Civic Intelligence

Lexington Health Inc

EIN 85-2276567 • 501(c)3 • West Columbia, SC

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Profile

To provide quality health services that meet the needs of our communities.

2720 Sunset BlvdWest Columbia, SC 29169

www.lexmed.com

Siviq Scores

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

Liabilities / Assets

53rd percentile

0.33x

Higher debt load relative to assets than 53% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2025

Liabilities / Revenue

36th percentile

0.42x

Higher debt load relative to revenue than 36% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2025

Net Margin

38th percentile

3.4%

Higher net margin than 38% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2025

Top Officer Pay

78th percentile

$4,261,823

Higher top officer pay than 78% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2025

Asset Growth

48th percentile

6.3%

Faster asset growth than 48% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2025

Revenue Growth

39th percentile

6.6%

Faster revenue growth than 39% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2025

Balance Sheet
Liabilities / Assets53rd percentile

Assets

Up

$2,302,885,018

Up $103,734,689 (+4.7%) from 2024

Liabilities

Down

$748,972,041

Down $6,862,540 (-0.9%) from 2024

Net Assets

Up

$1,553,912,977

Up $110,597,229 (+7.7%) from 2024

Operations
Liabilities / Revenue36th percentileNet Margin38th percentile

Revenue

Up

$1,768,647,290

Up $121,054,574 (+7.3%) from 2024

Expenses

Up

$1,707,946,006

Up $126,483,306 (+8.0%) from 2024

Net Income

Down

$60,701,284

Down $5,428,732 (-8.2%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth48th percentile

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

$3.0B$2.0B$1.0B$0Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020Assets 2021: $1,982,043,541Liabilities 2021: $753,997,677Net Assets 2021: $1,228,045,8642021Assets 2022: $1,952,584,500Liabilities 2022: $764,488,556Net Assets 2022: $1,188,095,9442022Assets 2023: $2,037,572,606Liabilities 2023: $761,847,366Net Assets 2023: $1,275,725,2402023Assets 2024: $2,199,150,329Liabilities 2024: $755,834,581Net Assets 2024: $1,443,315,7482024Assets 2025: $2,302,885,018Liabilities 2025: $748,972,041Net Assets 2025: $1,553,912,9772025

Highlighted filing

2025

Assets$2,302,885,018
Liabilities$748,972,041
Net Assets$1,553,912,977
Open 2025 Filing

Operations Trend

Revenue Growth39th percentile

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

$2.0B$1.5B$1.0B$500M$0Revenue 2020: $0Expenses 2020: $0Net Income 2020: $02020Revenue 2021: $995,156,423Expenses 2021: $902,739,287Net Income 2021: $92,417,1362021Revenue 2022: $1,465,086,547Expenses 2022: $1,414,872,578Net Income 2022: $50,213,9692022Revenue 2023: $1,557,357,991Expenses 2023: $1,503,021,957Net Income 2023: $54,336,0342023Revenue 2024: $1,647,592,716Expenses 2024: $1,581,462,700Net Income 2024: $66,130,0162024Revenue 2025: $1,768,647,290Expenses 2025: $1,707,946,006Net Income 2025: $60,701,2842025

Highlighted filing

2025

Revenue$1,768,647,290
Expenses$1,707,946,006
Net Income$60,701,284
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$2,302,885,018
Liabilities
$748,972,041
Net assets
$1,553,912,977
Revenue
$1,768,647,290
Expenses
$1,707,946,006
Net income
$60,701,284
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$2,303$749$1,554$1,769$1,708$60.7
2024Detailed filing. Detailed filing data is available for this year.$2,199$756$1,443$1,648$1,581$66.1
2023Detailed filing. Detailed filing data is available for this year.$2,038$762$1,276$1,557$1,503$54.3
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,953$764$1,188$1,465$1,415$50.2
2021Detailed filing. Detailed filing data is available for this year.$1,982$754$1,228$995$903$92.4
2020Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2024 to Sep 30, 2025
Signed
Feb 11, 2026
Return Version
2024v5.5
Gross Receipts
$2,003,306,439
Mission and Program Overview

Mission

To provide quality health services that meet the needs of our communities.

