2014-08-15T12:33:15-05:00 2013-12-31 560747981 DIXON HUGHES GOODMAN LLP PO BOX 973 CHARLESTON SC 29402 990 2013-01-01 570288358 MEDICAL SOCIETY OF SOUTH CAROLINA MEDI 8437891798 69B BARRE STREET CHARLESTON SC 29401 JOHN JORDAN CHIEF EXECUTIVE OFFICER 8437891798 2014-08-08 1 BARRY GUMB P00240996 8437226443 2014-08-08 2013 2015-11-30 17:44:51Z JOHN JORDAN 69B BARRE STREET CHARLESTON SC 29401 48468897 0 X WWW.MEDSOCIETYSC.COM X 1789 SC TO IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH CLINICAL EXCELLENCE. 14 5 3 0 0 0 24354 24675 0 0 4200743 11244154 1612100 2190214 5837197 13459043 11878255 2000376 0 0 689790 697908 0 0 0 2564635 2439230 15132680 5137514 -9295483 8321529 393482716 449013925 43924771 45650466 349557945 403363459 X THE MEDICAL SOCIETY OF SOUTH CAROLINA IS AN ORGANIZATION OF PHYSICIANS DEDICATED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH CLINICAL EXCELLENCE, SUPPORT AND PARTICIPATION IN ROPER SAINT FRANCIS HEALTH CARE AND OTHER ENDEAVORS, WITH GOOD STEWARDSHIP OF THE SOCIETY'S FINANCIAL AND HUMAN RESOURCES, WHILE ADHERING TO THE HIGHEST ETHICAL STANDARDS AS EXEMPLIFIED BY THE HIPPOCRATIC TRADITION. 0 0 4592640 2000376 INCOME IS DESIGNATED FOR THE CONTINUING SUPPORT OF THE CAREALLIANCE HEALTH SERVICE'S MISSION IN THE COMMUNITY 4592640 1 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 3 1 0 1 OC CJ 0 0 0 0 0 0 0 0 X 14 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 SC X DEBRA LEE 8437891798 69 B BARRE STREET CHARLESTON SC 29401 G FREDERICK WORSHAM JR MD IMMEDIATE PAST PRESIDENT 1.00 X 0 0 0 STANLEY M WILSON MD PRESIDENT 1.00 X X 0 599386 60448 JULIUS IVESTER JR MD UNTIL JULY DIRECTOR (SEE SCH O) 1.00 X 0 0 0 PATRICK J KELLY MD VICE PRESIDENT 1.00 X X 0 0 0 WILLIAM C CARTER III SECRETARY/TREASURER 1.00 X X 0 18846 0 JOHN A SPRATT MD DIRECTOR 1.00 X 0 730852 59427 T SCOTT JENNINGS MD DIRECTOR 1.00 X 0 0 0 WALTER BLESSING JR MD DIRECTOR 1.00 X 0 463486 60305 C WILLY SCHWENZFEIER MD DIRECTOR 1.00 X 0 38834 0 SHANON HONNEY MD DIRECTOR 1.00 X 0 222596 16167 IAN Y MARSHALL MD DIRECTOR 1.00 X 0 20100 0 HUGH D DURRENCE MD DIRECTOR 1.00 X 0 0 0 WILLS C GEILS MD DIRECTOR 1.00 X 0 29930 0 MARY THORNLEY EDD DIRECTOR 1.00 X 0 0 0 WILLIAM ELLISONJR MD UNTIL JUNE DIRECTOR 1.00 X 0 191479 0 JOHN M JORDAN CHIEF EXECUTIVE OFFICER 40.00 X 318568 0 29358 JOHN B HOLLOWAY PROJECT MANAGER 40.00 X 156757 0 3923 475325 2315509 229628 2 0 1 0 0 24675 24675 860635 860635 2190214 0 2190214 2190214 2190214 45393373 35009854 10383519 10383519 10383519 13459043 0 0 13434368 2000376 2000376 318568 254854 63714 220608 220608 133156 66578 66578 25576 12788 12788 55068 55068 