2023-08-10T15:32:40-05:00 2022-09-30 440160260 FORVIS LLP 500 Ridgefield Court Asheville NC 28806 990 2021-10-01 911997979 East Carolina Health Inc EAST 2528477479 2100 Stantonsburg Road Greenville NC 27835 Andy K Zukowski Secretary & Treasurer 2528477479 2023-08-10 1 Andy Zukowski 999009999 Amy Bibby P00445891 8282542254 2023-08-10 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z ECU Health Community Hospitals Group Jay Briley 2100 Stantonsburg Road Greenville NC 27835 437318767 1 1 8242 X www.ecuhealth.org X 1996 NC To advance and support the healthcare needs of the communities of eastern North Carolina. 7 5 0 148 0 0 1558607 1176340 572069290 429761657 14549 122441 5219204 6175144 578861650 437235582 660706 583291 0 0 214178365 180332494 0 0 0 321863673 284171703 536702744 465087488 42158906 -27851906 372124980 284178452 105030632 104959764 267094348 179218688 X To improve the health and well-being of eastern North Carolina 0 0 86538031 95000 94376094 ECU Health Edgecombe HospitalECU 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. 93078437 106541 92828744 ECU Health Roanoke-Chowan HospitalECU Health Roanoke-Chowan Hospital is an 86-bed hospital located in Ahoskie, Northe Carolina, that is also licensed for 28 inpatient psychiatric beds. Services at Roanoake-Chowan Hospital include acute care, obstetrics/gynecology, emergency, sub-acute care, speciality clinics and behavioral health. The hospital also operates a wellness center for the community. 102608740 96750 91695806 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, IP behavioral health unit, obstetrics/gynecology, critial care unit, IP and same day surgercy, 24 hour emergency, oncology, cardiac cath lab, endoscopy services, rehab services, and wound care services. 128799332 285000 150868060 Hospital services provided at additional facilities. 128799332 285000 150868060 411024540 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X X Jennifer Worsley 2528472254 2100 Stantonsburg Road Greenville NC 27835 Michael Waldrum MD Chairman 2.00 48.00 X 0 1408998 255791 Marcus Albernaz MD Board Member 2.00 6.00 X 0 0 0 Ernie Evans Board Member 2.00 4.00 X 0 0 0 Jimmy Garris Board Member 2.00 4.00 X 0 0 0 Polly Johnson Board Member 2.00 4.00 X 0 0 0 Bob Patterson Board Member 2.00 2.00 X 0 0 0 James Pierce Board Member 2.00 2.00 X 0 0 0 Diane Taylor Board Member 2.00 4.00 X 0 0 0 David Hughes Secretary/Treasurer 2.00 48.00 X 0 673007 388122 Jay Briley President 40.00 8.00 X 0 455642 155831 Michelle Taylor VP Financial Svcs-Operations (Begin 10/21) 40.00 2.00 X 0 157215 90964 Jerry Townsend VP Financial Svcs-Operations (Thru 10/21) 40.00 2.00 X 0 307267 148110 Judy Bruno President ECU Health Roanoke Chowan 40.00 X 281412 0 89562 Brian Harvill President ECU Health Chowan & ECU Health Bertie 40.00 X 288915 0 87518 Jeffery Dial President ECU Health Duplin 40.00 X 291761 0 150557 Jason Harrell President ECU Health North 40.00 X 300543 0 84408 Patrick Heins President ECU Health Edgecombe 40.00 X 313920 0 183671 Charles Alford VP Financial Services Edge & RCH 40.00 X 197783 0 75914 Cynthia Mayo VP PT Care Services Edge 40.00 X 155616 0 84297 Cindy Coker VP Pt Care Services CHO 40.00 X 175767 0 125393 Sue Taylor VP PT Care Services Duplin 40.00 X 190318 0 136791 Susan Suiter VP PT Care Services North 40.00 X 214098 0 127640 Lucinda Crawford VP Finacial Services Duplin 40.00 X 174709 0 77084 Todd Warlitner VP Finance-Critical Access Hospitals 24.00 16.00 X 113711 75807 48694 Jennifer Riley VP PT Care Services-VROA 40.00 X 150721 0 22121 Tammi Roos Anesthesiologist 40.00 X 441524 0 79612 Leigh Gurley Mgr, Pharmacy 40.00 X 208783 0 72740 