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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Regional One Health is a not-for-profit corporation organized by the approval of the Board of County Commissioners of the County and qualifies as a governmental entity not subject to federal income tax, by reason of being integral parts of a state or political subdivision. Regional One Health also qualifies as a tax-exempt entity under Internal Revenue Code (IRC) Section 501(a) as organizations described in IRC Section 501(c)(3) (dual-tax exempt status). Therefore, related income is generally not subject to federal or state income taxes, except for tax on income from activities unrelated to its exempt purpose, as described in IRC Section 512(a). Thus, no provision for income taxes has been recorded in the accompanying financial statements.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>A number of individuals listed in Schedule J participated in a SERP plan during the year and received SERP benefits as follows: Reginald Coopwood received $172,536; Imad Abdullah received $47,802; Jim Proctor received $52,620.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part I, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of ROH Investment Co Inc. includes members that are paid employees of the supported organization, Shelby County Health Care Corporation and therefore impacts the number of independent board members. However, Shelby County Health Care Corporation is governed by a majority independent board and therefore the filing organization has oversight by an independent body.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Members of the organization's Board of Directors were given access to a draft copy of the form 990 through a secured internet portal.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Legal and Compliance conducts an ongoing annual request for submission of conflict of interest forms. Process is monitored by Corporate Compliance to ensure that all forms are completed.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>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 consulting 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>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 consulting 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents, conflicts of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c Change of oversight process or selection process</FormAndLineReferenceDesc>
        <ExplanationTxt>The process has not changed from the prior year. ROH Investment Co Inc was formed on 10/21/21 and exists to support and further Shelby County Health Care Corporation's (SCHCC) exempt purpose. Therefore, the audit committee of SCHCC also has audit committee responsibilities and oversight of ROH Investment Co Inc.</ExplanationTxt>
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