THE OUTER BANK HOSPITAL INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: THE OUTER BANK HOSPITAL INC (EIN 56-2112733)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-07-23
IRS object ID: 202502049349300240
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-07-23T12:42:50-05:00	ReturnTs
Tax Period End	2024-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	562112733	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Outer Banks Hospital Inc	BusinessNameLine1Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RONALD SLOAN	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	2528475129	PhoneNum
Signature	2025-07-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SANDRA L FEINSMITH	PreparerPersonNm
PTIN	P01064157	PTIN
Phone	9192781936	PhoneNum
Preparation	2025-07-16	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	OUTER BANKS HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	RONALD SLOAN	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	$146,632,400	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.OUTERBANKSHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2002	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	10	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	77	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$181,402	PYContributionsGrantsAmt
CY Contributions Grants	$3,165,116	CYContributionsGrantsAmt
PY Program Service Revenue	$125,064,152	PYProgramServiceRevenueAmt
CY Program Service Revenue	$136,581,520	CYProgramServiceRevenueAmt
PY Investment Income	$1,527,039	PYInvestmentIncomeAmt
CY Investment Income	$2,199,187	CYInvestmentIncomeAmt
PY Other Revenue	$1,937,798	PYOtherRevenueAmt
CY Other Revenue	$4,686,577	CYOtherRevenueAmt
PY Total Revenue	$128,710,391	PYTotalRevenueAmt
CY Total Revenue	$146,632,400	CYTotalRevenueAmt
PY Grants And Similar Paid	$236,405	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$233,693	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$49,121,828	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$60,060,423	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$67,548,521	PYOtherExpensesAmt
CY Other Expenses	$75,442,586	CYOtherExpensesAmt
PY Total Expenses	$116,906,754	PYTotalExpensesAmt
CY Total Expenses	$135,736,702	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,803,637	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,895,698	CYRevenuesLessExpensesAmt
Total Assets BOY	$139,648,014	TotalAssetsBOYAmt
Total Assets EOY	$144,937,932	TotalAssetsEOYAmt
Total Liabilities BOY	$22,565,818	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$28,460,038	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$117,082,196	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$116,477,894	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO ENHANCE THE QUALITY OF LIFE FOR THE RESIDENTS AND VISITORS OF DARE COUNTY AND THE SURROUNDING REGION BY PROMOTING WELLNESS AND PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$124,433,248	ExpenseAmt
Grant	$233,693	GrantAmt
Revenue	$115,714,652	RevenueAmt
Desc	OUTPATIENT AND EMERGENCY SERVICES: PROVIDED EMERGENCY SERVICES TO 20,284 PATIENTS 24 HOURS A DAY FOR 365 DAYS. PROVIDED OUTPATIENT DIAGNOSTIC AND THERAPEUTIC SERVICES TO 33,623 PATIENTS. PERFORMED 2,167 OUTPATIENT SURGICAL PROCEDURES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$0	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$20,866,868	RevenueAmt
Desc	INPATIENT SERVICES: PROVIDED INPATIENT CARE 24 HOURS A DAY FOR 365 DAYS TO 1,634 PATIENTS. DELIVERED 288 BABIES. PERFORMED 187 INPATIENT SURGICAL PROCEDURES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$124,433,248	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 STANTONSBURG ROAD	AddressLine1Txt
City	GREENVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27834	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd
CHRISTOPHER MANN
PHYSICIAN	40.0	0.0	Yes (X)	$674,021	$0	$52,461
JAY BRILEY
BOARD MEMBER (THRU 12/23)	2.0	50.0		$0	$512,320	$175,853	Yes (X)
MATTHEW MCKENNA
PHYSICIAN	40.0	0.0	Yes (X)	$563,675	$0	$54,900
Gary Hunter
Anesthesiologist	40.0	0.0	Yes (X)	$585,839	$0	$31,831
JEFFREY CHASE
PHYSICIAN	40.0	0.0	Yes (X)	$540,945	$0	$48,698
VAN SMITH
BOARD MEMBER (AS OF 3/24)	2.0	50.0		$0	$397,137	$180,449	Yes (X)
AMANDA PETTIBONE POND
PHYSICIAN	40.0	0.0	Yes (X)	$532,845	$0	$44,009
RONALD SLOAN
PRESIDENT	40.0	0.0		$326,014	$0	$131,498		Yes (X)
MARCELLA BRYANT
VP, CLINICAL OPERATIONS	40.0	0.0		$204,034	$0	$60,417			Yes (X)
TODD WARLITNER
VP, FINANCE-CRITICAL ACCESS	16.0	24.0		$76,464	$114,696	$56,198			Yes (X)
AMY MONTGOMERY
SECRETARY	40.0	0.0		$166,002	$0	$34,567		Yes (X)
ROBERT TULL
Vice Chair/Chair	2.0	0.0		$0	$0	$0	Yes (X)
JASON WAUGHTEL
VICE CHAIR (AS OF 5/24)	2.0	0.0		$0	$0	$0	Yes (X)
STUART BELL
BOARD MEMBER (THRU 3/24)	2.0	0.0		$0	$0	$0	Yes (X)
MYRA BOWEN
BOARD MEMBER	2.0	0.0		$0	$0	$0	Yes (X)
PETE BURKHIMER
BOARD MEMBER	2.0	0.0		$0	$0	$0	Yes (X)
JAMIE FOUNTAIN MD
BOARD MEMBER	2.0	0.0		$0	$0	$0	Yes (X)
JASON HIGGINSON MD
BOARD MEMBER (AS OF 9/24)	2.0	0.0		$0	$0	$0	Yes (X)
REESE JACKSON
BOARD MEMBER	2.0	0.0		$0	$0	$0	Yes (X)
TESS JUDGE
Chair/Board Member	2.0	0.0		$0	$0	$0	Yes (X)
MYRA LADD-BONE
BOARD MEMBER	2.0	0.0		$0	$0	$0	Yes (X)
CINDY THORNSVARD
BOARD MEMBER (THRU 3/24)	2.0	0.0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,669,839	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,024,153	TotReportableCompRltdOrgAmt
Total Other Compensation	$870,881	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	101	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AMN Healthcare
PO Box 281923	ATLANTA	GA	30384	Temp Labor Services	$4,238,792
Medical Solutions LLC
1010 N 102ND STREET	OMAHA	NE	68114	Locums/Temp Labor	$1,121,242
SODEXO INC AFFILIATES
PO Box 905374	CHARLOTTE	NC	28290	CONTRACT LABOR & MGT	$797,919
Weatherby Locums Inc
PO Box 972633	DALLAS	TX	75397	Locums/Temp Labor	$750,629
Chesapeake Regional Medical Group
667 Kingsborough Square	CHESAPEAKE	VA	23320	Hosp/Medical Group	$637,048

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	29	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$3,165,116	AllOtherContributionsAmt
Total Contributions	$3,165,116	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OUTPATIENT SERVICES	621110	$115,714,652	$115,714,652
INPATIENT SERVICES	621110	$20,866,868	$20,866,868

Field	Value	IRS element (for citing)
Total Program Service Revenue	$136,581,520	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,161,996	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,161,996	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$193,826	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$193,826	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$193,826	TotalRevenueColumnAmt
Exclusion	$193,826	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$37,191	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$37,191	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,191	TotalRevenueColumnAmt
Exclusion	$37,191	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
OTHER REVENUE	900099	$4,212,548	$4,212,548
CAFETERIA MEALS	722514	$177,719	$177,719
REBATES	900099	$76,016	$76,016

