2013-09-28T12:54:07-05:00 2012-12-31 560747981 DIXON HUGHES GOODMAN LLP PO BOX 973 CHARLESTON SC 29402 990 2012-01-01 570288358 MEDICAL SOCIETY OF SOUTH CAROLINA MEDI 8437891798 69B BARRE STREET CHARLESTON SC 29401 JOHN JORDAN 8437891798 2013-09-17 1 BARRY GUMB P00240996 8437226443 2013-08-14 2012 2016-02-25 16:41:14Z JOHN JORDAN 69B BARRE STREET CHARLESTON SC 29401 20740675 0 X WWW.MEDSOCIETYSC.COM X 1789 SC TO IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH CLINICAL EXCELLENCE. 14 4 3 14 0 0 12501 24354 0 0 2297609 4200743 1612100 1612100 3922210 5837197 5807223 11878255 0 0 663574 689790 0 0 0 2552804 2564635 9023601 15132680 -5101391 -9295483 359742620 393482716 33396838 43924771 326345782 349557945 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 14307592 11878255 INCOME IS DESIGNATED FOR THE CONTINUING SUPPORT OF THE CAREALLIANCE HEALTH SERVICE'S MISSION IN THE COMMUNITY 14307592 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 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 SC X X X DEBRA LEE 8437891798 69 B BARRE STREET CHARLESTON SC 29401 JONATHAN T DONALDSON MD 1.00 X 0 375200 52682 G FREDERICK WORSHAM JR MD 1.00 X 0 0 0 STANLEY M WILSON MD 1.00 X X 0 648105 52878 JULIUS R IVESTER JR MD 1.00 X 0 0 0 WILLIAM B ELLISON JR MD 1.00 X 0 0 0 PATRICK J KELLY MD 1.00 X X 0 0 0 WILLIAM C CARTER III 1.00 X X 0 17030 0 JOHN A SPRATT MD 1.00 X 0 647177 59362 T SCOTT JENNINGS MD 1.00 X 0 0 0 WALTER BLESSING JR MD 1.00 X 0 429276 62904 C WILLY SCHWENZFEIER MD 1.00 X 0 25089 22800 BRANTLEY D THOMAS PHD 1.00 X 0 0 0 SHANON HONNEY MD 1.00 X 0 288946 8956 IAN Y MARSHALL MD 1.00 X 0 24350 0 JOHN M JORDAN 40.00 X 305450 0 29397 JOHN B HOLLOWAY 40.00 X 152663 0 6511 458113 2455173 295490 2 0 1 0 0 24354 24354 685320 685320 1612100 0 1612100 1612100 1612100 18418901 14903478 3515423 3515423 3515423 5837197 0 0 5812843 11878255 11878255 305450 244360 61090 213152 213152 145652 72826 72826 25536 12768 12768 42400 42400 74532 74532 291269 98198 193071 257301 102052 155249 14346 14346 327894 327894 1074 1074 71968 71968 845786 845786 638065 638065 15132680 14307592 825088 0 19169542 17013820 41882383 1903456 29716467 39978927 105281987 114181494 205390990 222136400 183634 172075 359742620 393482716 11924 13207156 24160210 19021644 18642718 1156114 1121843 33396838 43924771 X 326345782 349557945 326345782 349557945 359742620 393482716 X -9295483 6671965 25835681 X 0 1 X 1 0 X X 0 0 0 ROPER HOSPITAL 570828733 3 1 1 1 10766610 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 10766610 12288691 12288691 15716561 1657881 14058680 2236376 235907 2000469 91649 9668 81981 11549106 11549106 39978927 CONTRIBUTION RECEIVABLE FROM AFFILIATE 14816000 C INVESTMENTS IN AFFILIATES 207320400 C 222136400 FAIR VALUE OF INTEREST RATE SWAP 1121843 1121843 X 12509162 6671965 6671965 5837197 0 5837197 15132680 0 15132680 0 15132680 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2012 AND 2011, AND DOES NOT EXPECT THAT UNRECOGNIZED TAX BENEFITS WILL MATERIALLY INCREASE WITHIN THE NEXT 12 MONTHS. TAX YEARS FROM 2009 THROUGH 2011 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) 85000 GENERAL OPERATING SUPPORT TO COVER ANTICIPATED SHORTFALL DARKNESS TO LIGHT 7 