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Lexington Health Inc
West Columbia, SC 29169
| Bed count | 460 | Medicare provider number | 420073 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 1,414,872,578 Total amount spent on community benefits as % of operating expenses$ 0 0 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 0 0 %Medicaid as % of operating expenses$ 0 0 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 147,328,133 10.41 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? NO The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? YES In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? Not available Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 1076597888 including grants of $ 0) (Revenue $ 1470612530) TO PROVIDE QUALITY HEALTH SERVICES THAT MEET THE NEEDS OF OUR COMMUNITIES.
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Facility Information
LEXINGTON HEALTH INC DBA LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 3J: OUR STATEMENT INCLUDES A COPY OF OUR FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY WITH THE FOLLOWING INFORMATION: HOW TO APPLY, DETERMINATION OF ELIGIBILITY, AND INFORMATION AND ASSISTANCE REGARDING THE FAP PROGRAM.
LEXINGTON HEALTH INC DBA LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 5: IN ADDITION TO THE PHYSCIAL SURVEY LEXINGTON HEALTH INC CONDUCTED (14) KEY INFORMANT INTERVIEWS AND (1) FOCUS GROUP. THE INTENTION OF THE LATTER TWO METHODS WERE TO ADD CONTEXT TO THE SURVEY DATA. BELOW ARE THE INDIVIDUALS WE INTERVIEWED.SARA FAWCETT, PRESIDENT/CEO OF UNITED WAY OF THE MIDLANDSTOD AUGSBURGER, PRESIDENT/CEO OF LEXINGTON HEALTH INC.ANGELLE LABRODE, PRESIDENT/CEO OF LEXINGTON CHAMBER OF COMMERCEJAY KOON, SHERIFF OF LEXINGTON COUNTY POLICE DEPARTMENTDEBBIE SUMMERS, COUNCILWOMAN OF LEXINGTON COUNTY COUNCILCARL BLACKSTONE, PRESIDENT/CEO OF COLUMBIA CHAMBER OF COMMERCEJULIE ANN AVIN, EXECUTIVE DIRECTOR OF MIRCITOM LEDBETTER, AVP OF MIDLANDS TECHPAMELA BYNOE-REED, DIRECTOR OF MARKETING OF CENTRAL MIDLANDS REGIONAL TRANSIT AUTHORITYMARIA OWENS, STRATEGIC PARTNERSHIPS DIRECTOR OF RICHLAND COUNTY SCHOOL DISTRICT 2ROBIN COOPER, HEALTH EDUCATOR - MIDLANDS OF SC DHECGREG FROHNAPPEL, LEXINGTON COUNTY DIRECTOR OF SC DSS - LEXINGTON COUNTYLARRY SALLEY, EXECUTIVE DIRECTOR OF GREATER COLUMBIA COMMUNITY RELATIONS COUNCILBRYANT DAVIS, ASSISTANT DIRECTOR OF GOVERNMENT AND COMMUNITY SERVICES OF RICHLAND COUNTY
LEXINGTON HEALTH INC DBA LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 6A: LEXINGTON HEALTH INC. PARTNERED WITH THE MEDICAL UNIVERSITY OF SOUTH CAROLINA TO CONDUCT THE 2022 CHNA.
LEXINGTON HEALTH INC DBA LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 6B: LEXINGTON HEALTH INC ALSO PARTNERED WITH THE ALLIANCE FOR A HEALTHIER SOUTH CAROLINA AND THE SOUTH CAROLINA DEPARTMENT FOR HEALTH AND ENVIRONMENTAL CONTROL.