Shelli Simmons Mgr, Pharmacy 40.00 X 216212 0 71896 Eula Beasley Mgr, Pharmacy 40.00 X 203041 0 35747 Angela Hardy Mgr, Pharmacy 40.00 X 200646 0 112546 Elaine Griffiths VP PT Care Services-VROA 40.00 X 104112 0 15598 4223592 3077936 2720607 208 1 1 0 Sodexo Inc & Affiliates PO Box 905374 Charlotte NC 28290 Contracted Labor & Management 5930905 AMN Healthcare Inc 2735 Collection Center Dr Chicago IL 60693 Temporary Labor Services 4756303 Fastaff LLC PO Box 911452 Denver CO 80291 Temporary Labor Services 4119802 Medical Solutions 9101 Western Ave Suite 101 Omaha NE 68114 Temporary Labor Services 1718892 Therex dba Kindred Hospital Rehabilitati PO Box 502096 St Louis MO 631502096 Rehab Services 1566025 56 1176340 1176340 Outpatient Services 621110 276411740 276411740 Inpatient Services 621400 153356964 153356964 Provider Relief Funds 900099 -7047 -7047 429761657 205626 205626 515809 0 515809 515809 515809 83185 -83185 -83185 -83185 All other 900099 3791595 3791595 Cafeteria Meals 722514 1515349 1515349 Rebates 900099 284057 284057 68334 68334 5659335 437235582 429761657 0 6297585 X 583291 583291 2849274 2849274 138708694 134480070 4228624 6300037 5985035 315002 22200740 18955189 3245551 10273749 9760062 513687 360241 286496 73745 446207 446207 243459 243459 14212 14212 -4578 -4578 136836163 108244190 28591973 281560 281560 1582779 1255109 327670 1049663 286912 762751 5435183 4113313 1321870 243481 194785 48696 3066299 3066299 14023281 14023281 3258100 651620 2606480 Medical Supplies 69685595 66201315 3484280 Bad Debt 39419127 39419127 8230931 6584745 1646186 465087488 411024540 54062948 0 55797152 21737942 99177721 88738279 15210115 11903987 5443041 4520640 397363878 283446756 153164958 113917122 1126222 42205771 43360482 372124980 284178452 55807652 55239172 272380 173541 48950600 49547051 105030632 104959764 X 263934049 176058389 3160299 3160299 267094348 179218688 372124980 284178452 X -27851906 -201078 -59822676 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14212 14212 0 Part II-B, Line 1: 17.27% of dues to NCHA are allocated to lobbying. 2676404 2676404 224781564 167089156 57692408 6537414 4859522 1677892 148434629 110337416 38097213 14933867 1160662 13773205 113917122 Other Assets 805894 Other Receivables 7347344 Investments in Subsidiaries 2082582 Deferred Outflows 26482218 Due from Third Party Payors 6642444 43360482 Other liabilities 3509868 Due to Third Party Payors 9153473 Net Pension Liability 25752155 Deferred Inflow 11131555 49547051 X Part X, Line 2: 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, 2022 and 2021. 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 2019. 1 1 X 1 X 1 X 1 1 1 0 1 1 13702453 13702453 0.02950 73120722 67142798 5977924 0.01290 86823175 67142798 19680377 0.04240 29 7489 502039 502039 0.00110 15 695 1326780 1326780 0.00290 22 133908 998364 15240 983124 0.00210 66 142092 2827183 15240 2811943 0.00610 66 142092 89650358 67158038 22492320 0.04850 1 12033 12033 0.00000 6 2 44273 44273 0.00010 1 3972 3972 0.00000 2 20821 20821 0.00000 7 895 33100 33100 0.00010 17 897 114199 114199 0.00020 1 13209291 89257306 111946654 -22689348 X 1 1 6 1 East Carolina Health - Heritage Inc 111 Hospital Drive TARBORO NC 27886 X X X X A 2 East Carolina Health - Roanoke-Chowan 500 Academy Street AHOSKIE NC 27910 X X X X Behavioral Health A 3 East Carolina Health - Chowan Inc 211 Virginia Road EDENTON NC 27932 X X X X A 4 Duplin General Hopsital Inc 401 North Main Street KENANSVILLE NC 28349 X X X A 5 East Carolina Health - Bertie 1403 South King Street WINDSOR NC 27983 X X X X A 6 Halifax Regional Medical Center Inc - ECU Health North 250 Smith Church Rd Roanoke Rapids