EAST CAROLINA HEALTH: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: EAST CAROLINA HEALTH (EIN 91-1997979)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-07-09
IRS object ID: 202411919349301321
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 H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-07-09T12:34:47-05:00	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	911997979	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	East Carolina Health Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JENNIFER WORSLEY	InCareOfNm
Business Name Control	EAST	BusinessNameControlTxt
Phone	2528477479	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 K Zukowski	PersonNm
Person Title	Secretary&Treasurer	PersonTitleTxt
Phone	2528477479	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 K	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 Community Hospitals Group	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JAY BRILEY	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	$504,083,662	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	8242	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.ecuhealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	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	7	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	144	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,176,340	PYContributionsGrantsAmt
CY Contributions Grants	$1,659,926	CYContributionsGrantsAmt
PY Program Service Revenue	$429,761,657	PYProgramServiceRevenueAmt
CY Program Service Revenue	$488,729,965	CYProgramServiceRevenueAmt
PY Investment Income	$122,441	PYInvestmentIncomeAmt
CY Investment Income	$392,031	CYInvestmentIncomeAmt
PY Other Revenue	$6,175,144	PYOtherRevenueAmt
CY Other Revenue	$13,292,877	CYOtherRevenueAmt
PY Total Revenue	$437,235,582	PYTotalRevenueAmt
CY Total Revenue	$504,074,799	CYTotalRevenueAmt
PY Grants And Similar Paid	$583,291	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$766,950	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$180,332,494	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$194,467,220	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$284,171,703	PYOtherExpensesAmt
CY Other Expenses	$306,102,563	CYOtherExpensesAmt
PY Total Expenses	$465,087,488	PYTotalExpensesAmt
CY Total Expenses	$501,336,733	CYTotalExpensesAmt
PY Revenues Less Expenses	-$27,851,906	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,738,066	CYRevenuesLessExpensesAmt
Total Assets BOY	$284,178,452	TotalAssetsBOYAmt
Total Assets EOY	$344,527,899	TotalAssetsEOYAmt
Total Liabilities BOY	$104,959,764	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$131,560,387	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$179,218,688	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$212,967,512	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	$97,631,568	ExpenseAmt
Grant	$95,000	GrantAmt
Revenue	$113,982,615	RevenueAmt
Desc	ECU HEALTH EDGECOMBE HOSPITAL ECU HEALTH EDGECOMBE HOSPITAL, FORMERLY HERITAGE HOSPITAL, IS A 117-BED FACILITY LOCATED IN TARBORO, NORTH CAROLINA. SERVICES AT ECU HEALTH EDGECOMBE INCLUDE ACUTE CARE, INPATIENT AND SAME DAY SURGERY, EMERGENCY, CRITICAL CARE, OBSTETRICS/GYNECOLOGY, AND ONCOLOGY SERVICES. IT ALSO OPERATES A RURAL HEALTH CENTER, WHICH PROVIDES GENERAL, PEDIATRIC, WOMEN'S AND OCCUPATIONAL HEALTH SERVICES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$93,050,032	ExpenseAmt
Grant	$95,000	GrantAmt
Revenue	$94,608,920	RevenueAmt
Desc	ECU HEALTH ROANOKE-CHOWAN HOSPITAL ECU HEALTH ROANOKE-CHOWAN HOSPITAL IS AN 86-BED HOSPITAL LOCATED IN AHOSKIE, NORTH CAROLINA, THAT IS ALSO LICENSED FOR 28 INPATIENT PSYCHIATRIC BEDS. SERVICES AT ROANOKE-CHOWAN HOSPITAL INCLUDE ACUTE CARE, OBSTETRICS/GYNECOLOGY, EMERGENCY, SUB-ACUTE CARE, SPECIALTY CLINICS AND BEHAVIORAL HEALTH. THE HOSPITAL ALSO OPERATES A WELLNESS CENTER FOR THE COMMUNITY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$110,232,937	ExpenseAmt
Grant	$95,000	GrantAmt
Revenue	$95,836,579	RevenueAmt
Desc	ECU HEALTH NORTH, FORMERLY HALIFAX REGIONAL MEDICAL CENTER ECU HEALTH NORTH, FORMERLY HALIFAX REGIONAL MEDICAL CENTER IS A 204-BED HOSPITAL LOCATED IN ROANOKE RAPIDS, NORTH CAROLINA. SERVICES AT ECU HEALTH NORTH INCLUDE ACUTE CARE, OBSTETRICS/GYNECOLOGY, CRITICAL CARE UNIT, IP AND SAME DAY SURGERY, 24-HOUR EMERGENCY, ONCOLOGY, CARDIAC CATH LAB, ENDOSCOPY SERVICES, REHAB SERVICES, AND WOUND CARE SERVICES.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$147,157,694	ExpenseAmt
Grant	$481,950	GrantAmt
Revenue	$184,301,851	RevenueAmt
Desc	HOSP. SVCS PROVIDED AT ADD. FACILITIES	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$147,157,694	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$481,950	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$184,301,851	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$448,072,231	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	false	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	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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	false	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	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	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	7	GoverningBodyVotingMembersCnt
Independent Voting Member	4	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
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
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 (35 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
MICHAEL WALDRUM MD
CHAIRMAN	2.0	52.0	Yes (X)	$0	$986,095	$792,121
DAVID HUGHES Thru 1222
Secretary/Treasurer	2.0	48.0		$0	$607,253	$465,113	Yes (X)
JAY BRILEY
PRESIDENT, ECUH CMNTY HOSP.	2.0	46.0		$0	$395,814	$185,320	Yes (X)
JERRY TOWNSEND
VP, FINANCIAL SVCS-OPERATIONS	0.0	40.0		$0	$398,300	$163,448		Yes (X)
TAMMI ROOS
ANESTHESIOLOGIST	40.0	0.0		$458,389	$0	$85,506			Yes (X)
PATRICK HEINS
PRESIDENT, ECUH EDGECOMBE	40.0	0.0		$317,188	$0	$188,438				Yes (X)
JEFFERY DIAL
PRESIDENT, ECUH DUPLIN	40.0	0.0		$254,442	$0	$172,378				Yes (X)
DEBRA HERNANDEZ
PRES., ECUH BEAUFORT/ECUHMC	0.0	40.0		$0	$313,179	$83,646		Yes (X)
DELORES MORRIS
VP, PATIENT CARE SERVICES-VROA	40.0	0.0		$144,463	$0	$248,201				Yes (X)
BRIAN HARVILL
PRES(ECUH CHOWAN &ECUH BERTIE)	40.0	0.0		$259,444	$0	$99,702				Yes (X)
JASON HARRELL
PRESIDENT, ECUH NORTH	40.0	0.0		$263,590	$0	$91,571				Yes (X)
MICHELLE TAYLOR
VP OF FINANCE & OPERATIONS	40.0	2.0		$0	$219,372	$134,612	Yes (X)
JUDY BRUNO
PRESIDENT, ECUH ROANOKE CHOWAN	40.0	0.0		$247,452	$0	$100,062				Yes (X)
ANGELA HARDY
MGR, PHARMACY	40.0	0.0		$203,762	$0	$119,390			Yes (X)
SUSAN SUITER
VP, PATIENT CARE SVCS NORTH	40.0	0.0		$199,871	$0	$117,120				Yes (X)
CINDY COKER
VP, PT CARE SERVICES CHO	40.0	0.0		$191,682	$0	$110,488				Yes (X)
LEIGH GURLEY
MGR, PHARMACY	40.0	0.0		$213,795	$0	$81,078			Yes (X)
SHELLI SIMMONS
MGR, PHARMACY	40.0	0.0		$217,104	$0	$75,313			Yes (X)
SUE TAYLOR
VP, PATIENT CARE SVCS DUPLIN	40.0	0.0		$177,000	$0	$114,787				Yes (X)
CHARLES ALFORD
VP, FIN. SVCS (EDGE & RCH)	40.0	0.0		$197,719	$0	$82,629				Yes (X)
PHILIP BROOME
MGR, PHARMACY	40.0	0.0		$193,693	$0	$69,100			Yes (X)
CYNTHIA MAYO
VP, PATIENT CARE SVCS EDGE	40.0	0.0		$146,695	$0	$91,745				Yes (X)
LUCINDA CRAWFORD
VP, FINANCIAL SERVICES DUPLIN	40.0	0.0		$157,735	$0	$80,234				Yes (X)
TODD WARLITNER
VP, FIN.-CRITICAL ACCESS HOSP.	24.0	16.0		$109,293	$72,862	$55,443				Yes (X)
DENNIS CAMPBELL
VP, PATIENT CARE SVC BEAUFORT	0.0	40.0		$0	$166,408	$54,699		Yes (X)
DANA BYRUM
VP, PT CARE SERVICES CHO	40.0	0.0		$150,181	$0	$57,878				Yes (X)
JENNIFER RILEY
VP, PATIENT CARE SERVICES-VROA	40.0	0.0		$164,244	$0	$31,175				Yes (X)
CHRISTINA MILLER
VP, PATIENT CARE SVCS DUPLIN	40.0	0.0		$153,732	$0	$16,588				Yes (X)
ANDREW ZUKOWSKI AS OF 1222
SECRETARY/TREASURER	2.0	44.0		$0	$37,788	$7,896	Yes (X)
Marcus Albernaz MD
Board Member	2.0	4.0	Yes (X)	$0	$0	$0
Ernie Evans
Board Member	2.0	2.0	Yes (X)	$0	$0	$0
Jimmy Garris
Board Member	2.0	2.0	Yes (X)	$0	$0	$0
Polly Johnson
Board Member	2.0	2.0	Yes (X)	$0	$0	$0
James Pierce as of 922
Board Member	2.0	0.0	Yes (X)	$0	$0	$0
Diane Taylor
Board Member	2.0	4.0	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,953,317	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,159,283	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,862,144	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	257	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
AMN HEALTHCARE INC
2735 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	Temporary Labor SVCS	$21,036,582
SODEXO INC AFFILIATES
PO BOX 905374	CHARLOTTE	NC	28290	CONTRACT LABOR&MGMT	$7,516,938
MEDICAL SOLUTIONS LLC
9101 WESTERN AVENUE SUITE 101	OMAHA	NE	68114	Temporary Labor Svcs	$6,507,993
MAXIM HEALTHCARE SERVICES INC
12558 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	Temporary Labor Svcs	$4,390,695
FASTAFF LLC
PO BOX 911452	DENVER	CO	80291	Temporary Labor Svcs	$2,764,307

