SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public
Inspection
Name of the organization
SHELBY COUNTY HEALTH CARE CORPORATION
 
Employer identification number

62-1113169
Return Reference Explanation
Form 990, Part VI, Section B, Line 11b Form 990, Part VI, Section B, Line 11b - Members of the organization's Board of Directors were given access to a draft copy of the form 990 through a secured internet portal.
Form 990, Part VI, Section B, Line 12c FOrm 990, Part VI, SEction B, Line 12c - Legal and Compliance conduct an ongoing request for submission of conflict of interest forms. Process is monitored by Corporate Compliance to ensure that all forms are completed.
Form 990, Part VI, Section B, Line 15 Form 990, Part VI, Section B, Line 15 - Compensation of the executive management team was approved by the Human Resource Committee and was deemed to be competitive based on business circumstances and prevailing market conditions. The organization purchases compensation/salary information annually from three national consuting groups and the state hospital association, and has a compensation consultant provide periodic reviews. The information is used as a reference in determining levels for internal and external equity. The last periodic review for all of the positions was finalized in October 2016.
Form 990, Part VI, Section B, Line 16a SCHCC entered into a Joint Venture with Landman Reg. Mgmt. LLC in 2015 but operations did not being until this tax filing year.
Form 990, Part VI, Section C, Line 19 Form 990, Part VI, Section C, Line 19 - The organization makes its governing documents, conflicts of interest policy, and financial statements available to the public upon request.
Form 990, Part VII, Section A, Line 1d SVP Ritchey is paid on this organization entirely but works primarily as the Executive Director for the Foundation which fully supports only this organization
Form 990, Part IX, Line 11g Form 990, Part IX, Line 11g - Purchased Medical Services
Form 990, Part XI, Line 9 990, Part XI, Line 9, Cash decrease & Liability increase
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2016


Additional Data


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Software Version: v1.00