2025-11-11T10:41:51+00:00 2024-12-31 440160260 Forvis Mazars LLP 500 Ridgefield Court Asheville NC 28806 990 2024-01-01 570288358 Medical Society of South Carolina MEDI 8437891798 69B BARRE ST CHARLESTON SC 29401 Charles Rivers CHIEF EXECUTIVE OFFICER 2025-11-11 true true Jeremy Naess P01306905 8282542254 2025-11-04 2024 2025-03-06 01:10:19Z CHARLES RIVERS 69B BARRE ST CHARLESTON SC 29401 17721491 false X WWW.MEDSOCIETYSC.COM X 1789 SC TO IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH CLINICAL EXCELLENCE. 14 7 2 0 0 51182 51771 0 0 9606398 12542417 5135247 5127303 14792827 17721491 562455 451675 0 0 533630 591874 0 0 0 6423174 6373185 7519259 7416734 7273568 10304757 608270408 701647063 78813057 76616382 529457351 625030681 See Schedule O. false false 6650133 451675 5126515 - INCOME IS DESIGNATED FOR THE CONTINUING SUPPORT OF THE ROPER ST. FRANCES HEALTHCARE MISSION IN THE COMMUNITY. - THE MEDICAL SOCIETY OF SC PARTICIPATES IN GRANT MAKING PROGRAMS IN THE COMMUNITY WHICH PROVIDE FUNDING TO BE USED TOWARDS EDUCATION IN THE MEDICAL FIELD. - IN ADDITION, THE MEDICAL SOCIETY PROVIDES FUNDING FOR UPGRADES AND IMPROVEMENTS TO THE HOSPITAL SYSTEM. - LASTLY, THE MEDICAL SOCIETY PROCURES AND CONSTRUCTS PROPERTIES WHICH ARE UTILIZED BY THE HOSPITAL SYSTEM TO FURTHER ITS MISSION TO HEAL ALL PEOPLE WITH COMPASSION, FAITH, AND EXCELLENCE 6650133 true false false false false false false false false false true false true false false true true false false false false false false false false false false true false true true false false false false false false false false false false false false false false true true false false false false true X 8 0 true 2 true false true CJ false false false false false false X 14 7 false false false false true true true true true false false false true true true true true true true true false false SC X X DEBRA COULTER 8437891798 69 B BARRE STREET CHARLESTON SC 29401 JASON CURRY MD VICE PRESIDENT 1.0 0.0 X X 0 0 0 JOSEPH SANFRANCESCO MD SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 RON TURNER MD PRESIDENT 1.0 0.0 X X 0 0 0 BRYAN ASHLEY MD DIRECTOR 1.0 0.0 X 0 0 0 DAVID M ELLISON MD DIRECTOR 1.0 0.0 X 0 0 0 HENRY C WEST MD DIRECTOR 1.0 40.0 X 0 0 0 JOHN MITCHELL MD DIRECTOR 1.0 0.0 X 0 0 0 JOHN SPRATT MD DIRECTOR 1.0 0.0 X 0 0 0 JOHN WALTERS MD DIRECTOR 1.0 0.0 X 0 0 0 JULIUS IVESTER MD DIRECTOR 1.0 0.0 X 0 0 0 KAREN WRIGHTEN DR EDU DIRECTOR 1.0 0.0 X 0 0 0 SCOTT WOODFIELD MD DIRECTOR 1.0 0.0 X 0 0 0 VALERIE SCOTT MD DIRECTOR 1.0 0.0 X 0 0 0 CHARLES F RIVERS CHIEF EXECUTIVE OFFICER 40.0 0.0 X 512100 0 30486 MELISSA MCGUIRE SENIOR EXECUTIVE ASSISTANT 40.0 0.0 X 85859 0 6344 597959 0 36830 1 false true false 0 51771 51771 0 0 0 0 0 6168169 6168169 5126515 5126515 0 5126515 5126515 6374248 6374248 0 6374248 6374248 0 MISCELLANEOUS INCOME 900099 788 788 0 0 0 0 788 17721491 5126515 0 12543205 451675 451675 522959 418367 104592 36023 36023 8841 6811 2030 24051 18528 5523 235897 235897 77020 77020 241023 241023 42073 0 42073 0 104220 104220 7772 7772 40251 40251 120427 120427 2940534 2940534 2439703 2439703 56049 33629 22420 Electronic Health Record 68216 68216 0 0 0 0 7416734 6650133 766601 0 9119109 6554376 436224 428040 0 0 0 0 95288028 24779813 72947918 70508215 215173647 237116571 0 310593510 387039861 0 0 608270408 701647063 1637867 1634461 77175190 74981921 0 0 0 0 78813057 76616382 X 529457351 625030681 529457351 625030681 608270408 701647063 X 10304757 8822222 76446351 X X false true true false X X 4 ROPER HOSPITAL 570828733 3 true 902809 5747324 CAREALLIANCE HEALTH SERVICES 570831165 3 true 0 0 BON SECOURS- ST FRANCIS HOSPITAL 571067254 3 true 0 0 ROPER ST FRANCIS MT PLEASANT