UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC (EIN 56-2141073)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-07-09
IRS object ID: 202401919349301320
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-07-09T12:46:39-05:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	421 Fayetteville Street Suite 300	AddressLine1Txt
City	Raleigh	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27601	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	562141073	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	University Health Systems of Eastern	BusinessNameLine1Txt
Business Name Line2	Carolina Inc	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% JENNIFER WORSLEY	InCareOfNm
Business Name Control	UNIV	BusinessNameControlTxt
Phone	2528475129	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 Stantonsburg Road	AddressLine1Txt
City	Greenville	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27835	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Andrew Zukowski	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2528475129	PhoneNum
Signature	2024-06-20	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Andrew	PersonFirstNm
Person Last	Zukowski	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SANDRA L FEINSMITH	PreparerPersonNm
PTIN	P01064157	PTIN
Phone	9192781936	PhoneNum
Preparation	2024-06-20	PreparationDt

Additional Filer Information AdditionalFilerInformation

Field	Value	IRS element (for citing)
Trusted Customer		TrustedCustomerGrp

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ECU Health	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL WALDRUM	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 Stantonsburg Road	AddressLine1Txt
City	Greenville	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27835	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$328,232,443	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.ecuhealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	TO ADVANCE AND SUPPORT THE HEALTHCARE NEEDS OF THE COMMUNITIES OF EASTERN NORTH CAROLINA.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	8	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,058,120	PYContributionsGrantsAmt
CY Contributions Grants	$674,580	CYContributionsGrantsAmt
PY Program Service Revenue	$302,792,555	PYProgramServiceRevenueAmt
CY Program Service Revenue	$327,373,259	CYProgramServiceRevenueAmt
PY Investment Income	-$12,046,838	PYInvestmentIncomeAmt
CY Investment Income	-$21,023,235	CYInvestmentIncomeAmt
PY Other Revenue	$8,268	PYOtherRevenueAmt
CY Other Revenue	$8,280	CYOtherRevenueAmt
PY Total Revenue	$291,812,105	PYTotalRevenueAmt
CY Total Revenue	$307,032,884	CYTotalRevenueAmt
PY Grants And Similar Paid	$220,771	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$187,600	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$145,784,600	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$176,235,168	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$178,305,923	PYOtherExpensesAmt
CY Other Expenses	$195,339,998	CYOtherExpensesAmt
PY Total Expenses	$324,311,294	PYTotalExpensesAmt
CY Total Expenses	$371,762,766	CYTotalExpensesAmt
PY Revenues Less Expenses	-$32,499,189	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$64,729,882	CYRevenuesLessExpensesAmt
Total Assets BOY	$235,027,049	TotalAssetsBOYAmt
Total Assets EOY	$302,588,318	TotalAssetsEOYAmt
Total Liabilities BOY	$731,676,200	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$762,332,765	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$496,649,151	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$459,744,447	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$344,234,098	ExpenseAmt
Grant	$187,600	GrantAmt
Revenue	$327,381,539	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$344,234,098	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	945	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JENNIFER WORSLEY	PersonNm
Phone	2528472254	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 STANTONSBURG ROAD	AddressLine1Txt
City	Greenville	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27835	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Michael Waldrum
Chief Executive Officer	40.0	14.0	Yes (X)	$986,095	$0	$792,121
David Hughes THRU 1222
CHIEF FIN. SERVICES OFFICER	40.0	10.0	Yes (X)	$607,253	$0	$465,113
William Floyd
COO/PRES. ECU HEALTH MED CTR	2.0	44.0	Yes (X)	$0	$640,470	$242,062
Niti Armistead MD
Chief Medical Officer	40.0	0.0	Yes (X)	$528,940	$0	$126,220
Ryan Hickey
Chief Clinical Network Dev.OfF	40.0	0.0		$409,214	$0	$178,737	Yes (X)
Jay Briley
PRES., ECU HEALTH CMUNTY HOSP.	40.0	8.0	Yes (X)	$395,814	$0	$185,320
Donnette Herring
Chief Information Officer	40.0	0.0		$426,677	$0	$137,090	Yes (X)
Jerry Townsend
VP, Financial Services	40.0	2.0		$398,300	$0	$163,448		Yes (X)
Julie Oehlert
Chief Experience Officer	40.0	0.0		$401,581	$0	$123,490	Yes (X)
Jennifer Thomas
SVP, Financial Services	40.0	2.0		$359,831	$0	$127,962	Yes (X)
Joseph Pye
SVP Medical Affairs	40.0	0.0		$348,159	$0	$125,800	Yes (X)
Vicki Haddock
VP, Office of Gen Counsel	40.0	0.0		$250,840	$0	$198,834	Yes (X)
Charlene Wilson
Chief Human Resources Officer	40.0	0.0		$354,681	$0	$94,732	Yes (X)
Teresa Anderson
SVP Quality	40.0	0.0		$240,499	$0	$142,551	Yes (X)
David Michael
CHIEF MED. INFORMATION OFFICER	40.0	0.0		$305,212	$0	$77,493	Yes (X)
Mark Dunn
CHIEF D&I & TALENT MGMT	40.0	2.0		$285,103	$0	$91,426	Yes (X)
Christina Bowen
Chief Well-Being Officer	40.0	0.0		$330,818	$4,138	$36,432		Yes (X)
Robert Speakman
VP, Tech Infrastructure_CTO	40.0	0.0		$286,878	$0	$70,121		Yes (X)
Jason Buskirk
VP, Enterprise Data&Analytics	40.0	0.0		$284,309	$0	$70,070		Yes (X)
Tanya Thompson
VP, IT Applications	40.0	0.0		$271,257	$0	$62,464		Yes (X)
James Walton IV
VP, Facilities and Properties	40.0	0.0		$170,855	$0	$130,000	Yes (X)
Andrew Montgomery
VP, Supply Chain	40.0	0.0		$268,126	$0	$29,490	Yes (X)
Kelly Weatherly
VP Total Rewards	40.0	0.0		$210,231	$0	$46,331	Yes (X)
Deborah Davis
Board Member/Secretary	2.0	2.0		$0	$0	$101,825			Yes (X)
Andrew Zukowski AS OF 1222
Chief Financial Officer	40.0	6.0	Yes (X)	$37,788	$0	$7,896
Bob Greczyn
Vice Chairman/Chairman	2.0	0.0		$0	$0	$0			Yes (X)
Bynum Satterwhite THRU 323
Chairman	2.0	0.0		$0	$0	$0			Yes (X)
Anand Tewari MD
Treasurer/Vice Chairman	2.0	2.0		$0	$0	$0			Yes (X)
Jimmy Garris
Secretary/Treasurer	2.0	2.0		$0	$0	$0			Yes (X)
Marcus Albernaz MD
Board Member/Asst. Secretary	2.0	4.0		$0	$0	$0			Yes (X)
Ernie Evans
Asst. Secretary/Board Member	2.0	2.0		$0	$0	$0			Yes (X)
Shirley Carraway
Board Member	2.0	2.0		$0	$0	$0			Yes (X)
Carlester CrumplerTHRU 323
Board Member	2.0	2.0		$0	$0	$0			Yes (X)
Vern Davenport AS OF 323
Board Member	2.0	2.0		$0	$0	$0			Yes (X)
Bryant Kittrell THRU 323
Board Member	2.0	2.0		$0	$0	$0			Yes (X)
William Monk AS OF 323
Board Member	2.0	2.0		$0	$0	$0			Yes (X)
Philip Rogers
Board Member	2.0	2.0		$0	$0	$0			Yes (X)
Diane Taylor AS OF 323
Board Member	2.0	4.0		$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,158,461	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$644,608	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,827,028	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	362	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDCOST
PO BOX 24042	WINSTON SALEM	NC	27114	admin fees	$6,138,616
K L GATES LLP
PO BOX 844255	BOSTON	MA	022844255	legal services	$1,821,425
PERSONIFY
416 S Dawson Street	RALEIGH	NC	27601	contract labor	$1,390,859
PRESS GANEY ASSOCIATES INC
PO BOX 88335	MILWAUKEE	WI	532880335	contracted services	$1,327,573
OXFORD GLOBAL RESOURCES INC
PO BOX 3256	BOSTON	MA	022413256	contract labor	$1,287,221

