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            <BusinessNameLine1Txt>DIXON HUGHES GOODMAN LLP</BusinessNameLine1Txt>
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            <AddressLine1Txt>4350 CONGRESS STREET STE 900</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28209</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACCOUNTING SERVICES</ServicesDesc>
        <CompensationAmt>113679</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>20151</AllOtherContributionsAmt>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2335759</TotalRevenueColumnAmt>
        <ExclusionAmt>2335759</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>5109368</RealAmt>
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        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>5109368</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>5109368</TotalRevenueColumnAmt>
        <ExclusionAmt>5109368</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>76388892</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
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        <SecuritiesAmt>72156648</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>4232244</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>4232244</TotalRevenueColumnAmt>
        <ExclusionAmt>4232244</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2705</TotalRevenueColumnAmt>
        <ExclusionAmt>2705</ExclusionAmt>
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      <OtherRevenueTotalAmt>2705</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>11700227</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>11680076</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1567227</TotalAmt>
        <ProgramServicesAmt>1567227</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>500000</TotalAmt>
        <ProgramServicesAmt>500000</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>511212</TotalAmt>
        <ProgramServicesAmt>418970</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92242</ManagementAndGeneralAmt>
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        <TotalAmt>150257</TotalAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>29710</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3372</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>172333</TotalAmt>
        <ManagementAndGeneralAmt>172333</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>113679</TotalAmt>
        <ManagementAndGeneralAmt>113679</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>920604</ManagementAndGeneralAmt>
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        <TotalAmt>13981</TotalAmt>
        <ManagementAndGeneralAmt>13981</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>10947</ProgramServicesAmt>
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        <ProgramServicesAmt>3215853</ProgramServicesAmt>
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        <ProgramServicesAmt>1785313</ProgramServicesAmt>
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        <Desc>MISCELLANEOUS</Desc>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <OtherChangesInNetAssetsAmt>-5796630</OtherChangesInNetAssetsAmt>
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      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <SupportedOrganizationsCnt>4</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>ROPER HOSPITAL</BusinessNameLine1Txt>
        </SupportedOrganizationName>
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        <OrganizationTypeCd>3</OrganizationTypeCd>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>CAREALLIANCE HEALTH SERVICES</BusinessNameLine1Txt>
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        <EIN>570831165</EIN>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>BON SECOURS- ST FRANCIS HOSPITAL</BusinessNameLine1Txt>
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        <EIN>571067254</EIN>
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        <GoverningDocumentListedInd>1</GoverningDocumentListedInd>
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        <OtherSupportAmt>0</OtherSupportAmt>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>ROPER ST FRANCIS MT PLEASANT HOSPITAL</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>570360499</EIN>
        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>1</GoverningDocumentListedInd>
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        <TimelyProvidedDocumentsInd>1</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>1</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>1</SupportedOrgVoiceInvestmentInd>
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        <ActivitiesTestInd>X</ActivitiesTestInd>
        <ActivitiesFurtherExemptPrpsInd>1</ActivitiesFurtherExemptPrpsInd>
        <ActivitiesEngagedOrgInvlmntInd>1</ActivitiesEngagedOrgInvlmntInd>
      </Form990SchAType3FuncIntGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>MSSC PROVIDES 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 2018, MSSC HAD MADE VARIOUS CONDITIONAL PROMISES TO PROVIDE FUNDING TOWARDS ROPER ST.FRANCIS CAPITAL PROJECTS TOTALING $2,600,000; OF WHICH $292,119 WAS PAID DURING THE YEAR. ADDITIONALLY, MSSC PROVIDED GRANTS TOTALING $112,500 TO THE ROPER ST.FRANCIS FOUNDATION. SAID FUNDS WERE TO BE USED TO SUPPORT HEARTSAVE AND NEW AED UNITS IN SCHOOLS, CHURCHES, STADIUMS AND OTHER PUBLIC PLACE ACROSS BERKELEY, CHARLESTON AND DORCHESTER COUNTIES.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2018 THE MEDICAL SOCIETY PROVIDED ANNUAL SCHOLARSHIPS TO NURSES TOTALING $10,044, AND MEDICAL STUDENT SCHOLARSHIPS TOTALING $500,000. 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.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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 INTEGRATION OF THE MEDICAL SOCIETY BOARD MEMBERS WITHIN EACH OF THE SUPPORTED ORGANIZATIONS BOARDS, THERE IS A HIGH 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.</ExplanationTxt>
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        <BookValueAmt>3288691</BookValueAmt>
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        <DepreciationAmt>9612097</DepreciationAmt>
