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Nonprofiteer
← SHELBY COUNTY MEDICAL CORP

Form 990 for tax year 2023

Filed by SHELBY COUNTY MEDICAL CORP.

Totals

Total revenue
$5,733,507
Total expenses
$6,159,707
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$5,726,483
Investment income
$7,024
Other revenue
$0
Total assets, end of year
$522,061
Total liabilities, end of year
$497,779
Net assets or fund balances, end of year
$24,282
Program services expenses (Part IX)
$5,962,219
Management and general expenses
$197,488
Fundraising expenses
$0
Program service expenses (Part III)
$5,962,219

Program services were 96.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • SCOTT MARKHAM

    DIRECTOR/PHYSICIAN

    Total calculated
    $454,896
    From this org
    $416,599
    From related orgs
    $0
    Other
    $38,297
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $236,542
    Bonus
    $111,189
    Other
    $68,868
    Deferred
    $21,169
    Nontaxable benefits
    $18,367
    Filer's total
    $456,135
  • MATT HUDSON

    PRESIDENT

    Total calculated
    $0
    Hours/week
    0.2
  • TERRY TORNETEN

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    0.2 + 0.5 related
  • JEANINE LARSEN

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    0.2 + 0.2 related
  • KRISTEN VAN BAALE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.2
  • BARRY JACOBSEN

    CEO - MYRTUE MEDICAL CENTER

    Total calculated
    $349,088
    From this org
    $0
    From related orgs
    $305,072
    Other
    $44,016
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $284,649 related
    Bonus
    $0 + $13,084 related
    Other
    $0 + $7,339 related
    Deferred
    $0 + $26,887 related
    Nontaxable benefits
    $0 + $18,598 related
    Filer's total
    $0 + $350,557 related
  • LEROY HODGES

    PHYSICIAN

    Total calculated
    $570,253
    From this org
    $508,809
    From related orgs
    $0
    Other
    $61,444
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $445,701
    Bonus
    $45,981
    Other
    $17,127
    Deferred
    $32,604
    Nontaxable benefits
    $30,571
    Filer's total
    $571,984
  • BRET HEILESON

    PHYSICIAN

    Total calculated
    $526,884
    From this org
    $480,406
    From related orgs
    $0
    Other
    $46,478
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $228,593
    Bonus
    $191,369
    Other
    $60,444
    Deferred
    $21,518
    Nontaxable benefits
    $26,692
    Filer's total
    $528,616
  • TIMOTHY BRELJE

    PHYSICIAN

    Total calculated
    $483,367
    From this org
    $435,296
    From related orgs
    $0
    Other
    $48,071
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $127,074
    Bonus
    $82,971
    Other
    $225,251
    Deferred
    $23,267
    Nontaxable benefits
    $26,536
    Filer's total
    $485,099
  • TINA SCHECHINGER

    PHYSICIAN

    Total calculated
    $477,272
    From this org
    $426,040
    From related orgs
    $0
    Other
    $51,232
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $237,527
    Bonus
    $177,399
    Other
    $11,114
    Deferred
    $23,577
    Nontaxable benefits
    $29,386
    Filer's total
    $479,003
  • BRIAN ANDERSON

    PHYSICIAN

    Total calculated
    $447,750
    From this org
    $395,934
    From related orgs
    $0
    Other
    $51,816
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $237,844
    Bonus
    $97,455
    Other
    $60,635
    Deferred
    $24,262
    Nontaxable benefits
    $29,286
    Filer's total
    $449,482

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
SHELBY COUNTY MEDICAL CORPORATION (SCMC) DOES NOT PAY COMPENSATION TO A CEO OR EXECUTIVE DIRECTOR. SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL PAYS THE COMPENSATION OF BARRY JACOBSEN WHO SERVES AS THE TOP MANAGEMENT OFFICIAL OF SCMC. SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL UTILIZED THE FOLLOWING FOR DETERMINING HIS COMPENSATION: INFORMATION PROVIDED BY MEDICAL GROUP MANAGEMENT ASSOCIATION FOR PEER GROUPS AND OTHER AVAILABLE SURVEYS AND BOARD APPROVAL.
PART I, LINE 7
ALL PHYSICIANS ARE PAID A BASE SALARY PLUS ADDITIONAL COMPENSATION BASED ON RVUS PRODUCED.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
28 April 2025
IRS schema version
2023v6.0
Source object
202501199349300635

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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