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	104	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$674,580	AllOtherContributionsAmt
Total Contributions	$674,580	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	SUPPORTED ORGANIZATIONS	Desc
Business	900099	BusinessCd
Total Revenue Column	$327,373,259	TotalRevenueColumnAmt
Related Or Exempt Func Income	$327,373,259	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$327,373,259	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$176,324	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$176,324	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$8,280	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$8,280	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,280	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,280	RelatedOrExemptFuncIncomeAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$20,956,189	SecuritiesAmt
Other	$243,370	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$20,956,189	SecuritiesAmt
Other	-$243,370	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$21,199,559	TotalRevenueColumnAmt
Exclusion	-$21,199,559	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$307,032,884	TotalRevenueColumnAmt
Related Or Exempt Func Income	$327,381,539	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$21,023,235	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$187,600	TotalAmt
Program Services	$187,600	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,593,317	TotalAmt
Program Services	$7,593,317	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$123,906,570	TotalAmt
Program Services	$123,906,570	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,424,050	TotalAmt
Program Services	$11,424,050	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,222,123	TotalAmt
Program Services	$24,222,123	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,089,108	TotalAmt
Program Services	$9,089,108	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,080,295	TotalAmt
Management And General	$2,080,295	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$74,099	TotalAmt
Management And General	$74,099	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$265,120	TotalAmt
Management And General	$265,120	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,931,198	TotalAmt
Program Services	$1,931,198	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$42,000,963	TotalAmt
Program Services	$20,580,472	ProgramServicesAmt
Management And General	$21,420,491	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,938,070	TotalAmt
Program Services	$5,938,070	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,221,660	TotalAmt
Program Services	$5,532,997	ProgramServicesAmt
Management And General	$3,688,663	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$32,051,583	TotalAmt
Program Services	$32,051,583	ProgramServicesAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,150,664	TotalAmt
Program Services	$3,150,664	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,024,967	TotalAmt
Program Services	$1,024,967	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$24,577,661	TotalAmt
Program Services	$24,577,661	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$31,340,719	TotalAmt
Program Services	$31,340,719	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,097,447	TotalAmt
Program Services	$3,097,447	ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$36,687,538	$36,687,538
BAD DEBT	$17,024	$17,024
ALL OTHER EXPENSES	$1,880,990	$1,880,990

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$371,762,766	TotalAmt
Program Services	$344,234,098	ProgramServicesAmt
Management And General	$27,528,668	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,221,584	BOYAmt
EOY	$34,951,230	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,322,099	BOYAmt
EOY	$1,325,216	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$17,174,764	BOYAmt
EOY	$13,912,818	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$292,764,578	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$181,129,401	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$66,973,695	BOYAmt
EOY	$111,635,177	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$889,972	BOYAmt
EOY	$889,972	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$128,444,935	BOYAmt
EOY	$139,873,905	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$235,027,049	BOYAmt
EOY	$302,588,318	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$82,259,971	BOYAmt
EOY	$95,573,070	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$610,003,372	BOYAmt
EOY	$582,811,290	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,412,857	BOYAmt
EOY	$83,948,405	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$731,676,200	BOYAmt
EOY	$762,332,765	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$496,649,151	BOYAmt
EOY	-$459,744,447	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$496,649,151	BOYAmt
EOY	-$459,744,447	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$235,027,049	BOYAmt
EOY	$302,588,318	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$64,729,882	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$70,470,143	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$31,164,443	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type3 Func Int	Yes (X)	SupportingOrgType3FuncIntInd
Supported Organizations	10	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (10 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
PITT COUNTY MEMORIAL HOSPITAL
560585243	3	Yes (true)	$0	$0
VIDANT MEDICAL GROUP LLC
383740839	10	Yes (true)	$172,500,000	$0
THE OUTER BANKS HOSPITAL INC
562112733	3	Yes (true)	$0	$0
EAST CAROLINA HEALTH INC
562003393	3	Yes (true)	$0	$0
EAST CAROLINA HEALTH - BERTIE
562072002	3	Yes (true)	$0	$0
EAST CAROLINA HEALTH - CHOWAN
562101090	3	Yes (true)	$0	$0
EAST CAROLINA HEALTH - HERITAGE
562093700	3	Yes (true)	$0	$0
EAST CAROLINA HEALTH - BEAUFORT
452436270	3	Yes (true)	$0	$0
DUPLIN GENERAL HOSPITAL
566011594	3	Yes (true)	$0	$0
HALIFAX REGIONAL MEDICAL CENTER
560989789	3	Yes (true)	$25,000,000	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	10	SupportedOrganizationsTotalCnt
Support Sum	$197,500,000	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (true)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (true)	OfficersCloseRelationshipInd
Supported Org Voice Investment	Yes (true)	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Appoint Elect Majority Officer	Yes (true)	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (true)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART IV, SECTION E, LINE 3A:

ECU HEALTH MAINTAINS CONTROL OVER THE MANAGEMENT OF ECU HEALTH MEDICAL CENTER THROUGH RESTRICTIVE PROVISIONS IN THE ARTICLES OF INCORPORATION AND CORPORATE POLICIES ADDRESSING FINANCIAL MANAGEMENT. IN ADDITION, THE STANDING COMMITTEES OF THE BOARD OF DIRECTORS SERVE AS THE COMMITTEES FOR ECU HEALTH MEDICAL CENTER, OR HOLD RESERVED POWERS. THE CHIEF EXECUTIVE OFFICE OF ECU HEALTH SELECTS AND POINTS A PRESIDENT OF THE CORPORATION. ECU HEALTH MAINTAINS CONTROL OVER THE MANAGEMENT OF THE ECU HEALTH COMMUNITY HOSPITALS THROUGH (1) ELECTION OF THE MEMBERS OF THE BOARD; (2) APPOINTMENT AND REMOVAL OF THE OFFICERS; (3) RESTRICTIVE PROVISIONS IN THE ARTICLE OF INCORPORATION[I]; AND (4) CORPORATE POLICIES ADDRESSING FINANCIAL MANAGEMENT. IN ADDITION, THE STANDING COMMITTEES OF THE BOARD OF DIRECTORS SERVE AS THE COMMITTEES FOR THE ECU HEALTH COMMUNITY HOSPITALS. THE CHIEF EXECUTIVE OFFICE OF ECU HEALTH SERVES AS PRESIDENT OF THE CORPORATION PURSUANT TO THE ARTICLES AND SERVES AS CHAIRMAN OF THE BOARD. THE CHIEF FINANCIAL OFFICER OF ECU HEALTH SERVES AS SECRETARY AND TREASURER. THE BOARD OF DIRECTORS OF ECU HEALTH CONSISTS OF ELEVEN (11) MEMBERS, OF WHOM 55% OF SHALL BE CURRENT OR FORMER APPOINTMENT OF ECU HEALTH MEDICAL CENTER'S BOARD OF TRUSTEES. THE ECU HEALTH ARTICLES OF RESTATEMENT REQUIRE THAT, AT ALL TIMES, A MAJORITY OF THE MEMBERS OF THE ECU HEALTH'S BOARD OF DIRECTORS SHALL BE CURRENTLY SERVING MEMBERS OF THE ECU HEALTH MEDICAL CENTER'S BOARD OF TRUSTEES. FURTHER, AT ALL TIMES, AT LEAST ONE DIRECTOR OR TRUSTEE FROM EACH OF THE SUPPORTED ENTITIES SHALL SERVE ON THE ECU HEALTH BOARD OF DIRECTORS.

