EAST CAROLINA HEALTH: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: EAST CAROLINA HEALTH (EIN 91-1997979)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-06-27
IRS object ID: 202201789349300520
Schema version: 2020v4.2
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	2022-06-27T09:24:17-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 Ridgefield Court	AddressLine1Txt
City	Asheville	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	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)
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	David S Hughes	PersonNm
Person Title	Secretary and Treasurer	PersonTitleTxt
Phone	2528477479	PhoneNum
Signature	2022-06-27	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	David	PersonFirstNm
Person Last	Hughes	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amy Bibby	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum
Preparation	2022-06-27	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Vidant Comm 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	$579,144,248	GrossReceiptsAmt
Group Return For Affiliates	Yes (1)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (1)	AllAffiliatesIncludedInd
Group Exemption	8242	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.vidanthealth.com	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	5	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	172	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,601,561	PYContributionsGrantsAmt
CY Contributions Grants	$1,558,607	CYContributionsGrantsAmt
PY Program Service Revenue	$528,826,593	PYProgramServiceRevenueAmt
CY Program Service Revenue	$572,069,290	CYProgramServiceRevenueAmt
PY Investment Income	$386,609	PYInvestmentIncomeAmt
CY Investment Income	$14,549	CYInvestmentIncomeAmt
PY Other Revenue	$5,574,231	PYOtherRevenueAmt
CY Other Revenue	$5,219,204	CYOtherRevenueAmt
PY Total Revenue	$537,388,994	PYTotalRevenueAmt
CY Total Revenue	$578,861,650	CYTotalRevenueAmt
PY Grants And Similar Paid	$247,117	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$660,706	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$207,951,676	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$214,178,365	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$293,309,154	PYOtherExpensesAmt
CY Other Expenses	$321,863,673	CYOtherExpensesAmt
PY Total Expenses	$501,507,947	PYTotalExpensesAmt
CY Total Expenses	$536,702,744	CYTotalExpensesAmt
PY Revenues Less Expenses	$35,881,047	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$42,158,906	CYRevenuesLessExpensesAmt
Total Assets BOY	$348,547,942	TotalAssetsBOYAmt
Total Assets EOY	$372,124,980	TotalAssetsEOYAmt
Total Liabilities BOY	$132,689,779	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$105,030,632	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$215,858,163	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$267,094,348	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	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$82,697,295	ExpenseAmt
Grant	$84,000	GrantAmt
Revenue	$100,203,421	RevenueAmt
Desc	Vidant Edgecombe HospitalFormerly Heritage Hospital, is a 117-bed facility located in Tarboro, North Carolina. Services at Vidant 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	$86,890,358	ExpenseAmt
Grant	$95,000	GrantAmt
Revenue	$96,360,180	RevenueAmt
Desc	Vidant Beaufort HospitalVidant Beaufort Hospital is a 120-bed hospital located in Washington, North Carolina, that is also licensed for 22 inpatient Psychiatric beds. Services at Vidant Beaufort Hospital include acute care, obstetrics/gynecology, emergency, sub-acute care, speciality clinics and behavioral health.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$89,161,681	ExpenseAmt
Grant	$100,756	GrantAmt
Revenue	$97,596,390	RevenueAmt
Desc	Vidant Roanoke-Chowan HospitalVidant Roanoke-Chowan Hospital is an 86-bed hospital located in Ahoskie, North 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.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$98,740,470	$95,000	$99,174,805	Vidant North, formerly Halifax Regional Medical Center, is a 204-bed hospital located in Roanoke Rapids, North Carolina. Services at Vidant 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.
$123,466,297	$285,950	$178,734,494	Hospital services provided at additional facilities.