NC 27870 X X X Behavioral Health B Facility Report Group A 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V DISCLOSURE X 1 21 1 SEE PART V DISCLOSURE 0 1 X 200.000000000000 200.000000000000 X X 1 1 X X X 1 X SEE PART V DISCLOSURE X SEE PART V DISCLOSURE X SEE PART V DISCLOSURE X X X X X 1 X 0 X X X X 1 X 0 0 Facility Report Group B 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V DISCLOSURE X 1 21 1 SEE PART V DISCLOSURE 0 1 X 200.000000000000 250.000000000000 X X 1 1 X X X 1 X SEE PART V DISCLOSURE X SEE PART V DISCLOSURE X SEE PART V DISCLOSURE X X X X X 1 X 0 X X X X 1 X 0 0 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 Hopsital, 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 interestedparties 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 HospitalEast Carolina Health DBA ECU Health Roanoke-Chowan HospitalEast Carolina Health - Chowan, Inc. DBA ECU Health Chowan HospitalDuplin General Hospital, Inc. DBA ECU Health Duplin HospitalEast Carolina Health - Bertie DBA ECU Health Bertie Hospital Facility Report Group A Part V, Section B, line 6b: The Community Health Needs Assessment was conducted with the following organizations:Albemarle Regional Health ServicesDuplin County Health DepartmentEast Carolina UniversityEdgecombe County Health DepartmentHertford County Public Health AuthorityHyde County Health Department Facility Report Group A Part V, Section B, line 11: Please refer to the attached 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. Part V, Section B Facility Reporting Group B Facility Reporting Group B consists of: - Facility 6: Halifax Regional Medical Center, Inc. - ECU He 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 interestedparties 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 HospitalEast Carolina Health DBA ECU Health Roanoke-Chowan HospitalEast Carolina Health - Chowan, Inc. DBA ECU Health Chowan HospitalDuplin General Hospital, Inc. DBA ECU Health Duplin HospitalEast Carolina Health - Bertie DBA ECU Health Bertie Hospital Facility Report Group B Part V, Section B, line 6b: The Community Health Needs Assessment was conducted with the following organizations:Albemarle Regional Health ServicesDuplin County Health DepartmentEast Carolina UniversityEdgecombe County Health DepartmentHertford County Public Health AuthorityHyde County Health Department Facility Report Group B Part V, Section B, line 11: Please refer to the attached 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. 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/ 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-assistance/ 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. 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. 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/ Part III, Line 4: The financial statements of East Carolina Health are presented on a consolidated basis; the text of the footnote from page 20 is presented below:Patient Accounts ReceivablePatient Accounts Receivable are reported net of estimated allowances for contractual adjustments and allowances for bad debts. Estimated allowances for bad debts are approximately $91.7 million and $96.1 million as of September 30, 2022 and 2021, respectively. 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. 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 conjuction 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. 