2024-07-09T12:46:39-05:00 2023-09-30 BDO USA 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2022-10-01 562141073 University Health Systems of Eastern Carolina Inc % JENNIFER WORSLEY UNIV 2528475129 2100 Stantonsburg Road Greenville NC 27835 Andrew Zukowski CFO 2528475129 2024-06-20 true Andrew Zukowski 999009999 SANDRA L FEINSMITH P01064157 9192781936 2024-06-20 2022 2023-04-26 12:10:37Z ECU Health MICHAEL WALDRUM 2100 Stantonsburg Road Greenville NC 27835 328232443 false X www.ecuhealth.org X 1998 NC TO ADVANCE AND SUPPORT THE HEALTHCARE NEEDS OF THE COMMUNITIES OF EASTERN NORTH CAROLINA. 11 8 0 8 0 0 1058120 674580 302792555 327373259 -12046838 -21023235 8268 8280 291812105 307032884 220771 187600 0 0 145784600 176235168 0 0 0 178305923 195339998 324311294 371762766 -32499189 -64729882 235027049 302588318 731676200 762332765 -496649151 -459744447 X TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA. false false 344234098 187600 327381539 SEE SCHEDULE O 344234098 true true false true false false false false false false true false false true true true false true false false true false false false false false false true false true true false false false false false false false false false true false false false false true true true true false false true 945 0 true 0 false true false false false false false false false false false false X 11 8 false false true false false false false true true false false true true true true true true true true false X X JENNIFER WORSLEY 2528472254 2100 STANTONSBURG ROAD Greenville NC 27835 X Michael Waldrum Chief Executive Officer 40.0 14.0 X 986095 0 792121 David Hughes THRU 1222 CHIEF FIN. SERVICES OFFICER 40.0 10.0 X 607253 0 465113 William Floyd COO/PRES. ECU HEALTH MED CTR 2.0 44.0 X 0 640470 242062 Niti Armistead MD Chief Medical Officer 40.0 0.0 X 528940 0 126220 Ryan Hickey Chief Clinical Network Dev.OfF 40.0 0.0 X 409214 0 178737 Jay Briley PRES., ECU HEALTH CMUNTY HOSP. 40.0 8.0 X 395814 0 185320 Donnette Herring Chief Information Officer 40.0 0.0 X 426677 0 137090 Jerry Townsend VP, Financial Services 40.0 2.0 X 398300 0 163448 Julie Oehlert Chief Experience Officer 40.0 0.0 X 401581 0 123490 Jennifer Thomas SVP, Financial Services 40.0 2.0 X 359831 0 127962 Joseph Pye SVP Medical Affairs 40.0 0.0 X 348159 0 125800 Vicki Haddock VP, Office of Gen Counsel 40.0 0.0 X 250840 0 198834 Charlene Wilson Chief Human Resources Officer 40.0 0.0 X 354681 0 94732 Teresa Anderson SVP Quality 40.0 0.0 X 240499 0 142551 David Michael CHIEF MED. INFORMATION OFFICER 40.0 0.0 X 305212 0 77493 Mark Dunn CHIEF D&I & TALENT MGMT 40.0 2.0 X 285103 0 91426 Christina Bowen Chief Well-Being Officer 40.0 0.0 X 330818 4138 36432 Robert Speakman VP, Tech Infrastructure_CTO 40.0 0.0 X 286878 0 70121 Jason Buskirk VP, Enterprise Data&Analytics 40.0 0.0 X 284309 0 70070 Tanya Thompson VP, IT Applications 40.0 0.0 X 271257 0 62464 James Walton IV VP, Facilities and Properties 40.0 0.0 X 170855 0 130000 Andrew Montgomery VP, Supply Chain 40.0 0.0 X 268126 0 29490 Kelly Weatherly VP Total Rewards 40.0 