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,468	TotalRevenueColumnAmt
Exclusion	$26,468	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,492,751	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$146,632,400	TotalRevenueColumnAmt
Related Or Exempt Func Income	$136,581,520	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$6,885,764	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	$233,693	TotalAmt
Program Services	$233,693	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,086,183	TotalAmt
Management And General	$1,086,183	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$48,675,601	TotalAmt
Program Services	$47,143,866	ProgramServicesAmt
Management And General	$1,531,735	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,307,687	TotalAmt
Program Services	$1,242,303	ProgramServicesAmt
Management And General	$65,384	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,658,893	TotalAmt
Program Services	$5,505,777	ProgramServicesAmt
Management And General	$153,116	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,332,059	TotalAmt
Program Services	$3,165,456	ProgramServicesAmt
Management And General	$166,603	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$56,177	TotalAmt
Program Services	$44,942	ProgramServicesAmt
Management And General	$11,235	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$27,488	TotalAmt
Management And General	$27,488	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$63,586	TotalAmt
Management And General	$63,586	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,436	TotalAmt
Management And General	$3,436	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$33,753,639	TotalAmt
Program Services	$27,002,911	ProgramServicesAmt
Management And General	$6,750,728	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$298,675	TotalAmt
Program Services	$238,940	ProgramServicesAmt
Management And General	$59,735	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$315,749	TotalAmt
Program Services	$284,174	ProgramServicesAmt
Management And General	$31,575	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$112,014	TotalAmt
Program Services	$22,403	ProgramServicesAmt
Management And General	$89,611	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,223,246	TotalAmt
Program Services	$978,597	ProgramServicesAmt
Management And General	$244,649	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$145,286	TotalAmt
Program Services	$116,229	ProgramServicesAmt
Management And General	$29,057	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$264,015	TotalAmt
Management And General	$264,015	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,351,246	TotalAmt
Program Services	$4,351,246	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$695,730	TotalAmt
Program Services	$139,146	ProgramServicesAmt
Management And General	$556,584	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$22,124,052	$22,124,052
BAD DEBT	$11,164,582	$11,164,582
ALL OTHER EXPENSES	$843,665	$674,931	$168,734

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$135,736,702	TotalAmt
Program Services	$124,433,248	ProgramServicesAmt
Management And General	$11,303,454	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,521,141	BOYAmt
EOY	$28,499,435	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,239,758	BOYAmt
EOY	$18,353,363	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,033,403	BOYAmt
EOY	$2,094,352	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$157,394	BOYAmt
EOY	$230,410	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$114,067,575	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$57,025,573	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$50,790,003	BOYAmt
EOY	$57,042,002	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$38,300,939	BOYAmt
EOY	$31,854,989	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,605,376	BOYAmt
EOY	$6,863,381	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$139,648,014	BOYAmt
EOY	$144,937,932	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,342,186	BOYAmt
EOY	$25,004,588	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,223,632	BOYAmt
EOY	$3,455,450	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,565,818	BOYAmt
EOY	$28,460,038	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	$117,082,196	BOYAmt
EOY	$116,477,894	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$117,082,196	BOYAmt
EOY	$116,477,894	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$139,648,014	BOYAmt
EOY	$144,937,932	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,895,698	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$11,500,000	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$3,436	OtherActivitiesAmt
Total Lobbying Expenditures	$3,436	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1, LOBBYING ACTIVITIES:	FormAndLineReferenceDesc
Explanation	25.93% OF DUES TO NCHA ARE ALLOCATED TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,525,175	OtherCostOrOtherBasisAmt
Book Value	$5,525,175	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$67,157,021	OtherCostOrOtherBasisAmt
Depreciation	$32,069,142	DepreciationAmt
Book Value	$35,087,879	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$464,435	OtherCostOrOtherBasisAmt
Depreciation	$461,992	DepreciationAmt
Book Value	$2,443	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,331,552	OtherCostOrOtherBasisAmt
Depreciation	$21,354,835	DepreciationAmt
Book Value	$8,976,717	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,589,392	OtherCostOrOtherBasisAmt
Depreciation	$3,139,604	DepreciationAmt
Book Value	$7,449,788	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$57,042,002	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYORS	$3,186,450
RESERVE FOR PROFESSIONAL LIABILITY	$269,000

Field	Value	IRS element (for citing)
Total Liability	$3,455,450	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$135,467,818	TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal	$135,467,818	RevenueSubtotalAmt
Other Revenues Not Included	$11,164,582	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$11,164,582	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$146,632,400	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$124,572,120	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$124,572,120	ExpensesSubtotalAmt
Other Expenses Not Included	$11,164,582	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$11,164,582	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$135,736,702	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE OUTER BANKS HOSPITAL, INC. HAS BEEN DETERMINED TO QUALIFY AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE OUTER BANKS HOSPITAL, INC. HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND HAS CONCLUDED THAT NO MATERIAL LIABILITIES EXIST AS OF SEPTEMBER 30, 2024 AND 2023. THE OUTER BANKS HOSPITAL, INC. FILES TAX RETURNS WITH THE U.S. FEDERAL AND STATE OF NORTH CAROLINA JURISDICTIONS. WITH FEW EXCEPTIONS, THE OUTER BANKS HOSPITAL, INC. IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2021.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT $11,164,582.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT $11,164,582.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,625,083	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,625,083	NetCommunityBenefitExpnsAmt
Total Expense	0.01300	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,691,380	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,957,226	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,316,463	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,957,226	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,625,083	NetCommunityBenefitExpnsAmt
Total Expense	0.01300	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	3897	PersonsServedCnt
Total Community Benefit Expns	$485,755	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$485,755	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	146	PersonsServedCnt
Total Community Benefit Expns	$259,961	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$259,961	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	35846	PersonsServedCnt
Total Community Benefit Expns	$269,146	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$269,146	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	24	ActivitiesOrProgramsCnt
Persons Served	39889	PersonsServedCnt
Total Community Benefit Expns	$1,014,862	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,014,862	NetCommunityBenefitExpnsAmt
Total Expense	0.00820	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	24	ActivitiesOrProgramsCnt
Persons Served	39889	PersonsServedCnt
Total Community Benefit Expns	$9,331,325	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,957,226	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,639,945	NetCommunityBenefitExpnsAmt
Total Expense	0.02120	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$33,097	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,097	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$10,952	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,952	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$54,797	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$54,797	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	15	PersonsServedCnt
Total Community Benefit Expns	$1,537	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,537	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$8,199	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,199	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	41	PersonsServedCnt
Total Community Benefit Expns	$6,081	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,081	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	56	PersonsServedCnt
Total Community Benefit Expns	$114,663	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$114,663	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,833,384	BadDebtExpenseAmt
Reimbursed By Medicare	$27,545,072	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$29,702,804	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,157,732	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE OUTER BANKS HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4800 South Croatan Highway	AddressLine1Txt
City	Nags Head	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27959	ZIPCd

