2025-05-13T08:41:39-05:00 2024-06-30 570381582 ELLIOTT DAVIS PLLC 500 EAST MOREHEAD STREET SUITE 700 CHARLOTTE NC 28202 990 2023-07-01 570168534 SOUTH CAROLINA MEDICAL ASSOCIATION FOUNDATION SOUT 8037986207 132 WESTPARK BLVD COLUMBIA SC 29210 MICHELLE BOLIN CFO/COO 8037986207 2025-05-07 1 0 JANICE A RATICA P00358837 7043338881 2025-05-13 2023 2025-03-06 01:10:19Z MICHELLE BOLIN 132 WESTPARK BLVD COLUMBIA SC 29210 1533697 0 X N/A X 1975 SC TO ENCOURAGE WORTHWHILE SOCIAL AND PROFESSIONAL ACTIVITIES IN THE FIELD OF MEDICINE. 10 8 0 12 0 0 1241294 1519579 0 0 815 897 1459 13221 1243568 1533697 253470 249539 0 0 0 0 0 0 0 700066 720161 953536 969700 290032 563997 3032632 3055624 8445195 8256712 -5412563 -5201088 X TO ENCOURAGE WORTHWHILE SOCIAL AND PROFESSIONAL ACTIVITIES IN THE FIELD OF MEDICAL EDUCATION, MEDICAL RESEARCH AND MEDICAL SERVICE DELIVERY. THE FOUNDATION HAS BEEN ACTIVELY INVOLVED IN INSTITUTING AND PROVIDING FINANCIAL SUPPORT FOR IMPORTANT MEDICAL AND HEALTH-RELATED PROGRAMS AND HAS DEVELOPED A SYSTEM FOR RAISING AND DISTRIBUTING FUNDS FOR THESE PROGRAMS. 0 0 639782 200000 PATIENT-CENTERED MEDICAL HOME (PCMH) INITIATIVE. THE FOUNDATION HAS RECEIVED GRANT FUNDING FROM THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES TO PROVIDE FREE EDUCATIONAL, CONSULTING, AND COACHING SERVICES TO PHYSICIAN PRACTICES SEEKING RECOGNITION FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) AS A PCMH. 244771 CHARITABLE GIFT ANNUITY PLAN. 27500 23000 ANNUAL AWARDS AND SCHOLARSHIPS. 27667 26538 OTHER PROGRAM SERVICES: SAFE HAVEN AND DAODAS GRANTS 27667 26538 939720 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 X 32 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 0 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X MICHELLE BOLIN CPA 8037986207 132 WESTPARK BLVD COLUMBIA SC 29210 WESLEY H FRIERSON MD CHAIRMAN 1.00 2.00 X 0 4750 0 H TIM PEARCE MD FACS SECRETARY 1.00 1.00 X 0 0 0 M MAYES DUBOSE MD PRES-ELECT 7/23-4/24;PRES 5/24-6/24 1.00 6.00 X 0 0 0 AMANDA S DAVIS MD VICE-CHAIRMAN 1.00 1.00 X 0 0 0 JEFFREY P CASHMAN DO SPEAKER OF HOUSE 1.00 6.00 X 0 0 0 STEFANIE M PUTNAM MD VICE SPEAKER OF HOUSE 1.00 2.00 X 0 0 0 RYAN C GARBALOSA DO MEMBER-AT-LARGE 7/23-4/24 1.00 1.00 X 0 0 0 ANTHONY MILES SCOTT DO TREASURER 1.00 1.00 X 0 0 0 FORREST CLEAVE HAM MD TRUSTEE;MBR-AT-LARGE 5/24-6/24 1.00 1.00 X 0 0 0 CHRISTOPHER A YEAKEL MD FAAP IMM.PASTPRES 7/23-4/24;AMA ALTDEL 5/24-6/24 1.00 6.00 X 0 8000 0 HELEN STOCKINGER MD PRES 7/23-4/24;IMM.PASTPRES 5/24-6/24 1.00 6.00 X 0 15667 0 HENRY FRITZ BUTEHORN III MD TRUSTEE 7/24-4/24;PRES-ELECT 5/24-6/24 1.00 1.00 X 0 3000 0 RICHELE TAYLOR CEO, CLO 1.00 36.50 X 0 296846 45363 MICHELLE BOLIN CFO, COO 1.00 36.50 X 0 290720 