,573Expenses 2024: $137,064,373Net Income 2024: $28,139,2002024

Highlighted filing

2024

Revenue$165,203,573
Expenses$137,064,373
Net Income$28,139,200

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$212$6.57$205$165$137$28.1
2023Summary only. Only limited summary data is available for this year.$182$5.22$177$153$136$17.8
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$166$6.30$159$142$128$13.8
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$152$6.94$146$69.4$60.4$9.08
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$126$6.79$119$125$114$10.7
2019Summary only. Only limited summary data is available for this year.$117$8.72$109$120$104$15.4
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$101$7.90$93.3$112$100$12.1
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$95.0$13.8$81.2$108$94.5$13.2
2016Detailed filing. Detailed filing data is available for this year.$82.4$14.4$68.0$92.6$77.8$14.9
2015Summary only. Only limited summary data is available for this year.$66.0$12.9$53.1$85.8$71.2$14.6
2014Detailed filing. Detailed filing data is available for this year.$65.7$27.2$38.5$77.8$71.2$6.56
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$60.0$28.1$31.9$80.0
2012Summary only. Only limited summary data is available for this year.$44.7$23.9$20.8$81.5$76.6$4.86
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$34.3$23.7$10.6$69.8
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$33.5$22.2$11.4$65.8
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 12, 2025
Return Version
2024v5.2
Gross Receipts
$165,208,467
Mission and Program Overview

Mission

Lexington medical center is part of wake forest baptist health, a preeminent learning health system that promotes better health for all through collaboration, excellence and innovation. Our mission is to improve the health of our region, state and nation by: generating and translating knowledge to prevent, diagnose and treat disease; training leaders in health care and biomedical science; and serving as the premier health system in our region, with specific centers of excellence recognized as national and international care destinations.

To improve health, elevate hope, and advance healing for all.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$33,079,697$30,038,725▼ $3,040,972
Accounts Receivable$16,965,739$19,273,431▲ $2,307,692
Inventories for Sale or Use$1,504,598$1,454,925▼ $49,673
Prepaid Expenses and Deferred Charges$314,494$347,038▲ $32,544
Intangible Assets$377,605$335,649▼ $41,956
Cash and Non-Interest-Bearing Accounts$4,171,949$321▼ $4,171,628
Total Assets$182,329,717$211,820,048▲ $29,490,331
Other Assets Total$125,915,635$160,369,959▲ $34,454,324
Liabilities
Accounts Payable and Accrued Expenses$4,387,811$5,842,666▲ $1,454,855
Other Liabilities$687,652$584,151▼ $103,501
Deferred Revenue$146,455$146,455→ $0
Total Liabilities$5,221,918$6,573,272▲ $1,351,354
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$176,929,211$205,018,254▲ $28,089,043
Net Assets With Donor Restrictions$178,588$228,522▲ $49,934
Total Net Assets Fund Balance$177,107,799$205,246,776▲ $28,138,977
Total Liabilities and Net Assets / Fund Balance$182,329,717$211,820,048▲ $29,490,331

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$21,688,569$44,132,090$65,820,659
Equipment$5,973,191$29,474,387$35,447,578
Other Land Buildings$1,151,646$164,201$1,315,847
Land$1,225,319-$1,225,319
Other Assets Org$22,955--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Bradley a ClarkTreasurer-$1,697,429$1,235,663$2,933,092
Chad BrownDirector, President Ahwfb South/west AreaFT-$590,162$590,162
Nicole Pederson SmithDirector--$101,772$101,772
Denise HegeSecretaryFT-$87,172$87,172

Board Members and Trustees

NameTitle
Michael HolshouserChair
William B JamesDirector & Former President
Chad BrownDirector, President Ahwfb South/west
Nina SmithVice Chair
A Mick FisherDirector
Charles MillerDirector
David Zaas MdDirector
Debby BrownDirector
Gordon Kammire MdDirector
Holly MyersDirector
Kaye LeonardDirector
Lillian KoontzDirector
Michael T WaidDirector
Rev Dr Ray HowellDirector
Robert Evans MdDirector
Robin Team JrDirector
Rosalind BakerDirector
Tammy AbsherDirector
D Brandon Chapman MdDirector (to 5/7/24)
Deborah Harding DnpDirector (to 7/31/24)
Danny SquiresFinance Director
Russell BuchananNetwork Director of Nursing
Renia ConteCharge Nurse
Jacob FreemanChief Nursing Officer
Cynthia HayesNursing Education Coord
Rebecca WilliamsonRegistered Nurse - Weekend Program