To provide healthcare services, participate in any activity designed to promote the general health of lexington county and surrounding areas.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$779,092,655$934,114,466▲ $155,021,811
Land, Buildings, and Equipment, Net$893,583,929$893,336,459▼ $247,470
Accounts Receivable$242,979,236$265,692,278▲ $22,713,042
Savings and Temporary Cash Investments$179,989,512$95,554,054▼ $84,435,458
Inventories for Sale or Use$30,686,440$37,165,989▲ $6,479,549
Cash and Non-Interest-Bearing Accounts$24,682,023$31,847,573▲ $7,165,550
Total Assets$2,199,150,329$2,302,885,018▲ $103,734,689
Other Assets Total$48,136,534$45,174,199▼ $2,962,335
Liabilities
Tax Exempt Bond Liabilities$556,723,233$539,174,735▼ $17,548,498
Accounts Payable and Accrued Expenses$144,708,988$164,231,690▲ $19,522,702
Other Liabilities$54,402,360$45,565,616▼ $8,836,744
Total Liabilities$755,834,581$748,972,041▼ $6,862,540
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,438,681,658$1,549,237,297▲ $110,555,639
Net Assets With Donor Restrictions$4,634,090$4,675,680▲ $41,590
Total Net Assets Fund Balance$1,443,315,748$1,553,912,977▲ $110,597,229
Total Liabilities and Net Assets / Fund Balance$2,199,150,329$2,302,885,018▲ $103,734,689

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$654,736,559$491,972,271$1,146,708,830
Equipment$141,848,730$491,073,799$632,922,529
Land$96,751,170-$96,751,170
Compensation and Service Providers
Top Officer Pay78th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Tod AugsburgerPresident and CEOFT$1,410,997$2,850,826$4,261,823
Dr Charles P ToussaintPhysicianFT$1,852,450$130,315$1,982,765
Dr David K LeePhysicianFT$1,554,284$176,843$1,731,127
Dr Scott B BoydPhysicianFT$1,395,637$293,427$1,689,064
Dr Quillin Gourley DavisPhysicianFT$1,465,557$107,649$1,573,206
Dr Stephen E Van Horn JrPhysicianFT$1,449,815$80,518$1,530,333
Jeffrey BrillhartSr Vice President and CFOFT$630,669$457,820$1,088,489
Dr David LambBoard Member-$961,421$49,054$1,010,475
Kirk T JenkinsSr VP of Physician NetworkFT$555,455$385,130$940,585
Roger Lee SipeSr VP of OperationsFT$471,149$367,765$838,914
Jeffrey Scott WilsonGeneral Counsel Sr Vice PrFT$492,721$323,657$816,378
Brian SmithSr VP of Human ResourcesFT$423,012$350,255$773,267

Board Members and Trustees

NameTitle
Randy SennChairman
Chip JohnsonDirector
Debbie SummersDirector
Dr Matt ThomaDirector
Frank ShumpertDirector
Gregg HendrixDirector
Jan BurtDirector
Jeff SaltersDirector
Kris CatoDirector
Larry StroudDirector
Lee BussellDirector
Leigh ProvostDirector
Luanne DyerDirector
Nikki SetzlerDirector
Rev Charles Jackson JrDirector
Richard WestbrookDirector
Mickey LaydenSecretary
Justin StricklandVice Chariman

Highest Paid Contractors

ContractorServicesLocationCompensation
Ahead LLCIt Management Services75 REMITTANCE DRIVE DEPT 6980, Chicago, IL 60675$1,132,421
Pathology Associates Of LexingtonMedical Services2720 SUNSET BLVD, West Columbia, SC 29169$1,015,583
Neuro Surgical Resources LLCMedical Services945 NORTH POINT DR 1406, Alpharetta, GA 30022$814,794
Healthfuse LLCMedical Services606 E JUNEAU AVE PO BOX 510050, Milwaukee, WI 53202$560,988
Cloudmed Solutions LLCFinancial Services5700 GRANITE PKWY STE 940, Plano, TX 75024$556,443
Revenue and Support

Revenue Composition

Contributions and Grants
$165,716
Program Service Revenue
$1,741,288,955
Investment Income
$27,192,619
Other Revenue
$0
All Other Contributions
$128,000
Change in Net Assets
$60,701,284