103175 103175 99399 88628 10771 19941 7769 12172 5879 5879 305096 305096 851 851 82209 82209 898912 898912 868700 868700 5137514 4592640 544874 0 17013820 25316959 44027536 2764170 39978927 41263366 114181494 138190642 222136400 244071880 172075 171078 393482716 449013925 24160210 26595000 18642718 18246932 1121843 808534 43924771 45650466 X 349557945 403363459 349557945 403363459 393482716 449013925 X 8321529 8419197 37064788 X X 0 1 X 1 0 X X 0 0 0 ROPER HOSPITAL 570828733 3 1 1 1 1263071 CAREALLIANCE HEALTH SERVICES 570831165 3 1 0 1 0 BON SECOURS- ST FRANCIS HOSPITAL 571067254 3 1 0 1 0 ROPER ST FRANCIS MT PLEASANT HOSPITAL 570360499 3 1 0 1 0 4 1263071 12288691 12288691 29410820 2455463 26955357 2236376 296554 1939822 91649 12153 79496 41263366 CONTRIBUTION RECEIVABLE FROM AFFILIATE 20122000 C INVESTMENTS IN AFFILIATES 223949880 C 244071880 FAIR VALUE OF INTEREST RATE SWAP 808534 808534 X 21878240 8419197 8419197 13459043 0 13459043 5137514 0 5137514 0 5137514 PART X, LINE 2: ALTHOUGH MSSC IS GENERALLY EXEMPT FROM FEDERAL AND STATE INCOME TAXES, IT EVALUATES WHETHER THERE ARE ANY UNCERTAIN TAX POSITIONS THAT FAIL TO MEET THE MORE-LIKELY-THAN-NOT THRESHOLD FOR RECOGNITION IN THE FINANCIAL STATEMENTS. UNCERTAIN TAX POSITIONS MAY INCLUDE THE CHARACTERIZATION OF INCOME, SUCH AS A CHARACTERIZATION OF INCOME AS PASSIVE, A DECISION TO EXCLUDE REPORTING TAXABLE INCOME IN A TAX RETURN, OR A DECISION TO CLASSIFY A TRANSACTION, ENTITY, OR OTHER POSITION IN A TAX RETURN AS TAX EXEMPT. THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION IS RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. MSSC HAD NO UNRECOGNIZED TAX POSITIONS AS OF DECEMBER 31, 2013 AND 2012, AND DOES NOT EXPECT THAT UNRECOGNIZED TAX BENEFITS WILL MATERIALLY INCREASE WITHIN THE NEXT 12 MONTHS. TAX YEARS FROM 2010 THROUGH 2012 ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS. INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, WOULD BE RECOGNIZED IN THE FINANCIAL STATEMENTS AS INCOME TAX EXPENSE. 1 BARRIER ISLANDS FREE MEDICAL CLINIC 3226 MAYBANK HIGHWAY JOHNS ISLAND SC 29455 205628911 501(C)(3) 110000 GENERAL OPERATING SUPPORT TO COVER ANTICIPATED SHORTFALL & TO UPGRADE HARDWARE AND UP-FIT THE ORGANIZATION'S TECHNOLOGY INFRASTRUCTURE. ROPER ST FRANCIS HEALTHCARE FOUNDATION 315 CALHOUN ST 107 CHARLESTON SC 29401 571068509 501(C)(3) 207840 TO AID WITH THE HOME HEALTH TELEMONITORING PROGRAM & AED UNITS PLACEMENT ITN CHARLESTON TRIDENT TRANSPORT NETWORK 2150 EAGLE DRIVE BUILDING 100 NORTH CHARLESTON SC 29406 202311192 501(C)(3) 10000 TO SUPPORT TRANSPORTATION SERVICES FOR CLIENTS IN CHARLESTON COUNTY PATTISON'S