Field	Value	IRS element (for citing)
State License	H0273	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	The Outer Banks Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V DISCLOSURE	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V DISCLOSURE	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V DISCLOSURE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V DISCLOSURE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V DISCLOSURE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
THE OUTER BANKS HOSPITAL, INC.:	PART V, SECTION B, LINE 5: Input was gathered from a broad range of remarkable leaders and stakeholders across Dare County who are passionate about the health and wellbeing of the residents. The Outer Banks Hospital directly collaborated with Dare County Health and Human Services Department and several partners including: Breaking Through Task Force Members, Community Care Clinic of Dare, Dare County Emergency Medical Services, Dare County Health & Human Services, Dare County Health & Human Services Board, Dare County Schools, Dare County Sheriff's Office, Dementia Friendly Task Force, GEM Adult Day Services, Hotline, Interfaith Community Outreach, Inc., Mano al Hermano, Outer Banks Community Collaborative, Outer Banks Community Foundation, Saving Lives Task Force Members, The Outer Banks Medical Group, and The Outer Banks Hospital Board of Directors in the planning, data review, and prioritization process to complete the 2022 Dare County Community Health Needs Assessment. Primary and Secondary data was collected and reviewed between April 1 and June 30, 2021. Primary data included a community opinion survey available in paper and an electronic version. The leadership team used grass root efforts to distribute the community health opinion survey to a broad range of people in the community, targeting different income levels, including underserved members of the community, the elderly, and the general population. In Dare County a total of 1,034 English survey responses were received: 1,029 in English and 5 in Spanish. Due to the COVID -19 pandemic the counties did not offer focus groups for the 2022 CHNA as it had in previous years. Additionally, the county CHNA's were part of the Health ENC collaborative aligning the CHNA cycle with 35 additional counties in Eastern NC. This alignment plans to promote community health improvement activities across county lines.
THE OUTER BANKS HOSPITAL, INC.:	PART V, SECTION B, LINE 6B: Outer Banks Hospital collaborated with Dare County Health and Human Services Department.
THE OUTER BANKS HOSPITAL, INC.:	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/
THE OUTER BANKS HOSPITAL, INC.:	PART V, SECTION B, LINE 11: The leadership and partnership group mentioned in Part V Section B Line 5 have a long history of working together on the community needs. Together, based on the data and existing work among the partners, they determined Cancer, Older Adults & Related Issues, Mental Health, Substance Use, and Access to Health Services as the significant health needs for Dare County. The group discussed resources available and the roles of the partners, as no one organization can address the community health needs alone, when they chose the priorities for the Outer Banks Hospital. The priorities approved by The Outer Banks Board of Directors were Mental Health, Substance Abuse, and Access to Health Services. The Outer Banks Board of Directors also approved an "on-going" set of Implementation Strategies for the hospital to address for the three-year cycle. Mental Health: The Outer Banks Hospital remains actively engaged in supporting community health initiatives and wellness programs. Representatives from the hospital will participate in the Healthy Carolinians Breaking Through Task Force and the Healthy Carolinians Adult Collaborative on Mental Health Task Force to address critical health concerns. Also, the Hospital prioritizes wellness through programs offered by the Center for Healthy Living and its Outreach Department, such as free yoga classes and wellness camps during the warmer months (19 events with 2,055 participants). Substance Abuse: The Outer Banks Hospital is dedicated to addressing tobacco cessation, substance abuse, and alcohol use reduction in the community through various initiatives. The hospital paid to certify providers in Tobacco Cessation and Gray Area Drinking. Also, quarterly Medicine Drop events are organized in partnership with the Dare County Sherriff's Department and served 5 individuals. Finally, a hospital representative serves on the Saving Lives Task Force, contributing to its programs, Town Hall events, and overall mission. Access to Health Services: The Outer Banks Hospital is deeply committed to improving access to care and addressing community health needs through various initiatives. A representative from the hospital and medical group serves on the Access to Care Community Task Force, and efforts to expand primary and specialty care include hiring new primary care physicians at two OBMG practices in 2022. Additionally, a new Health Coach vehicle equipped with private exam spaces is set to provide free screenings and flu vaccines across the Outer Banks, including mainland Dare County and Lower Currituck County. The hospital's Community Wellness Program offered free wellness screenings (57 screenings), resource information, and referrals for uninsured individuals, and continues to provide free cancer screenings for breast, lung, and colon cancer to those without insurance (3 screenings). Additionally, the hospital provides Community Health Grants to non-profit organizations that concentrate on these three priorities. So far in this three-year cycle $205,000 was distributed. See Part VI Line 1, Part 1, line 7, i for more details.
THE OUTER BANKS HOSPITAL, INC.:	PART V, SECTION B, LINE 16A, 16B, AND 16C: THE HOSPITAL MAKES ITS FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSIST ANCE/

