The Shelby County Community Health Foundation was established in 1996 by the Shelby County Healthcare Authority. It was formed to manage the proceeds' that the Healthcare Authority received from the sale of Shelby Medical Center to the Baptist Health System. These funds are to be used for the benefit of the citizens of Shelby County by providing support for organizations and programs that enhance the health and wellness of the community.

The foundation is governed by a five person board of directors with three directors appointed by the Shelby County Commission and two by the Shelby County representatives on the Birmingham Division Board of the Baptist Health System.