PART IV, SECTION E, LINE 3B:

PURSUANT TO ECU HEALTH MEDICAL CENTER'S ARTICLES OF INCORPORATION, (I) ECU HEALTH MUST APPROVE ANY AMENDMENTS TO ECU HEALTH MEDICAL CENTER'S ARTICLES OF INCORPORATION OR BYLAWS, AND (II) THE CHIEF EXECUTIVE OFFICER OF ECU HEALTH HAS GENERAL CHARGE OF THE BUSINESS AFFAIRS AND PROPERTY OF ECU HEALTH MEDICAL CENTER. ECU HEALTH MAINTAINS CONTROL OVER THE MANAGEMENT AND POLICIES OF THE OTHER SUPPORTED ORGANIZATIONS THROUGH RESTRICTIVE PROVISIONS IN THEIR ARTICLES OF INCORPORATION AND BYLAWS AND THROUGH THE DIRECT OR INDIRECT RIGHT TO APPOINT AND REMOVE WITHOUT CAUSE A MAJORITY OF THE BOARD OF DIRECTORS FOR EACH. THE CHIEF EXECUTIVE OFFICER OF ECU HEALTH ALSO SERVES AS THE CHAIRMAN OF THE BOARD OF DIRECTORS FOR EACH OF THE SUPPORTED ORGANIZATIONS, OTHER THAN ECU HEALTH MEDICAL CENTER.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$111,965	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$153,155	OtherActivitiesAmt
Total Lobbying Expenditures	$265,120	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1, LOBBYING ACTIVITIES:	FormAndLineReferenceDesc
Explanation	27.29% OF DUES TO AHA ARE ALLOCATED TO LOBBYING. DANIEL VAN LIERE WAS PAID $111,965 TO PERFORM LOBBYING ACTIVITIES. CONNECT C, LLC WAS PAID $60,000 TO PERFORM LOBBYING ACTIVITIES. JONES STREET CONSULTING WAS PAID $24,000 TO PERFORM LOBBYING ACTIVITIES. RICHARD CARLTON LAW WAS PAID $12,000 TO PERFORM LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,320,706	OtherCostOrOtherBasisAmt
Book Value	$1,320,706	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,987,920	OtherCostOrOtherBasisAmt
Depreciation	$4,768,627	DepreciationAmt
Book Value	$4,219,293	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$212,128,147	OtherCostOrOtherBasisAmt
Depreciation	$159,108,105	DepreciationAmt
Book Value	$53,020,042	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$70,327,805	OtherCostOrOtherBasisAmt
Depreciation	$17,252,669	DepreciationAmt
Book Value	$53,075,136	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$111,635,177	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
REFUNDING AND PENSION	$68,595,674
OTHER RECEIVABLES	$38,286,746
ASSETS LTD. FOR IMPROVEMENTS	$28,996,117
OTHER ASSETS	$3,995,334
ASSETS HELD BY TRUSTEE	$34

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$139,873,905	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
NET PENSION LIABILITY	$45,094,973
OTHER LIABILITY	$31,599,081
RESERVE FOR PROFESSIONAL LIABILITY	$6,429,510
DEFERRED INFLOW	$824,841

Field	Value	IRS element (for citing)
Total Liability	$83,948,405	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	ECU HEALTH HAS BEEN DETERMINED TO QUALIFY AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ECU HEALTH HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND HAS CONCLUDED THAT NO MATERIAL LIABILITIES EXIST AS OF SEPTEMBER 30, 2023 AND 2022. ECU HEALTH FILES TAX RETURNS WITH THE U.S. FEDERAL AND STATE OF NORTH CAROLINA JURISDICTIONS. WITH FEW EXCEPTIONS, ECU HEALTH IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2020.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$49,622,583	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$49,622,583	SubtotalSpentAmt
Total Spent	$49,622,583	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Greenville-ENC Alliance
PO Box 1714	Greenville	NC	27835	561912849	501(c)(3)	$100,000	charitable
Great 100 Gala
PO Box 4875	Greensboro	NC	274044875	561705456	501(c)(3)	$15,000	charitable
1Ofus Inc
8024 Glenwood Avenue	Raleigh	NC	27612	274754653	501(C)(3)	$15,000	charitable
Little League Softball World Series
PO Box 4433	Greenville	NC	27836	231688231	501(c)(3)	$10,000	charitable