        <BookValueAmt>52328844</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>19002</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>72647</DepreciationAmt>
        <BookValueAmt>1</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>22348105</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>77965641</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVESTMENTS IN AFFILIATES</Desc>
        <BookValueAmt>246571720</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <TotalBookValueProgramRltdAmt>246571720</TotalBookValueProgramRltdAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>-10212264</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-15195257</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-15195257</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4982993</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>920604</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>5796630</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>6717234</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>11700227</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>8521062</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>8521062</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>920604</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>920604</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 CONSOLIDATED 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, 2018 AND 2017, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SHARE OF EARNING OF AFFILIATE 5,796,630.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN RED CROSS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2424-A CITY HALLY LANE</AddressLine1Txt>
          <CityNm>N CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29406</ZIPCd>
        </USAddress>
        <RecipientEIN>530196605</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BARRIER ISLAND FREE MEDICAL CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3226 MAYBANK HIGHWAY SUITE 1-A</AddressLine1Txt>
          <CityNm>JOHNS ISLAND</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29455</ZIPCd>
        </USAddress>
        <RecipientEIN>205628911</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>85000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CLOSING THE GAP IN HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3551 WEST MONTAGUE AVENUE</AddressLine1Txt>
          <CityNm>N CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29418</ZIPCd>
        </USAddress>
        <RecipientEIN>522450102</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>35000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DARKNESS TO LIGHT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1064 GARDNER ROAD STE 210</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29407</ZIPCd>
        </USAddress>
        <RecipientEIN>571095108</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EAST COOPER COMMUNITY OUTREACH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2304 N HWY 17</AddressLine1Txt>
          <CityNm>MT PLEASANT</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29466</ZIPCd>
        </USAddress>
        <RecipientEIN>570939280</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EDISTO ISLAND MEDICAL CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1125 RIDGE ROAD</AddressLine1Txt>
          <CityNm>RIDGEVILLE</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29472</ZIPCd>
        </USAddress>
        <RecipientEIN>821691197</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEART</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>754 RUTLEDGE AVENUE</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29403</ZIPCd>
        </USAddress>
        <RecipientEIN>471069422</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ORIGIN SC (FAMILY SERVICES)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4925 LACROSS ROAD 215</AddressLine1Txt>
          <CityNm>N CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29405</ZIPCd>
        </USAddress>
        <RecipientEIN>570324920</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PALMETTO PROJECT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6296 RIVERS AVENUE STE 100</AddressLine1Txt>
          <CityNm>N CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29406</ZIPCd>
        </USAddress>
        <RecipientEIN>570807801</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>28000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RSF FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>125 DOUGHTY STREET STE 790</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29403</ZIPCd>
        </USAddress>
        <RecipientEIN>571068509</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>112500</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RSF HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>316 CALHOUN STREET</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29401</ZIPCd>
        </USAddress>
        <RecipientEIN>570831165</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>292119</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RESPITE CARE CHARLESTON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1605 HARBOR VIEW RD</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29412</ZIPCd>
        </USAddress>
        <RecipientEIN>451535756</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE ARK OF SC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>502 W 5TH NORTH STREET</AddressLine1Txt>
          <CityNm>SUMMERVILLE</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29483</ZIPCd>
        </USAddress>
        <RecipientEIN>471350098</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VISION TO LEARN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11611 SAN VINCENTE BLVD</AddressLine1Txt>
          <CityNm>LOS ANGELES</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90049</ZIPCd>
        </USAddress>
        <RecipientEIN>453457853</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WINGS FOR KIDS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>476 MEETING STREET STE E</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29403</ZIPCd>
        </USAddress>
        <RecipientEIN>571055054</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>15</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>MEDICAL SCHOLARSHIP PROGRAM</GrantTypeTxt>