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$222,206,767	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$380,950	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$277,909,299	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$480,956,101	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	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

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Chris Townsend	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2528470848	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

Form990 Part VII Section A Form990PartVIISectionAGrp (32 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Michael Waldrum MD
Chairman	2.00	48.00	Yes (X)	$0	$1,236,677	$236,036
Marcus Albernaz MD
Board Member	2.00	6.00	Yes (X)	$0	$0	$0
Ernie Evans
Board Member (Beg 3/21)	2.00	4.00	Yes (X)	$0	$0	$0
Jimmy Garris
Board Member	2.00	4.00	Yes (X)	$0	$0	$0
Bruce Gray
Board Member (Thru 12/20)	2.00	4.00	Yes (X)	$0	$0	$0
Polly Johnson
Board Member	2.00	4.00	Yes (X)	$0	$0	$0
Bob Patterson
Board Member	2.00	2.00	Yes (X)	$0	$0	$0
Diane Taylor
Board Member	2.00	4.00	Yes (X)	$0	$0	$0
David Hughes
Secretary/Treasurer	2.00	48.00		$0	$524,333	$194,287	Yes (X)
Jay Briley
President	40.00	8.00		$0	$349,800	$136,287	Yes (X)
Chris Townsend
VP of Finance & Operations	40.00	2.00		$0	$259,291	$126,314	Yes (X)
Wendell Baker
President (Interim) Vidant Beaufort	40.00			$191,217	$0	$0		Yes (X)
Patrick Heins
President, Vidant Edgecombe	40.00			$236,326	$0	$130,701		Yes (X)
Judy Bruno
President VROA	40.00			$216,478	$0	$83,947		Yes (X)
Brian Harvill
President (Chowan&Bertie)	40.00			$216,783	$0	$83,378		Yes (X)
Debra Hernandez
President Vidant Beaufort	40.00			$252,226	$0	$66,359		Yes (X)
Jeffery Dial
President Vidant Duplin	40.00			$79,534	$140,654	$124,345		Yes (X)
Sherry Jensen
VP Financial Services	40.00			$251,977	$0	$49,247		Yes (X)
Jason Harrell
President Vidant North	40.00			$206,583	$0	$74,374		Yes (X)
Charles Alford
VP Financial Services (Edge & RCH)	40.00			$169,820	$0	$56,486		Yes (X)
Sue Taylor
VP PT Care Services Duplin	40.00			$162,048	$0	$113,041		Yes (X)
Susan Suiter
VP PT Care Services Edge	40.00			$155,750	$0	$80,542		Yes (X)
Todd Warlitner
VP Finance-Critical Access Hospitals	24.00	16.00		$96,652	$64,435	$51,834		Yes (X)
Elaine Griffiths
VP PT Care Services-VROA	40.00			$156,984	$0	$32,755		Yes (X)
Tammi Roos
Anesthesiologist - DG	40.00			$459,049	$0	$73,126			Yes (X)
Leigh Gurley
Mgr, Pharmacy	40.00			$205,395	$0	$67,744			Yes (X)
Shelli Simmons
Mgr, Pharmacy	40.00			$212,578	$0	$59,461			Yes (X)
Eula Beasley
Mgr, Pharmacy	40.00			$207,949	$0	$38,011			Yes (X)
Angela Hardy
Mgr, Pharmacy	40.00			$200,782	$0	$99,853			Yes (X)
William Case
President, Vidant Beaufort-Former	0.00			$0	$158,723	$97,062				Yes (X)
William Mahone
President Vidant North-Former	0.00			$227,671	$0	$48,363				Yes (X)
Cindy Coker Former Key Employee
VP PT Care Services CHO	40.00			$149,277	$0	$96,898				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,055,079	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,733,913	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,220,451	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	176	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Sodexo Inc & Affiliates
PO Box 905374	Charlotte	NC	28290	Contracted Labor & Management	$4,440,712
AMN Healthcare Inc
2735 Collection Center Dr	Chicago	IL	60693	Temporary Labor Services	$3,967,216
Medical Solutions
9101 Western Ave Suite 101	Omaha	NE	68114	Temporary Labor Services	$2,510,776
Therex dba Kindred Hospital Rehabilitati
PO Box 502096	St Louis	MO	631502096	Rehab Services	$1,376,648
Sightpath Medical Inc
PO Box 204253	Dallas	TX	75320	Opthamalogist Services	$781,363

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	75	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$1,558,607	AllOtherContributionsAmt
Total Contributions	$1,558,607	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Outpatient Services	621110	$311,599,517	$311,599,517
Inpatient Services	621400	$233,592,324	$233,592,324
Provider Relief Funds	900099	$26,877,449	$26,877,449