45154 0 618983 90517 0 0 1 0 VISTA CONSULTING 221 WEST MOUNTAINVIEW AVE GREENVILLE SC 29609 GRANT CONSULTING 470557 1 200000 200000 1119579 1519579 897 897 MISCELLANEOUS INCOME 561499 13221 13221 13221 1533697 13221 0 897 200000 200000 49539 49539 642 642 17000 17000 3749 3749 411 411 2656 2656 22 22 5500 5500 PCMH CONTRACT EXPENSE 439782 439782 CHARITABLE GIFT ANNUITY 244771 244771 ANNUAL AWARDS 4500 4500 RECRUITING EXPENSE 1128 1128 969700 939720 29980 0 1219831 562981 100865 601067 46883 287855 3847 13180 14675 14554 143 121 1661063 1150683 0 439737 3032632 3055624 307297 284907 65925 513675 8071973 7458130 8445195 8256712 X -6062173 -5840023 649610 638935 -5412563 -5201088 3032632 3055624 X 563997 -352522 X X 1 X 0 1 0 X 867946 974241 1071250 1241294 1519579 5674310 867946 974241 1071250 1241294 1519579 5674310 0 0 0 5674310 3552 1910 985 815 897 8159 3552 1910 985 815 897 8159 1885 1517 2946 1459 13221 21028 873383 977668 1075181 1243568 1533697 5703497 0.99490 0.99570 0.00140 0.00220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 326533 250 475 4500 322758 331603 25 405 5500 326533 336512 28356 985 34250 331603 337821 34781 1910 38000 336512 335449 21520 3552 22700 337821 0.34582 0.65418 0 0 3608 3608 0 11067 10946 121 121 CASH VALUE OF ANNUITIES 950923 F CASH VALUE OF LIFE INSURANCE POLICIES 199760 F 1150683 ANNUITY RECEIVABLE 439737 439737 PRESENT VALUE OF ANNUITIES 7458130 7458130 X PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE FOUNDATION HAS BEEN DETERMINED BY THE IRS NOT TO BE A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. MANAGEMENT IS NOT AWARE OF ANY MATERIAL UNCERTAIN TAX POSITIONS AT JUNE 30, 2024. ANY INTEREST OR PENALTIES ASSOCIATED WITH AN UNRECOGNIZED TAX EXPENSE WOULD BE CLASSIFED AS ADDITIONAL INCOME TAXES IN THE STATEMENT OF ACTIVITIES. PART V, LINE 4 THE FOUNDATION'S ENDOWMENT FUNDS WILL BE USED TO PROVIDE FINANCIAL SUPPORT FOR IMPORTANT MEDICAL AND HEALTH-RELATED PROGRAMS. 1 THE CHILDREN'S MEDICAL CENTER 841 S BUNCOMBE RD GREER SC 29650 562212236 20000 0 PATIENT-CENTERED MEDICAL HOME INITIATIVE CAROLINA HEALTH CENTERS 313 MAIN STREET STE B GREENWOOD SC 29646 570650154 20000 0 PATIENT-CENTERED MEDICAL HOME INITIATIVE LITTLE RIVER MEDICAL CENTER PO BOX 547 LITTLE RIVER SC 29566 570672117 501(C)(3) 20000 0 PATIENT-CENTERED MEDICAL HOME INITIATIVE GOLDEN CORNER FAMILY PRACTICE 1205 N HWY 11 WEST UNION SC 29696 571120026 20000 0 PATIENT-CENTERED MEDICAL HOME INITIATIVE GRAND STRAND PEDIATRICS & ADALESCENT MEDICINE 8120 ROURK STREET MYRTLE BEACH SC 29572 570783896 20000 0 PATIENT-CENTERED MEDICAL HOME INITIATIVE HOPEHEALTH INC 360 N IRBY STREET FLORENCE SC 29501 570984427 501(C)(3) 20000 0 PATIENT-CENTERED MEDICAL HOME