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	ECU HEALTH MAINTAINS RECORDS TO SUBSTANTIATE ALL DISBURSEMENTS MADE IN ACCORDANCE WITH ITS DOCUMENT RETENTION POLICY. ALL GRANTS AND ASSISTANCE ARE APPROVED AT THE APPROPRIATE LEVEL OUTLINED IN ITS POLICY AND PROCEDURES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Michael Waldrum
Chief Executive Officer	$849,206	$0	$121,932	$0	$14,957	$0	$740,546	$0	$51,575	$0	$1,778,216	$0	$0	$0
Niti Armistead MD
Chief Medical Officer	$528,940	$0	$0	$0	$0	$0	$106,608	$0	$19,612	$0	$655,160	$0	$0	$0
David Hughes THRU 1222
CHIEF FIN. SERVICES OFFICER	$607,253	$0	$0	$0	$0	$0	$428,227	$0	$36,886	$0	$1,072,366	$0	$0	$0
Jay Briley
PRES., ECU HEALTH CMUNTY HOSP.	$395,814	$0	$0	$0	$0	$0	$142,532	$0	$42,788	$0	$581,134	$0	$0	$0
William Floyd
COO/PRES. ECU HEALTH MED CTR	$0	$640,470	$0	$0	$0	$0	$0	$195,380	$0	$46,682	$0	$882,532	$0	$0
Donnette Herring
Chief Information Officer	$426,677	$0	$0	$0	$0	$0	$95,406	$0	$41,684	$0	$563,767	$0	$0	$0
Julie Oehlert
Chief Experience Officer	$401,581	$0	$0	$0	$0	$0	$80,798	$0	$42,692	$0	$525,071	$0	$0	$0
James Walton IV
VP, Facilities and Properties	$170,855	$0	$0	$0	$0	$0	$90,390	$0	$39,610	$0	$300,855	$0	$0	$0
Charlene Wilson
Chief Human Resources Officer	$354,681	$0	$0	$0	$0	$0	$71,095	$0	$23,637	$0	$449,413	$0	$0	$0
Vicki Haddock
VP, Office of Gen Counsel	$250,840	$0	$0	$0	$0	$0	$160,064	$0	$38,770	$0	$449,674	$0	$0	$0
David Michael
CHIEF MED. INFORMATION OFFICER	$305,212	$0	$0	$0	$0	$0	$31,483	$0	$46,010	$0	$382,705	$0	$0	$0
Andrew Montgomery
VP, Supply Chain	$268,126	$0	$0	$0	$0	$0	$26,702	$0	$2,788	$0	$297,616	$0	$0	$0
Ryan Hickey
Chief Clinical Network Dev.OfF	$409,214	$0	$0	$0	$0	$0	$134,805	$0	$43,932	$0	$587,951	$0	$0	$0
Teresa Anderson
SVP Quality	$240,499	$0	$0	$0	$0	$0	$101,405	$0	$41,146	$0	$383,050	$0	$0	$0
Joseph Pye
SVP Medical Affairs	$348,159	$0	$0	$0	$0	$0	$82,790	$0	$43,010	$0	$473,959	$0	$0	$0
Mark Dunn
CHIEF D&I & TALENT MGMT	$285,103	$0	$0	$0	$0	$0	$62,582	$0	$28,844	$0	$376,529	$0	$0	$0
Jennifer Thomas
SVP, Financial Services	$359,831	$0	$0	$0	$0	$0	$116,016	$0	$11,946	$0	$487,793	$0	$0	$0
Kelly Weatherly
VP Total Rewards	$210,231	$0	$0	$0	$0	$0	$20,390	$0	$25,941	$0	$256,562	$0	$0	$0
Christina Bowen
Chief Well-Being Officer	$330,818	$4,138	$0	$0	$0	$0	$32,311	$0	$3,965	$156	$367,094	$4,294	$0	$0
Jerry Townsend
VP, Financial Services	$398,300	$0	$0	$0	$0	$0	$143,988	$0	$19,460	$0	$561,748	$0	$0	$0
Robert Speakman
VP, Tech Infrastructure_CTO	$286,878	$0	$0	$0	$0	$0	$29,544	$0	$40,577	$0	$356,999	$0	$0	$0
Jason Buskirk
VP, Enterprise Data&Analytics	$273,635	$0	$10,674	$0	$0	$0	$29,339	$0	$40,731	$0	$354,379	$0	$0	$0
Tanya Thompson
VP, IT Applications	$271,257	$0	$0	$0	$0	$0	$27,942	$0	$34,522	$0	$333,721	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 1A:	FormAndLineReferenceDesc
Explanation	DURING THE YEAR AN OFFICER'S SPOUSE ACCOMPANIED THE BOARD MEMBER ON A BUSINESS TRIP THAT WAS TAKEN ON BEHALF OF THE ORGANIZATION. THE SPOUSAL TRAVEL WAS TREATED AS A TAXABLE BENEFIT.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
North Carolina Medical Care Commission
A	521309402	65821DSP7	2015-04-01	$323,487,711	See Part VI	false	false	false
North Carolina Medical Care Commission
B	521309402	000000000	2019-10-23	$54,065,000	See Part VI	false	false	false
North Carolina Medical Care Commission
C	521309402	000000000	2022-03-03	$94,710,000	See Part VI	false	false	false
North Carolina Medical Care Commission
D	521309402	000000000	2022-06-15	$149,080,000	See Part VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$9,975,000	$101,920,000	$331,133,890	$0	$19,782,750	$0	$2,579,709	$0	$0	$170,187,251	$138,584,180	$0	2018	false	Yes (true)	Yes (true)	Yes (true)
B	$6,150,000	$0	$54,072,613	$0	$0	$0	$173,473	$0	$0	$3,867,613	$50,031,527	$0	2019	Yes (true)	Yes (true)	Yes (true)	Yes (true)
C	$5,600,000	$0	$94,710,000	$0	$0	$0	$0	$0	$0	$0	$94,710,000	$0		false	Yes (true)	Yes (true)	Yes (true)
D	$14,940,000	$0	$149,080,000	$0	$0	$0	$0	$0	$0	$0	$149,080,000	$0		Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	false	Yes (true)
D	false	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
C	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
D	false	false	Yes (true)	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Line A, Column f:	Proceeds used to (a) refund Series 2008D Bonds (issued 12/10/2008) and (b) fund Cancer Center construction, two new outpatient clinics and various equipment.
Schedule K, Part I, Line B, Column f:	Proceeds used to (a) refund Series 2012A Bonds (issued 5/3/2012), HRMC Series 2016 Bonds (issued 9/1/2016), HRMC Series 2011 Bonds (issued 7/1/2011) and HRMC Taxable Note (issued 9/27/2016) and (b) purchase a medical transportation helicopter.
Schedule K, Part I, Line C, Column f:	Proceeds used to refund Series 2019A Bonds (issued 10/23/2019)
Schedule K, Part I, Line D, Column f:	Proceeds used to refund Series 2011 Bonds (issued 6/23/2011) and Series 2013 A&B Bond (issued 8/22/2013).
Schedule K, Part IV, Arbitrage, Line 2c, Column A:	Date the Rebate Computation was Performed: 06/01/2019
Schedule K, Part IV, Arbitrage, Line 2c, Column C:	Date the Rebate Computation was Performed: 06/01/2022
Schedule K, Part II, Line 3, Columns A&B:	Includes investment earnings on bond proceeds.