0.0 X 210231 0 46331 Deborah Davis Board Member/Secretary 2.0 2.0 X 0 0 101825 Andrew Zukowski AS OF 1222 Chief Financial Officer 40.0 6.0 X 37788 0 7896 Bob Greczyn Vice Chairman/Chairman 2.0 0.0 X 0 0 0 Bynum Satterwhite THRU 323 Chairman 2.0 0.0 X 0 0 0 Anand Tewari MD Treasurer/Vice Chairman 2.0 2.0 X 0 0 0 Jimmy Garris Secretary/Treasurer 2.0 2.0 X 0 0 0 Marcus Albernaz MD Board Member/Asst. Secretary 2.0 4.0 X 0 0 0 Ernie Evans Asst. Secretary/Board Member 2.0 2.0 X 0 0 0 Shirley Carraway Board Member 2.0 2.0 X 0 0 0 Carlester CrumplerTHRU 323 Board Member 2.0 2.0 X 0 0 0 Vern Davenport AS OF 323 Board Member 2.0 2.0 X 0 0 0 Bryant Kittrell THRU 323 Board Member 2.0 2.0 X 0 0 0 William Monk AS OF 323 Board Member 2.0 2.0 X 0 0 0 Philip Rogers Board Member 2.0 2.0 X 0 0 0 Diane Taylor AS OF 323 Board Member 2.0 4.0 X 0 0 0 8158461 644608 3827028 362 false true false MEDCOST PO BOX 24042 WINSTON SALEM NC 27114 admin fees 6138616 K L GATES LLP PO BOX 844255 BOSTON MA 022844255 legal services 1821425 PERSONIFY 416 S Dawson Street RALEIGH NC 27601 contract labor 1390859 PRESS GANEY ASSOCIATES INC PO BOX 88335 MILWAUKEE WI 532880335 contracted services 1327573 OXFORD GLOBAL RESOURCES INC PO BOX 3256 BOSTON MA 022413256 contract labor 1287221 104 674580 674580 SUPPORTED ORGANIZATIONS 900099 327373259 327373259 327373259 176324 0 176324 0 0 8280 8280 0 8280 8280 20956189 243370 -20956189 -243370 -21199559 -21199559 0 0 0 0 0 0 0 0 0 0 307032884 327381539 0 -21023235 X 187600 187600 0 0 0 7593317 7593317 0 123906570 123906570 11424050 11424050 24222123 24222123 9089108 9089108 0 2080295 2080295 74099 74099 265120 265120 0 1931198 1931198 42000963 20580472 21420491 0 5938070 5938070 9221660 5532997 3688663 32051583 32051583 0 3150664 3150664 1024967 1024967 0 0 24577661 24577661 0 31340719 31340719 3097447 3097447 MEDICAL SUPPLIES 36687538 36687538 BAD DEBT 17024 17024 ALL OTHER EXPENSES 1880990 1880990 371762766 344234098 27528668 0 0 0 20221584 34951230 0 0 0 0 0 0 0 0 0 0 1322099 1325216 17174764 13912818 292764578 181129401 66973695 111635177 0 0 0 0 0 0 889972 889972 128444935 139873905 235027049 302588318 82259971 95573070 0 0 0 0 610003372 582811290 0 0 0 0 0 0 0 0 39412857 83948405 731676200 762332765 X -496649151 -459744447 0 0 -496649151 -459744447 235027049 302588318 X -64729882 70470143 31164443 X X false true X true true true X X 10 PITT COUNTY MEMORIAL HOSPITAL 560585243 3 true 0 0 VIDANT MEDICAL GROUP LLC 383740839 10 true 172500000 0 THE OUTER BANKS HOSPITAL INC 562112733 3 true 0 0 EAST CAROLINA HEALTH INC 562003393 3 true 0 0 EAST CAROLINA HEALTH - BERTIE 562072002 3 true 0 0 EAST CAROLINA HEALTH - CHOWAN 562101090 3 true 0 0 EAST CAROLINA HEALTH - HERITAGE 562093700 3 true 0 0 EAST CAROLINA HEALTH - BEAUFORT 452436270 3 true 0 0 DUPLIN GENERAL HOSPITAL 566011594 3 true 0 0 HALIFAX REGIONAL MEDICAL CENTER 560989789 3 true 25000000 0 10 197500000 0 true false false false false false false false false false false false false false false true true true X true true 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 111965 false true 153155 265120 false PART II-B, LINE 1, LOBBYING ACTIVITIES: 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. 