HOSPIT 570360499 3 true 0 0 4 902809 5747324 true false false false false false false false false false false false false false false true true true X true true Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies THE BOARD OF DIRECTORS FOR EACH OF THE SUPPORTED ORGANIZATIONS WITHIN THE VERTICALLY INTEGRATED NOT-FOR-PROFIT HEALTH CARE SYSTEM, HEREIN REFERED TO AS ROPER ST.FRANCIS CONSISTS OF 13 TOTAL MEMBERS EACH. 6 OF THE MEMBERS ON EACH BOARD ARE APPOINTED BY THE MEDICAL SOCIETY OF SOUTH CAROLINA AND ALSO SERVE ON THE BOARD OF THE MEDICAL SOCIETY ITSELF. DUE TO THE FACT THAT SOME OF THE MEDICAL SOCIETY BOARD MEMBERS ARE ALSO MEMBERS OF THE UPPORTED ORGANIZATIONS BOARDS, THERE IS A LEVEL OF COMMUNICATION WHICH OFFERS INSIGHT INTO THE NEEDS OF ALL SUPPORTED ORGANIZATIONS. THE MEDICAL SOCIETY IS THEN ABLE TO MEET THESE NEEDS. THE MEDICAL SOCIETY IS NOT INVOLVED IN ANY CLINICAL OPERATIONS OR CLINICAL DECISIONS. Schedule A, Part IV, Section E, Line 2a Org. Activities Directly Further The Exempt Purposes MSSC PROVIDES FINANCIAL SUPPORT TO THE ROPER ST.FRANCIS HEALTHCARE SYSTEM, CONSISTING OF CAREALLIANCE HEALTH SERVICES, ROPER HOSPITAL, INC., BON SECOURS ST.FRANCIS HOSPITAL, ROPER ST.FRANCIS MT.PLEASANT HOSPITAL, ROPER ST.FRANCIS HOSPITAL BERKELEY, ROPER ST.FRANCIS FOUNDATION, AND ROPER ST.FRANCIS PHYSISCIANS NETWORK. THE MISSION OF EACH ORGANIZATION, EXCLUDING THE FOUNDATION, IS TO HEAL ALL PEOPLE WITH COMPASSION, FAITH, AND EXCELLENCE. THE FOUNDATION'S MISSION IS TO ADVANCE THE AFOREMENTIONED MISSION THROUGH PHILANTHROPY. UPON THE CREATION OF CAREALLIANCE HEALTH SERVICES, $15,000,000 WAS TRANSFERED FROM ROPER CAREALLIANCE AND ROPER HOSPITAL TO MSSC. MSSC SEGREGATED THESE FUNDS INTO MULTIPLE ACCOUNTS DESIGNATED AS THE ENDOWMENT FUND. THESE FUNDS WERE TO BE INVESTED AND USED FOR THE SUPPORT OF THE ROPER ST.FRANCIS HEALTHCARE GROUP. AT THE END OF 2024, MSSC HAD MADE VARIOUS CONDITIONAL PROMISES TO PROVIDE FUNDING TOWARDS ROPER ST.FRANCIS CAPITAL PROJECTS. MSSC shall not become a licensed healthcare provider or licensed healthcare facility and shall not engage in the provision of healthcare services. The Society shall not provide medical credentialing services. The Society shall not be operated for the private inurement or the pecuniary gain or profit, incidental or otherwise, of any individual, including, without limitation, any Member or group of Members. No part of the net earnings of the Society shall inure to the benefit of, or be distributable to, its Directors, officers or other private persons, except that the Society shall be authorized and empowered to pay reasonable compensation for services rendered and to make payments and distributions in furtherance of its charitable purposes set forth above. Schedule A, Part IV, Section E, Line 2b Activities That One Or More Supp. Org. Engaged In ALL ACTIVITIES LISTED ABOVE ARE ALL ACTIVITIES WHICH ULTIMATELY FURTHER THE MISSION OF EACH ORGANIZATION UNDER THE ROPER ST.FRANCIS HEALTHCARE SYSTEM. SPE FAYSSOUX PROPERTIES LLC holds TITLE TO SEVERAL EXEMPT USE PROPERTIES USED BY THE ROPER HOSPITAL GROUP INCLUDING A DATA CENTER AND 4 MEDICAL OFFICE BUILDINGS, ONE WHICH IS CURRENTLY UNDER CONSTRUCTION IN BERKELEY COUNTY. THE ROPER GROUP ULTILIZED THE BALANCE SHEET OF THE MEDICAL SOCIETY TO PROCURE AND CONSTRUCT THESE EXEMPT USE PROPERTIES. AS OF AUGUST, 2016, THERE IS A MASTER LEASE AGREEMENT WITH ROPER SAINT FRANCIS HOSPITAL COVERING ALL PROPERTIES HELD BY THE MEDICAL SOCIETY. THE LEASE AMOUNT IS 1:1 COVERAGE FOR THE REVENUE BOND AMORTIZATION ON THE OUTSTANDING BONDS. ONCE THE LEASE CONCLUDES AND ALL PAYMENTS HAVE BEEN MADE, THE PROPERTIES WILL THEN BECOME PROPERTY OF THE ROPER SAINT FRANCIS HOSPITAL GROUP. IN ADDITION, DURING 2022 THE MEDICAL SOCIETY PROVIDED ANNUAL SCHOLARSHIPS TO NURSES AND MEDICAL STUDENTS TOTALING $207,807. ONE OF THE DESIRED GOALS OF THESE SCHOLARSHIPS IS TO INCENTIVIZE NURSES AND MEDICAL STUDENTS TO REMAIN IN THE LOWCOUNTRY AND SERVE AS FUTURE EMPLOYEES OF THE ROPER SAINT FRANCIS HOSPITAL GROUP. 