Field	Value	IRS element (for citing)
Total Program Service Revenue	$572,069,290	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$297,147	TotalRevenueColumnAmt
Exclusion	$297,147	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$144,896	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$144,896	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$144,896	TotalRevenueColumnAmt
Exclusion	$144,896	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$282,598	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$282,598	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$282,598	TotalRevenueColumnAmt
Exclusion	-$282,598	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
All other	900099	$2,636,698	$2,636,698
Cafeteria Meals	722514	$1,910,704	$1,910,704
Rebates	900099	$368,389	$368,389

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$158,517	TotalRevenueColumnAmt
Exclusion	$158,517	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,074,308	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$578,861,650	TotalRevenueColumnAmt
Related Or Exempt Func Income	$572,069,290	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$5,233,753	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	$660,706	TotalAmt
Program Services	$660,706	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,392,378	TotalAmt
Management And General	$2,392,378	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$165,828,042	TotalAmt
Program Services	$159,809,399	ProgramServicesAmt
Management And General	$6,018,643	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,664,532	TotalAmt
Program Services	$6,331,305	ProgramServicesAmt
Management And General	$333,227	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$27,257,284	TotalAmt
Program Services	$23,790,939	ProgramServicesAmt
Management And General	$3,466,345	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,036,129	TotalAmt
Program Services	$11,434,323	ProgramServicesAmt
Management And General	$601,806	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$409,227	TotalAmt
Program Services	$325,747	ProgramServicesAmt
Management And General	$83,480	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$243,753	TotalAmt
Management And General	$243,753	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$354,531	TotalAmt
Management And General	$354,531	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$17,484	TotalAmt
Management And General	$17,484	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$9,881	TotalAmt
Management And General	$9,881	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$122,870,242	TotalAmt
Program Services	$97,209,743	ProgramServicesAmt
Management And General	$25,660,499	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$268,441	TotalAmt
Management And General	$268,441	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,684,003	TotalAmt
Program Services	$1,335,013	ProgramServicesAmt
Management And General	$348,990	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,476,470	TotalAmt
Program Services	$355,906	ProgramServicesAmt
Management And General	$1,120,564	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,101,602	TotalAmt
Program Services	$4,698,831	ProgramServicesAmt
Management And General	$1,402,771	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$305,747	TotalAmt
Program Services	$244,598	ProgramServicesAmt
Management And General	$61,149	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,490,778	TotalAmt
Management And General	$3,490,778	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,796,356	TotalAmt
Program Services	$16,796,356	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,789,130	TotalAmt
Program Services	$757,826	ProgramServicesAmt
Management And General	$3,031,304	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$91,404,193	$86,833,983	$4,570,210
Bad Debt	$61,289,792	$61,289,792

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,352,043	TotalAmt
Program Services	$9,081,634	ProgramServicesAmt
Management And General	$2,270,409	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$536,702,744	TotalAmt
Program Services	$480,956,101	ProgramServicesAmt
Management And General	$55,746,643	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$24,162,194	BOYAmt
EOY	$55,797,152	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$71,847,096	BOYAmt
EOY	$99,177,721	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,951,442	BOYAmt
EOY	$15,210,115	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,674,662	BOYAmt
EOY	$5,443,041	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$451,030,479	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$297,865,521	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$153,162,597	BOYAmt
EOY	$153,164,958	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,126,222	BOYAmt
EOY	$1,126,222	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$78,623,729	BOYAmt
EOY	$42,205,771	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$348,547,942	BOYAmt
EOY	$372,124,980	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$87,697,206	BOYAmt
EOY	$55,807,652	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,059,908	BOYAmt
EOY	$272,380	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$43,932,665	BOYAmt
EOY	$48,950,600	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$132,689,779	BOYAmt
EOY	$105,030,632	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	$212,697,864	BOYAmt
EOY	$263,934,049	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	$215,858,163	BOYAmt
EOY	$267,094,348	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$348,547,942	BOYAmt
EOY	$372,124,980	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$42,158,906	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$271,962	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$8,805,317	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