1320706 1320706 8987920 4768627 4219293 212128147 159108105 53020042 70327805 17252669 53075136 111635177 REFUNDING AND PENSION 68595674 OTHER RECEIVABLES 38286746 ASSETS LTD. FOR IMPROVEMENTS 28996117 OTHER ASSETS 3995334 ASSETS HELD BY TRUSTEE 34 139873905 0 NET PENSION LIABILITY 45094973 OTHER LIABILITY 31599081 RESERVE FOR PROFESSIONAL LIABILITY 6429510 DEFERRED INFLOW 824841 83948405 X PART X, LINE 2: 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. Central America and the Caribbean 0 0 Investments 49622583 0 0 0 0 49622583 49622583 true false true false false false true Greenville-ENC Alliance PO Box 1714 Greenville NC 27835 561912849 501(c)(3) 100000 charitable Great 100 Gala PO Box 4875 Greensboro NC 274044875 561705456 501(c)(3) 15000 charitable 1Ofus Inc 8024 Glenwood Avenue Raleigh NC 27612 274754653 501(C)(3) 15000 charitable Little League Softball World Series PO Box 4433 Greenville NC 27836 231688231 501(c)(3) 10000 charitable 4 0 PART I, LINE 2: 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. X true true X X X X false false false false false false false false false Michael Waldrum Chief Executive Officer 849206 0 121932 0 14957 0 740546 0 51575 0 1778216 0 0 0 Niti Armistead MD Chief Medical Officer 528940 0 0 0 0 0 106608 0 19612 0 655160 0 0 0 David Hughes THRU 1222 CHIEF FIN. SERVICES OFFICER 607253 0 0 0 0 0 428227 0 36886 0 1072366 0 0 0 Jay Briley PRES., ECU HEALTH CMUNTY HOSP. 395814 0 0 0 0 0 142532 0 42788 0 581134 0 0 0 William Floyd COO/PRES. ECU HEALTH MED CTR 0 640470 0 0 0 0 0 195380 0 46682 0 882532 0 0 Donnette Herring Chief Information Officer 426677 0 0 0 0 0 95406 0 41684 0 563767 0 0 0 Julie Oehlert Chief Experience Officer 401581 0 0 0 0 0 80798 0 42692 0 525071 0 0 0 James Walton IV VP, Facilities and Properties 170855 0 0 0 0 0 90390 0 39610 0 300855 0 0 0 Charlene Wilson Chief Human Resources Officer 354681 0 0 0 0 0 71095 0 23637 0 449413 0 0 0 Vicki Haddock VP, Office of Gen Counsel 250840 0 0 0 0 0 160064 0 38770 0 449674 0 0 0 David Michael CHIEF MED. INFORMATION OFFICER 305212 0 0 0 0 0 31483 0 46010 0 382705 0 0 0 Andrew Montgomery VP, Supply Chain 268126 0 0 0 0 0 26702 0 2788 0 297616 0 0 0 Ryan Hickey Chief Clinical Network Dev.OfF 409214 0 0 0 0 0 134805 0 43932 0 587951 0 0 0 Teresa Anderson SVP Quality 240499 0 0 0 0 0 101405 0 41146 0 383050 0 0 0 Joseph Pye SVP Medical Affairs 348159 0 0 0 0 0 82790 0 43010 0 473959 0 0 0 Mark Dunn CHIEF D&I & TALENT MGMT 285103 0 0 0 0 0 62582 0 28844 0 376529 0 0 0 Jennifer Thomas SVP, Financial Services 359831 0 0 0 0 0 116016 0 11946 0 487793 0 0 0 Kelly Weatherly VP Total Rewards 210231 0 0 0 0 0 20390 0 25941 0 256562 0 0 0 Christina Bowen Chief Well-Being Officer 330818 4138 0 0 0 0 32311 0 3965 156 367094 4294 0 0 Jerry Townsend VP, Financial Services 398300 0 0 0 0 0 143988 0 19460 0 561748 0 0 0 Robert Speakman VP, Tech Infrastructure_CTO 286878 0 0 0 0 0 29544 0 40577 0 