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 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. Part VI, Line 4: See Schedule O, Part III, Line 4a in connection with https://www.ecuhealth.org/about-us/community/health-needs-assessment/ Part VI, Line 5: See Schedule O, Part III, Line 4a in connection with https://www.ecuhealth.org/about-us/community/health-needs-assessment/ Part VI, Line 6: See Schedule O, Part III, Line 4a in connection with https://www.ecuhealth.org/about-us/community/health-needs-assessment/ Part VI, Line 7, Reports Filed With States NC 1 Choanoke Area Development Association (CADA) PO Box 530 Rich Square NC 27869 560841757 501 ( c ) 3 5200 0 A healthy start matters Bertie County PO Box 530 Windsor NC 27983 566000273 Government 6000 0 Medical transportation for verterans Boys and Girls Club of North Central North Carolina 116 W 3rd Street Roanoke Rapids NC 27870 562525793 501 ( c ) 3 6000 0 Triple play healthy habits Rocky Mount Family YMCA Inc PO Box 4063 Rocky Mount NC 27803 560543251 501 ( c ) 3 6500 0 SilverSneakers Program and Enhance Fitness Program for older adults NC Cooperative Extension - Chowan 730 N Granville St Ste A Edenton NC 27932 566000286 Government 6500 0 Grow to eat, Youth EFNEP, 4H Jr. Chefs, Master food volunteer program Down East Partnership for Children 215 Lexington St Rocky Mount NC 27802 561859313 501 ( c ) 3 7000 0 Healthy families The Lighthouse Home 1016 Eastern Ave Rocky Mount NC 27801 300538794 501 ( c ) 3 7000 0 Opiate crisis peer support specialist Michael's Angels Girls Club 216 N Main Street Tarboro NC 27886 812898219 501 ( c ) 3 7000 0 Healthy lifestyles and academic success Center for Energy Education 460 Airport Road Roanoke Rapids NC 27870 472079791 501 ( c ) 3 8000 0 Health and wellness learning series Ripe for Revival 161 English Road Rocky Mount NC 27804 852733560 501 ( c ) 3 8000 0 Mobile Market Bus Program to make healthy options accessible to food deserts Youth Bertie Inc 134 Ward Road Windsor NC 27983 473106835 501 ( c ) 3 8500 0 Backpack initiative Albemarle Regional Health Services PO Box 189 Elizabeth City NC 27909 566000798 501 ( c ) 3 9500 0 Diabetes support group, Albemarle get fit, Partners for health Area L AHEC PO Drawer 7368 Rocky Mount NC 27804 237338802 501 ( c ) 3 9500 0 Trauma informed resilience Roanoke Rapids Police Department 1040 Roanoke Ave Roanoke Rapids NC 27870 566001319 Government 10000 0 First Aid/CPR during opiod overdoses Food Bank of Central & Eastern NC 1924 Capital Blvd Raleigh NC 27604 561283426 501 ( c ) 3 10000 0 Nutritious food and fresh produce Tarheel Human Services PO Box 1321 Beulaville NC 28518 474705313 501 ( c ) 3 10000 0 Mental health services subsidies Boys & Girls Club of the Tar River Region PO Box 1622 Rocky Mount NC 27802 560934910 501 ( c ) 3 10000 0 Triple play plus Roanoke Rapids Fire Department 643 Roanoke Ave Roanoke Rapids NC 27870 566001319 Government 10000 0 Replace outdated AED's Town of Beulaville PO Box 130 Beulaville NC 28518 566015870 Government 10000 0 Provide safe and up to date facilities Snow Hill Community Outreach 1224 Red Hill Rd Mount Olive NC 28365 832285894 501 ( c ) 3 10000 0 Disaster Recovery/Mitigation VOICE Community Foundation PO Box 100 Tarboro NC 27886 561222730 501 ( c ) 3 10000 0 Medical and wellness transportation Resources for Resilience 13 1/2 Eagle St Suite k Asheville NC 28801 820751905 501 ( c ) 3 10700 0 Behavioral Health Union Mission of Roanoke Rapids 1310 Roanoke Avenue Roanoke Rapids NC 27870 560649264 501 ( c ) 3 12500 0 Supplemental food program Albemarle Development Corporation 512 South Church St Hertford NC 27944 262495965 501 ( c ) 3 12500 0 Meals on Wheels CareNet Counseling East 108 Oakmont Drive Greenville NC 27858 562189431 501 ( c ) 3 14500 0 Access to behavioral health counseling Duplin County Health Department 340 Seminary Street Kenansville NC 28349 566000296 