Schedule L IRS990ScheduleL

Field	Value	IRS element (for citing)
Total Balance Due	$0	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Ele Inc	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	ERNEST L. EVANS (BOARD MEMBER)	RelationshipDescriptionTxt
Transaction	$109,135	TransactionAmt
Transaction	SEE PART V	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	FormAndLineReferenceDesc
Explanation	(a) NAME OF INTERESTED PERSON: ELE, INC. (b) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: ERNEST L. EVANS (BOARD MEMBER) (d) DESCRIPTION OF TRANSACTION: LEASES OFFICE SPACE TO ECU HEALTH	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A:	OVERVIEW OF UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA D/B/A ECU HEALTH: AT ECU HEALTH, WE ARE COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITIES. EASTERN NORTH CAROLINA RESIDENTS LOOK TO OUR HOSPITALS FOR QUALITY HEALTH CARE. WE WORK HARD TO UPHOLD THE TRUST THAT OUR COMMUNITIES PLACE IN US. THROUGH A CLEAR VISION, DISCIPLINED LEADERSHIP AND COMMITTED EMPLOYEES, ECU HEALTH SERVES THE NEEDS OF THE REGION, INCLUDING THOSE WHO ARE UNDERSERVED AND NEED US THE MOST. OUR MISSION AT ECU HEALTH TO ENHANCE THE QUALITY OF LIFE FOR THE PEOPLE AND COMMUNITIES WE SERVE, TOUCH AND SUPPORT, DRIVES US FAR BEYOND CARING FOR PATIENTS WITHIN THE CONFINES OF OUR HOSPITAL WALLS. IT CALLS US TO HELP MAKE EASTERN NORTH CAROLINA A BETTER, HEALTHIER PLACE TO LIVE. ECU HEALTH IS A NORTH CAROLINA NON-PROFIT CORPORATION WITH HEADQUARTERS IN GREENVILLE, NORTH CAROLINA. ECU HEALTH AND ITS AFFILIATES OPERATE AN INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT SERVES A TOTAL MARKET OF APPROXIMATELY 1.4 MILLION PEOPLE IN 29 CONTIGUOUS COUNTIES IN EASTERN NORTH CAROLINA. THE HEALTH SYSTEM INCLUDES HOSPITALS, PHYSICIAN PRACTICES, OUTPATIENT SERVICES, LONG-TERM CARE, HOME HEALTH, HOSPICE, AND WELLNESS SERVICES. THE HEALTH SYSTEM'S OWNED HOSPITALS ARE ECU HEALTH MEDICAL CENTER, WHICH IS A TERTIARY CARE HOSPITAL AND AN ACADEMIC MEDICAL CENTER, THAT INCLUDES THE ECU HEALTH BEAUFORT HOSPITAL AS A DEPARTMENT OPERATING AS A CAMPUS OF ECU HEALTH MEDICAL CENTER AND SEVEN OTHER ACUTE CARE HOSPITALS: ECU HEALTH ROANOKE-CHOWAN HOSPITAL, ECU HEALTH EDGECOMBE HOSPITAL, ECU HEALTH CHOWAN HOSPITAL, ECU HEALTH BERTIE HOSPITAL, ECU HEALTH DUPLIN HOSPITAL, ECU HEALTH NORTH HOSPITAL, AND THE OUTER BANKS HOSPITAL. ECU HEALTH MEDICAL CENTER SERVES AS THE TEACHING HOSPITAL FOR THE BRODY SCHOOL OF MEDICINE, EAST CAROLINA SCHOOLS OF NURSING AND ALLIED HEALTH AND PITT COMMUNITY COLLEGE. THE SYSTEM ALSO SERVES AS A REGIONAL REFERRAL CENTER FOR EASTERN NORTH CAROLINA. THE SYSTEM'S NINE OWNED HOSPITALS ARE LICENSED TO OPERATE 1,708 BEDS. EACH HOSPITAL IS LICENSED BY THE DIVISION OF FACILITY SERVICES OF THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES AND APPROVED AS A PROVIDER BY THE MEDICARE AND MEDICAID PROGRAMS. ECU HEALTH AND ITS HOSPITALS AND AFFILIATE ORGANIZATIONS PROVIDE SERVICES TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. IN FISCAL YEAR 2023 ECU HEALTH'S COMBINED PATIENT CARE STATISTICS WERE: INPATIENT ADMISSIONS, 62,717; INPATIENT DAYS OF CARE, 371,692; SURGERIES, 52,721; BIRTHS, 6,364; AND OUTPATIENT VISITS, 432,010. OUR SYSTEM'S WORKFORCE INCLUDED 12,652 EMPLOYEES. EACH OF ECU HEALTH'S HOSPITALS OPERATES AN EMERGENCY ROOM, WHICH IS OPEN 24 HOURS A DAY. ECU HEALTH MEDICAL CENTER ALSO OFFERS A FULL SPECTRUM OF TRAUMA SERVICES. EMERGENCY AND TRAUMA SERVICES ARE PROVIDED TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. IN FISCAL YEAR 2023 ECU HEALTH PROVIDED CARE TO 259,133 EMERGENCY ROOM PATIENTS. ECU HEALTH'S BOARD OF DIRECTORS CONSISTS OF 11 VOTING MEMBERS, SIX OF WHOM MUST BE CURRENT OR FORMER PITT COUNTY, NORTH CAROLINA APPOINTEES OF ECU HEALTH MEDICAL CENTER'S BOARD OF TRUSTEES AND FIVE OF WHOM MUST BE CURRENT OR FORMER BOARD OF GOVERNORS OF THE UNIVERSITY OF NORTH CAROLINA APPOINTEES OF ECU HEALTH MEDICAL CENTER'S BOARD OF TRUSTEES. ECU HEALTH MEDICAL CENTER, IN AFFILIATION WITH THE BRODY SCHOOL OF MEDICINE, WHICH IS OWNED BY THE STATE OF NORTH CAROLINA, OPERATES 30 RESIDENT-TRAINING PROGRAMS WITH OVER 400 MEDICAL RESIDENTS. THIS RELATIONSHIP ENABLES ECU HEALTH MEDICAL CENTER AND THE BRODY SCHOOL OF MEDICINE TO COMBINE THEIR RESOURCES FOR THE PROVISION OF QUALITY PATIENT CARE, MEDICAL EDUCATION AND RESEARCH FOR THE RESIDENTS OF EASTERN NORTH CAROLINA. THE BRODY SCHOOL OF MEDICINE HAS THREE IMPORTANT GOALS: EDUCATING PRIMARY CARE PHYSICIANS, MAKING MEDICAL CARE MORE READILY AVAILABLE TO THE PEOPLE OF EASTERN NORTH CAROLINA, AND PROVIDING OPPORTUNITIES TO MINORITY AND DISADVANTAGED STUDENTS. AS A NON-PROFIT ORGANIZATION, ECU HEALTH REINVESTS ALL EXCESS OF REVENUES OVER EXPENSES IN PROGRAMS, SERVICES, AND FACILITIES THAT PROVIDE ACCESS TO PATIENT CARE AND HEALTH SERVICES TO THE CITIZENS OF EASTERN CAROLINA. OVERVIEW OF ECU HEALTH COMMUNITY BENEFIT PROGRAMS 1. EASTERN NORTH CAROLINA IS COMPRISED OF 1.4 MILLION PEOPLE LIVING IN 14,000 SQUARE MILES. BOUNDARIES ARE FROM I-95 EAST TO THE COAST, AND FROM THE VIRGINIA LINE DOWN TO AND INCLUDING ONSLOW COUNTY. THE AREA IS LARGELY RURAL AND LARGELY POOR, WITH HIGHER THAN STATE OR NATIONAL AVERAGE RATES FOR POVERTY AND UNINSURED. HEALTH STATUS INDICATORS SHOW INCREASED INCIDENCE OF DISEASE IN THE REGION, ESPECIALLY CANCER, HEART DISEASE AND STROKE. ECU HEALTH DETERMINES PRIORITIES FOR TARGET POPULATIONS BY WORKING IN CONCERT WITH MEDICAL AND COMMUNITY AGENCY PARTNERS IN ONGOING ASSESSMENT OF THE MOST PRESSING HEALTH CARE NEEDS. MANY EFFORTS OVER THE PAST DECADE HAVE FOCUSED ON DIABETES, PEDIATRIC ASTHMA, SCHOOL HEALTH, INJURY PREVENTION, ACCESS TO CARE, NUTRITION ENHANCEMENT, PHYSICAL ACTIVITIES AND CHRONIC DISEASE SCREENINGS. ALSO, SPECIAL PROGRAMS TO MANAGE THE CARE OF MEDICAID ENROLLEES, ADDRESS ACCESS TO BOTH MEDICAL CARE AND MEDICATIONS FOR THE UNINSURED, AND COORDINATION OF SERVICES FOR CHILDREN WITH OBESITY HAVE BEEN UNDERTAKEN. THE POPULATIONS THAT ARE SERVED BY ADDRESSING THESE ISSUES ARE LARGELY THE POOR, THE UNDERSERVED, AND MINORITIES. DETERMINATION OF SPECIFIC POPULATIONS TO ADDRESS OCCURS WHEN PARTNERS SUCH AS THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES, LOCAL HEALTH DEPARTMENTS, COUNTY HEALTHY CAROLINIAN TASK FORCES, AND PHYSICIANS IDENTIFY A QUANTIFIABLE NEED, AND COMMUNITY PARTNERS ARE ENGAGED TO WORK TOGETHER WITH THE HEALTH SYSTEM. 