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      <BoardDesignatedEOYBalance>0.07100</BoardDesignatedEOYBalance>
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      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
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        <BookValue>40781938</BookValue>
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        <Depreciation>9527700</Depreciation>
        <BookValue>41873999</BookValue>
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      <LeaseholdImprovements />
      <Equipment>
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        <Depreciation>0</Depreciation>
        <BookValue>188464</BookValue>
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      <TotalOfBookValueLandBuildings>82892362</TotalOfBookValueLandBuildings>
      <FinancialDerivatives>
        <BookValue>26550468</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
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      <CloselyHeldEquityInterests>
        <BookValue>23722859</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </CloselyHeldEquityInterests>
      <TotalOfBookValueSecurities>50273327</TotalOfBookValueSecurities>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>ANNUITIES PAYABLE</Description>
        <Amount>3763188</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CONTRIBUTIONS PAYABLE-MUSC</Description>
        <Amount>17852400</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>21615588</TotalOfAmounts>
      <TotalRevenue>46886873</TotalRevenue>
      <TotalExpenses>30022586</TotalExpenses>
      <ExcessOrDeficitForYear>16864287</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>18645114</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>18645114</TotalAdjustments>
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      <RevenueSubtotal>46886873</RevenueSubtotal>
      <TotalRevenuePerForm990>46886873</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>30436488</TotExpensesEtcAuditedFinclStmt>
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      <TotalExpensesPerForm990>30022586</TotalExpensesPerForm990>
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        <Explanation>Reclass for presentation purposes only</Explanation>
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        <Explanation>Reclass for presentation purposes only</Explanation>
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        <Explanation>the intended uses of the endowment funds are to support the three primary missions of the medical university of south carolina and the medical university hospital authority, education, patient care, and research.</Explanation>
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      <EmailSolicitations>X</EmailSolicitations>
      <PhoneSolicitations>X</PhoneSolicitations>
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      <SolicitationOfNonGovtGrants>X</SolicitationOfNonGovtGrants>
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      <AgreementRefFundraising>true</AgreementRefFundraising>
      <FundraiserActivityInformation>
        <NameOfIndividual>James B Edwards</NameOfIndividual>
        <Activity>consultant</Activity>
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      </FundraiserActivityInformation>
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      <TotalRetainedByContractors>55000</TotalRetainedByContractors>
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      <LicensedStates>SC</LicensedStates>
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        </RecipientNameBusiness>
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          <AddressLine1>18 BEE STREET</AddressLine1>
          <City>charleston</City>
          <State>SC</State>
          <ZIPCode>29425</ZIPCode>
        </AddressUS>
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        <MethodOfValuation>fmv</MethodOfValuation>
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      <RecipientTable>
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          <BusinessNameLine1>Medical university hospital authority</BusinessNameLine1>
        </RecipientNameBusiness>
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          <City>charleston</City>
          <State>SC</State>
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        <PurposeOfGrant>assist hospital</PurposeOfGrant>
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      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>THOMAS P ANDERSON</NamePerson>
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        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>257008</TotalCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>ROBYN M FRAMPTON</NamePerson>
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        <CompBasedOnRelatedOrgs>121206</CompBasedOnRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>149911</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartIII>
        <Identifier>compensation from unrelated organization</Identifier>
        <ReturnReference>form 990, part VII, Line 5</ReturnReference>
        <Explanation>thomas anderson received compensation from an unrelated organization, University Medical Associates, for services rendered to the medical university of south carolina foundation as follows: W-2 Wages: $212,473, which includes a $17,500 bonus. In addition, University Medical associates provided $53,604 in fringe benefits to Mr. Anderson.</Explanation>
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          <BusinessNameLine1>South carolina jobs-economic development authority</BusinessNameLine1>
        </IssuerName>
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        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
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      <Form990ScheduleKPartI>
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        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
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        <IssuePrice>20858099</IssuePrice>
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        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
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        <IssuePrice>19381084</IssuePrice>
        <DescriptionOfPurpose>building and structures</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
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        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
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        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
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        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
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        <NumberOfContributions>26</NumberOfContributions>
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        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </WorksOfArt>
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>2291</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </BooksAndPublications>
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        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </ClothingAndHouseholdGoods>
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded>
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        <NoncashContribsRptdF990>2034664</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>4</NumberOfContributions>
        <NoncashContribsRptdF990>830600</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </RealEstateResidential>
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>70</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </Collectibles>
      <FoodInventory>
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        <NoncashContribsRptdF990>12080</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </FoodInventory>
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <OtherNonCashContributionsTable>
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        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Professional Services</Description>
        <NumberOfContributions>11</NumberOfContributions>
        <NoncashContribsRptdF990>906236</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <NumberOf8283Received>2</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Form 990 Review Process</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11</ReturnReference>
        <Explanation>Management provides an electronic copy of the 990 to the board of directors along with an executive summary for their review and feedback. in addition, the 990 is presented to the audit committee for review and approval.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, part VI, Line 12</ReturnReference>
        <Explanation>the policy is provided to all directors, principal officers, and top management annually. They are asked to sign a statement affirming that they have received a copy of the policy, have read and understand the policy, and agree to comply with the policy. the board is also surveyed for any issues.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>process for determining compensation</Identifier>
        <ReturnReference>Form 990, part VI, Line 15</ReturnReference>
        <Explanation>the ceo's contract is disclosed in the board of director's manual. the executive committee of the board of directors sets compensation for the ceo. the committee relies on performance evaluations, peer and industry comparisons, and any additional independent data to set the executive compensation. the cfo's compensation is set by the ceo in conert with the board chairperson. a formal performance evaluation is prepared along with comparable data from independent parties and peers.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>public transparency</Identifier>
        <ReturnReference>form 990, part VI, line 19</ReturnReference>
        <Explanation>the organization makes its financial statements available through its own website. also provided on the website are certain governing documents as well as the organizations's irs determination letter. the conflict of interest policy and other documents are available upon request. the foundation is continuing to make more information available through its website.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>non-standard contributions</Identifier>
        <ReturnReference>Schedule M, Line 31</ReturnReference>
        <Explanation>although it is not a written policy, it is standard protocal to flag such contributions for review in order to determine whether to accept.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Business Relationship</Identifier>
        <ReturnReference>Part VI, section a, line 2</ReturnReference>
        <Explanation>Richard Elliott and Robert Hughes, both members of the board of directors, had a business relationship during the tax year.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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        </NameOfDisregardedEntity>
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          <AddressLine1>55 BEE STREET</AddressLine1>
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          <State>SC</State>
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          <State>SC</State>
          <ZIPCode>29425</ZIPCode>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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          <AddressLine1>135 CANNON STREET</AddressLine1>
          <City>charleston</City>
          <State>SC</State>
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        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
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          <BusinessNameLine1>Medical university of south carolina</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>171 ASHLEY AVENUE</AddressLine1>
          <City>charleston</City>
          <State>SC</State>
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        <PrimaryActivities>university</PrimaryActivities>
        <LegalDomicileState>SC</LegalDomicileState>
        <ExemptCodeSection>IRC 115</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>musc hospital authority</BusinessNameLine1>
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        </AddressUS>
        <EIN>571098556</EIN>
        <PrimaryActivities>hospital</PrimaryActivities>
        <LegalDomicileState>SC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>6</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Medical University of South Carolina</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B,D,E</TransactionType>
        <AmountInvolved>15307319</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Medical University Hospital authority</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B,D,E</TransactionType>
        <AmountInvolved>136774</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>