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	ECU Health prepares the community benefit report. The numeric data in this report is based on the form 990, Schedule H criteria.
PART I, LINE 7, FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS:	COSTS WERE CALCULATED USING THE ESTIMATED COST TO CHARGE RATIO FROM THE NORTH CAROLINA HOSPITAL ASSOCIATION'S ADVOCACY NEEDS DATA INITIATIVE WHICH IS THE STANDARD FOR REPORTING COMMUNITY BENEFITS IN NORTH CAROLINA. DURING MARCH 2023, THE HEALTHCARE ACCESS AND STABILIZATION PROGRAM (HASP) WAS ENACTED BY THE STATE OF NORTH CAROLINA AND IS A FEDERALLY FUNDED PROGRAM THROUGH THE CENTER FOR MEDICARE & MEDICAID SERVICES (CMS) TO ENHANCE MEDICAID REIMBURSEMENT. HASP WAS SPECIFICALLY DESIGNED TO STRENGTHEN VULNERABLE RURAL HOSPITALS, SUCH AS THOSE IN THE ECU HEALTH SYSTEM, AND PROVIDE THEM FINANCIAL STABILITY TO CARE FOR ALL MEMBERS OF THEIR COMMUNITY. DURING SEPTEMBER 2023, CMS APPROVED HASP AND THE INCREASED REIMBURSEMENTS TO BE MADE FOR SERVICES PROVIDED FOR THE PERIOD JULY 1, 2023 TO JUNE 30, 2025. FOR THE YEAR ENDED SEPTEMBER 30, 2024, ECU HEALTH RECOGNIZED $261.7 MILLION AS NET PATIENT SERVICE REVENUE, NET OF ASSESSMENTS OF APPROXIMATELY $86.3 MILLION. INCLUDED IN THESE 2024 HASP REVENUE IS 3 MONTHS RELATED TO THE 2023 FISCAL YEAR TOTALING $42.1 MILLION, NET OF ASSESSMENTS. THE HASP PROGRAM BRINGS REIMBURSEMENTS IN LINE MORE CLOSELY WITH THE ACTUAL COST OF CARE, HELPING TO STABILIZE OUR HEALTHCARE SAFETY NET. THESE FUNDS PLAY A CRITICAL ROLE IN ALLOWING ECU HEALTH TO FULFIL ITS COMMITMENT TO THE CARE AND WELL-BEING OF THE PATIENTS WE SERVE AND ALLOWS US TO FOCUS ON PROVIDING SAFE, HIGH-QUALITY CARE TO ALL, REGARDLESS OF A PATIENT'S ABILITY TO PAY. MEDICAID EXPANSION BROUGHT HEALTHCARE COVERAGE TO APPROX 34,000 IN OUR ECU HEALTH SERVICE AREA WHO WERE PREVIOUSLY UNINSURED, THEREBY IMPROVING HEALTH OUTCOMES AND FINANCIAL SECURITY FOR MANY FAMILIES. GOING FORWARD, HASP PAYMENTS, AND A HIGHER HOSPITAL TAX, ALSO HAS A NEW REQUIREMENT THAT HOSPITALS AGREE TO A MEDICAL DEBT INCENTIVE PROGRAM. HOSPITALS ARE NOT RECEIVING NEW MONEY TO IMPLEMENT THE MEDICAL DEBT MITIGATION PLAN, RATHER, HOSPITALS LIKE ECU HEALTH ARE RECEIVING THE FULL AMOUNT OF REIMBURSEMENT OWED TO THEM BY PARTICIPATING IN THE PLAN. MEDICAL DEBT IS A COMPLEX ISSUE AND CAN NOT BE SOLVED SOLELY BY HOSPITALS AND HEALTHCARE PROVIDERS. THERE IS SIGNIFICANT WORK TO BE DONE TO DEVELOP FINANCIALLY SUSTAINABLE SOLUTIONS TO ADDRESS MEDICAL DEBT THAT INCLUDES HEALTH INSURANCE PLANS, PROVIDERS, EMPLOYERS, BUSINESS LEADERS AND GOVERNMENT PARTNERS. Most people struggling with medical debt are insured. No matter how generous, hospital financial assistance will never be a substitute for a health insurance plan that covers preventive and necessary care at an affordable price on the front and back end of coverage. ECU HEALTH provides high-quality care for everyone who walks through our doors, regardless of their ability to pay. Inability to pay for services should not deter anyone from seeking needed medical care. That is why ECU Health has developed and committed to principles and guidelines for assisting uninsured patients, as well as underinsured patients, and guidelines for debt collection, that provide significant patient assistance and protection. ECU HEALTH is committed to helping patients plan for medical bills by offering financial counseling and financial assistance programs and work hard to inform patients about the financial assistance policies. In 2024, ECU Health provided $54.0 million in charity care and forgave $33.7 million in bad debt.
PART I, LINE 7, OTHER BENEFITS:	Community Health Improvement Services & Community Benefit Operations (e) The Outer Bank Hospital dedicated 551 hours of staff time to Community Health Improvement Services, serving 3,897 individuals with a total community benefit expense of $151,585. These services included community outreach initiatives such as offering advance care planning at no charge to assist with completing advance directives, flu shot clinics that reached 415 individuals, and health education classes in the community that reached 2,593 individuals on topics such as addiction, nutrition, blood pressure, stroke risk, and Dinner with a Doc. Free wellness screenings measured blood pressure, blood sugar, weight, BMI, and cholesterol. Dare County utilized 5,802 hours of staff time for community benefit operations, with a total community benefit expense of $334,170. The combined total community benefit expense for community health improvement services and community benefit operations amounted to $485,755. Health Professional Education (f) The Outer Banks Hospital dedicated 3,767 hours of staff time to Health Professions Education, serving 146 individuals with a total community benefit expense of $259,961. This included 10 hours for medical students, 2,528 hours for nursing internships/preceptorships, and 1,222 hours for other health professions such as radiology, EMT, surgical tech, and occupational therapy. The program aimed to provide comprehensive training and hands-on experience to future healthcare professionals. Nursing internships allowed students to work closely with experienced nurses in various clinical settings, enhancing their practical skills and clinical knowledge. EMS trainees participated in emergency response scenarios to enhance their readiness for real-life situations, ensuring they are well-prepared to handle emergencies efficiently. Radiology interns learned imaging procedures critical for accurate diagnosis and treatment planning, providing them with essential skills for their future careers. Cash and In-Kind Contributions for Community Benefit (i) The Outer Banks Hospital dedicated 267 hours of staff time to cash and in-kind contributions, serving 35,846 individuals with a total community benefit expense of $269,146. These contributions included $119,020 in cash donations, $110,000 in grants, serving 31,755 individuals, and $40,126 in in-kind donations. The cash and in-kind donations supported various activities, such as blood drives that served 708 individuals, providing $5,499 for transportation assistance. The grants provided assistance with Dare County transportation, helping 27 area residents with 42 trips to attend medical appointments and cancer treatments, traveling 5,615 miles. Grant dollars supplemented the Breast and Cervical Cancer Control Program (BCCCP) in Dare County, serving 76 women with 138 clinical services including breast exams, mammograms, ultrasounds, pathology and radiology consults, biopsies, and surgical breast procedures. These women were also eligible for cervical cancer screenings. Another grant addressed prenatal health and infant mortality, providing 130 prenatal ultrasounds and 30 NSTs to 67 uninsured women to determine fetal growth, high-risk pregnancies, and potential medical complications.
PART II, COMMUNITY BUILDING ACTIVITIES:	The Outer Banks Hospital dedicated 1,093 hours of staff time to community building activities, serving 56 individuals, with a total community benefit expense of $114,663. This expense was comprised of $33,097 for physical improvements/housing, $10,952 for economic development, $54,797 for community support, $1,537 for leadership development, $8,199 for coalition building, and $6,081 for other initiatives. Specific initiatives included membership in the Children and Youth Partnership and Outer Banks Hotline, which focus on assisting residents with crisis intervention and prevention services. Executives served on The Outer Banks Chamber and Dare County Housing Task Force, addressing housing issues affecting residents. Additionally, the hospital offered a Healthcare Careers Exploration Program to high school students, allowing them to learn about healthcare careers by shadowing professionals in departments such as the emergency department, laboratory services, radiology, and the cancer center.
PART III, LINE 2:	Bad debt is based on aging categories, current economic conditions and historical collection experience; and is recorded in the period in which collection is considered doubtful.