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	58	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$1,659,926	AllOtherContributionsAmt
Total Contributions	$1,659,926	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OUTPATIENT SERVICES	621110	$304,966,431	$304,966,431
INPATIENT SERVICES	621400	$183,893,502	$183,893,502
PROVIDER RELIEF FUNDS	900099	-$129,968	-$129,968

Field	Value	IRS element (for citing)
Total Program Service Revenue	$488,729,965	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$400,894	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$400,894	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	$56,948	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$56,948	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$56,948	TotalRevenueColumnAmt
Exclusion	$56,948	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$8,863	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$8,863	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$8,863	TotalRevenueColumnAmt
Exclusion	-$8,863	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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
ALL OTHER	900099	$10,851,826	$10,851,826
CAFETERIA MEALS	722514	$1,778,650	$1,778,650
REBATES	900099	$463,368	$463,368

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$142,085	TotalRevenueColumnAmt
Exclusion	$142,085	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,235,929	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$504,074,799	TotalRevenueColumnAmt
Related Or Exempt Func Income	$488,729,965	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$13,684,908	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	$766,950	TotalAmt
Program Services	$766,950	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	$3,424,904	TotalAmt
Management And General	$3,424,904	ManagementAndGeneralAmt

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	$147,160,020	TotalAmt
Program Services	$142,710,966	ProgramServicesAmt
Management And General	$4,449,054	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,996,408	TotalAmt
Program Services	$11,396,588	ProgramServicesAmt
Management And General	$599,820	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$20,978,231	TotalAmt
Program Services	$18,269,795	ProgramServicesAmt
Management And General	$2,708,436	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,907,657	TotalAmt
Program Services	$10,362,274	ProgramServicesAmt
Management And General	$545,383	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$406,234	TotalAmt
Program Services	$323,097	ProgramServicesAmt
Management And General	$83,137	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$48,752	TotalAmt
Management And General	$48,752	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$339,615	TotalAmt
Management And General	$339,615	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$20,475	TotalAmt
Management And General	$20,475	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	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$137,122,299	TotalAmt
Program Services	$108,346,847	ProgramServicesAmt
Management And General	$28,775,452	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$201,002	TotalAmt
Management And General	$201,002	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,407,133	TotalAmt
Program Services	$1,111,101	ProgramServicesAmt
Management And General	$296,032	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$655,855	TotalAmt
Program Services	$205,538	ProgramServicesAmt
Management And General	$450,317	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,870,301	TotalAmt
Program Services	$4,469,879	ProgramServicesAmt
Management And General	$1,400,422	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$290,861	TotalAmt
Program Services	$232,689	ProgramServicesAmt
Management And General	$58,172	ManagementAndGeneralAmt

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	$3,070,640	TotalAmt
Management And General	$3,070,640	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,984,371	TotalAmt
Program Services	$13,984,371	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,641,916	TotalAmt
Program Services	$728,383	ProgramServicesAmt
Management And General	$2,913,533	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$71,586,505	$71,586,505
BAD DEBT	$48,059,822	$48,059,822
OTHER EXPENSES	$19,396,782	$15,517,426	$3,879,356

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$501,336,733	TotalAmt
Program Services	$448,072,231	ProgramServicesAmt
Management And General	$53,264,502	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	$21,737,942	BOYAmt
EOY	$25,477,442	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	$88,738,279	BOYAmt
EOY	$88,799,999	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	$11,903,987	BOYAmt
EOY	$11,696,951	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,520,640	BOYAmt
EOY	$2,323,055	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$408,527,636	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$290,934,352	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$113,917,122	BOYAmt
EOY	$117,593,284	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	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$43,360,482	BOYAmt
EOY	$98,637,168	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$284,178,452	BOYAmt
EOY	$344,527,899	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$55,239,172	BOYAmt
EOY	$58,126,969	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	$0	BOYAmt
EOY	$0	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	$173,541	BOYAmt
EOY	$314,827	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	$49,547,051	BOYAmt
EOY	$73,118,591	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$104,959,764	BOYAmt
EOY	$131,560,387	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	$176,058,389	BOYAmt
EOY	$209,807,213	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,160,299	BOYAmt
EOY	$3,160,299	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$179,218,688	BOYAmt
EOY	$212,967,512	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$284,178,452	BOYAmt
EOY	$344,527,899	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,738,066	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$570,523	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$31,581,281	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)
Hospital	Yes (X)	HospitalInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	false	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

