Lexington Health
Lexington Health reported $1.77 billion in revenue and $1.71 billion in expenses for the fiscal year ending September 30, 2025. Of every $100 it spent, $77.76 went to program services, $22.24 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 98.5% of the total. The highest compensation it reported for one person was $4,261,823 (PRESIDENT AND CEO). 1,185 people received more than $100,000 in reportable compensation. Revenue rose 78% between FY2021 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending September 30, 2025 · Form 990, Part IX, line 25 · total expenses $1.71BFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending September 30, 2025 · Form 990, Part VIII · total revenue $1.77BThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 77.8% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 22.2% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | Not reported | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.0% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 98.5% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $4,261,823 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.25% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 1,185 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 10.9 | 6.6 |
| Independent voting board members Part VI 1a–1b | 18 of 19 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseHighest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PRESIDENT AND CEO Key employee, 40.00 hrs/week | $3,468,120 | $0 | $793,703 | $4,261,823 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $1,897,695 | $0 | $85,070 | $1,982,765 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $1,673,179 | $0 | $57,948 | $1,731,127 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $1,604,057 | $0 | $85,007 | $1,689,064 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $1,488,283 | $0 | $84,923 | $1,573,206 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $1,472,385 | $0 | $57,948 | $1,530,333 |
| SR VICE PRESIDENT AND CFO Key employee, 40.00 hrs/week | $847,530 | $0 | $240,959 | $1,088,489 |
| BOARD MEMBER Director/trustee, 3.00 hrs/week | $990,675 | $0 | $19,800 | $1,010,475 |
1,185 people received more than $100,000 in reportable compensation from Lexington Health (Part VII, line 2). Compensation of current officers, directors and key employees totaled $18M (Part IX, line 5).
5 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b19 · 18 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 55,868
- Volunteers Part I, line 6486
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| AHEAD LLC It management services | $1,132,421 |
| PATHOLOGY ASSOCIATES OF LEXINGTON Medical services | $1,015,583 |
| NEURO SURGICAL RESOURCES LLC Medical services | $814,794 |
| HEALTHFUSE LLC Medical services | $560,988 |
| CLOUDMED SOLUTIONS LLC Financial services | $556,443 |
Individuals listed as contractors are left out. 5 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from Lexington Health's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Lexington Health, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Lexington Health spent in FY2025, $77.76 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Rady Children's Hospital San DiegoSan Diego, CA · revenue $1.76B · programs 80.3% · FY2025
- Loma Linda MercantileSan Bernardino, CA · revenue $1.78B · programs 100.0% · FY2025
- The New York Society for the Relief of the Ruptured and Crippled MaintainingNew York, NY · revenue $1.76B · programs 80.5% · 2024
- St Luke's Hospital of Bethlehem PaAllentown, PA · revenue $1.79B · programs 94.5% · FY2025
- St Luke's-Roosevelt Hospital CenterNew York, NY · revenue $1.76B · programs 91.4% · 2024
All health care charities · Largest charities in South Carolina
Questions people ask
How much of Lexington Health's spending goes to programs?
In the fiscal year ending September 30, 2025, Lexington Health reported that 77.8% of its $1.71 billion in expenses went to program services, 22.2% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Lexington Health pay its top executive?
The largest total compensation Lexington Health reported for one person in the fiscal year ending September 30, 2025 was $4,261,823, for the role of PRESIDENT AND CEO (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Lexington Health get its money?
Of $1.77 billion in revenue in the fiscal year ending September 30, 2025, 0.0% came from contributions and grants (including 0.0% from government grants) and 98.5% from program service revenue (Form 990, Part VIII).
Is Lexington Health a registered charity?
The IRS lists EIN 85-2276567 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending September 30, 2025, object 202640479349301364 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending September 30, 2024, object 202500489349301810 · read the filing
- FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202440459349300539 · read the filing
- FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202312379349300221 · read the filing
- FY2021: Form 990 for the fiscal year ending September 30, 2021, object 202212279349301901 · read the filing
All filings for EIN 85-2276567: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.