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)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$17,484	OtherActivitiesAmt
Total Lobbying Expenditures	$17,484	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	17.59% of dues to NCHA are allocated to lobbying.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,265,703	OtherCostOrOtherBasisAmt
Book Value	$4,265,703	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$268,202,550	OtherCostOrOtherBasisAmt
Depreciation	$181,430,364	DepreciationAmt
Book Value	$86,772,186	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,747,942	OtherCostOrOtherBasisAmt
Depreciation	$4,564,765	DepreciationAmt
Book Value	$2,183,177	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$165,374,328	OtherCostOrOtherBasisAmt
Depreciation	$111,870,392	DepreciationAmt
Book Value	$53,503,936	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,439,956	OtherCostOrOtherBasisAmt
Book Value	$6,439,956	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$153,164,958	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Other Assets	$989,440
Other Receivables	$5,354,095
Investments in Subsidiaries	$2,425,816
Deferred Outflows	$28,228,812
Due from Third Party Payors	$5,207,608

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$42,205,771	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Other liabilities	$689,114
Due to Third Party Payors	$8,457,647
Net Pension Liability	$36,876,215
Deferred Inflow	$2,927,624

Field	Value	IRS element (for citing)
Total Liability	$48,950,600	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X, Line 2:	FormAndLineReferenceDesc
Explanation	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, 2021 and 2020. 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 2018.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,143,057	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,143,057	NetCommunityBenefitExpnsAmt
Total Expense	0.03570	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,918,605	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,029,581	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,889,024	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$92,061,662	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,029,581	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,032,081	NetCommunityBenefitExpnsAmt
Total Expense	0.04480	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	44	ActivitiesOrProgramsCnt
Persons Served	26641	PersonsServedCnt
Total Community Benefit Expns	$1,177,733	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$175	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,177,558	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	1092	PersonsServedCnt
Total Community Benefit Expns	$1,528,457	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,528,457	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	200	PersonsServedCnt
Total Community Benefit Expns	$136,565	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,300	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$130,265	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	30	ActivitiesOrProgramsCnt
Persons Served	160706	PersonsServedCnt
Total Community Benefit Expns	$786,997	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$786,997	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	89	ActivitiesOrProgramsCnt
Persons Served	188639	PersonsServedCnt
Total Community Benefit Expns	$3,629,752	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,475	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,623,277	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	89	ActivitiesOrProgramsCnt
Persons Served	188639	PersonsServedCnt
Total Community Benefit Expns	$95,691,414	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,036,056	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,655,358	NetCommunityBenefitExpnsAmt
Total Expense	0.05150	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$13,268	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,268	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$46,269	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$46,269	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$12,980	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,980	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$11,486	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,486	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$8,123	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,123	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	2	PersonsServedCnt
Total Community Benefit Expns	$92,126	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$92,126	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$22,682,122	BadDebtExpenseAmt
Reimbursed By Medicare	$117,511,094	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$144,556,524	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$27,045,430	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	7	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (7 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	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)	A
East Carolina Health - Roanoke-Chowan
2	500 Academy Street	AHOSKIE	NC	27910	Yes (X)	Yes (X)		Yes (X)	A	Yes (X)	Behavioral Health
East Carolina Health - Beaufort Inc
3	628 East Twelth Street	WASHINGTON	NC	27889	Yes (X)	Yes (X)		Yes (X)	A
East Carolina Health - Chowan Inc
4	211 Virginia Road	EDENTON	NC	27932	Yes (X)	Yes (X)		Yes (X)	A			Yes (X)
Duplin General Hopsital Inc
5	401 North Main Street	KENANSVILLE	NC	28349	Yes (X)	Yes (X)		Yes (X)	A
East Carolina Health - Bertie
6	1403 South King Street	WINDSOR	NC	27983	Yes (X)	Yes (X)		Yes (X)	A			Yes (X)
Halifax Regional Medical Center Inc - Vidant North
7	250 Smith Church Rd	Roanoke Rapids	NC	27870	Yes (X)	Yes (X)		Yes (X)	B		Behavioral Health