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

Adjusted Net Income AdjustedNetIncomeGrp

Net ST Capital Gain Adj Net Incm NetSTCapitalGainAdjNetIncmGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distributions RecoveriesPYDistributionsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Gross Income OtherGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted Gross Income AdjustedGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Production Income ProductionIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Adjusted Net Income TotalAdjustedNetIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Minimum Asset Amount MinimumAssetAmountGrp

Average Monthly FMV Of Sec AverageMonthlyFMVOfSecGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Average Monthly Cash Balances AverageMonthlyCashBalancesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

FMV Other Non Exempt Use Asset FMVOtherNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total FMV Of Non Exempt Use Asset TotalFMVOfNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Field	Value	IRS element (for citing)
Discount Claimed	$0	DiscountClaimedAmt

Acquisition Indebtedness AcquisitionIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted FMV Less Indebtedness AdjustedFMVLessIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Cash Deemed Charitable CashDeemedCharitableGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Net Vl Non Exempt Use Assets NetVlNonExemptUseAssetsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Pct Of Net Vl Non Exempt Use Ast PctOfNetVlNonExemptUseAstGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distri Min Asset RecoveriesPYDistriMinAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Minimum Asset TotalMinimumAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
CY Adj Net Income Distributable	$0	CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income	$0	CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable	$0	CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum	$0	CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY	$0	CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt

Distributions DistributionsGrp

Field	Value	IRS element (for citing)
CY Paid Accomplish Exempt Prps	$0	CYPaidAccomplishExemptPrpsAmt
CY Pd In Excess Income Activity	$0	CYPdInExcessIncomeActivityAmt
CY Administrative Expense Paid	$0	CYAdministrativeExpensePaidAmt
Exempt Use Assets Acquis Paid	$0	ExemptUseAssetsAcquisPaidAmt
Qualified Set Aside	$0	QualifiedSetAsideAmt
CY Other Distributions	$0	CYOtherDistributionsAmt
CY Total Annual Distributions	$0	CYTotalAnnualDistributionsAmt
CY Distri Attentive Suprt Org	$0	CYDistriAttentiveSuprtOrgAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt
CY Distribution Yr	0	CYDistributionYrRt

Distribution Allocations DistributionAllocationsGrp

Field	Value	IRS element (for citing)
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt
Underdistributions	$0	UnderdistributionsAmt
Excess Distribution Cyov Yr5	$0	ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4	$0	ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3	$0	ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2	$0	ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1	$0	ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov	$0	TotalExcessDistributionCyovAmt
Cyov Applied Underdistri PY	$0	CyovAppliedUnderdistriPYAmt
Cyov Applied Underdistr CPY	$0	CyovAppliedUnderdistrCPYAmt
Carryover PY Not Applied	$0	CarryoverPYNotAppliedAmt
Excess Distribution Cyov	$0	ExcessDistributionCyovAmt
CY Total Annual Distributions	$0	CYTotalAnnualDistributionsAmt
CY Distrib App Underdistri PY	$0	CYDistribAppUnderdistriPYAmt
Excess Distribution	$0	ExcessDistributionAmt
Remaining Underdistri PY	$0	RemainingUnderdistriPYAmt
Remaining Underdistri CY	$0	RemainingUnderdistriCYAmt
Excess Distri Cyov To Next Yr	$0	ExcessDistriCyovToNextYrAmt
Excess From Year5	$0	ExcessFromYear5Amt
Excess From Year4	$0	ExcessFromYear4Amt
Excess From Year3	$0	ExcessFromYear3Amt
Excess From Year2	$0	ExcessFromYear2Amt
Excess From Year1	$0	ExcessFromYear1Amt

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	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$20,475	OtherActivitiesAmt
Total Lobbying Expenditures	$20,475	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1, LOBBYING ACTIVITIES:	FormAndLineReferenceDesc
Explanation	24.88% OF DUES TO NCHA ARE ALLOCATED TO LOBBYING.	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	$2,676,404	OtherCostOrOtherBasisAmt
Book Value	$2,676,404	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$234,341,044	OtherCostOrOtherBasisAmt
Depreciation	$151,133,920	DepreciationAmt
Book Value	$83,207,124	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,803,251	OtherCostOrOtherBasisAmt
Depreciation	$6,087,070	DepreciationAmt
Book Value	$716,181	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$152,169,365	OtherCostOrOtherBasisAmt
Depreciation	$131,428,292	DepreciationAmt
Book Value	$20,741,073	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,537,572	OtherCostOrOtherBasisAmt
Depreciation	$2,285,070	DepreciationAmt
Book Value	$10,252,502	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$117,593,284	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM THIRD PARTY PAYORS	$50,787,670
DEFERRED OUTFLOWS	$38,093,913
OTHER RECEIVABLES	$7,730,328
INVESTMENTS IN SUBSIDIARIES	$1,519,707
OTHER ASSETS	$505,550

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$98,637,168	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
NET PENSION LIABILITY	$51,113,375
DUE TO THIRD PARTY PAYORS	$18,446,813
OTHER LIABILITIES	$2,919,421
DEFERRED INFLOW	$638,982

Field	Value	IRS element (for citing)
Total Liability	$73,118,591	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,935,310	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,935,310	NetCommunityBenefitExpnsAmt
Total Expense	0.03380	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$92,743,827	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$110,520,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$109,679,137	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$110,520,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,935,310	NetCommunityBenefitExpnsAmt
Total Expense	0.03380	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	50	ActivitiesOrProgramsCnt
Persons Served	12659	PersonsServedCnt
Total Community Benefit Expns	$939,198	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$939,173	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	753	PersonsServedCnt
Total Community Benefit Expns	$1,679,117	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,679,117	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	206442	PersonsServedCnt
Total Community Benefit Expns	$892,882	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,040	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$888,842	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	93	ActivitiesOrProgramsCnt
Persons Served	219854	PersonsServedCnt
Total Community Benefit Expns	$3,511,197	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,065	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,507,132	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	93	ActivitiesOrProgramsCnt
Persons Served	219854	PersonsServedCnt
Total Community Benefit Expns	$113,190,334	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$110,524,395	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,442,442	NetCommunityBenefitExpnsAmt
Total Expense	0.04080	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$12,526	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,526	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	73	PersonsServedCnt
Total Community Benefit Expns	$47,987	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$47,987	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,805	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,805	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	37	PersonsServedCnt
Total Community Benefit Expns	$25,469	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,469	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	2965	PersonsServedCnt
Total Community Benefit Expns	$41,497	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$41,497	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	3075	PersonsServedCnt
Total Community Benefit Expns	$129,284	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$129,284	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$14,878,320	BadDebtExpenseAmt
Reimbursed By Medicare	$81,014,718	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$101,894,595	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$20,879,877	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	6	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (6 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Emergency Room OtherEmergencyRoomOtherInd	OtherOtherDesc	Critical Access HospitalCriticalAccessHospitalInd
EAST CAROLINA HEALTH - HERITAGE INC
1	111 HOSPITAL DRIVE	TARBORO	NC	27886	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
EAST CAROLINA HEALTH - ROANOKE-CHOWAN
2	500 ACADEMY STREET	AHOSKIE	NC	27910	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A	Yes (X)	BEHAVIORAL HEALTH
EAST CAROLINA HEALTH - CHOWAN INC
3	211 VIRGINIA ROAD	EDENTON	NC	27932	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A			Yes (X)
DUPLIN GENERAL HOSPITAL INC
4	401 NORTH MAIN STREET	KENANSVILLE	NC	28349	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A
EAST CAROLINA HEALTH - BERTIE
5	1403 SOUTH KING STREET	WINDSOR	NC	27983	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A			Yes (X)
HALIFAX REGIONAL MEDICAL CENTER INC
6	250 SMITH CHURCH ROAD	ROANOKE RAPIDS	NC	27870	Yes (X)	Yes (X)	Yes (X)		Yes (X)	B