DREAM ACADEMY 2383 S CAROLINA 41 MT PLEASANT SC 29466 203419262 501(C)(3) 5000 TO ASSIST WITH THE COST OF HIRING A DIRECTOR OF NURSING THE ARK-ST LUKE'S LUTHERAN CHURCH 206 CENTRAL AVENUE SUMMERVILLE SC 29483 576034244 501(C)(3) 10000 TO ASSIST WITH RESPITE SERVICES FOR ALZHEIMER AND DEMENTIA-RELATED CHALLENGES ASSOCIATION FOR THE BLIND 1 CARRIAGE LANE BUILDING A CHARLESTON SC 29407 570324912 501(C)(3) 25000 TO ASSIST WITH THE "RE-FOCUS ON CHILDREN" EFFORT PALMETTO PROJECT 1031 CHUCK DAWLEY BLVD 5 MT PLEASANT SC 29464 570807801 501(C)(3) 15000 TO FUND THE PATIENT NAVIGATOR, DATA MANAGER AND PROGRAM COORDINATOR ASPECTS OF THE "HEART & SOUL" PROJECT AMERICAN RED CROSS 2424 CITY HALL LANE NORTH CHARLESTON SC 29406 530196605 501(C)(3) 16503 TO FUND SCHOLARSHIPS FOR YOUTHS TO ATTEND HANDS-ON TRAINING BABYSITTER COURSEWORK CHARLESTON COUNTY TEEN PREGNANCY PREVENTION COUNCIL PO BOX 80686 CHARLESTON SC 29416 431996754 501(C)(3) 4400 TO FUND A REVISED YOUTH FRIENDLY HEALTH PROVIDER DIRECTORY CLOSING THE GAP 3951 WEST MONTAGUE AVENUE NORTH CHARLESTON SC 29418 522450102 501(C)(3) 10000 TO PROVIDE OPERATIONAL FUNDING FLORENCE CRITTENTON 19 ST MARGARET STREET CHARLESTON SC 29403 570342030 501(C)(3) 10000 TO SUPPORT AN ON-SITE MEDICAL PROGRAM FOR PREGNANT TEENS RESIDING AT THEIR FACILITY OPERATION SIGHT 1101 CLARITY ROAD SUITE 100 MT PLEASANT SC 29464 453449443 501(C)(3) 10000 TO HELP FUND THE COST OF CATARACT SURGERIES VETERANS ON DECK 67 PRESIDENT STREET CHARLESTON SC 29425 010966185 501(C)(3) 10000 TO SUPPORT COMMUNITY REINTEGRATION PROGRAMMING FOR VETERANS SUFFERING FROM PTSD PART I, LINE 2: GRANTEE SHALL MAKE PERIODIC NARRATIVE REPORTS TO THE SOCIETY, ON THE DATE(S)SPECIFIED IN THE SPECIAL CONDITIONS OF THE GRANT AGREEMENT, SETTING FORTH IN SUFFICIENT DETAIL THE FUND AVAILABLE FOR THE PROJECT OR PROGRAM, ACTUAL EXPENSES INCURRED, ENCUMBRANCES, UNEXPENDED FUND BALANCE, AND OTHER RELEVANT FACTS, AND SHALL RETAIN IN ITS FILES THE SUPPORTING DOCUMENTATION FOR SUCH REPORTS FOR 4 YEARS FOLLOWING COMPLETION OF THE PROJECT OR PROGRAM. THE SOCIETY RESERVES THE RIGHT TO AUDIT OR HAVE AUDITED AT ITS OWN EXPENSE THE RECORDS OF GRANTEE INSOFAR AS SUCH RECORDS RELATED TO THE DISPOSITION OF THE FUNDS APPROPRIATED TO GRANTEE BY THE SOCIETY. 