356999 0 0 0 Jason Buskirk VP, Enterprise Data&Analytics 273635 0 10674 0 0 0 29339 0 40731 0 354379 0 0 0 Tanya Thompson VP, IT Applications 271257 0 0 0 0 0 27942 0 34522 0 333721 0 0 0 PART I, LINE 1A: 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. A North Carolina Medical Care Commission 521309402 65821DSP7 2015-04-01 323487711 See Part VI false false false B North Carolina Medical Care Commission 521309402 000000000 2019-10-23 54065000 See Part VI false false false C North Carolina Medical Care Commission 521309402 000000000 2022-03-03 94710000 See Part VI false false false D North Carolina Medical Care Commission 521309402 000000000 2022-06-15 149080000 See Part VI false false false A 9975000 101920000 331133890 0 19782750 0 2579709 0 0 170187251 138584180 0 2018 false true true true B 6150000 0 54072613 0 0 0 173473 0 0 3867613 50031527 0 2019 true true true true C 5600000 0 94710000 0 0 0 0 0 0 0 94710000 0 false true true true D 14940000 0 149080000 0 0 0 0 0 0 0 149080000 0 true false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false false false true false false 0 false 0 false true B false true false false false false 0 false 0 false true C false false false true true false 0 false 0 false true D false false true false false false 0 false 0 false true A true B true C true D true 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. 0 Ele Inc ERNEST L. EVANS (BOARD MEMBER) 109135 SEE PART V false SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (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 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 Vidant Integrated Care LLC 2335 Hemby Lane Greenville NC 27834 562141073 SEE PART VII NC 0 83089 ECU Health Coastal Plains Network LLC 800 WH Smith Blvd Greenville NC 27835 465731823 SEE PART VII NC 0 5263188 ECU Health 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 Surgicenter of Eastern Carolina LLC 2100 Stantonsburg Rd Greenville NC 27835 262558314 SEE PART VII NC SEE PART VII Related 10810840 10611155 false 0 false 0.55000 Channel Marker Insurance Company SPC PO Box 1085 Grand Cayman CJ KY-1102 Self-Insurance CJ ECU Health C corp 22428275 49517600 1.00000 true true true true false false false false false false true true true true false true true true true true Access East Inc A 293406 Interco. Inv. Access East Inc P -34892 Interco. Inv. Access East Inc Q 2897985 Interco. Inv. Access East Inc L -2544176 Interco. Inv. Access East Inc O -1488 Interco. Inv. Channel Marker Insurance Company SPC R -23265920 Interco. Inv. Channel Marker Insurance Company SPC S 683457 Interco. Inv. Channel Marker Insurance Company SPC S 38731853 Interco. Inv. Channel Marker Insurance Company SPC B -20000000 Actual Cash Coastal Plains Network LLC L -1136462 Interco. Inv. Coastal Plains Network LLC B 1635708 Actual Cash ECU Health Beaufort Hospital B -1000000 Actual Cash ECU Health Bertie Hospital A -7046 Interco. Inv. ECU Health Bertie Hospital Q 1453990 Interco. Inv. ECU Health Bertie Hospital L -2298365 Interco. Inv. ECU Health Bertie Hospital B -3000000 