3288691 3288691 91896415 24684621 67211794 19002 19002 0 83920 76190 7730 70508215 INVESTMENTS IN AFFILIATES 387039861 C 387039861 0 X 102749041 8822222 76446351 85268573 17480468 241023 0 241023 17721491 7175711 0 0 7175711 241023 0 241023 7416734 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MSSC is exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of state law. However, MSSC is subject to federal income tax on any unrelated business taxable income. MSSC had no unrecognized tax positions as of December 31, 2024 and 2023, and does not expect that unrecognized tax benefits will materially increase within the next 12 months. SPE Fayssoux is a disregarded entity for purposes of federal income taxes. Interest and penalties related to uncertain tax positions, if any, would be recognized in the consolidated financial statements as income tax expense. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Share of Earnings of Affiliate - 43931040 Gain on restructuring of investment in affiliate - 32515311 true Association for the Blind and Visually Imparied 1 Carriage Lane Building A Charleston SC 29407 570324912 501(C)(3) 13500 Operational Support Charleston Hope PO Box 21315 Charleston SC 29413 900903530 501(C)(3) 20000 Operational Support Closing the Gap in Health Care 3951 W Montague Ave North Charleston SC 29418 522450102 501(C)(3) 20000 Operational Support Coastal Community Foundation 1691 Turnbull Avenue Suite 201 North Charleston SC 29405 237390313 501(C)(3) 25000 Operational Support I am Voices 2155 N Park Ln Suite 105 Charleston SC 29406 823159217 501(C)(3) 20000 Operational Support Let's Walk 24 Piedmont Ave Charleston SC 29403 862250870 501(C)(3) 20000 Operational Support Lowcountry Youth Services PO BOX 62216 North Charleston SC 294192216 943446641 501(C)(3) 20000 Operational Support North Charleston Dental Outreach 3625 Azalea Dr North Charleston SC 29405 271629125 501(C)(3) 20000 Operational Support Operation Rise Again 3022 S Morgan Point Rd 150 Mount Pleasant SC 29466 862042378 501(C)(3) 20000 Operational Support Operation Sight 1101 Clarity Rd Suite 100 Mount Pleasant SC 29464 453449443 501(C)(3) 10000 Operational Support Our Lady of Mercy Community Outreach 1684 Brownswood Rd Johns Island SC 29455 570905488 501(C)(3) 20000 Operational Support Palmetto Community Care 5064 Rivers Ave North Charleston SC 29406 570905550 501(C)(3) 20000 Operational Support Roper St Francis Health Care Foundation 100 Calhoun Street Suite 210 Charleston SC 29401 571068509 501(C)(3) 145000 Operational Support Trident Technical College Foundation PO Box 61227 North Charleston SC 29419 570699317 501(C)(3) 36500 Operational Support Vision to Learn 8084 Rivers Ave Suite 202 North Charleston SC 29406 453457853 501(C)(3) 25000 Operational Support WakeUp Carolina 217 Lucas St Suite G Mount Pleasant SC 29464 814564735 501(C)(3) 16675 Operational Support 16 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds 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 IN SO FAR AS SUCH RECORDS RELATED TO THE DISPOSITION OF THE FUNDS APPROPRIATED TO GRANTEE BY THE SOCIETY. X X X X X false false false false false false false true false CHARLES F RIVERS CHIEF EXECUTIVE OFFICER 437100 0 75000 0 0 0 27900 0 2586 0 542586 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments CHARLES