PART III, LINE 3:	IN CONNECTION WITH THE PRESUMPTIVE ELIGIBILITY CONSIDERATION OF THE AFFORDABLE CARE ACT, THE OUTER BANKS HOSPITAL 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 III, LINE 4:	THE FINANCIAL STATEMENTS OF THE OUTER BANKS HOSPITAL ARE PRESENTED ON A STAND ALONE BASIS; THE TEXT OF THE FOOTNOTE FROM PAGE 20 IS PRESENTED BELOW: PATIENT ACCOUNTS RECEIVABLE, NET PATIENT ACCOUNTS RECEIVABLES ARE REPORTED NET OF ESTIMATED ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS AND ALLOWANCES FOR BAD DEBTS AND ARE RECORDED IN THE PERIOD IN WHICH COLLECTION IS CONSIDERED DOUBTFUL. ESTIMATED ALLOWANCES FOR BAD DEBTS ARE APPROXIMATELY $7.8 MILLION AS OF SEPTEMBER 30, 2024.
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 THE OUTER BANKS HOSPITAL, 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 THE OUTER BANKS HOSPITAL.
PART III, LINE 9B:	RECOMMENDED PATIENT ACCOUNTS WILL CONTINUE TO GO THROUGH THE ACCOUNTS RECEIVABLE BILLING CYCLE AS NORMAL. WHEN THE ACCOUNT REACHES THE CUSTOMER SERVICE/COLLECTIONS MANAGER, FINANCIAL COUNSELING SUPERVISOR OR PATIENT ACCOUNTS SUPERVISOR, BASED ON THE INFORMATION GIVEN, A DECISION WILL BE MADE WHETHER TO PROCEED WITH COLLECTION OR REFER THE ACCOUNT FOR APPROVAL OF CHARITY CARE. THE PROCESS WILL OCCUR AS FOLLOWS: I. FINANCIAL COUNSELORS WILL TRY TO LOCATE THIRD PARTY PAYORS. IF NOT ELIGIBLE FOR ANY THIRD-PARTY COVERAGE (INCLUDING CHARITIES), THEY MAY, BASED UPON THE FINANCIAL INFORMATION RECEIVED, RECOMMEND THE PATIENT FOR CHARITY CARE. II. PATIENT COUNSELORS WILL REVIEW FOR ANY THIRD-PARTY PAYORS AND VERIFY EMPLOYMENT AND ASSETS. A CHARITY CARE APPLICATION WILL NEED TO BE COMPLETED ALONG WITH TAX RETURN, PAY STUBS, SOCIAL SECURITY AWARD LETTER AND OTHER FINANCIAL INFORMATION AS MAY BE REQUIRED. III. THE PATIENT ACCOUNTS SUPERVISOR, FINANCIAL COUNSELING SUPERVISOR OR CUSTOMER SERVICE/COLLECTIONS MANAGER, BASED UPON ACCOUNT BALANCE AND THE INFORMATION GIVEN, WILL MAKE A DECISION WHETHER TO PROCEED WITH COLLECTION OR REFER THE PATIENT ACCOUNT FOR APPROVAL FOR CHARITY CARE. PRESUMPTIVE ELIGIBILITY FOR CHARITY CARE - THERE ARE OCCASIONS IN WHICH A PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE DISCOUNT, BUT THERE IS NO FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO SUPPORT FINANCIAL AID. A. SOME PATIENTS ARE PRESUMED TO BE ELIGIBLE FOR CHARITY CARE DISCOUNTS ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES (E.G., HOMELESSNESS PATIENTS WITH NO INCOME, BANKRUPTCY, DECEASED PATIENTS WITH NO ESTATE OR SPOUSE, ETC.) B. THROUGH THE ASSISTANCE OF A THIRD-PARTY VENDOR AND CERTAIN ALGORITHMS, IN CONJUNCTION WITH OUR CHARITY POLICY GUIDELINES, ALL ACCOUNTS, PRIOR TO OUTSIDE COLLECTION AGENCY REFERRAL, WILL BE TESTED FOR PRESUMPTIVE CHARITY. C. THE ACCOUNTS DEEMED CHARITY WILL BE ADJUSTED OFF AND THE REMAINING ACCOUNTS WILL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY. D. ONCE THE AGENCY HAS HAD THE ACCOUNTS FOR SIX MONTHS AND HAS DEEMED THEM UNCOLLECTIBLE, THE ACCOUNTS WITH BALANCES OF $1,580 OR GREATER WILL REMAIN WITH THE AGENCY AND BE KEPT ON THE PATIENT'S CREDIT FILE. E. THE ACCOUNTS RETURNED TO THE HOSPITAL WILL BE PLACED IN A UNIQUE FINANCIAL CLASS AND WILL NOT BE PURSUED FOR COLLECTIONS.
PART VI, LINE 2:	THE ORGANIZATION ASSESSES COMMUNITY NEED IN CONJUNCTION WITH THE STATE AFFILIATED COUNTY HEALTH DEPARTMENTS AND OTHER LOCAL HEALTH CARE ORGANIZATIONS. THIS HAS BEEN DESCRIBED IN DETAIL IN SCHEDULE H, PART V, SECTION C, LINES 5 AND 11.
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:	The primary service area for The Outer Banks Hospital encompasses Dare County. Dare County is located along the coast in northeastern North Carolina. Municipalities within Dare County include Avon, Buxton, Frisco, Hatteras, Manns Harbor, Kitty Hawk, Manteo, Nags Head, Kill Devil Hills, Southern Shores, and Duck. The following data was collected as part of the 2022 CHNA: As of 2019, the population of Dare County had increased by 3% since 2016 to an estimated 37,009 permanent residents. The projected population growth for Dare County is expected to be around 47,026 people by 2029. The population was evenly divided among males (50%) and females (50%). The White population accounts for 92.7% of the total population; Hispanic or Latino residents make up 7.5%; and Blacks/African Americans comprise 3.0%. American Indian, Alaskan Native, Asian, Pacific Islander, Native Hawaiian, and Multiracial persons represent 3.1% of the total population. Dare County was a Tier 2 county and remains a Tier 2 county, meaning it is not one of the 40 most economically distressed counties in North Carolina. In 2021, Dare County's median household income was reported to be $59,381, which is higher than the median household income in North Carolina. Additionally, the poverty rate in Dare County is 9.0%, which is lower than the state and the region. These factors contribute to the health challenges identified in the 2022 Community Health Needs Assessment. ADDITIONALLY, SEE INFORMATION POSTED AT HTTPS://WWW.ECUHEALTH.ORG/ABOUT-US/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/
PART VI, LINE 5:	THIS HAS BEEN DESCRIBED IN DETAIL IN SCHEDULE H, PART V, SECTION C, LINES 5 AND 11. ADDITIONALLY, SEE INFORMATION POSTED AT HTTPS://WWW.ECUHEALTH.ORG/ABOUT-US/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/
PART VI, LINE 6:	OUR MISSION AT ECU HEALTH IS TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA. OUR VISION IS TO BECOME THE NATIONAL MODEL FOR RURAL HEALTH AND WELLNESS BY CREATING A PREMIER, TRUSTED HEALTH CARE DELIVERY SYSTEM WHILE REMAINING TRUE TO OUR VALUES OF INTEGRITY, COMPASSION, EDUCATION, ACCOUNTABILITY, SAFETY AND TEAMWORK. OUR OPERATIONAL IMPERATIVES DRIVE ECU HEALTH PERFORMANCE AND OUTCOMES. THESE IMPERATIVES ARE EXPERIENCE, FINANCE, QUALITY, WELL-BRING, EQUITY & INCLUSION. WE KEEP PATIENTS, FAMILIES, TEAM MEMBERS AND COMMUNITIES AT THE CENTER OF EVERYTHING THAT WE DO. WE ARE MANAGING LIVES THROUGH A MODERN DELIVERY SYSTEM OF HEALTH CARE IN AN ACADEMIC AND RURAL SETTING TO DELIVERY SAFE, HIGHLY RELIABLE HUMAN CENTERED CARE. 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, HOME HEALTH, HOSPICE, AND WELLNESS SERVICES. THE HEALTH SYSTEM'S OWNED HOSPITALS ARE ECU HEALTH MEDICAL CENTER, WHICH IS A TERTIARY CARE HOSPITAL AND AN ACADEMIC MEDICAL CENTER, THAT INCLUDES THE ECU HEALTH BEAUFORT HOSPITAL AS A DEPARTMENT OPERATING AS A CAMPUS OF ECU HEALTH MEDICAL CENTER AND SEVEN OTHER ACUTE CARE HOSPITALS: ECU HEALTH ROANOKE-CHOWAN HOSPITAL, ECU HEALTH EDGECOMBE HOSPITAL, ECU HEALTH CHOWAN HOSPITAL, ECU HEALTH BERTIE HOSPITAL, ECU HEALTH DUPLIN HOSPITAL, ECU HEALTH NORTH HOSPITAL, AND THE OUTER BANKS HOSPITAL. ECU HEALTH MEDICAL CENTER SERVES AS THE TEACHING HOSPITAL FOR THE BRODY SCHOOL OF MEDICINE, EAST CAROLINA SCHOOLS OF NURSING AND ALLIED HEALTH, PITT COMMUNITY COLLEGE AND BEAUFORT COMMUNITY COLLEGE. THE SYSTEM ALSO SERVES AS A REGIONAL REFERRAL CENTER FOR EASTERN NORTH CAROLINA. IN OUR RURAL HEALTH CARE SETTING, WE ARE FACED WITH UNIQUE CHALLENGES. ONE OF THE CHALLENGES IS ACCESS TO CARE. FACTORS INFLUENCING ACCESS INCLUDE PATIENT FACTORS SUCH AS TRANSPORTATION NEEDS AS WELL AS PROVIDER AND STAFFING SHORTAGES. SHORTAGES IN STAFFING INFLATE THE COST OF PROVIDING CARE THROUGH THE USE OF LOCCUM AND TEMPORARY LABOR AND CAUSE ADDITIONAL FINANCIAL STRAINS RELATED TO THE HIGH PERCENTAGE OF GOVERNMENT PAYORS AS WELL AS THE UNINSURED POPULATION IN OUR REGION. MANY COUNTIES IN WHICH ECU HEALTH OPERATES ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). AS A RESULT, OUR EMERGENCY DEPARTMENTS BECOME A PRIMARY CARE ACCESS POINT AND CAUSE OVERLOAD ON THE SYSTEM WHICH RESULT IN CAPACITY CONSTRAINTS FOR BEDS NEEDED FOR ADMISSIONS AND BOARDERS WAITING FOR TRANSFERS TO BEHAVIORAL HEALTH FACILITIES. ECU HEALTH HAS MADE A CONSCIOUS DECISION TO PROVIDE CERTAIN SERVICES FOR THE BENEFIT OF THE COMMUNITY ALTHOUGH VOLUMES ARE NOT LARGE ENOUGH TO GENERATE A PROFIT. ONE EXAMPLE OF THESE SERVICES ARE OB SERVICES WHERE LESS THAN 1 BABY IS BORN A DAY IN SOME OF OUR REGIONAL HOSPITALS; HOWEVER, DUE TO OUR RURAL NATURE WE BELIEVE IT WOULD BE DETRIMENTAL TO OUR COMMUNITY TO NOT MAINTAIN THESE SERVICES. ECU HEALTH IS CONTINUOUSLY COLLABORATING ON WAYS TO INCREASE ACCESS SUCH AS THROUGH USE OF TELEMEDICINE TO PROVIDE HIGH LEVEL CARE TO OUR REGIONAL HOSPITALS BY USING RESOURCED AT OUR ACADEMIC MEDICAL CENTER TO KEEP PATIENTS CLOSE TO HOME WHEN POSSIBLE. ADDITIONALLY. SEE INFORMATION POSTED AT HTTPS://WWW.ECUHEALTH.ORG/ABOUT-US/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/
PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT:	NC