2. FUNDING FOR COMMUNITY HEALTH PROGRAMS IS OBTAINED FROM BOTH THE OPERATING FUNDS OF ECU HEALTH ENTITIES AND EXTERNAL GRANT-AWARDING ORGANIZATIONS. THE ECU HEALTH BOARD ANNUALLY PROVIDES FINANCIAL SUPPORT FOR THE COMMUNITY BENEFIT INITIATIVES PROGRAM OF ITS FOUNDATION. THESE FUNDS ARE THEN AWARDED TO COMMUNITY AGENCIES THAT SUCCESSFULLY DEMONSTRATE BOTH NEED AND A WELL-DESIGNED PLAN TO ADDRESS ONE OF THE FOUNDATION'S PRIORITY CATEGORIES. IN ADDITION, EACH ECU HEALTH HOSPITAL FINANCIALLY SUPPORTS COMMUNITY HEALTH RESOURCES WITHIN ITS OPERATING BUDGET. PROGRAMS VARY ACCORDING TO THE HOSPITAL'S FINANCIAL ABILITY AND COMMUNITY NEED, BUT ALL INCLUDE COLLABORATIVE EFFORTS WITH LOCAL HEALTH DEPARTMENTS, INCLUDING HEALTH SCREENINGS AND EDUCATION TO TARGETED POPULATIONS. ECU HEALTH ALSO HAS A SUCCESSFUL TRACK RECORD OF OBTAINING COMMUNITY HEALTH PROGRAM SUPPORT FROM EXTERNAL AGENCIES THAT AWARD GRANT FUNDING TO APPROVE PROJECTS. THE ECU HEALTH GRANTS OFFICE WAS ESTABLISHED IN 2008 AND SERVES AS THE CENTRAL POINT FOR GRANT MINING, ACQUISITION AND MANAGEMENT OF GRANTS AWARDED TO ECU HEALTH HOSPITALS FOR COMMUNITY-BASED PROGRAMS. GRANT FUNDS ARE UTILIZED TO DEMONSTRATE THE EFFECTIVENESS OF A PROPOSED COMMUNITY PROGRAM, MEASURE THE OUTCOMES ACHIEVED, AND GARNER LONG-TERM SUSTAINABILITY FROM EITHER THE HEALTH SYSTEM, OTHER COMMUNITY AGENCIES OR AS A COLLABORATIVE PROGRAM. MANY COMMUNITY HEALTH PROGRAMS ARE COLLABORATIVE IN NATURE WITH LOCAL SERVICE AGENCIES, AND OFTEN A PORTION OF THE GRANT FUNDS ARE USED TO SUPPORT RESOURCES OR SERVICES IN THESE AGENCIES. 3. COMMUNITY HEALTH PRIORITIES ARE DETERMINED FOLLOWING A COMPREHENSIVE REVIEW OF COMMUNITY MEMBER FEEDBACK AND SECONDARY HEALTH DATA. COMMUNITY ALLIANCES, PARTNERS AND ORGANIZATIONS, INCLUDING LOCAL HEALTH DEPARTMENTS, PARTICIPATE IN THIS REVIEW. A LIST OF THE MOST PRESSING HEALTH ISSUES IS COMPILED FOR EACH COMMUNITY AND THEN PRIORITIZED FOLLOWING AN ASSESSMENT OF CURRENT HEALTH RESOURCES TO ADDRESS THE IDENTIFIED HEALTH ISSUES. ESTABLISHED RESOURCES/COALITIONS AND NEW PARTNERSHIPS ARE FORMED TO ADDRESS THE IDENTIFIED HEALTH PRIORITIES. 4. COMMUNITY PRIORITIES ARE ALSO ESTABLISHED IN RESPONSE TO A COMPELLING NEED IDENTIFIED BY HEALTH PRACTITIONERS OR COMMUNITY GROUPS. ECU HEALTH IS FORTUNATE TO HAVE A STRONG COLLABORATIVE PARTNERSHIP WITH EAST CAROLINA UNIVERSITY, AND WORKS CLOSELY WITH THE SCHOOLS WITHIN THE HEALTH SCIENCES DIVISION, ESPECIALLY THE BRODY SCHOOL OF MEDICINE.
FORM 990, PART III, LINE 4A CONTINUATION:	5. PROVIDED BELOW ARE A FEW HIGHLIGHTS OF THE COMMUNITY BENEFIT AND EDUCATION ACTIVITIES: 5A. COMMUNITY HEALTH IMPROVEMENT SERVICES: COMMUNITY HEALTH IMPROVEMENT SERVICES ARE PROGRAMS AND SERVICES THAT MEET AN IDENTIFIED NEED AND ARE OFFERED TO THE COMMUNITY AT LITTLE OR NO CHARGE. ECU HEALTH HOSPITALS SPONSOR PROGRAMS THAT IMPROVE ACCESS TO HEALTH CARE FOR THE UNDERSERVED AND ENHANCE THE IDENTIFICATION AND MANAGEMENT OF CHRONIC DISEASES, SUCH AS CANCER, DIABETES AND HEART DISEASE. HERE ARE A FEW EXAMPLES OF THESE PROGRAMS: - MEDICAL ASSISTANCE PROGRAMS FOR UNINSURED PATIENTS - SUPPORT FOR HEALTHY COMMUNITY COALITIONS, INCLUDING HEALTHY CAROLINIANS OF THE OUTER BANKS. - SUPPORT OF LOCAL FEDERALLY QUALIFIED HEALTH CENTER - SUPPORT FOR HEALTHY NEIGHBORS FAITH HEALTH PARTNERSHIP - SUPPORT FOR SCHOOL HEALTH PARTNERSHIPS 5B. HEALTH PROFESSIONAL EDUCATION: PREPARING FUTURE HEALTH CARE PROFESSIONALS IS IMPORTANT TO US. OUR HOSPITALS PROVIDE CLINICAL SETTINGS FOR STUDENTS OF HEALTH PROFESSIONS, SUCH AS FUTURE PHYSICIANS, NURSES AND OTHER ALLIED HEALTH PROFESSIONALS. WE ALSO SUPPORT STUDENTS THROUGH DEFERRED FORGIVABLE LOANS AND INTERNSHIPS INCLUDING RESIDENT TRAINING, NURSING CLINIC SITES, ALLIED HEALTH PROFESSIONALS, AND FINANCIAL SUPPORT OF NURSING PROGRAMS. 5C. RESEARCH: EAST CAROLINA UNIVERSITY (ECU) CONDUCTS RESEARCH TO EVALUATE NEW TREATMENTS AND PROTOCOLS. THESE STUDIES HELP HEALTH PROFESSIONALS EVERYWHERE PROVIDE QUALITY CARE TO PATIENTS. ECU HEALTH SUPPORTS THIS THROUGH VARIOUS MEANS INCLUDING SUPPORTING THE INSTITUTIONAL REVIEW BOARD AT ECU AND PROVIDING STUDY SITES. 5D. FINANCIAL AND IN-KIND CONTRIBUTIONS: ECU HEALTH DONATES MONEY AND IN-KIND SERVICES TO COMMUNITY GROUPS AND ACTIVITIES THAT SHARE OUR MISSION OF IMPROVING HEALTH. THEY INCLUDE MEALS ON WHEELS, THE BLOOD CONNECTION BLOOD DRIVES, MEDICAL SUPPLIES TO EMERGENCY MEDICAL SERVICES, FREE MEDICATIONS TO QUALIFYING PATIENTS, AND LOCAL HIGH SCHOOL AND COMMUNITY COLLEGE ALLIED HEALTH PROGRAMS. ECU HEALTH HOSPITALS ARE KEY PARTNERS IN FUNDRAISING FOR ORGANIZATIONS SUCH AS THE UNITED WAY, AMERICAN HEART ASSOCIATION, AND THE AMERICAN CANCER SOCIETY. 5E. COMMUNITY BUILDING: COMMUNITY-BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ARE NOT DIRECTLY RELATED TO HEALTH CARE BUT ADDRESS UNDERLYING ISSUES THAT IMPACT THE HEALTH OF COMMUNITIES. POVERTY, CRIME, HOMELESSNESS, WORKFORCE DEVELOPMENT AND ECONOMIC DEVELOPMENT ALL AFFECT THE OVERALL HEALTH OF COMMUNITIES. ECU HEALTH HAS PROVIDED SUPPORT FOR OUR LOCAL CHAMBERS OF COMMERCE, INVESTMENTS IN COMMUNICATION INFRASTRUCTURE VIA INFORMATION TECHNOLOGY CONNECTIONS, SUPPORT FOR THE TEEN LEADERSHIP ACADEMY, RECRUITMENT OF PHYSICIANS TO OUR RURAL COMMUNITIES, AND PROGRAMS THAT ENCOURAGE STUDENTS TO PURSUE HEALTH CAREERS.
FORM 990, PART VI, LINE 4:	REVISED BY-LAWS EFFECTIVE MARCH 28, 2023 TO UPDATE EX OFFICIO MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11B:	THE 990 IS MADE AVAILABLE TO BOARD MEMBERS BY POSTING TO A BOARD MEMBER'S WEBSITE. ANY BOARD MEMBER WHO DOES NOT HAVE THE ABILITY TO ACCESS THE RETURN IN THIS MANNER WILL RECEIVE A COPY VIA ELECTRONIC OR REGULAR MAIL. THE RETURN IS ALSO REVIEWED BY THE CHIEF FINANCIAL OFFICER, CHIEF GENERAL COUNSEL AND THE CHIEF AUDIT AND COMPLIANCE OFFICER OF ECU HEALTH PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C:	ALL OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A YEARLY COMPREHENSIVE CONFLICT OF INTEREST QUESTIONNAIRE. THESE ARE REVIEWED BY LEGAL COUNSEL AND ANY POTENTIAL OR ACTUAL CONFLICTS ARE BROUGHT TO THE BOARD FOR DISPOSITION. BOARD MEMBERS ARE INSTRUCTED TO REPORT ANY POTENTIAL CONFLICTS ARISING DURING THE YEAR FOR REVIEW. BOARD MEMBERS ARE REQUIRED TO RECUSE THEMSELVES FROM VOTING ON ISSUES IN WHICH THEY ARE DEEMED TO HAVE A CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15:	THE TOP MANAGEMENT OFFICIAL IS THE CEO WHO IS AN EMPLOYEE OF ECU HEALTH. THE COMPENSATION IS DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE ECU HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS ALSO DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE ECU HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. ALL COMPENSATION DISCUSSIONS AND ACTIONS ARE DOCUMENTED AND APPROVED IN THE MINUTES OF THE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19:	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D).
FORM 990, PART VII:	AMOUNTS PAID TO BOARD DIRECTOR ARE RELATED TO PRIOR YEAR EMPLOYMENT AGREEMENTS AND NOT THE INDIVIDUAL'S ROLE ON THE BOARD OF DIRECTORS.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS:	NET ASSET TRANSFER $27,435,443 CAPITAL CONTRIBUTED TO VIDANT INTEGRATED CARE $2,093,000 CAPITAL CONTRIBUTED TO COASTAL PLAINS NETWORK $1,636,000 ------------ TOTAL TO FORM 990, PART XI, LINE 9 $31,164,443
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:42000963