Government 15000 0 Diabetes prevention and management Lake Gaston Retirement Village 2475 Eaton Ferry Road Littleton NC 27850 260804984 501 ( c ) 3 17000 0 Medical transportation and ramps NC Cooperative Extension - Bertie County PO Box 280 Windsor NC 27983 566000276 Government 18000 0 Expanded food & nutrition education program, 4H cooking camp Hertford County PO Box 188 Winton NC 27986 566001523 Government 22000 0 SPICE home safety program Roanoke-Chowan Community Health Center (RCCHC) 120 Health Center Drive Ahoskie NC 27910 421638714 501 ( c ) 3 35000 0 Prescription assistance program, Creswell primary care, diabetes self-management Food Bank of the Albemarle PO Box 1704 Elizabeth City NC 27909 561341658 501 ( c ) 3 48000 0 Mobile food pantry NC Medassist 4428 Taggart Creek Road Suite 101 Charlotte NC 28208 562018957 501 ( c ) 3 60100 0 Free pharmacy program for uninsured 32 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. X X X X 0 0 0 0 0 0 0 0 0 Michael Waldrum MD Chairman 0 1108020 0 285793 0 15185 0 204321 0 51470 0 1664789 0 0 David Hughes Secretary/Treasurer 0 579725 0 93282 0 0 0 347501 0 40621 0 1061129 0 0 Jay Briley President 0 390807 0 64835 0 0 0 116734 0 39097 0 611473 0 0 Tammi Roos Anesthesiologist 441524 0 0 0 0 0 50216 0 29396 0 521136 0 0 0 Patrick Heins President ECU Health Edgecombe 270929 0 42991 0 0 0 168279 0 15392 0 497591 0 0 0 Jerry Townsend VP Financial Svcs-Operations (Thru 1 0 279723 0 27544 0 0 0 129830 0 18280 0 455377 0 0 Jeffery Dial President ECU Health Duplin 248092 0 43669 0 0 0 108125 0 42432 0 442318 0 0 0 Jason Harrell President ECU Health North 257209 0 43334 0 0 0 48708 0 35700 0 384951 0 0 0 Brian Harvill President ECU Health Chowan & ECU He 247714 0 41201 0 0 0 44545 0 42973 0 376433 0 0 0 Judy Bruno President ECU Health Roanoke Chowan 240211 0 41201 0 0 0 44150 0 45412 0 370974 0 0 0 Susan Suiter VP PT Care Services North 195448 0 18650 0 0 0 113097 0 14543 0 341738 0 0 0 Sue Taylor VP PT Care Services Duplin 172872 0 17446 0 0 0 101229 0 35562 0 327109 0 0 0 Angela Hardy Mgr, Pharmacy 199146 0 1500 0 0 0 73801 0 38745 0 313192 0 0 0 Cindy Coker VP Pt Care Services CHO 159193 0 16574 0 0 0 84030 0 41363 0 301160 0 0 0 Shelli Simmons Mgr, Pharmacy 214712 0 1500 0 0 0 56760 0 15136 0 288108 0 0 0 Leigh Gurley Mgr, Pharmacy 207283 0 1500 0 0 0 58815 0 13925 0 281523 0 0 0 Charles Alford VP Financial Services Edge & RCH 180110 0 17673 0 0 0 71656 0 4258 0 273697 0 0 0 Lucinda Crawford VP Finacial Services Duplin 159425 0 15284 0 0 0 61107 0 15977 0 251793 0 0 0 Michelle Taylor VP Financial Svcs-Operations (Begin 0 143715 0 13500 0 0 0 51333 0 39631 0 248179 0 0 Cynthia Mayo VP PT Care Services Edge 141116 0 14500 0 0 0 45298 0 38999 0 239913 0 0 0 Eula Beasley Mgr, Pharmacy 201541 0 1500 0 0 0 3011 0 32736 0 238788 0 0 0 Todd Warlitner VP Finance-Critical Access Hospitals 103263 68842 10448 6965 0 0 9105 6070 20111 13408 142927 95285 0 0 Jennifer Riley VP PT Care Services-VROA 149221 0 1500 0 0 0 8503 0 13618 0 172842 0 0 0 Elaine Griffiths VP PT Care Services-VROA 104112 0 0 0 0 0 5982 0 9616 0 119710 0 0 0 Part I, Line 3 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. Form 990, Part III, Line 4a Overview of University Health Systems of Eastern Carolina: Our mission at ECU Health to improve the health and well-being 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 non-profit corporation with headquarters in Greenville, North Carolina. ECU Health and its affiliates operate an integrated health care delivery system that serves a total market of approximately 1.4 million people in 29 contiguous counties in eastern North Carolina. The Health