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Real Estate Other1$128,000Fair Market Value
Total Noncash Contributions1$128,000-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,029,592,934
Other Expenses$678,353,072
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$620,598,659$144,888,926-$765,487,585
Other Employee Benefits$184,291,978$61,576,945-$245,868,923
Depreciation Depletion$27,822,338$36,180,538-$64,002,876
Other Expenses$22,622,115$22,475,988-$45,098,103
All Other Expenses$9,577,315$22,522,434-$32,099,749
Interest$8,435$20,722,753-$20,731,188
Current Officers, Directors, Trustees, and Key Employees$18,236,426--$18,236,426
Insurance$3,659,592$7,938,283-$11,597,875
Occupancy$8,410,226$2,646,510-$11,056,736
Total Functional Expenses$1,328,172,506$379,773,500$0$1,707,946,006
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
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Dr Josh MccainBoard Member of Related Organization Is Employee of ProviderRadiology ServicesNo$1,108,648
Dr John SpaldingBoard Member of Related Organization Is Employee of ProviderContracted With Provider for Pathologists and Other Medical ServicesNo$1,065,458
Thad WestbrookBoard Member of Related Organization Is Partner of ProviderAttorney Services ProvidedNo$35,307
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Payable$53,949,421
Bond Issuance Costs$-240,540
Due to Affiliates$-8,143,265

Bond Issues

BondIssuerIssuedIssue PricePurpose
BLexington County Health Services District Inc2016-08-18$176,580,000CAPITAL PROJECT
CLexington County Health Services District2017-12-22$146,510,000REFUND SERIES 2007 BONDS
BSouth Carolina Jobs-economic Development Authority2022-05-27$120,000,000CAPITAL PROJECT
DLexington County Health Services District2018-02-07$103,000,000CAPITAL PROJECT
ALexington County Health Services District2011-07-28$62,705,000Refund lchsd series 1997 revenue bonds
CSouth Carolina Jobs-economic Development Authority2022-05-27$30,000,000CAPITAL PROJECT
ASouth Carolina Jobs-economic Development Authority2021-08-05$20,189,000REFUND SERIES 2011 BONDS

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$204,673,404-$15,246,000$596,194
C$164,181,436-$2,617,000$566,521
B$120,000,000--$378,800
D$103,000,000-$1,121,200$172,932
A$66,206,882-$36,730,000$336,751
C$30,000,000--$121,200
A$20,189,000--$185,000

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

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

Governance Explanations

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.”

Filing and Contact Details

Filer

Filer Name
Lexington Health Inc
EIN
85-2276567
Phone
8778295500
Address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169

Signing Officer

Name
Jeffrey Brillhart
Title
Senior Vice President & CFO
Phone
8778295500
Signed
2026-02-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeffrey Brillhart
Formed
2020
Legal Domicile
Sc
Voting Board Members
19
Independent Board Members
18
Employees
5,868
Volunteers
486

Preparer

Firm
Smith & Howard Advisory LLC
Address
1501 MAIN ST SUITE 600, COLUMBIA, SC 29201
Preparer
Shellie S Johnson
Phone
8037718943
Supplemental Narrative

Additional Explanations

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.”

Financial Statement Notes

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.”

Raw XML AppendixShowing 400 of 1,294 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm1LUANNE DYER
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IRS990/Form990PartVIISectionAGrp/PersonNm3KRIS CATO
IRS990/Form990PartVIISectionAGrp/PersonNm4LEIGH PROVOST
IRS990/Form990PartVIISectionAGrp/PersonNm5FRANK SHUMPERT
IRS990/Form990PartVIISectionAGrp/PersonNm6JEFF SALTERS
IRS990/Form990PartVIISectionAGrp/PersonNm7LARRY STROUD
IRS990/Form990PartVIISectionAGrp/PersonNm8RICHARD WESTBROOK
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IRS990/Form990PartVIISectionAGrp/PersonNm24BRIAN SMITH
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IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt17CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt18VICE CHARIMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt19PRESIDENT AND CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt20SR VICE PRESIDENT AND CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt21SR VP OF PHYSICIAN NETWORK
IRS990/Form990PartVIISectionAGrp/TitleTxt22SR VP OF OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt23GENERAL COUNSEL SR VICE PR
IRS990/Form990PartVIISectionAGrp/TitleTxt24SR VP OF HUMAN RESOURCES
IRS990/Form990PartVIISectionAGrp/TitleTxt25PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt26PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt27PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt28PHYSICIAN
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