Actual Cash ECU Health Chowan Hospital A -138990 Interco. Inv. ECU Health Chowan Hospital Q 3458079 Interco. Inv. ECU Health Chowan Hospital L -5673919 Interco. Inv. ECU Health Chowan Hospital B -12000000 Actual Cash ECU Health Duplin Hospital Q 3721149 Interco. Inv. ECU Health Duplin Hospital L -6156548 Interco. Inv. ECU Health Duplin Hospital B -2000000 Actual Cash ECU Health Edgecombe Hospital A -2089887 Interco. Inv. ECU Health Edgecombe Hospital Q 4827294 Interco. Inv. ECU Health Edgecombe Hospital L -9365807 Interco. Inv. ECU Health Edgecombe Hospital O -83 Interco. Inv. ECU Health Edgecombe Hospital B -7000000 Actual Cash ECU Health Medical Center A -19975290 Interco. Inv. ECU Health Medical Center A 28500708 Interco. Inv. ECU Health Medical Center P 70759 Interco. Inv. ECU Health Medical Center P -78743091 Interco. Inv. ECU Health Medical Center Q 9765467 Interco. Inv. ECU Health Medical Center L -196735667 Interco. Inv. ECU Health Medical Center M 76 Interco. Inv. ECU Health Medical Center K 247983 Interco. Inv. ECU Health Medical Center B -190000000 Actual Cash ECU Health North Hospital A -396823 Interco. Inv. ECU Health North Hospital Q 6553513 Interco. Inv. ECU Health North Hospital L -9646880 Interco. Inv. ECU Health North Hospital B 25000000 Actual Cash ECU Health Physicians P -15288105 Interco. Inv. ECU Health Physicians Q 28274933 Interco. Inv. ECU Health Physicians L -15357587 Interco. Inv. ECU Health Physicians M 246338 Interco. Inv. ECU Health Physicians O 3297637 Interco. Inv. ECU Health Physicians B 172500000 Actual Cash ECU Health Properties(pmi) P -1471 Interco. Inv. ECU Health Properties(pmi) Q 136391 Interco. Inv. ECU Health Properties(pmi) L -248763 Interco. Inv. ECU Health Properties(pmi) K 2694734 Interco. Inv. ECU Health Properties(pmi) B -2565989 Actual Cash ECU Health Roanoke-Chowan Hospital A -328339 Interco. Inv. ECU Health Roanoke-Chowan Hospital P 180 Interco. Inv. ECU Health Roanoke-Chowan Hospital Q 5548314 Interco. Inv. ECU Health Roanoke-Chowan Hospital L -9686537 Interco. Inv. ECU Health Roanoke-Chowan Hospital O -74267 Interco. Inv. ECU Health Roanoke-Chowan Hospital B 4500000 Actual Cash HealthAccess Inc Q 2180934 Interco. Inv. HealthAccess Inc L -304899 Interco. Inv. HealthAccess Inc P 29231 Interco. Inv. HealthAccess Inc B 7400000 Actual Cash Moye Medical Endoscopy Center LLC P -1000 Interco. Inv. Moye Medical Endoscopy Center LLC Q 1200 Interco. Inv. Moye Medical Endoscopy Center LLC L -1599 Interco. Inv. The Outer Banks Hospital Inc Q 5275283 Interco. Inv. The Outer Banks Hospital Inc L -8811334 Interco. Inv. The Outer Banks Hospital Inc M 7333 Interco. Inv. The Outer Banks Hospital Inc O -28290 Interco. Inv. The Outer Banks Hospital Inc B -3000000 Actual Cash Roanoke Valley Health Services Inc P -9960 Interco. Inv. Roanoke Valley Health Services Inc Q 927110 Interco. Inv. Vidant Intergrated Care LLC L -1458395 Interco. Inv. Vidant Intergrated Care LLC M 767003 Interco. Inv. Vidant Intergrated Care LLC B 2093302 Actual Cash 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