        <RecipientCnt>27</RecipientCnt>
        <CashGrantAmt>500000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN SPRATT MD</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>50000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>772188</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>25332</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1854</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>35182</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>30586</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>50000</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>865142</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN G CUDDY MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>922396</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>50891</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>11657</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>35182</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>32001</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1052127</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN DATTA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>233434</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>28202</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>5602</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>33245</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>32170</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>332653</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN B HOLLOWAY JR</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>330000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>100000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13932</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17280</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>461212</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>JOHN HOLLOWAY, JR'S 2018 COMPENSATION STATEMENT INCLUDES A BONUS OF $100,000. THE DETERMINATION OF THE BONUS AMOUNT WAS DISCRETIONARY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>570960018</BondIssuerEIN>
        <CUSIPNum>83704AAA0</CUSIPNum>
        <BondIssuedDt>2016-07-27</BondIssuedDt>
        <IssuePriceAmt>69287548</IssuePriceAmt>
        <PurposeDesc>REFINANCE EXISTING LOANS AND FOR CAPITAL EXPENITURES OF FAYSSOUX PROPERTIES</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1680000</RetiredAmt>
        <TotalProceedsAmt>69287548</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>960652</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>60244820</CapitalExpendituresAmt>
        <UnspentAmt>8082076</UnspentAmt>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>1</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS UPON REQUEST AT THE ADMINISTRATION OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>SHARE OF EARNINGS OF AFFILIATE -5,796,630.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPE FAYSSOUX PROPERTIES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>69B BARRE ST</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29401</ZIPCd>
        </USAddress>
        <EIN>812511368</EIN>
        <PrimaryActivitiesTxt>HOLDS RENTAL PROPERTIES &amp; ADMINISTERS BOND FUNDS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <TotalIncomeAmt>5279833</TotalIncomeAmt>
        <EndOfYearAssetsAmt>89834838</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEDICAL SOCIETY OF SOUTH CAROLINA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CAREALLIANCE HEALTH SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>315 CALHOUN ST</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29401</ZIPCd>
        </USAddress>
        <EIN>570831165</EIN>
        <PrimaryActivitiesTxt>HEALTH-GENERAL &amp; REHABILITATIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROPER SAINT FRANCIS HEALTHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROPER HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>315 CALHOUN STREET 107</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29401</ZIPCd>
        </USAddress>
        <EIN>570828733</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CAREALLIANCE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BON SECOURS ST FRANCIS HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>315 CALHOUN STREET 107</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29401</ZIPCd>
        </USAddress>
        <EIN>571067254</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CAREALLIANCE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROPER ST FRANCIS MT PLEASANT HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>315 CALHOUN STREET 107</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29401</ZIPCd>
        </USAddress>
        <EIN>570360499</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CAREALLIANCE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROPER ST FRANCIS HOSPITAL - BERKELEY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>315 CALHOUN STREET 107</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29401</ZIPCd>
        </USAddress>
        <EIN>263710229</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE (FUTURE)</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CAREALLIANCE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROPER ST FRANCIS PHYSICIANS NETWORK</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>125 DOUGHTY STREET 760</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29403</ZIPCd>
        </USAddress>
        <EIN>262946628</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CAREALLIANCE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROPER ST FRANCIS FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>315 CALHOUN STREET 107</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29401</ZIPCd>
        </USAddress>
        <EIN>571068509</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CAREALLIANCE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CAREALLIANCE MEDICAL SERVICES ORGANIZATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>225 DOUGHTY STREET</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29403</ZIPCd>
        </USAddress>
        <EIN>571012837</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>1</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>