INITIATIVE WELLSPRING FAMILY MEDICINE 110 ATRIUM WAY COLUMBIA SC 29223 061793145 20000 0 PATIENT-CENTERED MEDICAL HOME INITIATIVE PRISMA HEALTH UPSTATE INTERNAL MEDICINE 300 E MCBEE AVE STE 500 GREENVILLE SC 29601 811723202 501(A) 20000 0 PATIENT-CENTERED MEDICAL HOME INITIATIVE COASTAL PEDIATRIC ASSOCIATES 4975 LACROSS RD STE 150 N CHARLESTON SC 29406 208329907 20000 0 PATIENT-CENTERED MEDICAL HOME INITIATIVE PELICAN PEDIATRICS 452 FOLLY ROAD UNIT A CHARLESTON SC 29412 20000 0 PATIENT-CENTERED MEDICAL HOME INITIATIVE 3 7 SCHOLARSHIPS 12 26749 DAODAS GRANTS 4 24551 SAFE HAVEN GRANTS 1 1988 PART I, LINE 2: THE MEDICAL SCHOOLS SUBMIT APPLICATIONS FOR QUALIFYING STUDENTS. THE APPLICATIONS ARE SORTED BY WHAT SCHOLARSHIPS EACH APPLICANT IS ELIGIBLE TO RECEIVE. THE APPLICANTS ARE THEN RANKED ON FINANCIAL NEED AND ACADEMIC ACHIEVEMENT BASED ON A STANDARD RATING FORM PROVIDED BY THE FOUNDATION. THE HIGHEST RANKED APPLICANT WITHIN EACH SCHOLARSHIP QUALIFICATION SET IS AWARDED THE SCHOLARSHIP. PART II, LINE 1: THE FOUNDATION AWARDS MONETARY SUPPORT FOR PATIENT-CENTERED MEDICAL HOME ("PCMH") PRACTICES WITHIN THE STATE OF SOUTH CAROLINA. THE AWARD SELECTION PROCESS REQUIRES CURRENT PCMH PRACTICES TO BE IN GOOD STANDING WITH SC DHHS AND ANY APPLICABLE FEDERAL OR STATE LICENSING AGENCIES, ACCEPT MEDICAID PATIENTS, AND AGREE TO SUPPORT THE ADVANCED PCMH INITIATIVE. ELIGIBLE PRACTICES MUST SUBMIT AN APPLICATION AND MEET AT LEAST 10 OF 23 PATIENT-CENTERED CARE CRITERIA NEEDED FOR FUNDING. SOME OF THE CRITERIA INCLUDE COMPREHENSIVE HEALTH ASSESSMENTS OF PATIENTS, PROVIDING ENHANCED ACCESS TO CARE, AND PERFORMING EFFECTIVE PRACTICE AND CLINICAL QUALITY IMPROVEMENT ACTIVITIES. ELIGIBLE PRACTICES WHO MEET CRITERIA ARE NOTIFIED AND MONEY IS DISBURSED DIRECTLY TO THE MEDICAL PRACTICE. 0 0 0 0 0 0 0 0 0 RICHELE TAYLOR CEO, CLO 0 296846 0 0 0 0 0 9016 0 36347 0 342209 0 0 MICHELLE BOLIN CFO, COO 0 285720 0 5000 0 0 0 8828 0 36326 0 335874 0 0 PART I, LINE 3 THE FOUNDATION RECEIVES MANAGEMENT SERVICES FROM THE SOUTH CAROLINA MEDICAL ASSOCIATION. THE FOUNDATION DOES NOT PAY FOR THESE SERVICES NOR DIRECTLY DETERMINES THE COMPENSATION OF THE OFFICERS. THE SOUTH CAROLINA MEDICAL ASSOCIATION EXECUTIVE COMMITTEE FOLLOWS A REBUTTABLE PRESUMPTION PROCESS INVOLVING THE USE OF COMPENSATION EXPERTS, OPINIONS, AND SURVEY DATA TO CONFIRM THAT THE COMPENSATION PAID IS REASONABLE AND CONSISTENT WITH FAIR MARKET VALUE. THE SOUTH CAROLINA MEDICAL ASSOCIATION OFFICERS AND KEY EMPLOYEES' COMPENSATION IS DETERMINED BASED ON ANNUAL REVIEWS. COMPENSATION IS DOCUMENTED AND APPROVED THROUGH THE ORGANIZATION'S BUDGET. FOR GENERAL SALARY EVALUATIONS, MANAGEMENT HAS ACCESS TO AND USES MARKET STUDIES PROVIDED BY