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CHILDREN & YOUTH PARTNERSHIP
PO BOX 2539	KILL DEVIL HILLS	NC	27948	561885539	501(C)(3)	$15,500	Community Benefit Grant Program
COMMUNITY CARE CLINIC OF DARE
PO Box 1000	Manteo	NC	27954	202230717	501(C)(3)	$85,000	Support in hiring EXECUTIVE DIRECTOR
CROSS ROADS OBX ASSOCIATION
111 W CARLTON	KILL DEVIL HILLS	NC	27948	372004420	501(C)(3)	$7,750	COMMUNITY BENEFIT GRANT PROGRAM
DARE COUNTY HEALTH DEPARTMENT
109 EXETER STREET	Manteo	NC	27954	566000293	Govt Entity	$18,000	Community Benefit Grant Program
DARE COUNTY TRANSPORTATION
954 MARSHALL C COLLINS DR	MANTEO	NC	27954	566000293	Govt Entity	$8,500	Community Benefit Grant Program
FOOD FOR THOUGHT INC
PO BOX 1167	KITTY HAWK	NC	27949	205501784	501(C)(3)	$6,000	Community Benefit Grant Program
INTERFAITH COMMUNITY
PO BOX 87	NAGS HEAD	NC	27959	223902355	501(C)(3)	$20,000	Community Benefit Grant Program
NC AQUARIUM SOCIETY
3125 POPLARWOOD COURT	RALEIGH	NC	27604	561512990	501(C)(3)	$7,500	Community Benefit Grant Program
OUTER BANKS CHAMBER OF COMMERCE
PO BOX 1757	KILL DEVIL HILLS	NC	27948	560899110	501(C)(6)	$7,700	Event Sponsorship
OUTER BANKS DEMENTIA FRIENDLY COALITION
PO BOX 752	KITTY HAWK	NC	27949	850522723	501(C)(3)	$5,250	Event Sponsorship
OUTER BANKS HOTLINE
PO BOX 1490	MANTEO	NC	27954	581414606	501(C)(3)	$10,000	COMMUNITY BENEFIT GRANT PROGRAM