Highest Paid Contractors

ContractorServicesLocationCompensation
Aya Healthcare INCHealthcare ServicesPO BOX 123519, Dallas, TX 75312$1,607,355
Sodexo Magic LLCFacility Management ServicesPO BOX 360170, Pittsburgh, PA 15251$848,036
Aramark Services INCFacility Management ServicesPO BOX 978839, Dallas, TX 75397$469,076
Davidson Surgical Associates INCHealthcare Services1219-A LEXINGTON AVENUE, Thomasville, NC 27360$340,500
Trimedx Holdings LLCClinical Engineering ServicesPO BOX 636129, Cincinnati, OH 45263$318,308
Revenue and Support

Revenue Composition

Contributions and Grants
$91,792
Program Service Revenue
$164,449,730
Investment Income
$-1,736
Other Revenue
$663,787
All Other Contributions
$59,533
Change in Net Assets
$28,139,200
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$69,319,627
Salaries, Compensation, and Employee Benefits$67,739,391
Grants and Similar Amounts Paid$5,355
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$49,884,372$3,851,380-$53,735,752
Fees for Services Other$8,368,572$1,063,692-$9,432,264
Other Employee Benefits$7,552,855$583,127-$8,135,982
Depreciation Depletion$4,527,956$571,944-$5,099,900
Occupancy$4,221,047$412,942-$4,633,989
Payroll Taxes$3,100,556$239,382-$3,339,938
Pension Plan Contributions$1,888,181$145,779-$2,033,960
Other Expenses$562,687$55,047-$617,734
Office Expenses$513,380$50,224-$563,604
Current Officers, Directors, Trustees, and Key Employees$246,880$246,879-$493,759
Insurance$225,710--$225,710
Travel$85,625$8,377-$94,002
Information Technology$63,697$6,231-$69,928
Conferences and Meetings$10,082$986-$11,068
Fees for Service Investment Mgmnt Fees$6,093$3,267-$9,360
Fees for Services Lobbying$9,098--$9,098
Fees for Services Management$4,155$2,228-$6,383
Grants to Domestic Orgs$4,875--$4,875
Advertising$2,880$560-$3,440
Grants to Domestic Individuals$480--$480
Total Functional Expenses$129,822,328$7,242,045$0$137,064,373
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other Reserves$561,196
Operating Lease Payable$22,955
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Nicole smith and nina smith, directors of the filing organization, have a family relationship.

Form 990, Part VI, Section A, Line 6

The sole member of the organization is wake forest university baptist medical center (wfubmc), a north carolina nonprofit corporation.

Form 990, Part VI, Section A, Line 7A

Wake forest university baptist medical center (wfubmc), the hospital's sole member, has the power to elect and remove directors.

Form 990, Part VI, Section A, Line 7B

Decisions of the organization's governing body which require approval by the sole member, wfubmc, 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 of directors receives copies 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 to all directors prior to its filing with the irs, along with a report noting the modifications.

Form 990, Part VI, Section B, Line 12C

The organization requires its officers, directors and key employees to annually review the conflict of interest policy and determine any potential conflicts of interest. Any potential conflicts noted in the questionnaire are reviewed by a standing committee for appropriate resolution. All members of the board of directors are required to determine and report annually, and as they arise, any potential conflicts of interest to the secretary of the board of directors. The resolution of potential and actual conflicts is subject to the approval of the chair of the board.

Form 990, Part VI, Section B, Line 15

The filing organization does not pay compensation to directors for their effort devoted to the organization. Certain officers and directors are employed by unrelated but affiliated organizations, wake forest university baptist medical center (wfubmc) and charlotte mecklenburg hospital authority (cmha) and the determination of the compensation of such individuals is conducted via the process utilized by the wfubmc board, as follows: the advocate health compensation and benefits committee ("the committee") of the advocate health, inc. Board of directors ("the board") has authority as the wfubmc board delegates to it, for the review and approval of executive compensation. No member of the committee is an employee of wfubmc or the filing organization. The committee relies upon an external, independent compensation consultant retained directly by the committee to provide third-party compensation comparability data for evaluating the competitiveness and reasonableness of executive compensation and benefits programs relative to market practices for similarly situated healthcare organizations. In evaluating compensation, the committee follows corporate governance best practice such as adherence to the company's executive compensation philosophy and review processes; processes to ensure committee member and compensation consultant independence; data from healthcare organizations of comparable 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 advocate 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.