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
FACILITY REPORT GROUP A (12345)
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	21	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V DISCLOSURE	Yes (X)	Yes (true)	21	Yes (true)	SEE PART V DISCLOSURE	false	Yes (true)	Yes (X)	200.	200.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V DISCLOSURE	Yes (X)	SEE PART V DISCLOSURE	Yes (X)	SEE PART V DISCLOSURE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
FACILITY REPORT GROUP B (6)
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	21	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V DISCLOSURE	Yes (X)	Yes (true)	21	Yes (true)	SEE PART V DISCLOSURE	false	Yes (true)	Yes (X)	200.	250.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V DISCLOSURE	Yes (X)	SEE PART V DISCLOSURE	Yes (X)	SEE PART V DISCLOSURE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP A	FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: EAST CAROLINA HEALTH - HERITAGE, INC. - FACILITY 2: EAST CAROLINA HEALTH - ROANOKE-CHOWAN - FACILITY 3: EAST CAROLINA HEALTH - CHOWAN, INC. - FACILITY 4: DUPLIN GENERAL HOSPITAL, INC. - FACILITY 5: EAST CAROLINA HEALTH - BERTIE
FACILITY REPORT GROUP A	PART V, SECTION B, LINE 5: EACH OF THE ECU HEALTH COMMUNITY HOSPITALS COLLABORATE WITH LOCAL COUNTY HEALTH DEPARTMENTS AND OTHER INTERESTED PARTIES IN THE LOCAL COMMUNITIES TO PRODUCE THE COMMUNITY HEALTH NEEDS ASSESSMENT. THESE PARTNERS INCLUDE SCHOOLS, HEALTH-FOCUSED NOT-FOR-PROFITS, COMMUNITY HEALTH INITIATIVES, CHAMBERS OF COMMERCE, AND OTHER AGENCIES DEDICATED TO PROMOTING THE WELL-BEING OF THEIR COMMUNITIES. THE PARTNERS REPRESENT A WIDE RANGE OF DIVERSE CONSTITUENCIES INCLUDING CHILDREN, SENIORS, AND UNDERSERVED POPULATIONS. THE INFORMATION CREATED THROUGH THIS COLLABORATIVE EFFORT IS THEN USED TO DETERMINE AREAS OF HEALTH NEEDS FOCUS FOR THE INDIVIDUAL ENTITIES AND ALSO FOR CREATING PARTNERSHIPS TO ADDRESS NEEDS WHERE POSSIBLE.
FACILITY REPORT GROUP A	PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING HOSPITALS: EAST CAROLINA HEALTH - HERITAGE, INC. DBA ECU HEALTH EDGECOMBE HOSPITAL EAST CAROLINA HEALTH DBA ECU HEALTH ROANOKE-CHOWAN HOSPITAL EAST CAROLINA HEALTH - CHOWAN, INC. DBA ECU HEALTH CHOWAN HOSPITAL DUPLIN GENERAL HOSPITAL, INC. DBA ECU HEALTH DUPLIN HOSPITAL EAST CAROLINA HEALTH - BERTIE DBA ECU HEALTH BERTIE HOSPITAL HALIFAX REGIONAL MEDICAL CENTER, INC. DBA ECU HEALTH NORTH
FACILITY REPORT GROUP A	PART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS: ALBEMARLE REGIONAL HEALTH SERVICES DUPLIN COUNTY HEALTH DEPARTMENT EDGECOMBE COUNTY HEALTH DEPARTMENT HALIFAX COUNTY HEALTH DEPARTMENT
FACILITY REPORT GROUP A	PART V, SECTION B, LINE 7A AND 10A: THE HOSPITAL MAKES ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AVAILABLE TO THE PUBLIC ON THE HOSPITAL'S WEBSITE: HTTPS://WWW.ECUHEALTH.ORG/ABOUT-US/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/
FACILITY REPORT GROUP A	PART V, SECTION B, LINE 11: PLEASE REFER TO THE LINKED HOSPITAL IMPLEMENTATION STRATEGY FOR DETAILED ACTION PLANS. CERTAIN COMMUNITY NEEDS MAY NOT BE FULLY DOCUMENTED OR ADDRESSED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THESE NEEDS ARE GENERALLY THOSE WHICH OTHER ORGANIZATIONS SHARE AN OVERLAP WITH EAST CAROLINA HEALTH. THOSE OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THESE SPECIFIC NEEDS, AND THEREFORE, FUNCTION AS THE LEAD AGENCY TO ADDRESS THOSE PRIORITIES. PRIORITIES BEING LED BY OTHER ORGANIZATIONS ARE SUBSEQUENTLY NOT CONSIDERED AS PRIORITY ISSUES OF EAST CAROLINA HEALTH AND ARE NOTED ACCORDINGLY IN THE IMPLEMENTATION STRATEGY.
FACILITY REPORT GROUP A	PART V, SECTION B, LINE 16A, 16B, AND 16C: THE HOSPITAL MAKES ITS FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSIST ANCE/
SCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP B	FACILITY REPORT GROUP B CONSISTS OF: - FACILITY 6: HALIFAX REGIONAL MEDICAL CENTER, INC. - ECU HEALTH NORTH HOSPITAL
FACILITY REPORT GROUP B	PART V, SECTION B, LINE 5: EACH OF THE ECU HEALTH COMMUNITY HOSPITALS COLLABORATE WITH LOCAL COUNTY HEALTH DEPARTMENTS AND OTHER INTERESTED PARTIES IN THE LOCAL COMMUNITIES TO PRODUCE THE COMMUNITY HEALTH NEEDS ASSESSMENT. THESE PARTNERS INCLUDE SCHOOLS, HEALTH-FOCUSED NOT-FOR-PROFITS, COMMUNITY HEALTH INITIATIVES, CHAMBERS OF COMMERCE, AND OTHER AGENCIES DEDICATED TO PROMOTING THE WELL-BEING OF THEIR COMMUNITIES. THE PARTNERS REPRESENT A WIDE RANGE OF DIVERSE CONSTITUENCIES INCLUDING CHILDREN, SENIORS, AND UNDERSERVED POPULATIONS. THE INFORMATION CREATED THROUGH THIS COLLABORATIVE EFFORT IS THEN USED TO DETERMINE AREAS OF HEALTH NEEDS FOCUS FOR THE INDIVIDUAL ENTITIES AND ALSO FOR CREATING PARTNERSHIPS TO ADDRESS NEEDS WHERE POSSIBLE.
FACILITY REPORT GROUP B	PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING HOSPITALS: EAST CAROLINA HEALTH - HERITAGE, INC. DBA ECU HEALTH EDGECOMBE HOSPITAL EAST CAROLINA HEALTH DBA ECU HEALTH ROANOKE-CHOWAN HOSPITAL EAST CAROLINA HEALTH - CHOWAN, INC. DBA ECU HEALTH CHOWAN HOSPITAL DUPLIN GENERAL HOSPITAL, INC. DBA ECU HEALTH DUPLIN HOSPITAL EAST CAROLINA HEALTH - BERTIE DBA ECU HEALTH BERTIE HOSPITAL HALIFAX REGIONAL MEDICAL CENTER, INC. DBA ECU HEALTH NORTH
FACILITY REPORT GROUP B	PART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS: ALBEMARLE REGIONAL HEALTH SERVICES DUPLIN COUNTY HEALTH DEPARTMENT EDGECOMBE COUNTY HEALTH DEPARTMENT HALIFAX COUNTY HEALTH DEPARTMENT
FACILITY REPORT GROUP B	PART V, SECTION B, LINE 7A AND 10A: THE HOSPITAL MAKES ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AVAILABLE TO THE PUBLIC ON THE HOSPITAL'S WEBSITE: HTTPS://WWW.ECUHEALTH.ORG/ABOUT-US/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/
FACILITY REPORT GROUP B	PART V, SECTION B, LINE 11: PLEASE REFER TO THE LINKED HOSPITAL IMPLEMENTATION STRATEGY FOR DETAILED ACTION PLANS. CERTAIN COMMUNITY NEEDS MAY NOT BE FULLY DOCUMENTED OR ADDRESSED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THESE NEEDS ARE GENERALLY THOSE WHICH OTHER ORGANIZATIONS SHARE AN OVERLAP WITH EAST CAROLINA HEALTH. THOSE OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THESE SPECIFIC NEEDS, AND THEREFORE, FUNCTION AS THE LEAD AGENCY TO ADDRESS THOSE PRIORITIES. PRIORITIES BEING LED BY OTHER ORGANIZATIONS ARE SUBSEQUENTLY NOT CONSIDERED AS PRIORITY ISSUES OF EAST CAROLINA HEALTH AND ARE NOTED ACCORDINGLY IN THE IMPLEMENTATION STRATEGY.
FACILITY REPORT GROUP B	PART V, SECTION B, LINE 16A, 16B, AND 16C: THE HOSPITAL MAKES ITS FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSIST ANCE/