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	TOBH 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	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
CHRISTOPHER MANN
PHYSICIAN	$674,021	$0	$0	$0	$0	$0	$0	$0	$52,461	$0	$726,482	$0	$0	$0
JAY BRILEY
BOARD MEMBER (THRU 12/23)	$0	$455,176	$0	$57,144	$0	$0	$0	$131,913	$0	$43,940	$0	$688,173	$0	$0
MATTHEW MCKENNA
PHYSICIAN	$563,675	$0	$0	$0	$0	$0	$0	$0	$54,900	$0	$618,575	$0	$0	$0
Gary Hunter
Anesthesiologist	$575,839	$0	$10,000	$0	$0	$0	$0	$0	$31,831	$0	$617,670	$0	$0	$0
JEFFREY CHASE
PHYSICIAN	$540,945	$0	$0	$0	$0	$0	$0	$0	$48,698	$0	$589,643	$0	$0	$0
VAN SMITH
BOARD MEMBER (AS OF 3/24)	$0	$377,403	$0	$19,734	$0	$0	$0	$135,942	$0	$44,507	$0	$577,586	$0	$0
AMANDA PETTIBONE POND
PHYSICIAN	$532,845	$0	$0	$0	$0	$0	$0	$0	$44,009	$0	$576,854	$0	$0	$0
RONALD SLOAN
PRESIDENT	$288,576	$0	$37,438	$0	$0	$0	$75,647	$0	$55,851	$0	$457,512	$0	$0	$0
MARCELLA BRYANT
VP, CLINICAL OPERATIONS	$193,784	$0	$10,250	$0	$0	$0	$21,668	$0	$38,749	$0	$264,451	$0	$0	$0
TODD WARLITNER
VP, FINANCE-CRITICAL ACCESS	$72,806	$109,208	$3,658	$5,488	$0	$0	$8,099	$12,148	$14,380	$21,571	$98,943	$148,415	$0	$0
AMY MONTGOMERY
SECRETARY	$165,335	$0	$667	$0	$0	$0	$3,336	$0	$31,231	$0	$200,569	$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 TOBH. THE COMPENSATION IS DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE ECU HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS ALSO DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE ECU HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. ALL COMPENSATION DISCUSSIONS AND ACTIONS ARE DOCUMENTED AND APPROVED IN THE MINUTES OF THE COMMITTEE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A:	OVERVIEW OF UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA: OUR MISSION AT ECU HEALTH IS 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 ARE OUR NEIGHBORS, FRIENDS AND FAMILY THEY 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, HOME HEALTH, HOSPICE, AND WELLNESS SERVICES. THE HEALTH SYSTEM'S OWNED HOSPITALS ARE ECU HEALTH MEDICAL CENTER, WHICH IS A TERTIARY CARE HOSPITAL AND AN ACADEMIC MEDICAL CENTER, THAT INCLUDES THE ECU HEALTH BEAUFORT HOSPITAL AS A DEPARTMENT OPERATING AS A CAMPUS OF ECU HEALTH MEDICAL CENTER AND SEVEN OTHER ACUTE CARE HOSPITALS: ECU HEALTH ROANOKE-CHOWAN HOSPITAL, ECU HEALTH EDGECOMBE HOSPITAL, ECU HEALTH CHOWAN HOSPITAL, ECU HEALTH BERTIE HOSPITAL, ECU HEALTH DUPLIN HOSPITAL, ECU HEALTH NORTH HOSPITAL, AND THE OUTER BANKS HOSPITAL. ECU HEALTH MEDICAL CENTER SERVES AS THE TEACHING HOSPITAL FOR THE BRODY SCHOOL OF MEDICINE, EAST CAROLINA SCHOOLS OF NURSING AND ALLIED HEALTH, PITT COMMUNITY COLLEGE AND BEAUFORT COMMUNITY COLLEGE. THE SYSTEM ALSO SERVES AS A REGIONAL REFERRAL CENTER FOR EASTERN NORTH CAROLINA. THE SYSTEM'S NINE OWNED HOSPITALS ARE LICENSED TO OPERATE 1,708 BEDS. EACH HOSPITAL IS LICENSED BY THE DIVISION OF FACILITY SERVICES OF THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES AND APPROVED AS A PROVIDER BY THE MEDICARE AND MEDICAID PROGRAMS. ECU HEALTH AND ITS HOSPITALS AND AFFILIATE ORGANIZATIONS PROVIDE SERVICES TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. IN FISCAL YEAR 2024 ECU HEALTH'S COMBINED PATIENT CARE STATISTICS WERE: INPATIENT ADMISSIONS, 68,152; INPATIENT DAYS OF CARE, 385,435; SURGERIES, 56,012; BIRTHS, 6,690; AND OUTPATIENT VISITS, 450,414. OUR SYSTEM'S WORKFORCE INCLUDED 13,090 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 2024 ECU HEALTH PROVIDED CARE TO 274,505 EMERGENCY ROOM PATIENTS. ECU HEALTH'S BOARD OF DIRECTORS CONSISTS OF 11 VOTING MEMBERS, SIX OF WHOM MUST BE CURRENT OR FORMER PITT COUNTY, NORTH CAROLINA APPOINTEES OF ECU HEALTH MEDICAL CENTER'S BOARD OF TRUSTEES AND FIVE OF WHOM MUST BE CURRENT OR FORMER BOARD OF GOVERNORS OF THE UNIVERSITY OF NORTH CAROLINA APPOINTEES OF ECU HEALTH MEDICAL CENTER'S BOARD OF TRUSTEES. ECU HEALTH MEDICAL CENTER, IN AFFILIATION WITH THE BRODY SCHOOL OF MEDICINE, WHICH IS OWNED BY THE STATE OF NORTH CAROLINA, OPERATES 30 RESIDENT-TRAINING PROGRAMS WITH OVER 400 MEDICAL RESIDENTS. THIS RELATIONSHIP ENABLES ECU HEALTH MEDICAL CENTER AND THE BRODY SCHOOL OF MEDICINE TO COMBINE THEIR RESOURCES FOR THE PROVISION OF QUALITY PATIENT CARE, MEDICAL EDUCATION AND RESEARCH FOR THE RESIDENTS OF EASTERN NORTH CAROLINA. THE BRODY SCHOOL OF MEDICINE HAS THREE IMPORTANT GOALS: EDUCATING PRIMARY CARE PHYSICIANS, MAKING MEDICAL CARE MORE READILY AVAILABLE TO THE PEOPLE OF EASTERN NORTH CAROLINA, AND PROVIDING OPPORTUNITIES TO MINORITY AND DISADVANTAGED STUDENTS. AS A NON-PROFIT ORGANIZATION, ECU HEALTH REINVESTS ALL EXCESS OF REVENUES OVER EXPENSES IN PROGRAMS, SERVICES, AND FACILITIES THAT PROVIDE ACCESS TO PATIENT CARE AND HEALTH SERVICES TO THE CITIZENS OF EASTERN CAROLINA. OVERVIEW OF ECU HEALTH COMMUNITY BENEFIT PROGRAMS 1. EASTERN NORTH CAROLINA IS COMPRISED OF 1.4 MILLION PEOPLE LIVING IN 14,000 SQUARE MILES. BOUNDARIES ARE FROM I-95 EAST TO THE COAST, AND FROM THE VIRGINIA LINE DOWN TO AND INCLUDING ONSLOW COUNTY. THE AREA IS LARGELY RURAL AND LARGELY POOR, WITH HIGHER THAN STATE OR NATIONAL AVERAGE RATES FOR POVERTY AND UNINSURED. HEALTH STATUS INDICATORS SHOW INCREASED INCIDENCE OF DISEASE IN THE REGION, ESPECIALLY CANCER, HEART DISEASE AND STROKE. ECU HEALTH DETERMINES PRIORITIES FOR TARGET POPULATIONS BY WORKING IN CONCERT WITH MEDICAL AND COMMUNITY AGENCY PARTNERS IN ONGOING ASSESSMENT OF THE MOST PRESSING HEALTH CARE NEEDS. MANY EFFORTS OVER THE PAST DECADE HAVE FOCUSED ON DIABETES, PEDIATRIC ASTHMA, SCHOOL HEALTH, INJURY PREVENTION, ACCESS TO CARE, NUTRITION ENHANCEMENT, PHYSICAL ACTIVITIES AND CHRONIC DISEASE SCREENINGS. ALSO, SPECIAL PROGRAMS TO MANAGE THE CARE OF MEDICAID ENROLLEES, ADDRESS ACCESS TO BOTH MEDICAL CARE AND MEDICATIONS FOR THE UNINSURED, AND COORDINATION OF SERVICES FOR CHILDREN WITH OBESITY HAVE BEEN UNDERTAKEN. THE POPULATIONS THAT ARE SERVED BY ADDRESSING THESE ISSUES ARE LARGELY THE POOR, THE UNDERSERVED, AND MINORITIES. DETERMINATION OF SPECIFIC POPULATIONS TO ADDRESS OCCURS WHEN PARTNERS SUCH AS THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES, LOCAL HEALTH DEPARTMENTS, COUNTY 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 THE COMPLETION OF A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES INPUT FROM COMMUNITY MEMBERS RECEIVED THROUGH COMMUNITY SURVEYS AND FOCUS GROUP DISCUSSIONS, AS WELL AS A REVIEW OF SECONDARY HEALTH DATA. COMMUNITY ALLIANCES, PARTNERS AND ORGANIZATIONS, INCLUDING LOCAL HEALTH DEPARTMENTS, PARTICIPATE IN THIS REVIEW. A LIST OF THE MOST PRESSING HEALTH ISSUES ARE COMPILED FOR EACH COMMUNITY AND THEN PRIORITIZED FOLLOWING AN ASSESSMENT OF CURRENT HEALTH RESOURCES TO ADDRESS THE IDENTIFIED HEALTH ISSUES. ESTABLISHED RESOURCES/COALITIONS AND NEW PARTNERSHIPS ARE FORMED TO ADDRESS THE IDENTIFIED HEALTH PRIORITIES 4. COMMUNITY HEALTH PRIORITIES ARE ALSO ESTABLISHED IN RESPONSE TO A COMPELLING NEED IDENTIFIED BY HEALTH PRACTITIONERS OR COMMUNITY GROUPS. ECU HEALTH IS FORTUNATE TO HAVE A STRONG COLLABORATIVE PARTNERSHIP WITH EAST CAROLINA UNIVERSITY AND WORKS CLOSELY WITH THE SCHOOLS WITHIN THE HEALTH SCIENCES DIVISION, ESPECIALLY THE BRODY SCHOOL OF MEDICINE.
FORM 990, PART III, LINE 4A CONTINUATION:	PROVIDED BELOW ARE A FEW HIGHLIGHTS OF THE COMMUNITY BENEFIT AND EDUCATION ACTIVITIES: 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 PARTNERSHIP 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. 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. FINANCIAL AND IN-KIND CONTRIBUTIONS: ECU HEALTH DONATES MONEY AND IN-KIND SERVICES TO COMMUNITY GROUPS AND ACTIVITIES THAT SHARE OUR MISSION OF IMPROVING HEALTH. THEY INCLUDE MEALS ON WHEELS, THE BLOOD CONNECTION BLOOD DRIVES, MEDICAL SUPPLIES TO EMERGENCY MEDICAL SERVICES, FREE MEDICATIONS TO QUALIFYING PATIENTS, AND LOCAL HIGH SCHOOL AND COMMUNITY COLLEGE ALLIED HEALTH PROGRAMS. ECU HEALTH HOSPITALS ARE KEY PARTNERS IN FUNDRAISING FOR ORGANIZATIONS SUCH AS THE UNITED WAY, AMERICAN HEART ASSOCIATION, AND THE AMERICAN CANCER SOCIETY. COMMUNITY BUILDING: COMMUNITY-BUILDING ACTIVITIES INCLUDE PROGRAM THAT ARE NOT DIRECTLY RELATED TO HEALTH CARE BUT ADDRESS UNDERLYING ISSUES THAT IMPACT THE HEALTH OF COMMUNITIES. POVERTY, CRIME, HOMELESSNESS, WORKFORCE DEVELOPMENT AND ECONOMIC DEVELOPMENT ALL AFFECT THE OVERALL HEALTH OF COMMUNITIES. ECU HEALTH HAS PROVIDED SUPPORT FOR OUR LOCAL CHAMBERS OF COMMERCE, INVESTMENTS IN COMMUNICATION INFRASTRUCTURE VIA INFORMATION TECHNOLOGY CONNECTIONS, SUPPORT FOR THE TEEN LEADERSHIP ACADEMY, RECRUITMENT OF PHYSICIANS TO OUR RURAL COMMUNITIES, AND PROGRAMS THAT ENCOURAGE STUDENTS TO PURSUE HEALTH CAREERS.
FORM 990, PART VI, SECTION A, LINE 1A:	THE BOARD OF DIRECTORS MAY CREATE AN EXECUTIVE COMMITTEE CONSISTING OF TWO OR MORE VOTING MEMBERS. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE, IN THE INTERIM BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, AND EXCEPT AS OTHER PROVIDED IN SECTION 8 OF THE BYLAWS, ALL THE POWERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6:	ACCORDING TO THE ORGANIZATION'S AMENDED AND RESTATED BYLAWS, ARTICLE II, THE ORGANIZATION HAS TWO MEMBERS, EAST CAROLINA HEALTH AND CHESAPEAKE HOSPITAL AUTHORITY.
FORM 990, PART VI, SECTION A, LINE 7A:	EACH MEMBER HAS THE RIGHT TO APPOINT BOARD MEMBERS. EAST CAROLINA HEALTH APPOINTS 6 BOARD MEMBERS AND CHESAPEAKE HOSPITAL AUTHORITY APPOINTS 4 BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7B:	THE FOLLOWING ACTIONS SHALL NOT BE TAKEN WITHOUT UNANIMOUS CONSENT OF THE MEMBERS: (A) POSSESS PROPERTY. POSSESS CORPORATION PROPERTY FOR OTHER THAN A PURPOSE OF THE CORPORATION; OR ASSIGN, TRANSFER, OR PLEDGE THE RIGHTS OF THE CORPORATION IN SPECIFIC PROPERTY, FOR OTHER THAN THE EXCLUSIVE BENEFIT OF THE CORPORATION. (B) INVEST FUNDS. EMPLOY, OR PERMIT TO BE EMPLOYED, THE FUNDS OR ASSETS OF THE CORPORATION IN ANY MANNER EXCEPT FOR THE EXCLUSIVE BENEFIT OF THE CORPORATION; OR COMMINGLE THE CORPORATION'S FUNDS WITH ITS OWN OR ANY OTHER PERSON'S FUNDS; (C) ADDITIONAL CAPITAL CONTRIBUTIONS. CAUSE THE CORPORATION TO REQUIRE ADDITIONAL CAPITAL CONTRIBUTIONS BEYOND THE AMOUNTS NECESSARY TO COVER THE COST OF THE CORPORATION'S CERTIFICATE OF NEED PROJECT FOR THE DEVELOPMENT OF AN ACUTE CARE HOSPITAL IN DARE COUNTY, INCLUDING THE ACQUISITION OF REAL PROPERTY AND WORKING CAPITAL, WHICH THE MEMBERS HAVE ALREADY SPECIFICALLY COMMITTED; (D) ADMIT MEMBERS. CAUSE THE CORPORATION TO ADMIT NEW MEMBERS; (E) MERGE OR DISSOLUTION. CAUSE THE CORPORATION TO MERGE WITH OR INTO ANY OTHER ENTITY OR ANY ENTITY TO MERGE WITH OR INTO THE CORPORATION OR CAUSE THE CORPORATION TO DISSOLVE; (F) AMENDMENT. AMEND THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS. (G) CON LITIGATION. COMMENCE OR SETTLE ANY LITIGATION ASSOCIATED WITH THE ISSUANCE OF A CERTIFICATE OF NEED FOR AN ACUTE CARE HOSPITAL IN DARE COUNTY; (H) SALE OF ASSETS. SELL ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; OR (I) BUSINESS OF CORPORATION. CHANGE THE TYPE OF BUSINESS IN WHICH THE CORPORATION IS ENGAGED FROM THE OPERATION OF AN ACUTE CARE HOSPITAL AND THE PROVISION OF RELATED MEDICAL SERVICES IN DARE COUNTY, NORTH CAROLINA.
FORM 990, PART VI, SECTION B, LINE 11B:	FORM 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 RESPONSES 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 FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D).
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS:	NET ASSET TRANSFER $(11,500,000)
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:33753639