System includes hospitals, physician practices, outpatient services, long-term care, home health, hospice, and wellness services. The Health System's owned hospitals are ECU Health Medical Center, which is a tertiary care hospital and an academic medical center, that includes the ECU Health Beaufort Hospital as a department operating as a campus of ECU Health Medical Center and seven other acute care hospitals: ECU Health Roanoke-Chowan Hospital, ECU Health Edgecombe Hospital, ECU Health Chowan Hospital, ECU Health Bertie Hospital, ECU Health Duplin Hospital, ECU Health North Hospital, and The Outer Banks Hospital. ECU Health Medical Center serves as the teaching hospital for the Brody School of Medicine, East Carolina Schools of Nursing and Allied Health and Pitt Community College. The system also serves as a regional referral center for eastern North Carolina. The System's nine owned hospitals are licensed to operate 1,708 beds. Each hospital is licensed by the Division of Facility Services of the North Carolina Department of Health and Human Services and approved as a provider by the Medicare and Medicaid programs. ECU Health and its hospitals and affiliate organizations provide services to patients without regard to their ability to pay. In fiscal year 2022 ECU Health's combined patient care statistics were: inpatient admissions, 62,380; inpatient days of care, 364,647; surgeries, 49,599; births, 6,408; and Outpatient visits, 406,452. Our System's workforce included 12,807 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 2022 ECU Health provided care to 246,734 emergency room patients. ECU Health's Board of Directors consists of 11 voting members, six of whom must be current or former Pitt County, North Carolina appointees of ECU Health Medical Center's Board of Trustees and five of whom must be current or former Board of Governors of the University of North Carolina appointees of ECU Health Medical Center's Board of Trustees. ECU Health Medical Center, in affiliation with the Brody School of Medicine, which is owned by the State of North Carolina, operates 30 resident-training programs with over 400 medical residents. This Relationship enables ECU Health Medical Center and the Brody School of Medicine to combine their resources for the provision of quality patient care, medical education and research for the residents of eastern North Carolina. The Brody School of Medicine has three important goals: educating primary care physicians, making medical care more readily available to the people of eastern North Carolina, and providing opportunities to minority and disadvantaged students. As a non-profit organization, ECU Health reinvests all excess of revenues over expenses in programs, services, and facilities that provide access to patient care and health services to the citizens of Eastern Carolina. Overview of ECU Health Health Community Benefit Programs 1. Eastern North Carolina is comprised of 1.4 million people living in 14,000 square miles. Boundaries are from I-95 East to the coast, and from the Virginia line down to and including Onslow County. The area is largely rural and largely poor, with higher than state or national average rates for poverty and uninsured. Health status indicators show increased incidence of disease in the region, especially cancer, heart disease and stroke. ECU Health determines priorities for target populations by working in concert with medical and community agency partners in ongoing assessment of the most pressing health care needs. Many efforts over the past decade have focused on diabetes, pediatric asthma, school health, injury prevention, access to