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7:	COSTS WERE CALCULATED USING THE ESTIMATED COST TO CHARGE RATIO FROM THE NORTH CAROLINA HOSPITAL ASSOCIATION'S ADVOCACY NEEDS DATA INITIATIVE WHICH IS THE STANDARD FOR REPORTING COMMUNITY BENEFITS IN NORTH CAROLINA. DURING MARCH 2023, THE HEALTHCARE ACCESS AND STABILIZATION PROGRAM (HASP) WAS ENACTED BY THE STATE OF NORTH CAROLINA AND IS A FEDERALLY FUNDED PROGRAM THROUGH THE CENTER FOR MEDICARE & MEDICAID SERVICES (CMS) TO ENHANCE MEDICAID REIMBURSEMENT. HASP PROVIDES FOR INCREASED REIMBURSEMENTS TO HOSPITALS AND INCREASES HOSPITAL ASSESSMENTS TO FUND THE PROGRAM. DURING SEPTEMBER 2023, CMS APPROVED HASP AND THE INCREASED REIMBURSEMENTS TO BE MADE FOR SERVICES PROVIDED FOR THE PERIOD JULY 1, 2022 TO JUNE 30, 2023. FOR THE YEAR ENDED SEPTEMBER 30, 2023, ECU HEALTH RECOGNIZED $100.5 MILLION AS NET PATIENT SERVICE REVENUE, NET OF ASSESSMENTS OF APPROXIMATELY $33.9 MILLION.
SCHEDULE H, PART I, LN 7 COL(F):	IN CONNECTION WITH THE PRESUMPTIVE ELIGIBILITY CONSIDERATION OF THE AFFORDABLE CARE ACT, EAST CAROLINA HEALTH DOES NOT REFLECT ANY BAD DEBT IN CONNECTION WITH FAP-ELIGIBLE PATIENTS. THESE PATIENTS ARE PRESUMED TO BE PART OF THE MEDICAID POPULATION AND AFFORDED COVERAGE AS SUCH.
SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIES:	SEE SCHEDULE O, PART III, LINE 4A IN CONNECTION WITH HTTPS://WWW.ECUHEALTH.ORG/ABOUT-US/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART III, LINE 4:	THE FINANCIAL STATEMENTS OF EAST CAROLINA HEALTH ARE PRESENTED ON A CONSOLIDATED BASIS; THE TEXT OF THE FOOTNOTE FROM PAGE 31 IS PRESENTED BELOW: PATIENT ACCOUNTS RECEIVABLE PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF ESTIMATED ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS AND ALLOWANCES FOR BAD DEBTS. ESTIMATED ALLOWANCES FOR BAD DEBTS ARE APPROXIMATELY $105.7 MILLION AND $91.7 MILLION AS OF SEPTEMBER 30, 2023 AND 2022, RESPECTIVELY.
SCHEDULE H, PART III, LINE 8:	THE SHORTFALL OF MEDICARE REVENUE TO MEDICARE WAS CALCULATED ACCORDING TO THE COST TO CHARGE RATIO. ALLOWABLE COSTS OF CARE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE IN THE AREA SERVED BY ECH, THERE ARE NO OTHER PROVIDERS AVAILABLE TO PROVIDE THE REQUIRED SERVICES. THEREFORE, THE CARE WOULD BECOME A GOVERNMENT OBLIGATION AND IS TREATED AS A COMMUNITY BENEFIT PROVIDED BY ECH.
SCHEDULE H, PART III, LINE 9B:	RECOMMENDED PATIENT ACCOUNTS WILL CONTINUE TO GO THROUGH THE ACCOUNTS RECEIVABLE BILLING CYCLE AS NORMAL. WHEN THE ACCOUNT REACHES THE CUSTOMER SERVICE/COLLECTIONS MANAGER, FINANCIAL COUNSELING SUPERVISOR OR PATIENT ACCOUNTS SUPERVISOR, BASED ON THE INFORMATION GIVEN, A DECISION WILL BE MADE WHETHER TO PROCEED WITH COLLECTION OR REFER THE ACCOUNT FOR APPROVAL OF CHARITY CARE. THE PROCESS WILL OCCUR AS FOLLOWS: I. FINANCIAL COUNSELORS WILL TRY TO LOCATE THIRD PARTY PAYORS. IF NOT ELIGIBLE FOR ANY THIRD-PARTY COVERAGE (INCLUDING CHARITIES), THEY MAY, BASED UPON THE FINANCIAL INFORMATION RECEIVED, RECOMMEND THE PATIENT FOR CHARITY CARE. II. PATIENT COUNSELORS WILL REVIEW FOR ANY THIRD-PARTY PAYORS AND VERIFY EMPLOYMENT AND ASSETS. A CHARITY CARE APPLICATION WILL NEED TO BE COMPLETED ALONG WITH TAX RETURN, PAY STUBS, SOCIAL SECURITY AWARD LETTER AND OTHER FINANCIAL INFORMATION AS MAY BE REQUIRED. III. THE PATIENT ACCOUNTS SUPERVISOR, FINANCIAL COUNSELING SUPERVISOR OR CUSTOMER SERVICE/COLLECTIONS MANAGER, BASED UPON ACCOUNT BALANCE AND THE INFORMATION GIVEN, WILL MAKE A DECISION WHETHER TO PROCEED WITH COLLECTION OR REFER THE PATIENT ACCOUNT FOR APPROVAL FOR CHARITY CARE. PRESUMPTIVE ELIGIBILITY FOR CHARITY CARE - THERE ARE OCCASIONS IN WHICH A PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE DISCOUNT, BUT THERE IS NO FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO SUPPORT FINANCIAL AID. A. SOME PATIENTS ARE PRESUMED TO BE ELIGIBLE FOR CHARITY CARE DISCOUNTS ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES (E.G., HOMELESSNESS, PATIENTS WITH NO INCOME, BANKRUPTCY, DECEASED PATIENTS WITH NO ESTATE OR SPOUSE, ETC). B. THROUGH THE ASSISTANCE OF A THIRD-PARTY VENDOR AND CERTAIN ALGORITHMS, IN CONJUNCTION WITH OUR CHARITY POLICY GUIDELINES, ALL ACCOUNTS, PRIOR TO OUTSIDE COLLECTION AGENCY REFERRAL, WILL BE TESTED FOR PRESUMPTIVE CHARITY. C. THE ACCOUNTS DEEMED CHARITY WILL BE ADJUSTED OFF AND THE REMAINING ACCOUNTS WILL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY. D. ONCE THE AGENCY HAS HAD THE ACCOUNTS FOR SIX MONTHS AND HAS DEEMED THEM UNCOLLECTIBLE, THE ACCOUNTS WITH BALANCES OF $1,580 OR GREATER WILL REMAIN WITH THE AGENCY AND BE KEPT ON THE PATIENT'S CREDIT FILE. E. THE ACCOUNTS RETURNED TO THE HOSPITAL WILL BE PLACED IN A UNIQUE FINANCIAL CLASS AND WILL NOT BE PURSUED FOR COLLECTIONS.
SCHEDULE H, PART VI, LINE 2:	The organization assesses community need in conjunction with the state affiliated county health departments and other local health care organizations. See also Schedule H, Part V, Section B, lines 1-7
SCHEDULE H, PART VI, LINE 3:	INFORMATION IS AVAILABLE ON THE ORGANIZATION'S WEBSITE AND AT REGISTRATION FOR PATIENTS. IN ADDITION, FACE TO FACE FINANCIAL COUNSELING IS AVAILABLE TO PATIENTS AND THEIR FAMILIES IN THE CENTRAL BUSINESS OFFICE.
SCHEDULE H, PART VI, LINE 4:	SEE SCHEDULE O, PART III, LINE 4A IN CONNECTION WITH HTTPS://WWW.ECUHEALTH.ORG/ABOUT-US/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART VI, LINE 5:	SEE SCHEDULE O, PART III, LINE 4A IN CONNECTION WITH HTTPS://WWW.ECUHEALTH.ORG/ABOUT-US/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART VI, LINE 6:	SEE SCHEDULE O, PART III, LINE 4A IN CONNECTION WITH HTTPS://WWW.ECUHEALTH.ORG/ABOUT-US/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART VI, LINE 7, REPORTS FILED WITH STATES:	NC