LEXINGTON HEALTH INC DBA LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 11: LISTED BELOW ARE PROGRAMS THAT HAVE BEEN IMPLEMENTED THUS FAR TO ADDRESS THE PRIORITIZED HEALTH NEEDS.ACCESS TO CARE AND CLINICAL PREVENTIVE SERVICES- WE OFFER FREE FLU VACCINES, COVID-19 VACCINES, BIOMETRIC SCREENINGS, SMOKING CESSATION, AND CANCER SCREENINGS TO THE COMMUNITY. LEXINGTON MEDICAL CENTER IMPLEMENTED ITS PRIMARY CARE CONNECT PROGRAM TO ASSIST PATIENTS WITH FINDING A PRIMARY CARE PROVIDER- SINGLE NUMBER TO CALL THAT HAS ACCESS TO ALL PROVIDERS AND CAN SCHEDULE APPOINTMENT WITH A PROVIDER ACCEPTING NEW PATIENTS. IN FEBRUARY OF 2023 WE IMPLEMENTED UNITE US, A SOCIAL DETERMINANTS OF HEALTH PLATFORM THAT INTEGRATES INTO OUR EMR. IT COORDINATES ELECTRONIC REFERRALS AND CASES MANAGEMENT TASKS BETWEEN HEALTH AND SOCIAL SERVICE ORGANIZATIONS ON A COMMON PLATFORM. CLOSES THE LOOP ON REFERRALS AND OUTCOMES TO ENSURE PROPER ACCESS TO CARE. OBESITY AND DIABETES- ASSISTED HARVEST HOPE WITH FUNDING, PREPARATION AND DISTRIBUTION OF DIABETIC FOOD FRIENDLY BOXES FOR RESIDENTS IN LEXINGTON COUNTY. PROVIDED OVER 16,000 DIABETIC FRIENDLY MEALS SINCE 2022.MENTAL HEALTH- LMC IS THE DRIVING FORCE IN THE CREATION OF UPLIFT LEXINGTON COUNTY. THIS IS A COLLABORATIVE COALITION TO INCREASE ACCESS TO MENTAL HEALTH CARE IN LEXINGTON COUNTY. COALITION PARTNERS INCLUDE LEXINGTON COUNTY COMMUNITY MENTAL HEALTH, SERVE AND CONNECT, LEXINGTON COUNTY SHERIFF'S DEPARTMENT, AND LEXINGTON COUNTY EMERGENCY MEDICAL SERVICES. IT RECEIVED A DUKE ENDOWMENT GRANT FOR 3 YEARS TOTALING $980,000. LMC RECEIVED FUNDING FOR THE ESTABLISHMENT OF AN EMPATH UNIT DESIGNED AND STAFFED TO TREAT ALL EMERGENCY PSYCHIATRIC PATIENTS, NO EXCLUSIONS.
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Supplemental Information
PART I, LINE 3C: THE GROSS ANNUAL INCOME OF THE APPLICANT AND FAMILY IS MEASURED AGAINST THE ANNUAL POVERTY GUIDELINES FOR THE APPROPRIATE SIZE FAMILY. GROSS ANNUAL INCOME SHOULD BE REPRESENTATIVE OF THE FAMILY'S AVERAGE EARNINGS. FOR THIS REASON, THE METHOD OF CALCULATING GROSS ANNUAL INCOME WILL VARY DEPENDENT UPON THE EMPLOYMENT STATUS OF THE FAMILY MEMBERS. THE FOLLOWING METHODS MAY BE USED TO COMPUTE GROSS ANNUAL INCOME BASED ON THE MANNER IN WHICH THE INCOME IS RECEIVED: FIXED MONTHLY INCOME; HOURLY/SALARY WITH BONUSES, COMMISSIONS, AND OVERTIME; IRREGULAR INCOME; SELF-EMPLOYMENT INCOME; AND INABILITY TO WORK
PART III, LINE 2: LHI IS COMMITTED TO HELPING PATIENTS UNDERSTAND AND MANAGE THE COST OF SERVICES BEFORE THOSE SERVICES ARE DELIVERED. LHI EPXECTS PATIENTS, GUARANTORS OR THEIR THIRD PARTY INSURERS TO PAY IN FULL FOR SERVICES PROVIDED. LHI WILL BILL THIRD PARTY INSURERS IN ACCORDANCE WITH THE REQUIREMENTS OF APPLICABLE LAW, CONTRACTS WITH THIRD PARTY INSURERS AND APPLICABLE BILLING GUIDELINES. A PATIENT'S FAILURE TO PAY OR MAKE SATISFACTORY FINANCIAL ARRANGEMENTS WILL RENDER THE ACCOUNT DELINQUENT. LHI RESERVES THE RIGHT TO TAKE COLLECTION ACTIONS AS PERMITTED BY LAW AND THIS POLICY CONCERNING BALANCES DUE FROM EITHER THE PATIENT OR THIRD PARTY INSURERS.
PART III, LINE 4: PATIENTS WHO ARE COVERED BY THIRD PARTY PAYERS ARE RESPONSIBLE FOR PATIENT RESPONSIBILITY BALANCES, INCLUDING DEDUCTIBLES AND CO-INSURANCE, WHICH VARY IN AMOUNT. LHI ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY EXPLICIT PRICE CONCESSIONS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAS DEBT EXPENSE.
PART III, LINE 9B: LEXINGTON HEALTH, INC WILL USE THE SAME REASONABLE COLLECTION EFFORTS AND PROCESSES FOR COLLECTING AMOUNTS DUE FOR SERVICES PROVIDED TO ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. COLLECTION ACTIVITIES WILL CONTINUE UNTIL AN ACCOUNT BALANCE IS PAID IN FULL, OR AN ACCOUNT IS SECURED BY A PROTECTED STATUS, I.E. PAYMENT PLANS, PAYROLL DEDUCTIONS, LEGAL ACCOUNTS WITH LETTERS OF PROTECTION, ETC. IF NO ACTIVITY HAS TAKEN PLACE FOR A MINIMUM OF THREE MONTHS, COLLECTION EFFORTS WILL PROGRESS.