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Outer Banks Professional Services LLC
604 Amanda StREET	Manteo	NC	27954	270484506	SEE PART VII	NC	$19,689,886	$8,615,457	SEE PART VII
Outer Banks Medical Office Building LLC
4810 South Croatan Hwy	Nags Head	NC	37959	161740979	SEE PART VII	NC	$856,860	$8,953,956	SEE PART VII

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
UNIV HEALTH SYSTEMS OF EASTERN CAROLINA
2100 Stantonsburg Road	Greenville	NC	27835	562141073	HEALTHCARE	NC	501(C)(3)	12C-III FI	NA	false
PITT COUNTY MEMORIAL HOSPITAL INC
2100 Stantonsburg Road	Greenville	NC	27835	560585243	HOSPITAL	NC	501(C)(3)	LINE 3	ECU HEALTH	false
PCMH MANAGEMENT INC
2100 Stantonsburg Road	Greenville	NC	27835	561690740	MEDICAL PROP.	NC	501(C)(2)	N/A	ECU HEALTH	false
VIDANT MEDICAL GROUP LLC
2100 Stantonsburg Road	Greenville	NC	27835	383740839	HEALTHCARE	NC	501(C)(3)	LINE 10	ECU HEALTH	false
EAST CAROLINA HEALTH
2100 Stantonsburg Road	Greenville	NC	27835	562003393	HOSPITAL	NC	501(C)(3)	LINE 3	ECU HEALTH	false
HEALTHACCESS INC
2100 Stantonsburg Road	Greenville	NC	27835	561396133	HEALTHCARE	NC	501(C)(3)	LINE 12B,II	ECU HEALTH	false
EAST CAROLINA HEALTH-BERTIE
2100 Stantonsburg Road	Greenville	NC	27835	562072002	HOSPITAL	NC	501(C)(3)	LINE 3	ECU HEALTH	false
EAST CAROLINA HEALTH-CHOWAN
2100 Stantonsburg Road	Greenville	NC	27835	562101090	HOSPITAL	NC	501(C)(3)	LINE 3	ECU HEALTH	false
EAST CAROLINA HEALTH-HERITAGE
2100 Stantonsburg Road	Greenville	NC	27835	562093700	HOSPITAL	NC	501(C)(3)	LINE 3	ECU HEALTH	false
EAST CAROLINA HEALTH-BEAUFORT
2100 Stantonsburg Road	Greenville	NC	27835	452436270	HOSPITAL	NC	501(C)(3)	LINE 3	ECU HEALTH	false
DUPLIN GENERAL HOSPITAL
2100 Stantonsburg Road	Greenville	NC	27835	566011594	HOSPITAL	NC	501(C)(3)	LINE 3	ECU HEALTH	false
HALIFAX REGIONAL MEDICAL CENTER INC
2100 Stantonsburg Road	Greenville	NC	27835	560989789	HOSPITAL	NC	501(C)(3)	LINE 3	ECU HEALTH	false
ROANOKE VALLEY HEALTH SERVICES INC
2100 Stantonsburg Road	Greenville	NC	27835	561925492	HEALTHCARE	NC	501(C)(3)	LINE 3	ECU HEALTH	false
ACCESS EAST INC
2410 Stantonsburg Road Stanton Sta	Greenville	NC	27834	561949493	HEALTHCARE	NC	501(C)(3)	LINE 10	ECU HEALTH	false
EAST CAROLINA HEALTH
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	911997979	HOSPITAL	NC	501(C)(3)	LINE 3	ECU HEALTH	false

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE R, PART I, COLUMN B AND COLUMN F:

DISREGARDED ENTITY: OUTER BANKS PROFESSIONAL SERVICES, LLC PRIMARY ACTIVITY: FAMILY PRACTICE DIRECT CONTROLLING ENTITY: THE OUTER BANKS HOSPITAL, INC. DISREGARDED ENTITY: OUTER BANKS MEDICAL OFFICE BUILDING, LLC PRIMARY ACTIVITY: MEDICAL OFFICE BUILDING DIRECT CONTROLLING ENTITY: THE OUTER BANKS HOSPITAL, INC.

SCHEDULE R, PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS:

FULL NAME, EIN, AND ADDRESS OF RELATED ORGANIZATIONS: NAME: UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA D/B/A ECU HEALTH EIN: 56-2141073 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 NAME: PITT COUNTY MEMORIAL HOSPITAL, INC. D/B/A ECU HEALTH MEDICAL CENTER EIN: 56-0585243 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 NAME: PCMH MANAGEMENT, INC. D/B/A ECU HEALTH PROPERTIES EIN: 56-1690740 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 NAME: VIDANT MEDICAL GROUP, LLC. D/B/A ECU HEALTH PHYSICIANS EIN: 38-3740839 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 NAME: EAST CAROLINA HEALTH D/B/A ECU HEALTH COMMUNITY HOSPITALS EIN: 56-2003393 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 NAME: EAST CAROLINA HEALTH-BERTIE D/B/A ECU HEALTH BERTIE HOSPITAL EIN: 56-2072002 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 NAME: EAST CAROLINA HEALTH-CHOWAN D/B/A ECU HEALTH CHOWAN HOSPITAL EIN: 56-2101090 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 NAME: EAST CAROLINA HEALTH-HERITAGE D/B/A ECU HEALTH EDGECOMBE HOSPITAL EIN: 56-2093700 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 NAME: EAST CAROLINA HEALTH-BEAUFORT D/B/A ECU HEALTH BEAUFORT HOSPITAL EIN: 45-2436270 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 NAME: DUPLIN GENERAL HOSPITAL D/B/A ECU HEALTH DUPLIN HOSPITAL EIN: 56-6011594 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 NAME: HALIFAX REGIONAL MEDICAL CENTER, INC. D/B/A ECU HEALTH NORTH HOSPITAL EIN: 56-0989789 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 NAME: EAST CAROLINA HEALTH D/B/A ECU HEALTH COMMUNITY HOSPITALS EIN: 91-1997979 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835