Filing and Contact Details

Filer

Filer Name
Lexington Medical Center
EIN
56-0543238
Phone
3367164445
Address
PO BOX 1817 250 HOSPITAL DRIVE, LEXINGTON, NC 27293-1817
Doing Business As
Atrium Health Wake Forest Baptist Le

Signing Officer

Name
Bradley a Clark
Title
Treasurer
Phone
3367164445
Signed
2025-11-12

Organization Details

Principal Officer
Chad Brown
Formed
1954
Legal Domicile
Nc
Voting Board Members
19
Independent Board Members
13
Employees
0
Volunteers
30
Supplemental Narrative

Additional Explanations

FORM 990, PART I, DOING BUSINESS AS:

Atrium health wake forest baptist lexington medical center

Form 990, Part III, Line 1

Lexington medical center (dba atrium health wake forest baptist lexington medical center, at times also referred to as the "hospital or "ahwfb-lmc or "the filing organization") is an integral part of atrium health wake forest baptist (at times also referred to as "ahwfb"), a preeminent learning health system and academic medical center of the highest quality with balanced excellence in patient care, research and education that promotes better health for all through collaboration, excellence, and innovation. Ahwfb's mission is to improve health, elevate hope, and advance healing for all. Ahwfb's vision is to be the first and best choice for care.

Form 990, Part III, Line 4A Program Service Accomplishments

The organization operates a 94 acute care bed hospital with specialty services that include orthopedic surgery, general surgery, ent/head and neck surgery, and cancer care. Lexington medical center's outpatient expertise includes digestive health services, a state-of-the-art rehabilitation department, a diagnostic imaging center, and wound care center. Its commitment is to educate, diagnose, and provide care and treatment to the residents of davidson county, north carolina, and surrounding areas. The organization serves as a satellite provider of atrium health wake forest baptist (ahwfb) specialty services and is accredited by the joint commission on accreditation of healthcare organizations and has been committed to serving the healthcare needs of davidson county since the 1920s. During calendar year 2024, the hospital facility had almost 15,000 patient days, including approximately 3,900 admissions, and over 35,000 emergency department visits. The organization provides numerous resources, activities, and programs to serve the health needs of its community. These programs include: - besthealth - a community wellness outreach program of ahwfb offers health seminars, screenings, cooking and fitness classes, online health resources, and a membership program with special benefits. Seminars led by experts from ahwfb provide the latest information about a variety of health topics in talks held at convenient locations throughout the community. Membership benefits include free health screenings, wellness challenges, discounts to participating local merchants, e-newsletters, and priority notification of events and programs. - faithhealthnc - an initiative that connects the caring strengths of congregations, the clinical expertise of providers, and a network of community resources to ease those on the journey to health and healing while strengthening communities in the process. There are faithhealth connectors in davidson county that serve marginalized populations and give voice to health disparities in the communities surrounding the medical center. - chronic disease self-management programs - one of the self-management programs is the diabetes education program that helps people with diabetes understand and manage the disease. These classes are taught by a registered dietitian and a registered nurse who help individuals set goals for managing the disease and maintaining health and well-being. This program is recognized by the american diabetes association. -telestroke network & stroke awareness seminars - the telestroke networks provides access to stroke care for patients in smaller communities, lexington medical center. Emergency room physicians at the hospital and their stroke patients receive on-demand consultations with an ahwfb stroke neurologist by using a special mobile robot unit, equipped with video conferencing. The stroke expert can evaluate the presence or severity of a stroke and assist in determining the best treatment plan. Ahwfb increased stroke awareness in the hospitals' local communities by providing stroke education through the robot to high school students, older adults, and international students. Ahwfb also provides an advanced stroke life support course and certification to emergency department staff and local ems agencies. - caregiver academy - a program offering free classes to educate the community on how to prepare for caregiving and assisting for loved ones, including finding the right resources, being your own health care advocate, and dealing with the paperwork and financial burdens. - athletic trainers - a certified athletic trainer (atc), provided by ahwfb, works full-time at lexington senior high school. The atc works with student athletes and their coaches to help keep the athletes safe and healthy and to treat and help rehabilitate sports-related injuries. - healthcare apprenticeships - ahwfb partners with davidson-davie community college to offer the largest healthcare apprenticeship program in no

Form 990, Part IV, Line 20B

The hospital has attached a copy of its consolidated audited financial statements for its calendar year ended december 31, 2024 to the form 990. The consolidated financial statements have been prepared on the accrual basis in conformity with u.s. Generally accepted accounting principles (gaap) and include the assets and operations of all atrium health, inc. Controlled entities, and atrium health wake forest baptist entities (under common management), including: -wake forest university baptist medical center and affiliates (including the filing organization), -north carolina baptist hospital and affiliates, -wake forest university health sciences and affiliates, -charlotte-mecklenburg hospital authority (dba atrium health charlotte) and affiliates, -floyd healthcare management, inc. (dba atrium health floyd) and affiliates, and -navicent health inc. (dba atrium health navicent) and affiliates. All significant intercompany transactions have been eliminated in consolidation.

FORM 990, PART XI, LINE 9:

Subsidiary equity(loss) -223.

Financial Statement Notes

PART X, LINE 2:

The organization has evaluated uncertain tax positions for its calendar years ended december 31, 2024 and 2023, 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 calendar years ended december 31, 2024 and 2023.

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