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Vidant Integrated Care LLC
2335 Hemby Lane	Greenville	NC	27834	562141073	SEE PART VII	NC	$0	$83,089	ECU Health
Coastal Plains Network LLC
800 WH Smith Blvd	Greenville	NC	27835	465731823	SEE PART VII	NC	$0	$5,263,188	ECU Health

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ACCESS EAST INC
2410 Statonsburg Rd Stanton Square	Greenville	NC	27834	561949493	Healthcare	NC	501(C)(3)	Line 10	ECU Health	false
DUPLIN GENERAL HOSPITAL
2100 Stantonsburg Rd	Greenville	NC	27835	566011594	Hospital	NC	501(C)(3)	Line 3	ECU Health	false
EAST CAROLINA HEALTH - BEAUFORT
2100 Stantonsburg Rd	Greenville	NC	27835	452436270	Hospital	NC	501(C)(3)	Line 3	ECU Health	false
East Carolina Health - Bertie
2100 Stantonsburg Rd	Greenville	NC	27835	562072002	Hospital	NC	501(C)(3)	Line 3	ECU Health	false
East Carolina Health - Chowan
2100 Stantonsburg Rd	Greenville	NC	27835	562101090	Hospital	NC	501(C)(3)	Line 3	ECU Health	false
EAST CAROLINA HEALTH - HERITAGE
2100 Stantonsburg Rd	Greenville	NC	27835	562093700	Hospital	NC	501(C)(3)	Line 3	ECU Health	false
EAST CAROLINA HEALTH INC
2100 Stantonsburg Rd	Greenville	NC	27835	562003393	Hospital	NC	501(C)(3)	Line 3	ECU Health	false
HALIFAX REGIONAL MEDICAL CENTER INC
2100 Stantonsburg Rd	Greenville	NC	27835	560989789	Hospital	NC	501(C)(3)	Line 3	ECU Health	false
HEALTHACCESS INC
2100 Stantonsburg Rd	Greenville	NC	27835	561396133	Healthcare	NC	501(C)(3)	Line 12b,II	ECU Health	false
PCMH Management Inc
2100 Stantonsburg Rd	Greenville	NC	27835	561690740	Medical Prop.	NC	501(C)(2)	N/A	ECU Health	false
Pitt County Memorial Hospital Inc
2100 Stantonsburg Rd	Greenville	NC	27835	560585243	Hospital	NC	501(C)(3)	Line 3	ECU Health	false
ROANOKE VALLEY HEALTH SERVICES
2100 Stantonsburg Rd	Greenville	NC	27835	561925492	Healthcare	NC	501(C)(3)	Line 3	ECU Health	false
THE OUTER BANKS HOSPITAL INC
2100 Stantonsburg Rd	Greenville	NC	27835	562112733	Hospital	NC	501(C)(3)	Line 3	EC Health	false
Vidant Medical Group LLC
2100 Stantonsburg Rd	Greenville	NC	27835	383740839	Healthcare	NC	501(C)(3)	12c, III-FI	ECU Health	false
EAST CAROLINA HEALTH INC
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	911997979	HOSPITAL	NC	501(C)(3)	LINE 3	ECU HEALTH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Surgicenter of Eastern Carolina LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 Stantonsburg Rd	AddressLine1Txt
City	Greenville	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27835	ZIPCd

Field	Value	IRS element (for citing)
EIN	262558314	EIN
Primary Activities	SEE PART VII	PrimaryActivitiesTxt
Legal Domicile State	NC	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SEE PART VII	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Share Of Total Income	$10,810,840	ShareOfTotalIncomeAmt
Share Of EOY Assets	$10,611,155	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.55000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Channel Marker Insurance Company SPC	BusinessNameLine1Txt

Foreign Address ForeignAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 1085	AddressLine1Txt
City	Grand Cayman	CityNm
Country	CJ	CountryCd
Foreign Postal	KY-1102	ForeignPostalCd