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
KRISTI OVERTON JOHNSON MINISTRIES
101 W 14TH STSTE 110	GREENVILLE	NC	27858	264307444	501(C)(3)	$5,500	SEE PART IV
BERTIE COUNTY
PO BOX 530	WINDSOR	NC	27983	566000273	GOVT ENTITY	$6,000	SEE PART IV
NC COOPERATIVE EXTENSION- CHOWAN
730 N GRANVILLE ST STE A	EDENTON	NC	27932	566000286	GOVT ENTITY	$6,500	SEE PART IV
ROCKY MOUNT FAMILY YMCA INC
PO BOX 4063	ROCKY MOUNT	NC	27803	560543251	501(C)(3)	$6,500	SEE PART IV
TOWN OF MURFREESBORO
PO BOX 6	MURFREESBORO	NC	27855	566001298	501(C)(3)	$6,700	SEE PART IV
AHOSKIE FOOD PANTRY
PO BOX 159	AHOSKIE	NC	27910	475312847	501(C)(3)	$7,000	SEE PART IV
DOWN EAST PARTNERSHIP FOR CHILDREN
215 LEXINGTON ST	ROCKY MOUNT	NC	27802	561859313	501(C)(3)	$7,000	SEE PART IV
THE LIGHTHOUSE HOME
1016 EASTERN AVE	ROCKY MOUNT	NC	27801	300538794	501(C)(3)	$7,000	SEE PART IV
CENTER FOR ENERGY EDUCATION
460 AIRPORT ROAD	ROANOKE RAPIDS	NC	27870	472079791	501(C)(3)	$8,000	SEE PART IV
ALBEMARLE REGIONAL HEALTH SERVICES
PO BOX 189	ELIZABETH CITY	NC	27909	566000798	GOVT ENTITY	$8,000	SEE PART IV
DUPLIN COUNTY EMERGENCY MANAGEMENT
209 SEMINARY ST	KENANSVILLE	NC	28349	566000296	GOVT ENTITY	$8,000	SEE PART IV
GARYSBURG VOLUNTEER FIRE DEPARTMENT
PO DRAWER Y	GARYSBURG	NC	27831	581482327	501(C)(3)	$8,500	SEE PART IV
YOUTH BERTIE INC
134 WARD ROAD	WINDSOR	NC	27983	473106835	501(C)(3)	$8,500	SEE PART IV
AREA L AHEC
PO DRAWER 7368	ROCKY MOUNT	NC	27804	237338802	501(C)(3)	$8,500	SEE PART IV
WILMINGTON AREA REBUILDING MINISTRY INC
5058 WRIGHTSVILLE AVE	WILMINGTON	NC	28403	562076795	501(C)(3)	$10,000	SEE PART IV
BOYS & GIRLS CLUB OF THE TAR RIVER REGION
PO BOX 1622	ROCKY MOUNT	NC	27802	560934910	501(C)(3)	$10,000	SEE PART IV
VOICE COMMUNITY FOUNDATION
PO BOX 100	TARBORO	NC	27886	561222730	501(C)(3)	$10,000	SEE PART IV
ROANOKE RAPIDS FIRE DEPARTMENT
643 ROANOKE AVE	ROANOKE RAPIDS	NC	27870	566001319	GOVT ENTITY	$10,000	SEE PART IV
UNION MISSION OF ROANOKE RAPIDS
1310 ROANOKE AVE	ROANOKE RAPIDS	NC	27870	560649264	501(C)(3)	$12,500	SEE PART IV
ALBEMARLE DEVELOPMENT CORPORATION
512 SOUTH CHURCH ST	HERTFORD	NC	27944	262495965	501(C)(3)	$12,500	SEE PART IV
NC COOPERATIVE EXTENSION - DUPLIN COUNTY
PO BOX 949	KENANSVILLE	NC	28349	566000296	GOVT ENTITY	$15,000	SEE PART IV
DUPLIN COUNTY HEALTH DEPARTMENT
340 SEMINARY STREET	KENANSVILLE	NC	28349	566000296	GOVT ENTITY	$15,000	SEE PART IV
LAKE GASTON RETIREMENT VILLAGE
2475 EATON FERRY ROAD	LITTLETON	NC	27850	260804984	501(C)(3)	$15,500	SEE PART IV
RIPE FOR REVIVAL
161 ENGLISH ROAD	ROCKY MOUNT	NC	27804	852733560	501(C)(3)	$16,000	SEE PART IV
CARENET COUNSELING EAST
108 OAKMONT DRIVE	GREENVILLE	NC	27858	562189431	501(C)(3)	$16,000	SEE PART IV
FOOD BANK OF CENTRAL & EASTERN NC
1924 CAPITAL BLVD	RALEIGH	NC	27604	561283426	501(C)(3)	$17,500	SEE PART IV
NC COOPERATIVE EXTENSION - BERTIE COUNTY
PO BOX 280	WINDSOR	NC	27983	566000276	GOVT ENTITY	$18,900	SEE PART IV
HERTFORD COUNTY
PO BOX 188	WINTON	NC	27986	566001523	GOVT ENTITY	$22,000	SEE PART IV
ROANOKE-CHOWAN CMNTY HEALTH CENTER (RCCHC)
120 HEALTH CENTER DRIVE	AHOSKIE	NC	27910	421638714	501(C)(3)	$31,500	SEE PART IV
FOOD BANK OF THE ALBEMARLE
PO BOX 1704	ELIZABETH CITY	NC	27906	561341658	501(C)(3)	$48,000	SEE PART IV
NC MEDASSIST
4428 TAGGART CREEK RD	CHARLOTTE	NC	28208	562018957	501(C)(3)	$50,500	SEE PART IV