RADCLIFFE STREET CHARLESTON SC 29403 571095108 501(C)(3) 10000 TO PROVIDE FACILITATOR SCHOLARSHIPS TO TRAIN LOCAL PROFESSIONALS TO LEAD STEWARDS OF CHILDREN PREVENTION PROGRAM. THIS IS A TRAIN-THE-TRAINER MODEL, AND THE FOCUS IS TO REACH AS MANY ADULTS WITHIN THE COMMUNITY AS POSSIBLE. ROPER ST FRANCIS HEALTHCARE FOUNDATION 315 CALHOUN ST 107 CHARLESTON SC 29401 571068509 501(C)(3) 487660 TO AID WITH THE HELIPAD PROJECT, NURSING SCHOLARSHIP PROGRAM, AND HEARTSAVE PROGRAM. DORCHESTER CHILDREN'S CENTER- CHILDREN IN CRISIS PO BOX 2101 SUMMERVILLE SC 29484 571078099 501(C)(3) 15000 FOR SALARY SUPPORT FOR THE VICTIM ADVOCATE AT THE DORCHESTER COUNTY CHILDRENS ADVOCACY CENTER. THE VICTIM ADVOCATE POSITION WILL ALLOW 900 NEW CASES OF CHILD ABUSE AND NEGLECT TO BE SERVED. ROPER STFRANCIS HOSPITAL 315 CALHOUN ST 107 CHARLESTON SC 29401 570828733 501(C)(3) 10766609 TO PROVIDE OPERATIONAL FUNDING CRISIS MINISTRIES PO BOX 20038 CHARLESTON SC 29413 570789483 501(C)(3) 84696 TO PROVIDE OPERATIONAL FUNDING DEE NORTON LOWCOUNTRY CHILDRENS CENTER 1061 KING ST CHARLESTON SC 29403 570905724 501(C)(3) 20000 TO PROVIDE OPERATIONAL FUNDING FOR CLINICAL SERVICES AND COORDINATION OF COMMUNITY SERVICES TRI-COUNTY PROJECT CARE 1041 JOHNNIE DODDS BLVD SUITE 2C MT PLEASANT SC 29464 571113219 501(C)(3) 270000 TO PROVIDE OPERATIONAL FUNDING ITN CHARLESTON TRIDENT TRANSPORT NETWORK 2150 EAGLE DRIVE BUILDING 100 NORTH CHARLESTON SC 29406 202311192 501(C)(3) 15000 TO SUPPORT TRANSPORTATION SERVICES FOR 418 CLIENTS IN CHARLESTON COUNTY PATTISON'S DREAM ACADEMY 2383 S CAROLINA 41 MT PLEASANT SC 29466 203419262 501(C)(3) 10000 TO SUPPORT NON-BILLABLE SERVICES SUCH AS ASSESSMENTS FOR ASSISTIVE TECHNOLOGY, FEEDING CONSULTATIONS, AND OTHER SIMILAR SERVICES. THE ARK-ST LUKE'S LUTHERAN CHURCH 206 CENTRAL AVENUE SUMMERVILLE SC 29483 576034244 501(C)(3) 20000 OPERATIONAL SUPPORT TO AID PERSONS WITH ALZHEIMER'S DISEASE AND OTHER DEMENTIA-RELATED ISSUES. SUMTER FREE MEDICAL CLINIC PO BOX 340 ST STEPHEN SC 29479 271097304 501(C)(3) 20000 TO ASSIST IN BRINGING ON THE FIRST PAID MEDICAL DIRECTOR FOR THE CLINIC. MEDICAL UNIVERSITY OF SOUTH CAROLINA FOUNDATION 169 ASHLEY AVENUE CHARLESTON SC 29403 576000722 501(C)(3) 74290 TO PROVIDE OPERATIONAL FUNDING 13 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 JONATHAN T DONALDSON MD 0 352276 0 22717 0 207 0 29564 0 23118 0 427882 0 0 STANLEY M WILSON MD 0 647361 0 0 0 744 0 24664 0 28214 0 700983 0 0 JOHN A SPRATT MD 0 645956 0 0 0 1221 0 25682 0 33680 0 706539 0 0 WALTER BLESSING JR MD 0 429186 0 0 0 90 0 33364 0 29540 0 492180 0 0 SHANON HONNEY MD 0 288440 0 0 0 506 0 2309 0 6647 0 297902 0 0 JOHN M JORDAN 270450 0 35000 0 0 0 12564 0 16833 0 334847 0 0 0 JOHN B HOLLOWAY 152663 0 0 0 0 0 2588 0 3923 0 159174 0 0 0 PART I, LINE 7 JOHN JORDAN'S 2012 COMPENSATION STATEMENT INCLUDES A BONUS OF $35,000. 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 15160210 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 0 0 0 B 0 0 0 0 1 0 0 0 0 C 0 0 0 0 1 0 0 0 0 BOARD INDEPENDENCE 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN FV OF INTEREST RATE SWAP 34,271. SHARE OF EARNINGS OF AFFILIATE 25,801,410. 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