care, nutrition enhancement, physical activities and chronic disease screenings. Also, special programs to manage the care of Medicaid enrollees, address access to both medical care and medications for the uninsured, and coordination of services for children with obesity have been undertaken. The populations that are served by addressing these issues are largely the poor, the underserved, and minorities. Determination of specific populations to address occurs when partners such as the North Carolina Department of Health and Human Services, local health departments, county 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. BSOM is an active participant in almost every community health initiative, supporting the research and evaluation of these programs, and contributes to programs for the under and uninsured in multiple ways. ECU and other educational institutions whose students matriculate through ECU Health facilities also provide opportunities for collaboration and participation in various community health initiatives. Form 990, Part III, Line 4a 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, American Red Cross blood drives, medical supplies to emergency medical services, and free medications to qualifying patients. ECU Health hospitals are key partners in fundraising for organizations such as the United Way, American Heart Association, Juvenile Diabetes 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, financial support for road improvements, 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 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 IX, line 11g Contracted Services: Program service expenses 108,244,190. Management and general expenses 28,591,973. Fundraising expenses 0. Total expenses 136,836,163. Form 990, Part XI, line 9: Net Asset Transfer -11,468,676. Adjustment for Transfer of Beaufort -48,354,000. Form 990, Part XII, Line 2C: This process has not changed from the prior year. Ahoskie Imaging LLC 203 Academy St S Ahoskie NC 27910 954896961 Healthcare NC 0 0 East Carolina Health Radiation Services of North Carolina LLC 301 Academy Street S Ahoskie NC 27910 621808495 Healthcare NC 0 0 East Carolina Health Duplin Health Care Services LLC 401 N Main Street Kenansville NC 28349 566011594 Healthcare NC 0 0 Duplin General Hospital Inc University Health Systems of Eastern Carolina (DBA ECU Health) 2100 Stantonsburg Road Greenville NC 27835 562141073 Healthcare NC 501(c)(3) Line 12c, III-FI N/A 0 Pitt County Memorial Hospital Inc (DBA ECU Medical Center) 2100 Stantonsburg Road Greenville NC 27835 560585243 Hospital NC 501(c)(3) Line 3 ECU Health 0 Vidant Medical Group LLC (DBA ECU Health Physicians) 2100 Stantonsburg Road Greenville NC 27835 383740839 Healthcare NC 501(c)(3) Line 10 ECU Health 0 East Carolina Health Inc (DBA ECU Health Community Hospitals - Central) 2100 Stantonsburg Road Greenville NC 27835 562003393 Hospital NC 501(c)(3) Line 3 ECU Health 0 PCMH Management Inc (DBA ECU Health Properties) 2100 Stantonsburg Road Greenville NC 27835 561690740 Medical Property Management NC 501(c)(3) ECU Health 0 HealthAccess Inc 2100 Stantonsburg Road Greenville NC 27835 561396133 Healthcare NC 501(c)(3) Line 12b, II ECU Health 0 The Outer Banks Hospital Inc 2100 Stantonsburg Road Greenville NC 27835 562112733 Hospital NC 501(c)(3) Line 3 East Carolina Health 0 Access East Inc 2410 Stantonsburg Rd Stanton Square Greenville NC 27834 561949493 Healthcare NC 501(c)(3) Line 10 ECU Health 0 Roanoke Valley Health Services 2100 Stantonsburg Road Greenville NC 27835 561925492 Healthcare NC 501(c)(3) Line 3 ECU Health 0 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0