Field	Value	IRS element (for citing)
Total501c3 Org	31	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule I, PART I, LINE 2:

THE ORGANIZATION 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.

SCHEDULE I, PART II, LINE 1(h) PURPOSE OF GRANT:

1. KRISTI OVERTON JOHNSON MINISTRIES: VICTORIOUS LIVING PRISON OUTREACH 2. BERTIE COUNTY: VETERANS TRANSPORTATION ASSISTANCE PROGRAM 3. NC COOPERATIVE EXTENSION- CHOWAN: 4-H JR. CHEF'S SUMMER PROGRAM 4. ROCKY MOUNT FAMILY YMCA, INC.: LONGER LIFE PROJECT 5. TOWN OF MURFREESBORO: RECREATION AND COMMUNITY HEALTH 6. AHOSKIE FOOD PANTRY: FOOD PANTRY SERVICES 7. DOWN EAST PARTNERSHIP FOR CHILDREN: ENGAGING COMMUNITY PARTNERS TO SUSTAIN A HEALTH COMMUNITY 8. THE LIGHTHOUSE HOME: OPIATE CRISIS PEER SUPPORT SPECIALIST 9. CENTER FOR ENERGY EDUCATION: HEALTH AND WELLNESS LEARNING SERIES FOR RESIDENTS AND STUDENTS 10. ALBEMARLE REGIONAL HEALTH SERVICES: DIABETES SUPPORT GROUP, SUPPORT COMMUNITY INITIATIVES, GETFIT 11. DUPLIN COUNTY EMERGENCY MANAGEMENT: EMERGENCY OPS CENTER ENHANCEMENT 12. GARYSBURG VOLUNTEER FIRE DEPARTMENT: AED'S & TRAINING 13. YOUTH BERTIE, INC: BACKPACK INITIATIVE 14. AREA L AHEC: TRAUMA INFORMED & RESILIENCE FOCUSED TRAINING AND SUPPORT 15. WILMINGTON AREA REBUILDING MINISTRY, INC.: WARM HELPS DUPLIN COUNTY WEATHER THE NEXT STORM 16. BOYS & GIRLS CLUB OF THE TAR RIVER REGION: TRIPLE PLAY PLUS 17. VOICE COMMUNITY FOUNDATION: MEDICAL AND ESSENTIAL TRANSPORTATION FOR SENIORS 18. ROANOKE RAPIDS FIRE DEPARTMENT: FIRST RESPONDER AED PROGRAM ENHANCEMENTS 19. UNION MISSION OF ROANOKE RAPIDS: COMMUNITY SUPPORT 20. ALBEMARLE DEVELOPMENT CORPORATION: MEALS ON WHEELS 21. NC COOPERATIVE EXTENSION - DUPLIN COUNTY: 4-H PREVENTION EDUCATION AND SERVICES 22. DUPLIN COUNTY HEALTH DEPARTMENT: PREDIABETES AND DIABETES MANAGEMENT 23. LAKE GASTON RETIREMENT VILLAGE: HELPFUL HANDS AND HEARTS RAMPS IT UP 24. RIPE FOR REVIVAL: PAY WHAT YOU CAN MOBILE MARKET BUS 25. CARENET COUNSELING EAST: ACCESS TO BEHAVIORAL HEALTH CARE 26. FOOD BANK OF CENTRAL & EASTERN NC: NOURISHING FAMILIES 27. NC COOPERATIVE EXTENSION - BERTIE COUNTY: EXPANDED FOOD & NUTRITION EDUCATION PROGRAM, EAT SMART MOVE MORE, LEARN TO SWIM, 4H COOKING CAMP 28. HERTFORD COUNTY: SENIOR PREVENTION INFORMATION & COMMUNITY EDUCATION 29. ROANOKE-CHOWAN COMMUNITY HEALTH CENTER (RCCHC): PRESCRIPTION ASSISTANCE PROGRAM, DIABETES SELF-MANAGEMENT EDUCATION, PRIMARY CARE RX ASSIST. & DIABETES MANAGEMENT 30. FOOD BANK OF THE ALBEMARLE: SUPPLEMENTAL FOOD PROGRAMS 31. NC MEDASSIST: MEDICATION ASSISTANCE PROGRAM