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
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V DISCLOSURE	Yes (X)	Yes (1)	18	Yes (1)	SEE PART V DISCLOSURE	0	Yes (1)	Yes (X)	200.000000000000	200.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	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 (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
Facility Report Group B
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V DISCLOSURE	Yes (X)	Yes (1)	18	Yes (1)	SEE PART V DISCLOSURE	0	Yes (1)	Yes (X)	200.000000000000	250.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	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 (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 - Beaufort, Inc., - Facility 4: East Carolina Health - Chowan, Inc., - Facility 5: Duplin General Hopsital, Inc., - Facility 6: East Carolina Health - Bertie
Facility Report Group A Part V, Section B, line 5:	Each of the Vidant 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 Vidant Edgecombe HospitalEast Carolina Health DBA Vidant Roanoke-Chowan HospitalEast Carolina Health - Beaufort, Inc. DBA Vidant Beaufort HospitalEast Carolina Health - Chowan, Inc. DBA Vidant Chowan HospitalDuplin General Hospital, Inc. DBA Vidant Duplin HospitalEast Carolina Health - Bertie DBA Vidant 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 DepartmentBeaufort County Public HealthEast 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 7: Halifax Regional Medical Center, Inc. - Vidant
Facility Report Group B Part V, Section B, line 5:	Each of the Vidant 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 Vidant Edgecombe HospitalEast Carolina Health DBA Vidant Roanoke-Chowan HospitalEast Carolina Health - Beaufort, Inc. DBA Vidant Beaufort HospitalEast Carolina Health - Chowan, Inc. DBA Vidant Chowan HospitalDuplin General Hospital, Inc. DBA Vidant Duplin HospitalEast Carolina Health - Bertie DBA Vidant 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 DepartmentBeaufort County Public HealthEast 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.vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments#
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: http://www.vidanthealth.com/Patients-Families/Billing/Financial-Assistance-Policy#

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments
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 $96.1 million and $85.6 million as of September 30, 2021 and 2020, 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 vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments
Part VI, Line 5:	See Schedule O, Part III, Line 4a in connection with vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments
Part VI, Line 6:	See Schedule O, Part III, Line 4a in connection with vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments
Part VI, Line 7, Reports Filed With States	NC