1 X X X X X 0 0 0 0 0 0 0 1 0 STANLEY M WILSON MD PRESIDENT 0 403272 0 192395 0 3719 0 30298 0 30150 0 659834 0 0 JOHN A SPRATT MD DIRECTOR 0 715151 0 0 0 15701 0 30049 0 29378 0 790279 0 0 WALTER BLESSING JR MD DIRECTOR 0 437131 0 20000 0 6355 0 30298 0 30007 0 523791 0 0 SHANON HONNEY MD DIRECTOR 0 158525 0 62250 0 1821 0 7798 0 8369 0 238763 0 0 WILLIAM ELLISONJR MD UNTIL JUNE DIRECTOR 0 167679 0 0 0 23800 0 0 0 0 0 191479 0 0 JOHN M JORDAN CHIEF EXECUTIVE OFFICER 278568 0 40000 0 0 0 15298 0 14060 0 347926 0 0 0 JOHN B HOLLOWAY PROJECT MANAGER 156757 0 0 0 0 0 0 0 3923 0 160680 0 0 0 PART I, LINE 7 JOHN JORDAN'S 2013 COMPENSATION STATEMENT INCLUDES A BONUS OF $40,000. THE DETERMINATION OF THE BONUS AMOUNT WAS DISCRETIONARY. A SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY 570960018 837031PV9 2007-10-25 9000000 TO DEFRAY THE COST OF ACQUISITION OF LAND IN BERKELEY COUNTY, SC 0 0 0 B SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY 570960018 837031RX3 2011-06-02 18000000 TO FINANCE ACQUISITION OF LAND AND CONSTRUCTION OF CENTRALIZED DATA CENTER 0 0 0 C SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY 570960018 837031RX3 2011-06-02 9000000 TO REFINANCE 2007 SERIES BONDS USED FOR LAND ACQUISITION. 0 0 0 A 9000000 9000000 2007 0 0 0 1 B 18000000 219660 17375340 2010 0 0 0 0 C 9000000 9000000 2007 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 0 0 0 1 0 WELLS FARGO 10.000000000000 1 0 0 0 0 B 0 0 0 0 1 0 0 0 0 C 0 0 0 0 1 0 0 0 0 A 0 B 0 C 0 FORM 990, PART I, LINE 4 THE MEDICAL SOCIETY OF SOUTH CAROLINA'S BOARD CONSISTS MAINLY OF MEDICAL PROFESSIONALS, MOST OF WHICH ARE EMPLOYEED BY OR UNDER CONTRACT WITH THE RELATED ORGANIZATION, ROPER HOSPITAL. THOSE BOARD MEMBERS WHO RECEIVE COMPENSATION FROM THE RELATED ORGANIZATION ARE NOT COMPENSATED FOR THEIR SERVICES AS BOARD MEMBERS OF THE MEDICAL SOCIETY, BUT INSTEAD FOR THEIR MEDICAL SERVICES PROVIDED TO THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 CONSISTENT WITH THE PRIMARY MISSION OF THE SOCIETY, MEMBERSHIP SHALL INCLUDE ONLY THOSE PHYSICIANS WHO ACTIVELY SUPPORT THAT MISSION. INTERNS, RESIDENTS, AND OTHERS IN TRAINING SERVICE SHALL NOT BE ELIGIBLE FOR MEMBERSHIP. PHYSICIANS ON ACTIVE OR COMMUNITY ACTIVE STAFF OF ANY OF THE HOSPITALS IN THE GROUP ARE ELIGIBLE. THE CLASSES OF MEMBERSHIP INCLUDE FULL MEMBERS, HONORARY FELLOWS, SENIOR MEMBERS, AFFILIATE MEMBERS, AND RETIRED MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A NEW DIRECTORS SHALL BE PROPOSED BY PRESENT DIRECTORS OR THE MEMBERSHIP AT LARGE AND ELECTED BY THE MEMBERSHIP AT A REGULAR MEETING OF THE MEMBERSHIP. A FAVORABLE MAJORITY VOTE OF THE MEMBERS PRESENT AND VOTING AT SUCH MEETING SHALL BE NECESSARY TO ELECT A PROPOSED DIRECTOR. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO THE POWERS RESERVED TO THE MEMBERSHIP IN THE ARTICLES, THE BOARD SHALL EXERCISE THE SOCIETYS VETO AS A CAREALLIANCE HEALTH SERVICES FOUNDING MEMBER TO DEFEAT ANY RESOLUTION OF THE CAHS BOARD RELATED TO THE DISSOLUTION AND LIQUIDATION OF THE CAHS UNTIL THE MEMBERSHIP BY MAJORITY VOTE HAS APPROVED SUCH RESOLUTION RELATED TO DISSOLUTION AND LIQUIDATION. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE 990 WHICH IS PREPARED BY AN INDEPENDENT ACCOUNTANT IS PROVIDED FOR REVIEW BY ALL BOARD MEMBERS AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING WITH THE IRS. ANY BOARD MEMBERS WHO ARE UNABLE TO ATTEND THE MEETING ARE SENT A COPY OF THE FORM 990 BY CERTIFIED MAIL. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST STATEMENT. ALSO, BOARD MEMBERS ARE INFORMED ANNUALLY OF HOW TO REPORT A POTENTIAL CONFLICT OF INTEREST. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE BOARD SHALL DETERMINE WHETHER THE SOCIETY CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABALE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE SOCIETY'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE SOCIETY. FORM 990, PART VI, SECTION B, LINE 15A AN ATTORNEY WAS USED TO DRAW UP AN INDEPENDENT COMPENSATION CONTRACT FOR THE CEO POSITION. THIS CONTRACT IS IN EFFECT FOR THREE YEARS. THERE IS A COMPENSATION COMMITTEE THAT REVIEWS THE COMPENSATION CONTRACT AND THE BOARD APPROVES THE CONTRACT. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS UPON REQUEST AT THE ADMINISTRATION OFFICE. FORM 990, PART XI, LINE 9: CHANGE IN FV OF INTEREST RATE SWAP 313,308. SHARE OF EARNINGS OF AFFILIATE 36,751,480. FORM 990, PART XII, LINE 2C: THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM PREVIOUS YEARS. CAREALLIANCE HEALTH SERVICES 315 CALHOUN ST CHARLESTON SC 29401 570831165 HEALTH-GENERAL & REHABILITATIVE SC 501(C)(3) LINE 3 ROPER SAINT FRANCIS HEALTHCARE 0 ROPER HOSPITAL INC 315 CALHOUN STREET 107 CHARLESTON SC 29401 570828733 HEALTHCARE SC 501(C)(3) LINE 3 CAREALLIANCE 0 BON SECOURS ST FRANCIS HOSPITAL 315 CALHOUN STREET 107 CHARLESTON SC 29401 571067254 HEALTHCARE SC 501(C)(3) LINE 3 CAREALLIANCE 0 ROPER ST FRANCIS MT PLEASANT HOSPITAL 315 CALHOUN STREET 107 CHARLESTON SC 29401 570360499 HEALTHCARE SC 501(C)(3) LINE 3 CAREALLIANCE 0 ROPER ST FRANCIS HOSPITAL - BERKELEY 315 CALHOUN STREET 107 CHARLESTON SC 29401 263710229 HEALTHCARE (FUTURE) SC 501(C)(3) LINE 3 CAREALLIANCE 0 ROPER ST FRANCIS PHYSICIANS NETWORK 125 DOUGHTY STREET 760 CHARLESTON SC 29403 262946628 HEALTHCARE SC 501(C)(3) LINE 3 CAREALLIANCE 0 ROPER ST FRANCIS FOUNDATION 315 CALHOUN STREET 107 CHARLESTON SC 29401 571068509 SUPPORTING ORG SC 501(C)(3) LINE 11A, I CAREALLIANCE 0 CAREALLIANCE MEDICAL SERVICES ORGANIZATION 225 DOUGHTY STREET CHARLESTON SC 29403 571012837 INACTIVE SC N/A C 1.00000 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0