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (28 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 MD
CHAIRMAN	$0	$849,206	$0	$121,932	$0	$14,957	$0	$740,546	$0	$51,575	$0	$1,778,216	$0	$0
DAVID HUGHES Thru 1222
Secretary/Treasurer	$0	$607,253	$0	$0	$0	$0	$0	$428,227	$0	$36,886	$0	$1,072,366	$0	$0
JAY BRILEY
PRESIDENT, ECUH CMNTY HOSP.	$0	$395,814	$0	$0	$0	$0	$0	$142,532	$0	$42,788	$0	$581,134	$0	$0
JERRY TOWNSEND
VP, FINANCIAL SVCS-OPERATIONS	$0	$398,300	$0	$0	$0	$0	$0	$143,988	$0	$19,460	$0	$561,748	$0	$0
MICHELLE TAYLOR
VP OF FINANCE & OPERATIONS	$0	$219,372	$0	$0	$0	$0	$0	$90,676	$0	$43,936	$0	$353,984	$0	$0
PATRICK HEINS
PRESIDENT, ECUH EDGECOMBE	$317,188	$0	$0	$0	$0	$0	$169,115	$0	$19,323	$0	$505,626	$0	$0	$0
JUDY BRUNO
PRESIDENT, ECUH ROANOKE CHOWAN	$247,452	$0	$0	$0	$0	$0	$52,072	$0	$47,990	$0	$347,514	$0	$0	$0
BRIAN HARVILL
PRES(ECUH CHOWAN &ECUH BERTIE)	$259,444	$0	$0	$0	$0	$0	$53,545	$0	$46,157	$0	$359,146	$0	$0	$0
DEBRA HERNANDEZ
PRES., ECUH BEAUFORT/ECUHMC	$0	$313,179	$0	$0	$0	$0	$0	$63,346	$0	$20,300	$0	$396,825	$0	$0
JEFFERY DIAL
PRESIDENT, ECUH DUPLIN	$254,442	$0	$0	$0	$0	$0	$127,311	$0	$45,067	$0	$426,820	$0	$0	$0
JASON HARRELL
PRESIDENT, ECUH NORTH	$263,590	$0	$0	$0	$0	$0	$54,198	$0	$37,373	$0	$355,161	$0	$0	$0
DENNIS CAMPBELL
VP, PATIENT CARE SVC BEAUFORT	$0	$166,408	$0	$0	$0	$0	$0	$17,671	$0	$37,028	$0	$221,107	$0	$0
CHARLES ALFORD
VP, FIN. SVCS (EDGE & RCH)	$197,719	$0	$0	$0	$0	$0	$76,753	$0	$5,876	$0	$280,348	$0	$0	$0
CYNTHIA MAYO
VP, PATIENT CARE SVCS EDGE	$146,695	$0	$0	$0	$0	$0	$50,476	$0	$41,269	$0	$238,440	$0	$0	$0
CINDY COKER
VP, PT CARE SERVICES CHO	$191,682	$0	$0	$0	$0	$0	$77,476	$0	$33,012	$0	$302,170	$0	$0	$0
DANA BYRUM
VP, PT CARE SERVICES CHO	$150,181	$0	$0	$0	$0	$0	$50,160	$0	$7,718	$0	$208,059	$0	$0	$0
SUE TAYLOR
VP, PATIENT CARE SVCS DUPLIN	$177,000	$0	$0	$0	$0	$0	$78,265	$0	$36,522	$0	$291,787	$0	$0	$0
CHRISTINA MILLER
VP, PATIENT CARE SVCS DUPLIN	$153,732	$0	$0	$0	$0	$0	$3,039	$0	$13,549	$0	$170,320	$0	$0	$0
SUSAN SUITER
VP, PATIENT CARE SVCS NORTH	$199,871	$0	$0	$0	$0	$0	$100,996	$0	$16,124	$0	$316,991	$0	$0	$0
LUCINDA CRAWFORD
VP, FINANCIAL SERVICES DUPLIN	$157,735	$0	$0	$0	$0	$0	$60,561	$0	$19,673	$0	$237,969	$0	$0	$0
TODD WARLITNER
VP, FIN.-CRITICAL ACCESS HOSP.	$109,293	$72,862	$0	$0	$0	$0	$11,587	$7,725	$21,679	$14,452	$142,559	$95,039	$0	$0
JENNIFER RILEY
VP, PATIENT CARE SERVICES-VROA	$164,244	$0	$0	$0	$0	$0	$16,500	$0	$14,675	$0	$195,419	$0	$0	$0
DELORES MORRIS
VP, PATIENT CARE SERVICES-VROA	$144,463	$0	$0	$0	$0	$0	$243,696	$0	$4,505	$0	$392,664	$0	$0	$0
TAMMI ROOS
ANESTHESIOLOGIST	$458,389	$0	$0	$0	$0	$0	$56,150	$0	$29,356	$0	$543,895	$0	$0	$0
LEIGH GURLEY
MGR, PHARMACY	$213,795	$0	$0	$0	$0	$0	$65,431	$0	$15,647	$0	$294,873	$0	$0	$0
SHELLI SIMMONS
MGR, PHARMACY	$217,104	$0	$0	$0	$0	$0	$59,567	$0	$15,746	$0	$292,417	$0	$0	$0
PHILIP BROOME
MGR, PHARMACY	$193,693	$0	$0	$0	$0	$0	$53,745	$0	$15,355	$0	$262,793	$0	$0	$0
ANGELA HARDY
MGR, PHARMACY	$203,762	$0	$0	$0	$0	$0	$75,005	$0	$44,385	$0	$323,152	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, PART I, LINE 3:	FormAndLineReferenceDesc
Explanation	THE TOP MANAGEMENT OFFICIAL IS THE PRESIDENT WHO IS AN EMPLOYEE OF EAST CAROLINA 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.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A:	OVERVIEW OF UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA: OUR MISSION AT ECU HEALTH TO IMPROVE THE HEALTH AND WELLBEING OF EASTERN NORTH CAROLINA. OUR MISSION, VISION AND VALUES CONTINUE TO LEAD US ON A VOYAGE TO EXCELLENCE. BECAUSE THE PEOPLE WE TAKE CARE OF OUR NEIGHBORS, FRIENDS AND FAMILY DESERVE THE BEST. ECU HEALTH IS A NORTH CAROLINA NONPROFIT 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, PITT COMMUNITY COLLEGE AND BEAUFORT 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 NONPROFIT 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 I95 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 COALITIONS, 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 BASED WITHIN EACH ECU HEALTH HOSPITAL. FUNDS ARE AWARDED TO COMMUNITY AGENCIES THAT SUCCESSFULLY DEMONSTRATE BOTH NEED AND A WELL-DESIGNED PLAN TO ADDRESS ONE OF THE HEALTH PRIORITIES IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT PROCESS. 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 ARE 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 HEALTH 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: FORM 990, SCHEDULE H, PART VI, LINE 5: 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 COMMUNITY COALITIONS FOCUSED ON HEALTH - 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, SECTION A, LINE 4:	Revised by-laws effective April 25, 2023 to update for dba names.
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.
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 COMPENSATION IS DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE ECU HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. THIS PROCESS IS PERFORMED EVERY YEAR. 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. THIS PROCESS IS PERFORMED EVERY YEAR. 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 COMBINED FINANCIAL STATEMENTS AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D).
FORM 990, PART XI, LINE 9:	OTHER CHANGES IN NET ASSETS: NET ASSET TRANSFER $31,581,281.
FORM 990, PART XII, LINE 2C:	THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:XXX-XX-XXXX

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	DUPLIN HEALTH CARE SERVICES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	401 N MAIN STREET	AddressLine1Txt
City	KENANSVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28439	ZIPCd

Field	Value	IRS element (for citing)
EIN	566011594	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	NC	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	DUPLIN GENH	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 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
UNIV HEALTH SYSTEMS OF EASTERN CAROLINA
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	562141073	HEALTHCARE	NC	501(C)(3)	12C-III FI	NA	false
PITT COUNTY MEMORIAL HOSPITAL INC
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	560585243	HOSPITAL	NC	501(C)(3)	LINE 3	ECU HEALTH	false
VIDANT MEDICAL GROUP LLC
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	383740839	HEALTHCARE	NC	501(C)(3)	LINE 10	ECU HEALTH	false
EAST CAROLINA HEALTH INC
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	562003393	HOSPITAL	NC	501(C)(3)	LINE 3	ECU HEALTH	false
PCMH MANAGEMENT INC
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	561690740	MEDICAL PROP.	NC	501(C)(2)	N/A	ECU HEALTH	false
HEALTHACCESS INC
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	561396133	HEALTHCARE	NC	501(C)(3)	LINE 12B,II	ECU HEALTH	false
THE OUTER BANKS HOSPITAL INC
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	562112733	HOSPITAL	NC	501(C)(3)	LINE 3	EC Health	false
ACCESS EAST INC
2410 STANTONSBURG RD STANTON SQUA	GREENVILLE	NC	27834	561949493	HEALTHCARE	NC	501(C)(3)	LINE 10	ECU HEALTH	false
ROANOKE VALLEY HEALTH SERVICES
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	561925492	HEALTHCARE	NC	501(C)(3)	LINE 3	ECU HEALTH	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	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	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	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	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS:	FormAndLineReferenceDesc
Explanation	FULL NAME, EIN, AND ADDRESS OF RELATED ORGANIZATIONS: NAME: UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA D/B/A ECU HEALTH EIN: 56-2141073 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: 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 EIN: 56-2003393 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: THE OUTER BANKS HOSPITAL, INC. D/B/A OUTER BANKS HEALTH EIN: 56-2112733 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835	ExplanationTxt