F RIVERS 2024 COMPENSATION STATEMENT INCLUDES A BONUS OF $75,000. THE DETERMINATION OF THE BONUS AMOUNT WAS DISCRETIONARY. A SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT 570960018 83704AAA0 2016-07-27 69287548 REFINANCE EXISTING LOANS AND FOR CAPITAL EXPENITURES OF FAYSSOUX PROPERTIES false false false A 11237418 69287548 960652 60244820 false false false true A true false false false false false 0 0 0.0 false false 0 false false A false false false true false false 0 false false false 0 false false false A false Schedule K, Part I BOND ISSUES: (A) ISSUER NAME: SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY (F) DESCRIPTION OF PURPOSE: REFINANCE EXISTING LOANS AND FOR CAPITAL EXPENITURES OF FAYSSOUX PROPERTIES Form 990, Part VI, Line 6 Classes of members or stockholders 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, Line 7a Members or stockholders electing members of governing body 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, Line 7b Decisions requiring approval by members or stockholders 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, Line 11b Review of form 990 by governing body 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, Line 12c Conflict of interest policy 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, Line 15a Process to establish compensation of top management official 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. IN ADDITION, A COMPARABILITY STUDY IS USED TO DETERMINE THE APPROPRIATE COMPENSATION FOR THE ORGANIZATIONS OFFICERS. Form 990, Part VI, Line 15b Process to establish compensation of other employees 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. IN ADDITION, A COMPARABILITY STUDY IS USED TO DETERMINE THE APPROPRIATE COMPENSATION FOR THE ORGANIZATIONS OFFICERS. Form 990, Part VI, Line 18 How forms are made available to the public 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, Line 19 Required documents available to the public 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 Other changes in net assets or fund balances SHARE OF EARNINGS OF AFFILIATE - 43931040; Gain on restructuring of investment in affiliate - 32515311; Total - 76446351; Form 990, Part XII, Line 2c Change of oversight process or selection process THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SPE FAYSSOUX PROPERTIES LLC 69B BARRE ST CHARLESTON SC 29401 812511368 HOLDS RENTAL PROPERTIES & ADMINISTERS BOND FUNDS SC 5215290 73688309 MEDICAL SOCIETY OF SOUTH CAROLINA CAREALLIANCE HEALTH SERVICES 315 CALHOUN ST CHARLESTON SC 29401 570831165 HEALTH-GENERAL & REHABILITATIVE SC 501(c)(3) 3 ROPER SAINT FRANCIS HEALTHCARE false ROPER HOSPITAL INC 315 CALHOUN STREET 107 CHARLESTON SC 29401 570828733 HEALTHCARE SC 501(c)(3) 3 CAREALLIANCE false BON SECOURS ST FRANCIS HOSPITAL 315 CALHOUN STREET 107 CHARLESTON SC 29401 571067254 HEALTHCARE SC 501(c)(3) 3 CAREALLIANCE false ROPER ST FRANCIS MT PLEASANT HOSPITAL 315 CALHOUN STREET 10 CHARLESTON SC 29401 570360499 HEALTHCARE SC 501(c)(3) 3 CAREALLIANCE false ROPER ST FRANCIS HOSPITAL - BERKELEY 315 CALHOUN STREET 107 CHARLESTON SC 29401 263710229 HEALTHCARE (FUTURE) SC 501(c)(3) 3 CAREALLIANCE false ROPER ST FRANCIS PHYSICIANS NETWORK 125 DOUGHTY STREET 760 CHARLESTON SC 29403 262946628 HEALTHCARE SC 501(c)(3) 3 CAREALLIANCE false ROPER ST FRANCIS FOUNDATION 315 CALHOUN STREET 107 CHARLESTON SC 29401 571068509 SUPPORTING ORG SC 501(c)(3) Type II CAREALLIANCE false CAREALLIANCE MEDICAL SERVICES ORGANIZATION 225 DOUGHTY STREET CHARLESTON SC 29403 571012837 INACTIVE SC NA C Corporation 0 0 1 false true true false false false false false false false true true false false false true true false true false