ORGANIZATIONS SUCH AS AMA & AAMSE. FORM 990, PART V, LINE 2A: THE FOUNDATION DOES NOT FILE A SEPARATE FORM W-3. CURRENTLY, THERE ARE NO EMPLOYEES SPECIFICALLY ALLOCABLE TO THIS ENTITY. FORM 990, PART VI, SECTION A, LINE 3 THE FOUNDATION HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES TO THE SOUTH CAROLINA MEDICAL ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES OF SOUTH CAROLINA MEDICAL ASSOCIATION HAS THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF THE FORM 990 IS REVIEWED BY THE CFO/COO, CEO/CLO, AND OUTSIDE COUNSEL. THE DRAFT COPY IS THEN DISTRIBUTED TO THE SCMA EXECUTIVE COMMITTEE, AND THE SCMA FOUNDATION BOARD, FOR COMMENTS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD REVIEWS THE ANNUAL CONFLICT OF INTEREST DISCLOSURES SUBMITTED BY EACH BOARD MEMBER. ANY CONFLICTS ARE RESOLVED AND/OR ADDRESSED IN THE MINUTES OF THE ORGANIZATION. IN THE EVENT OF A POTENTIAL CONFLICT, THE BOARD MEMBER WITH THE POTENTIAL CONFLICT RECUSES HIMSELF/HERSELF FROM THE DISCUSSIONS AND VOTE. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION RECEIVES MANAGEMENT SERVICES FROM THE SOUTH CAROLINA MEDICAL ASSOCIATION. THE FOUNDATION DOES NOT PAY FOR THESE SERVICES NOR DIRECTLY DETERMINES THE COMPENSATION OF THE OFFICERS. THE SOUTH CAROLINA MEDICAL ASSOCIATION EXECUTIVE COMMITTEE FOLLOWS A REBUTTABLE PRESUMPTION PROCESS INVOLVING THE USE OF COMPENSATION EXPERTS, OPINIONS, AND SURVEY DATA TO CONFIRM THAT THE COMPENSATION PAID PURSUANT TO A WRITTEN EMPLOYMENT AGREEMENT IS REASONABLE AND CONSISTENT WITH FAIR MARKET VALUE. THE SOUTH CAROLINA MEDICAL ASSOCIATION OFFICERS AND KEY EMPLOYEES' COMPENSATION IS DETERMINED BASED ON ANNUAL REVIEWS. COMPENSATION IS DOCUMENTED AND APPROVED THROUGH THE ORGANIZATION'S BUDGET. FOR GENERAL SALARY EVALUATIONS, MANAGEMENT HAS ACCESS TO AND USES MARKET STUDIES PROVIDED BY ORGANIZATIONS SUCH AS AMA & AAMSE. FORM 990, PART VI, SECTION C, LINE 19 UPON WRITTEN REQUEST, THE FOUNDATION'S ANNUAL REPORT IS AVAILABLE FROM MICHELLE BOLIN, CPA. FORM 990, PART XI, LINE 9: CHANGE IN CASH VALUE AND PRESENT VALUE OF LIFE INSURANCE FOUNDATION -352,522. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE ASSURANCE PROCESS. SOUTH CAROLINA MEDICAL ASSOCIATION 132 WESTPARK BLVD COLUMBIA SC 29210 570248750 SERVING AND SUPPORTING SC PHYSICIANS SC 501(C)(6) N/A N/A 0 SCMA PRACTICE MANAGEMENT SERVICES INC 132 WESTPARK BLVD COLUMBIA SC 29210 582299259 PHYSICIAN PRACTICE MGMT SERVICES SC SCMA C 0 FULCRUM RISK SOLUTIONS INC 132 WESTPARK BLVD COLUMBIA SC 29210 570983258 GENERAL INSURANCE AGENCY SC SCMA C 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 SOUTH CAROLINA MEDICAL ASSOCIATION K 2656 RENT FULCRUM RISK SOLUTIONS INC C 200000 CASH CONTRIBUTIONS