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (42 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Edenton Farmer's Market
138 Bayview Trail	Edenton	NC	27932	461826969	501 ( c ) 3	$5,000	Market Manager/SNAP Benefits
West Martin Community Center
PO Box 193	Oak City	NC	27857	300792798	501 ( c ) 3	$5,000	Exercise and wellness programs
Beaufort County Developmental Center
1534 W 5th Street	Washington	NC	27889	561074342	501 ( c ) 3	$5,000	Beaufort area transit system
Zion Homeless Shelter and Kitchen
114 W Martin Luther King Jr Street	Washington	NC	27889	581611899	501 ( c ) 3	$5,000	Project safe shelter
Conetoe Family Life Center
204 North Railroad Street	Conetoe	NC	27819	562373189	501 ( c ) 3	$5,000	Community garden/youth programs
Valley Outreach Ministries
107 Beechwood Dr	Roanoke Rapids	NC	27870	831051412	501 ( c ) 3	$5,000	Sober living home
Pregnancy Support Center
PO Box 1630 1021 Roanoke Ave	Roanoke Rapids	NC	27870	010727702	501 ( c ) 3	$5,000	Positive pregnancy and partenting outcome services
Town of Pinetops Fire Rescue
PO Drawer C	Pinetops	NC	27864	566001309	501 ( c ) 3	$5,000	Purchase of CPR Equipment
Perquimans County Schools Foundation
411 Edenton Road Street	Hertford	NC	27944	550788873	501 ( c ) 3	$6,000	Water turtles
Perquimans County EMS
PO Box 563 159 Creek Drive	Hertford	NC	27944	566000330	Government	$6,050	Quick Reponse Vehicle Equipment
Choanoke Area Development Association (CADA)
PO Box 530	Rich Square	NC	27869	560841757	501 ( c ) 3	$6,800	A healthy start matters
Center for Energy Education
460 Airport Road	Roanoke Rapids	NC	27870	472079791	501 ( c ) 3	$7,000	Health and wellness learning series
Ahoskie Food Pantry
PO Box 159	Ahoskie	NC	27910	475312847	501 ( c ) 3	$7,000	Supplemental food
Good Shepherd Food Pantry
PO Box 895	Windsor	NC	27983	263600603	501 ( c ) 3	$7,500	Fresh fruit distribution
Down East Partnership for Children
215 Lexington St	Rocky Mount	NC	27802	561859313	501 ( c ) 3	$7,500	Healthy families
The Lighthouse Home
1016 Eastern Ave	Rocky Mount	NC	27801	300538794	501 ( c ) 3	$7,500	Opiate crisis peer support specialist
Youth Bertie Inc
134 Ward Road	Windsor	NC	27983	473106835	501 ( c ) 3	$7,500	Backpack initiative
Beaufort County Health Department
1436 Highland Dr	Washington	NC	27889	566001521	Government	$8,000	Behavioral Health Services
Albemarle Regional Health Services
PO Box 189	Elizabeth City	NC	27909	566000798	501 ( c ) 3	$8,030	Diabetes support group, Albemarle get fit, Partners for health
Roanoke Rapids Police Department
1040 Roanoke Ave	Roanoke Rapids	NC	27870	566001319	Government	$8,500	First Aid/CPR during opiod overdoses
Boys & Girls Club of the Coastal Plain
621 W Fire Tower Road	Winterville	NC	28590	560927694	501 ( c ) 3	$9,000	Triple play
Hyde County Health Department
PO Box 100 1151 Main Street	Swan Quarter	NC	27885	566000308	Government	$10,000	Know your numbers
Food Bank of Central & Eastern NC
1924 Capital Blvd	Raleigh	NC	27604	561283426	501 ( c ) 3	$10,000	Nutritious food and fresh produce
Duplin County Schools (Nurses)
PO Box 128	Kenansville	NC	28349	566081020	Government	$10,000	Save a Life: Stop the Bleed
Tarheel Human Services
PO Box 1321	Beulaville	NC	28518	474705313	501 ( c ) 3	$10,000	Mental health services subsidies
Boys & Girls Club of the Tar River Region
PO Box 1622	Rocky Mount	NC	27802	560934910	501 ( c ) 3	$10,000	Triple play plus
Area L AHEC
PO Drawer 7368	Rocky Mount	NC	27804	237338802	501 ( c ) 3	$10,000	Trauma informed resilience
Hyde County Non-profit Private Transportation
PO Box 205	Swan Quarter	NC	27885	581752871	501 ( c ) 3	$10,000	Care-to-go, Care to ride
Union Mission of Roanoke Rapids
1310 Roanoke Avenue	Roanoke Rapids	NC	27870	560649264	501 ( c ) 3	$10,000	Supplemental food program
Betie County Rural Health Association
PO Box 628 104 Rhodes Avenue	Windsor	NC	27983	561420061	501 ( c ) 3	$10,000	Patient Transportation
Halifax County Government
19 North Dobbs St	Halifax	NC	27839	566001836	Government	$11,100	Food and nutrition education program
Duplin County Health Department
340 Seminary Street	Kenansville	NC	28349	566000296	Government	$12,000	Diabetes prevention and management
Boys and Girls Club of North Central North Carolina
116 W 3rd Street	Roanoke Rapids	NC	27870	562525793	501 ( c ) 3	$14,400	Triple play healthy habits
CareNet Counseling East
108 Oakmont Drive	Greenville	NC	27858	562189431	501 ( c ) 3	$15,460	Access to behavioral health counseling
Albemarle Development Corporation
512 South Church St	Hertford	NC	27944	262495965	501 ( c ) 3	$15,760	Meals on Wheels
Lake Gaston Retirement Village
2475 Eaton Ferry Road	Littleton	NC	27850	260804984	501 ( c ) 3	$17,000	Medical transportation and ramps
NC Cooperative Extension - Bertie County
PO Box 280	Windsor	NC	27983	566000276	Government	$17,000	Expanded food & nutrition education program, 4H cooking camp
NC Cooperative Extension - Duplin County
PO Box 949	Kenansville	NC	28349	566000296	Government	$23,250	4H & EFNEP
Hertford County
PO Box 188	Winton	NC	27986	566001523	Government	$28,250	SPICE home safety program
Roanoke-Chowan Community Health Center (RCCHC)
120 Health Center Drive	Ahoskie	NC	27910	421638714	501 ( c ) 3	$35,000	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	$61,700	Mobile food pantry
NC Medassist
4428 Taggart Creek Road Suite 101	Charlotte	NC	28208	562018957	501 ( c ) 3	$65,750	Free pharmacy program for uninsured

Field	Value	IRS element (for citing)
Total501c3 Org	46	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