Field	Value	IRS element (for citing)
Primary Activities	Self-Insurance	PrimaryActivitiesTxt
Legal Domicile Foreign Country	CJ	LegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ECU Health	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C corp	EntityTypeTxt
Share Of Total Income	$22,428,275	ShareOfTotalIncomeAmt
Share Of EOY Assets	$49,517,600	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (75 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Access East Inc
A	$293,406	Interco. Inv.
Access East Inc
P	-$34,892	Interco. Inv.
Access East Inc
Q	$2,897,985	Interco. Inv.
Access East Inc
L	-$2,544,176	Interco. Inv.
Access East Inc
O	-$1,488	Interco. Inv.
Channel Marker Insurance Company SPC
R	-$23,265,920	Interco. Inv.
Channel Marker Insurance Company SPC
S	$683,457	Interco. Inv.
Channel Marker Insurance Company SPC
S	$38,731,853	Interco. Inv.
Channel Marker Insurance Company SPC
B	-$20,000,000	Actual Cash
Coastal Plains Network LLC
L	-$1,136,462	Interco. Inv.
Coastal Plains Network LLC
B	$1,635,708	Actual Cash
ECU Health Beaufort Hospital
B	-$1,000,000	Actual Cash
ECU Health Bertie Hospital
A	-$7,046	Interco. Inv.
ECU Health Bertie Hospital
Q	$1,453,990	Interco. Inv.
ECU Health Bertie Hospital
L	-$2,298,365	Interco. Inv.
ECU Health Bertie Hospital
B	-$3,000,000	Actual Cash
ECU Health Chowan Hospital
A	-$138,990	Interco. Inv.
ECU Health Chowan Hospital
Q	$3,458,079	Interco. Inv.
ECU Health Chowan Hospital
L	-$5,673,919	Interco. Inv.
ECU Health Chowan Hospital
B	-$12,000,000	Actual Cash
ECU Health Duplin Hospital
Q	$3,721,149	Interco. Inv.
ECU Health Duplin Hospital
L	-$6,156,548	Interco. Inv.
ECU Health Duplin Hospital
B	-$2,000,000	Actual Cash
ECU Health Edgecombe Hospital
A	-$2,089,887	Interco. Inv.
ECU Health Edgecombe Hospital
Q	$4,827,294	Interco. Inv.
ECU Health Edgecombe Hospital
L	-$9,365,807	Interco. Inv.
ECU Health Edgecombe Hospital
O	-$83	Interco. Inv.
ECU Health Edgecombe Hospital
B	-$7,000,000	Actual Cash
ECU Health Medical Center
A	-$19,975,290	Interco. Inv.
ECU Health Medical Center
A	$28,500,708	Interco. Inv.
ECU Health Medical Center
P	$70,759	Interco. Inv.
ECU Health Medical Center
P	-$78,743,091	Interco. Inv.
ECU Health Medical Center
Q	$9,765,467	Interco. Inv.
ECU Health Medical Center
L	-$196,735,667	Interco. Inv.
ECU Health Medical Center
M	$76	Interco. Inv.
ECU Health Medical Center
K	$247,983	Interco. Inv.
ECU Health Medical Center
B	-$190,000,000	Actual Cash
ECU Health North Hospital
A	-$396,823	Interco. Inv.
ECU Health North Hospital
Q	$6,553,513	Interco. Inv.
ECU Health North Hospital
L	-$9,646,880	Interco. Inv.
ECU Health North Hospital
B	$25,000,000	Actual Cash
ECU Health Physicians
P	-$15,288,105	Interco. Inv.
ECU Health Physicians
Q	$28,274,933	Interco. Inv.
ECU Health Physicians
L	-$15,357,587	Interco. Inv.
ECU Health Physicians
M	$246,338	Interco. Inv.
ECU Health Physicians
O	$3,297,637	Interco. Inv.
ECU Health Physicians
B	$172,500,000	Actual Cash
ECU Health Properties(pmi)
P	-$1,471	Interco. Inv.
ECU Health Properties(pmi)
Q	$136,391	Interco. Inv.
ECU Health Properties(pmi)
L	-$248,763	Interco. Inv.
ECU Health Properties(pmi)
K	$2,694,734	Interco. Inv.
ECU Health Properties(pmi)
B	-$2,565,989	Actual Cash
ECU Health Roanoke-Chowan Hospital
A	-$328,339	Interco. Inv.
ECU Health Roanoke-Chowan Hospital
P	$180	Interco. Inv.
ECU Health Roanoke-Chowan Hospital
Q	$5,548,314	Interco. Inv.
ECU Health Roanoke-Chowan Hospital
L	-$9,686,537	Interco. Inv.
ECU Health Roanoke-Chowan Hospital
O	-$74,267	Interco. Inv.
ECU Health Roanoke-Chowan Hospital
B	$4,500,000	Actual Cash
HealthAccess Inc
Q	$2,180,934	Interco. Inv.
HealthAccess Inc
L	-$304,899	Interco. Inv.
HealthAccess Inc
P	$29,231	Interco. Inv.
HealthAccess Inc
B	$7,400,000	Actual Cash
Moye Medical Endoscopy Center LLC
P	-$1,000	Interco. Inv.
Moye Medical Endoscopy Center LLC
Q	$1,200	Interco. Inv.
Moye Medical Endoscopy Center LLC
L	-$1,599	Interco. Inv.
The Outer Banks Hospital Inc
Q	$5,275,283	Interco. Inv.
The Outer Banks Hospital Inc
L	-$8,811,334	Interco. Inv.
The Outer Banks Hospital Inc
M	$7,333	Interco. Inv.
The Outer Banks Hospital Inc
O	-$28,290	Interco. Inv.
The Outer Banks Hospital Inc
B	-$3,000,000	Actual Cash
Roanoke Valley Health Services Inc
P	-$9,960	Interco. Inv.
Roanoke Valley Health Services Inc
Q	$927,110	Interco. Inv.
Vidant Intergrated Care LLC
L	-$1,458,395	Interco. Inv.
Vidant Intergrated Care LLC
M	$767,003	Interco. Inv.
Vidant Intergrated Care LLC
B	$2,093,302	Actual Cash

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE R, PART I, IDENTIFICATION OF DISREGARDED ENTITIES:	FULL NAME, EIN, ADDRESS, and primary activity OF DISREGARDED ENTITIES: NAME: VIDANT INTEGRATED CARE, LLC D/B/A ECU HEALTH ALLIANCE, LLC EIN: 56-2141073 ADDRESS: 2335 HEMBY LANE, GREENVILLE, NC 27834 PRIMARY ACTIVITY: CLINICALLY INTEGRATED NETWORK NAME: COASTAL PLAINS NETWORK, LLC EIN: 46-5731823 ADDRESS: 800 W.H. SMITH BOULEVARD, GREENVILLE, NC 27835 PRIMARY ACTIVITY: ACCOUNTABLE CARE ORGANIZATION
SCHEDULE R, PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS:	FULL NAME, EIN, AND ADDRESS OF RELATED ORGANIZATIONS: Name: DUPLIN GENERAL HOSPITAL D/B/A ECU HEALTH DUPLIN HOSPITAL EIN: 56-6011594 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: EAST CAROLINA HEALTH-BEAUFORT D/B/A ECU HEALTH BEAUFORT HOSPITAL EIN: 45-2436270 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: EAST CAROLINA HEALTH-BERTIE D/B/A ECU HEALTH BERTIE HOSPITAL EIN: 56-2072002 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: EAST CAROLINA HEALTH-CHOWAN D/B/A ECU HEALTH CHOWAN HOSPITAL EIN: 56-2101090 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: EAST CAROLINA HEALTH-HERITAGE D/B/A ECU HEALTH EDGECOMBE HOSPITAL EIN: 56-2093700 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: EAST CAROLINA HEALTH, INC. D/B/A ECU HEALTH COMMUNITY HOSPITALS EIN: 56-2003393 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: HALIFAX REGIONAL MEDICAL CENTER, INC. D/B/A ECU HEALTH NORTH HOSPITAL EIN: 56-0989789 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: PCMH Management, Inc. D/B/A ECU Health Properties EIN: 56-1690740 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: PITT COUNTY MEMORIAL HOSPITAL, INC. D/B/A ECU HEALTH MEDICAL CENTER EIN: 56-0585243 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: THE OUTER BANKS HOSPITAL, INC. D/B/A OUTER BANKS HEALTH EIN: 56-2112733 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: VIDANT MEDICAL GROUP, LLC. D/B/A ECU HEALTH PHYSICIANS EIN: 38-3740839 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: EAST CAROLINA HEALTH, INC. D/B/A ECU HEALTH COMMUNITY HOSPITALS GROUP EIN: 91-1997979 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835
SCH. R, PART III, IDENTIFICATION OF RELATED ORG. TAXABLE AS A PARTNERSHIP:	FULL NAME, EIN, AND ADDRESS OF RELATED ORGANIZATION: NAME: SURGICENTER OF EASTERN CAROLINA, LLC EIN: 26-2558314 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 PRIMARY ACTIVITY: AMBULATORY SURGICAL SERVICES DIRECT CONTROLLOING ENTITY: PITT COUNTY MEMORIAL HOSPITAL, INC. D/B/A ECU HEALTH MEDICAL CENTER