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	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 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	$1,223,061	$0	$0	$0	$13,616	$0	$184,760	$0	$51,276	$0	$1,472,713	$0	$0
David Hughes
Secretary/Treasurer	$0	$521,847	$0	$0	$0	$2,486	$0	$152,504	$0	$41,783	$0	$718,620	$0	$0
Tammi Roos
Anesthesiologist - DG	$459,049	$0	$0	$0	$0	$0	$45,220	$0	$27,906	$0	$532,175	$0	$0	$0
Jay Briley
President	$0	$349,800	$0	$0	$0	$0	$0	$96,162	$0	$40,125	$0	$486,087	$0	$0
Chris Townsend
VP of Finance & Operations	$0	$259,291	$0	$0	$0	$0	$0	$106,981	$0	$19,333	$0	$385,605	$0	$0
Patrick Heins
President, Vidant Edgecombe	$236,326	$0	$0	$0	$0	$0	$113,979	$0	$16,722	$0	$367,027	$0	$0	$0
Jeffery Dial
President Vidant Duplin	$79,534	$140,321	$0	$0	$0	$333	$11,333	$71,123	$2,291	$39,598	$93,158	$251,375	$0	$0
Debra Hernandez
President Vidant Beaufort	$252,226	$0	$0	$0	$0	$0	$48,185	$0	$18,174	$0	$318,585	$0	$0	$0
Sherry Jensen
VP Financial Services	$251,977	$0	$0	$0	$0	$0	$15,650	$0	$33,597	$0	$301,224	$0	$0	$0
Angela Hardy
Mgr, Pharmacy	$200,632	$0	$150	$0	$0	$0	$56,298	$0	$43,555	$0	$300,635	$0	$0	$0
Judy Bruno
President VROA	$216,478	$0	$0	$0	$0	$0	$40,664	$0	$43,283	$0	$300,425	$0	$0	$0
Brian Harvill
President (Chowan&Bertie)	$216,783	$0	$0	$0	$0	$0	$39,477	$0	$43,901	$0	$300,161	$0	$0	$0
Jason Harrell
President Vidant North	$206,583	$0	$0	$0	$0	$0	$40,192	$0	$34,182	$0	$280,957	$0	$0	$0
William Mahone
President Vidant North-Former	$227,671	$0	$0	$0	$0	$0	$17,757	$0	$30,606	$0	$276,034	$0	$0	$0
Sue Taylor
VP PT Care Services Duplin	$162,048	$0	$0	$0	$0	$0	$71,292	$0	$41,749	$0	$275,089	$0	$0	$0
Leigh Gurley
Mgr, Pharmacy	$205,395	$0	$0	$0	$0	$0	$52,455	$0	$15,289	$0	$273,139	$0	$0	$0
Shelli Simmons
Mgr, Pharmacy	$212,578	$0	$0	$0	$0	$0	$42,497	$0	$16,964	$0	$272,039	$0	$0	$0
William Case
President, Vidant Beaufort-Former	$0	$158,350	$0	$0	$0	$373	$0	$88,081	$0	$8,981	$0	$255,785	$0	$0
Cindy Coker Former Key Employee
VP PT Care Services CHO	$149,277	$0	$0	$0	$0	$0	$55,500	$0	$41,398	$0	$246,175	$0	$0	$0
Eula Beasley
Mgr, Pharmacy	$207,949	$0	$0	$0	$0	$0	$4,217	$0	$33,794	$0	$245,960	$0	$0	$0
Susan Suiter
VP PT Care Services Edge	$155,750	$0	$0	$0	$0	$0	$64,640	$0	$15,902	$0	$236,292	$0	$0	$0
Charles Alford
VP Financial Services (Edge & RCH)	$169,820	$0	$0	$0	$0	$0	$51,135	$0	$5,351	$0	$226,306	$0	$0	$0
Todd Warlitner
VP Finance-Critical Access Hospitals	$96,652	$64,435	$0	$0	$0	$0	$10,344	$6,896	$20,756	$13,838	$127,752	$85,169	$0	$0
Wendell Baker
President (Interim) Vidant Beaufort	$191,217	$0	$0	$0	$0	$0	$0	$0	$0	$0	$191,217	$0	$0	$0
Elaine Griffiths
VP PT Care Services-VROA	$156,984	$0	$0	$0	$0	$0	$15,546	$0	$17,209	$0	$189,739	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	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 Vidant 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 VH 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 VH 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. VH is a North Carolina non-profit corporation with headquarters in Greenville, North Carolina. VH 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 Vidant Medical Center ("VMC"), which is a tertiary care hospital and an academic medical center, and eight other acute care hospitals: Vidant North Hospital, Vidant Edgecombe Hospital, Vidant Chowan Hospital, Vidant Roanoke-Chowan Hospital, Vidant Bertie Hospital, Vidant Duplin Hospital, Vidant Beaufort Hospital, and The Outer Banks Hospital. VMC 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 acute care 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. VH and its hospitals and affiliate organizations provide services to patients without regard to their ability to pay. In fiscal year 2021 VH's combined patient care statistics were: inpatient admissions, 65,039; inpatient days of care, 362,897; surgeries, 49,992; births, 6,188; and Outpatient visits, 395,801. Our System's workforce included 12,592 employees. Each of VH's hospitals operates an emergency room, which is open 24 hours a day. VMC 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 2021 VH provided care to 245,125 emergency room patients. VH's Board of Directors consists of 11 voting members, six of whom must be current or former Pitt County, North Carolina appointees of VMC's Board of Trustees and five of whom must be current or former Board of Governors of the University of North Carolina appointees of VMC's Board of Trustees. VMC, 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 VMC 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, VH 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 Vidant 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. VH 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 VH entities and external grant-awarding organizations. The VH Board annually provides financial support for the Community Benefit Initiatives program based within each VH 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 VH 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. VH also has a successful track record of obtaining community health program support from external agencies that award grant funding to approve projects. The VH Grants Office was established in 2008 and serves as the central point for grant mining, acquisition and management of grants awarded to VH 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. VH 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 VH 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. VH 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. VH supports this through various means including supporting the Institutional Review Board at ECU and providing study sites. 5d. Financial and In-Kind Contributions: VH 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. VH hospitals are key partners in fundraising for organizations such as the United Way, American Heart Association, Juvenile Diabetes Association and the American Cancer Society. VH contributed $760,000 to the Community Benefits Grants Program which awards grants to local non-profits for health related programs. 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. VH 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 A, line 4	Revisions to language detailing board of director makeup and authority.
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 University Health Systems 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 VH 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 VH 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 97,209,743. Management and general expenses 25,660,499. Fundraising expenses 0. Total expenses 122,870,242.
Form 990, Part XI, line 9:	Net Asset Transfer 8,805,317.
Form 990, Part XII, Line 2C:	This process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
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

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	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
University Health Systems of Eastern Carolina (DBA Vidant 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 Vidant Medical Center)
2100 Stantonsburg Road	Greenville	NC	27835	560585243	Hospital	NC	501(c)(3)	Line 3		0	Vidant Health
Vidant Medical Group LLC
2100 Stantonsburg Road	Greenville	NC	27835	383740839	Healthcare	NC	501(c)(3)	Line 10		0	Vidant Health
East Carolina Health Inc (DBA Vidant Community Hospitals - Central)
2100 Stantonsburg Road	Greenville	NC	27835	562003393	Hospital	NC	501(c)(3)	Line 3		0	Vidant Health
PCMH Management Inc (DBA Vidant Properties)
2100 Stantonsburg Road	Greenville	NC	27835	561690740	Medical Property Management	NC	501(c)(3)			0	Vidant Health
HealthAccess Inc
2100 Stantonsburg Road	Greenville	NC	27835	561396133	Healthcare	NC	501(c)(3)	Line 12b, II		0	Vidant Health
The Outer Banks Hospital Inc
2100 Stantonsburg Road	Greenville	NC	27835	562112733	Hospital	NC	501(c)(3)	Line 3		0	East Carolina Health
Access East Inc
2410 Stantonsburg Rd Stanton Square	Greenville	NC	27834	561949493	Healthcare	NC	501(c)(3)	Line 10		0	Vidant Health
Roanoke Valley Health Services
2100 Stantonsburg Road	Greenville	NC	27835	561925492	Healthcare	NC	501(c)(3)	Line 3		0	Vidant Health

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd