2025-07-23T12:42:01-05:00 2024-09-30 BDO USA 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2023-10-01 560585243 Pitt County Memorial Hospital Inc % JENNIFER WORSLEY PITT 2528477479 2100 STANTONSBURG ROAD GREENVILLE NC 27835 ANDREW K ZUKOWSKI CFO 2528477479 2025-07-16 true true SANDRA L FEINSMITH P01064157 9192781936 2025-07-16 2023 2025-03-06 01:10:19Z ECU HEALTH MEDICAL CENTER Jay Briley 2100 STANTONSBURG ROAD GREENVILLE NC 27835 2119330764 false X WWW.ECUHEALTH.ORG X 1953 NC TO PROVIDE ACCESS TO QUALITY MEDICAL SERVICE TO ALL CITIZENS OF PITT COUNTY AND EASTERN NC. 20 17 15705 646 157022 0 2470769 2322433 1653621340 1987784324 43526589 35648020 65541864 93575987 1765160562 2119330764 857125 1061888 0 0 602525867 670055452 0 0 0 1039850976 1209133854 1643233968 1880251194 121926594 239079570 1673354621 1651597802 364868432 413169010 1308486189 1238428792 X TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA. false false 653217739 0 608500017 CANCER AND CLINICAL SERVICES: PCMH (D/B/A ECU HEALTH MEDICAL CENTER) CANCER SERVICES INCLUDE THE MOST ADVANCED TREATMENTS FOR THE PEOPLE OF EASTERN NORTH CAROLINA. WE USE THE LATEST TECHNOLOGIES, INCLUDING GAMMA KNIFE RADIOSURGERY, AVAILABLE TO OUR EXPERT MEDICAL STAFF, NURSES AND THERAPISTS. COMBINING NATIONAL TREATMENT PROTOCOLS AND THE HIGHEST STANDARDS OF CLINICAL QUALITY, OUR TEAM OF SPECIALISTS TAKE CARE OF THOUSANDS OF PATIENTS EACH YEAR. IN CANCER AND CLINICAL SERVICES DURING FISCAL YEAR 2024, ECU HEALTH MEDICAL CENTER PERFORMED 3,178,570 LAB TESTS, 151,683 RADIOLOGY CASES, 4,050 PET SCANS, 868 GAMMA KNIFE CASES, AND 189,796 RESPIRATORY TREATMENTS. 440904281 0 451724125 SURGICAL SERVICES: SURGEONS AT ECU HEALTH MEDICAL CENTER ARE LEADERS IN THEIR FIELDS. OUR BARIATRIC SURGEONS WERE PIONEERS OF GASTRIC BYPASS SURGERY. OTHER AREAS OF SURGICAL EMPHASIS INCLUDE ORTHOPEDICS, CARDIOTHORACIC, GYNECOLOGY, TRAUMA AND GENERAL SURGERY. ECU HEALTH MEDICAL CENTER SURGICAL SERVICES PERFORMED 27,385 SURGERIES IN FISCAL YEAR 2024. 242049425 0 250453505 CARDIOVASCULAR SERVICES: ECU HEALTH MEDICAL CENTER PROVIDES PATIENTS WITH THE LATEST TREATMENTS AND TECHNOLOGY AVAILABLE. WE HAVE NATIONALLY AND INTERNATIONALLY RECOGNIZED PHYSICIANS AT THE EAST CAROLINA HEART INSTITUTE, PERFORMING DELICATE HEART SURGERIES AND PROCEDURES USING THE DAVINCI ROBOT. OUR HEART AND VASCULAR SERVICES INCLUDE: STENTS, IMAGING STUDIES, PACEMAKER PLACEMENT, ABLATION, ROBOT-ASSISTED HEART SURGERY, AND HEART FAILURE PROGRAMS. THESE AND MANY MORE SERVICES ARE PROVIDED AT THE EAST CAROLINA HEART INSTITUTE AT ECU HEALTH MEDICAL CENTER, THE FIRST FACILITY IN NORTH CAROLINA DEVOTED EXCLUSIVELY TO EDUCATION, RESEARCH, TREATMENT AND PREVENTION OF CARDIOVASCULAR DISEASES. CARDIOVASCULAR SERVICES PERFORMED 89,373 EKGS. 108333813 0 127003601 EMERGENCY SERVICES 55713047 0 48725019 REHABILITATIVE SERVICES 254123668 1061888 501378057 ALL OTHER SERVICES 418170528 1061888 677106677 1754341973 true true false true false false false false false false true true false true true true false true false false false false false false false false true true true false true false false false false false false true false false false false false true true true false false false true 14 0 true 15705 true true true false false false false false false false false false false false X 20 17 false false false false false true true true true false false true true true true true true true true true true NC X X JENNIFER WORSLEY 2528472254 2100 STANTONSBURG ROAD GREENVILLE NC 27835 X MICHAEL WALDRUM MD CHIEF EXECUTIVE OFFICER 2.0 52.0 X 0 1377781 368120 WILLIAM FLOYD THRU 1223 COO/PRESIDENT 40.0 2.0 X 819034 0 259617 DAPHNE BREWINGTON SVP, NURSING EXCELLENCE 40.0 0.0 X 381803 0 577277 JAY BRILEY AS OF 0124 PRES., ECUH COMM HOSP/ECUHMC 2.0 50.0 X 0 512320 175853 TRISH BAISE CHIEF NURSE EXECUTIVE 2.0 40.0 X 0 509303 119736 VAN SMITH THRU 1223 EVP, OPS. ECUHMC/PRES., ECUH 40.0 12.0 X 397137 0 180449 WALTER POFAHL SVP, MEDICAL AFFAIRS 40.0 0.0 X 433901 0 85980 BOBBY DUNN SVP, FINANCE 2.0 42.0 X 0 369565 87663 JEFFERY DIAL VP, OPERATIONS 0.0 40.0 X 0 290709 154758 DEBRA HERNANDEZ SVP, SYSTEM EMERGENCY SERVICES 40.0 0.0 X 338593 0 95506 TERESA ANDERSON VP, QUALITY 0.0 40.0 X 0 274341 130585 STEPHEN TRIPP VP, PERIOPERATIVE SVCS AND SMS 0.0 40.0 X 0 257994 145747 JAMES WORDEN JR SYS ADMIN, PHARMACY SVC LINE 40.0 0.0 X 251178 0 143766 KIMBERLY CRICKMORE OSBORNE VP, WOMENS & CHILDRENS SVS 40.0 0.0 X 253434 0 137723 LOUIS HARLOW SVP, ALLIED HEALTH SYSTEM 40.0 0.0 X 327479 0 54122 WENDY LEUTGENS SVP, PERIOPERATIVE SERVICES 40.0 0.0 X 278400 0 57422 TRACY ESKRA PHYSICIAN 0.0 40.0 X 0 276784 54525 JACOB PARRISH VP, CAPACITY & THROUGHPUT 40.0 0.0 X 224578 0 89704 JENNIFER STYRON PHARMACIST IV 40.0 0.0 X 241201 0 62333 DENNIS CAMPBELL PRESIDENT - BEAUFORT CAMPUS 40.0 0.0 X 211684 0 65888 TERESA CRANDOL STAFF NURSE IV 40.0 0.0 X 240451 0 0 JULIE FORBES VP, PATIENT CARE SERVICES 40.0 0.0 X 180655 0 55396 TAMESIA VANN STAFF NURSE INTERNAL TRAVEL-NB 40.0 0.0 X 234417 0 0 DEBORAH DAVIS VICE CHAIR/CHAIR 2.0 2.0 X 0 0 101825 CARLESTER CRUMPLER TREASURER/VICE CHAIR 2.0 0.0 X 0 0 0 DIANE TAYLOR SECRETARY 2.0 4.0 X 0 0 0 TONY KHOURY BOARD MEMBER/ASST. SECRETARY 2.0 0.0 X 0 0 0 VERN DAVENPORT ASST. SECRETARY/ASST. TREAS. 2.0 2.0 X 0 0 0 PHILLIP DIXON SR ASST. TREASURER/TREASURER 2.0 0.0 X 0 0 0 ANGELA ALLEN BOARD MEMBER 2.0 2.0 X 0 0 0 TONY CANNON BOARD MEMBER 2.0 0.0 X 0 0 0 DEMETRIUS CARTER BOARD MEMBER 2.0 0.0 X 0 0 0 MIKE FITZPATRICK BOARD MEMBER 2.0 0.0 X 0 0 0 PHIL GIBBS BOARD MEMBER 2.0 0.0 X 0 0 0 CHRISTOPHER JENKINS BOARD MEMBER 2.0 0.0 X 0 0 0 ROB JONES BOARD MEMBER 2.0 0.0 X 0 0 0 BRYANT KITTRELL BOARD MEMBER 2.0 0.0 X 0 0 0 MIKE MCLAUGHLIN MD BOARD MEMBER 2.0 0.0 X 0 0 0 WILLIAM MONK JR CHAIR/BOARD MEMBER 2.0 2.0 X 0 0 0 PHILIP ROGERS BOARD MEMBER 2.0 2.0 X 0 0 0 ANAND TEWARI MD BOARD MEMBER 2.0 2.0 X 0 0 0 DONALD THOMPSON BOARD MEMBER 2.0 0.0 X 0 0 0 MEGHAN HOOLEY AS OF 624 VP, ECUHMC FINANCIAL SERVICES 40.0 0.0 X 0 0 0 JENNIFER THOMAS SVP, FINANCIAL SERVICES 0.0 40.0 X 0 193427 -438200 4813945 3868797 3203995 1137 true true false AMN HEALTHCARE INC PO BOX 281923 ATLANTA GA 30384 TEMPORARY STAFF SVCS 56231937 EAST CAROLINA UNIV SCHOOL OF MEDIC PO BOX 75514 CHARLOTTE NC 28275 MEDICAL STAFF SVCS 34672393 MEDICAL SOLUTIONS LLC 1010 N 102ND STREET OMAHA NE 68114 TEMPORARY STAFF SVCS 22892842 East Carolina Anesthesia Associatio 2080-B W Arlington boulevard GREEVILLE NC 27834 anesthesia services 14076883 METRO AVIATION INC PO BOX 7008 SHREVEPORT LA 07137 MANAGEMENT SERVICES 14032482 98 179445 2142988 2322433 CANCER & CLINICAL SERVICES 621110 608500017 608500017 SURGICAL SERVICES 621110 451724125 451724125 CARDIOVASCULAR SERVICES 621110 250453505 250453505 EMERGENCY SERVICES 621110 127003601 127003601 ALL OTHER PROGRAM SERVICE REVENUE 621110 550103076 549946054 157022 1987784324 35521962 35521962 0 0 693465 0 693465 0 693465 693465 126058 126058 126058 126058 0 0 0 0 0 0 0 0 0 CAFETERIA MEALS 722514 7429166 7429166 REBATES 900099 5092037 5092037 ALL OTHER REVENUE 900099 80361319 80361319 92882522 2119330764 1987627302 157022 129224007 X 1061888 1061888 0 0 0 4203903 4203903 0 525112523 474344369 50768154 34253511 30828160 3425351 67803983 61435115 6368868 38681532 34813379 3868153 1155764 1040187 115577 20333 18300 2033 192316 192316 71851 71851 0 0 459744195 413939234 45804961 0 237921 214129 23792 3306734 2971178 335556 4107108 4107108 0 17623364 15875340 1748024 1476179 1328561 147618 0 0 25607934 23043450 2564484 0 48627452 43772362 4855090 14137577 12724087 1413490 MEDICAL SUPPLIES 406702001 406702001 MEDICAID ASSESSMENTS 126152804 126152804 BAD DEBT 73282158 73282158 ALL OTHER EXPENSES 26688163 26688163 1880251194 1754341973 125909221 0 0 0 14261974 172163224 0 0 341391704 317187890 0 0 0 0 0 0 43647155 48233305 7898504 13134596 1357841158 905326820 445452258 452514338 0 0 515074481 370232621 0 0 0 0 305628545 278131828 1673354621 1651597802 287155706 288693699 0 0 0 0 0 0 0 0 0 0 0 0 11957481 20863001 65755245 103612310 364868432 413169010 X 1308486189 1238428792 0 0 1308486189 1238428792 1673354621 1651597802 X 239079570 -309136967 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 71851 71851 false SCHEDULE C, PART II-B, LINE 1, LOBBYING ACTIVITIES: 25.93% OF DUES TO NCHA ARE ALLOCATED TO LOBBYING. 18560198 18560198 793137887 510912369 282225518 481603320 363361271 118242049 64539753 31053180 33486573 452514338 OTHER INVESTMENTS 370232621 F 370232621 DUE FROM THIRD PARTY PAYORS 165866945 DEFERRED OUTFLOWS 74790022 OTHER RECEIVABLES 29505544 INVESTMENTS IN SUBSIDIARIES 7969317 278131828 0 DUE TO THIRD PARTY PAYORS 48348606 DEFERRED PENSION INFLOWS 23859819 SERP PAYABLE 13770571 DUE TO AFFILIATES 4949137 ASSET RETIREMENT OBLIGATION 675000 OTHER 12009177 103612310 X SCHEDULE D, PART X, LINE 2: PITT COUNTY MEMORIAL HOSPITAL HAS BEEN DETERMINED TO QUALIFY AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PITT COUNTY MEMORIAL HOSPITAL HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND HAS CONCLUDED THAT NO MATERIAL LIABILITIES EXIST AS OF SEPTEMBER 30, 2024 AND 2023. PITT COUNTY MEMORIAL HOSPITAL FILES TAX RETURNS WITH THE U.S. FEDERAL AND STATE OF NORTH CAROLINA JURISDICTIONS. WITH FEW EXCEPTIONS, PITT COUNTY MEMORIAL HOSPITAL IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2021. true true X true X true X true true true false true true 38224518 38224518 0.02120 410685815 612819262 0 0.00000 448910333 612819262 38224518 0.02120 38 645707 5874707 546560 5328147 0.00290 5 1557 1985240 1985240 0.00110 7 136064 6124984 6124984 0.00340 50 783328 13984931 546560 13438371 0.00740 50 783328 462895264 613365822 51662889 0.02860 1 81870 81870 0.00000 1 43 0 0 0.00000 2 1002 349415 349415 0.00020 4 1045 431285 431285 0.00020 true 16644317 253808270 310957886 -57149616 X true true 2 1 PITT COUNTY MEMORIAL HOSPITAL INC 2100 STANTONSBURG ROAD GREENVILLE NC 27835 H0104 X X X X X REHABILITATION, BEHAVIORAL HEALTH 2 EAST CAROLINA HEALTH - BEAUFORT INC 628 EAST TWELFTH STREET WASHINGTON NC 27889 H0188 X X X FACILITY REPORT GROUP A 12 false false true X X X X X X X X X 21 true true true true X SEE PART V DISCLOSURE X true 21 true SEE PART V DISCLOSURE false true X 200. 200. X X true true X X X true X SEE PART V DISCLOSURE X SEE PART V DISCLOSURE X SEE PART V DISCLOSURE X X X X X true X false X X X X true X false false FACILITY REPORT GROUP A: PART V, SECTION B, LINE 5: Input was gathered from a broad range of remarkable leaders and stakeholders across Pitt County who are passionate about the health and wellbeing of the residents. The ECU Health Medical Center directly collaborated with Pitt County Health Department and Pitt Partners for Health, the stakeholder group in Pitt County. ECU Health Medical Center serves as the administrative agency for Pitt Partners for Health, providing a Coordinator for the coalition. The members include, but are not limited to Access East/Health Assist, AmeriHealth Caritas, Amexcan, Catholic Charities, Churches Outreach Network, Community Crossroads, Eastern AHEC, East Carolina University, Fountain Presbyterian Church, Healthy Lives Healthy Choices, Greenville Housing Authority, Greenville Police Department, Local municipalities, NC CIVIL, NC Cooperative Extension, Pitt County Community Schools and Recreation Department, Pitt County Council on Aging, Pitt County Department of Social Services, Pitt County EMS, Pitt County Family Development Cooperation Pitt County Planning Department, Pitt County Schools, Saint John Missionary Baptist Church, Sycamore Hill Missionary Baptist Church, Trillium Health Care, Third Street Academy, and West Greenville Health Council. These partners were involved in the planning, data review, and prioritization process to complete the 2022 Pitt 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 Pitt County a total of 928 survey responses were received: 922 in English and 6 in Spanish. Additionally, due to a high survey response from women over age 55 who had obtained a bachelor's or graduate degree, the leaders held several focus groups due to their historical value of providing critical primary data for the CHNA. Seven (7) focus groups were held during the summer of 2021. Due to the COVID-19 pandemic, six (6) focus groups were conducted virtually, and one was held in a face-to-face format. Participants included community health workers, health providers, community organization professionals and community members of various ages. The focus groups conducted within Pitt County were strategically planned to ensure an accurate representation of the overall community with an emphasis on individuals who serve members, or who are members, of the most vulnerable populations. The majority of the selected groups were highly concentrated with professionals representing the healthcare, human services, and education professional arenas. These individuals interacted regularly with the community and could readily identify health issues that are most prevalent among the people they serve. The focus groups representation included the following: Gold Path Seniors (Senior Citizens), Pitt County Aging Coalition, Pitt County Emergency Management First Responders, Pitt County School Social Workers, Pitt County School Nurses, Healthy Lives Healthy Choices Lay Health Advisors, and the Pitt-Greenville Chamber of Commerce Young Professionals Group. ECU Health Beaufort Hospital A Campus of ECU Health Medical Center: Input was also gathered from a broad range of remarkable leaders and stakeholders who are passionate about the health and wellbeing of the residents of Beaufort and Hyde counties. ECU Health Beaufort Hospital directly collaborated with Beaufort County Health Department and partners that included: Access East, Agape Health Services, Beaufort County NC Works, Beaufort County Community College, Beaufort County United Way, Beaufort County Healthy Clergy, Congregations, and Communities (BCH3C), Beaufort County Economic Development, Beaufort County Department of Social Services, Beaufort County Area on Aging, Beaufort-Hyde Partnership For Children, Beaufort County Schools, Clearpoint, Cornerstone Family Worship Center, Eagle's Wings Food Pantry, Food Bank of the Albemarle, and Trillium to complete the 2022 Beaufort County Community Health Needs Assessment. In Hyde County, the hospital collaborated with Hyde County Health Department, Hyde County Behavioral Health, Hyde County Cooperative Extension, Hyde County Hotline, Hyde County Department of Social Services, Hyde County Sheriff's Office, Hyde County EMS, ECU Health Cancer Care, Hyde County Schools, County of Hyde (Administration), Beaufort-Hyde Partnership for Children, Project DIRECT Legacy for Men & Their Families, and Hyde Transit to complete the 2022 Hyde 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. Community locations for survey distribution were selected to enrich participation representation by historically underrepresented subgroups including minority populations, low income and elderly residents. In Beaufort County a total of 340 survey responses were received: 337 in English and 3 in Spanish. In Hyde County a total of 219 survey responses were received: 213 in English and 6 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 will promote community health improvement activities across county lines. FACILITY REPORT GROUP A: PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING HOSPITALS: PITT COUNTY MEMORIAL HOSPITAL, INC. DBA ECU HEALTH MEDICAL CENTER EAST CAROLINA HEALTH BEAUFORT, INC. DBA ECU HEALTH BEAUFORT HOSPITAL FACILITY REPORT GROUP A: PART V, SECTION B, LINE 6B: ECU Health Medical Center collaborated with Pitt County Health Department. ECU Health Beaufort collaborated with Beaufort County Health Department and Hyde County Health Department. FACILITY REPORT GROUP A: PART V, SECTION B, LINE 7A AND 10A: THE HOSPITAL MAKES ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AVAILABLE TO THE PUBLIC ON THE HOSPITAL'S WEBSITE: HTTPS://WWW.ECUHEALTH.ORG/ABOUT-US/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ FACILITY REPORT GROUP A: PART V, SECTION B, LINE 11: 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, 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 Pitt County. The priorities determined were Access to Care/Social Determinants of Health; Healthy lifestyles; and Mental/Behavioral Health. The ECU Health Medical Center Board of Trustees approved the priorities and an "on-going" set of Implementation Strategies for the hospital to address for the three-year cycle. Access to Care: The Medical Center strategies included: Chronic Disease Prevention Screening for heart disease, stroke, diabetes, and cancer with 1,060 individuals screened (36 referred for urgent follow-up due to abnormal or suspicious results); Providing School Health Nurses to Pitt County Schools (2,566 students securing care due to referral from Nurse for medical, vision, or dental need. The program has a 93% success rate for helping students remain at school due to seeing the school nurse); Pediatric Asthma care management (2,132 children managed); several Injury Prevention related programs through which 6,861 safety items were distributed (gun locks, medication lock boxes, and car seats and helmets); Insurance Access referrals (3,571 patients gaining insurance through Elevate); Senior Services education programming with 300 senior households receiving education monthly, Medicare Part D education and enrollment; Women's Health Education Classes (302 participants in Childbirth education classes); Trauma Outreach events (422 Stop the Bleed Kits provided and 1,576 adults, children, and providers trained); Through Pitt Partners -Healthy People Healthy Carolinas offer Know It Control It Program provided a Blood Pressure kiosk to increase access to 1,393 residents in the county with education series resulted in 50% of participants decreasing blood pressure. Healthy Lifestyles: Strategies include operating a Medical Food Pantry for patients screening positive for Food Insecurity (1,069 vouchers redeemed serving 2,368 people); Pitt Partners-Healthy People Healthy Carolinas programs like Coordinated approaches to Child Health (22 of the 29 schools serving K-8 trained to implement CATCH PE and 464 K-8 students completing Catch My Breath program for vaping and tobacco prevention); Penny Pinchers Healthy Grocery Store Tours (173 participants with 91% success rate - shop for a healthy meal for family of 4 under $15.00); Health Food Pantry Taste Explorers (357 participants at 5 events with 93% stating they liked what they tasted); Lifestyle Medicine (244 individuals attended Cooking with a Doc sessions and 40 individuals with low SES awarded Exercise is Medicine scholarship); and WalkWiseNC program that established 2 walking trails in the county. Mental/Behavioral Health: Strategies include distributing community-wide positive messaging, maintain and updated Mental Health Resource Guide, and distributing Suicide Prevention magnets with 988 number; offering monthly Dementia support group for family caregivers and provide education sessions across community; hosting annual Care Givers Conference; promoting Firearm Safety (2,707 gun locks distributed and 152 individuals trained in Counseling to Access to Lethal Means (CALM) with 96% showing an increase in knowledge); providing Mental Health / Mental Disorder Education (165 individuals educated on Mental Health First Aid and 12 individuals received Applied Suicide Intervention Skills Training); and Substance Use Education and Prevention (591 students participated in the Escape the Vape program with a 78% change in knowledge.) Additionally, the hospital provides Community Health Grants to non-profit organizations that concentrate on these three priorities. So far in this three-year cycle $1,516,250 was distributed. See Part VI Line 1, Part 1, line 7, i for more details. ECU Health Beaufort Hospital A Campus of ECU Health Medical Center: 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, 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 Beaufort and Hyde Counties. The priorities determined for Beaufort County Chronic Disease; Mental Health; and Economy and Vulnerable Populations. The priorities for Hyde County were Substance Abuse; Mental Health; and Child Abuse and Neglect. The ECU Health Medical Center Board of Trustees approved the priorities and an "on-going" set of Implementation Strategies for the hospital to address in these counties for the three-year cycle. Chronic Disease: The hospital organizes free health screenings at community events, local organizations, and schools to promote health education and coaching based on BMI, blood pressure, cholesterol, and sugar levels; Provides free clinics for breast and lung cancer screenings and partners with ECU Health Cancer Care to raise awareness about cancer prevention and early detection. (87 screenings provided for heart disease, stroke, diabetes, and cancer serving 1,263 people); offers chronic disease prevention education events (11 events); collaborates with programs such as Beaufort County Healthy Clergy, Congregations, and Communities to eliminate health barriers and improve fitness for local groups; Promotes Stroke awareness campaigns (4 events with 100 adults, 145 students), and maintained Get with the Guidelines Designation for stroke care. Mental Health: Strategies included serving on the BC360 Behavioral Health Task Force (co-organized 10 Community In Action events bringing mental health and substance use resources together in one place within the communities in need, and organized 2 Crisis Intervention team trainings with Law Enforcement); offers Tele-psych services in the Emergency Department for mental health assessments to ensure timely support and care coordination for patients. Economy and Vulnerable Populations: Strategies include referring patient with social determinants of health needs through the NCCARE360 portal; building connections with faith-based organizations in Beaufort and Hyde Counties to enhance healthcare access and awareness; servings as a lead organization for Beaufort County 360; and assisting patients with access to health insurance (250 gained insurance). Additionally, the hospital provides Community Health Grants to non-profit organizations in both counties that concentrate on these approved priorities. So far in this three-year cycle, $386,800 was distributed. See Part VI Line 1, Part 1, line 7, i for more details. FACILITY REPORT GROUP A: PART V, SECTION B, LINE 16A, 16B, AND 16C: THE HOSPITAL MAKES ITS FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSIST ANCE/ 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) Pitt County dedicated 46,570 hours of staff time to Community Health Improvement Services, serving 617,126 individuals with a total community benefit expense of $4,200,807. These services included community outreach initiatives such as offering advance care planning at no charge to assist with completing advance directives, flu shot clinics, health education classes on topics like suicide prevention, fall prevention, medication safety, asthma assessments, and free wellness screenings that measured blood pressure, blood sugar, weight, BMI, and cholesterol. Specific programs included monthly meetings focusing on topics like Fall Prevention and Winter Safety, held at local health centers. Additionally, the Senior Wellness Group provided health education classes on fall prevention, with attendees from various community organizations. These initiatives included educational presentations on suicide prevention strategies, particularly for LGBTQ youth, and promoting mental health support services. Other programs included educational presentations on the role of physical activity in public parks, aimed at promoting awareness and encouraging community participation in health-promoting activities. These efforts involved significant staff and volunteer hours, miles driven for outreach, and expenses dedicated to improving community health and well-being. Beaufort County dedicated 6,473 hours of staff time to Community Health Improvement Services, serving 28,581 individuals with a total community benefit expense of $1,023,229. These services included community outreach initiatives such as offering advance care planning at no charge to assist with completing advance directives, flu clinics, health education classes on topics like colorectal cancer awareness and mental health, and free wellness screenings that reached 570 persons, measuring blood pressure, blood sugar, weight, BMI, and cholesterol. Screening mammography and breast cancer programs were conducted using mobile wellness units at various locations, including Burton Wells Gymnasium, St. Helena Branch Library, Green Pond Fire Department, and Bluffton Jasper Volunteers in Medicine Clinic. These programs involved 8 hours of staff time and a total expense of $552, screening a combined total of 17 individuals across these locations. These efforts were part of a broader initiative to enhance community health and well-being, ensuring that residents have access to essential health services and education. In Beaufort County, 1,684 hours of staff time were utilized, with a total community benefit expense of $104,111. The combined total community benefit expense for community health improvement services and community benefit operations amounted to $1,127,340. Health Professional Education (f) Pitt County dedicated 11,439 hours of staff time to Health Professions Education, serving 1,557 individuals with a total community benefit expense of $1,985,240. This included nursing internships/preceptorships and other health professions such as social work, EMS, phlebotomy, radiology, and medical students. 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. Social work interns gained practical skills by engaging with diverse patient populations and addressing their psychosocial needs, preparing them for real-world challenges in healthcare settings. EMS trainees participated in emergency response scenarios to enhance their readiness for real-life situations, ensuring they are well-prepared to handle emergencies efficiently. Phlebotomy students practiced blood collection techniques under supervision to ensure proficiency and safety, which is crucial for patient care. Radiology interns learned imaging procedures critical for accurate diagnosis and treatment planning, providing them with essential skills for their future careers. Medical students rotated through different departments to gain a broad understanding of patient care across specialties, offering them a well-rounded education in various medical disciplines. For example, respiratory care managers provided education to students during shadowing in high-acuity settings, contributing a total of 24 voluntary hours. These activities were part of the broader effort to enhance the educational experience of health profession students, ensuring they are well-prepared to meet the demands of their future careers. Cash and In-Kind Contributions for Community Benefit (i) Pitt County dedicated 987 hours of staff time to cash and in-kind contributions, serving 136,064 individuals with a total community benefit expense of $6,107,872. These contributions included $4,986,094 in cash donations, $762,000 in grants, serving 15,415 individuals and 16 organizations, and $349,952 in in-kind donations. The cash and in-kind donations supported various activities, such as blood drives that served 2,601 individuals, providing $150,553 for transportation assistance and $79,974 to cover air transport, ambulance services, durable medical equipment, home health, infusion therapy, inpatient hospice, and medications. Beaufort County had a total community benefit expense of $17,112 for cash and in-kind contributions. These contributions included $5,000 in cash donations and $12,112 in in-kind donations. The cash and in-kind donations supported various activities, such as blood drives that collected 26 units of whole blood, helping 78 individuals, and providing $138.75 for transportation assistance. Additionally, fundraising efforts were conducted to support other non-profit organizations. In Pitt County, the community benefit grants provided funding for various initiatives. In Beaufort County, community benefit grants provided funding to Beaufort Area Transit System for medical transportation trips for 33 community members. Additionally, they distributed backpack weekend meals to school children, delivered nutritious meals daily to homebound seniors, and provided counseling sessions for uninsured and underinsured county residents. Another grant impacted 64 parents who benefited from 606 client appointments. 58 women received sonograms, and 129 individuals benefited from 492 evidence-based parent education sessions. The Learn to Earn program distributed incentives to parents for attending education classes. Items earned/distributed included: 17 new car seats, 11 new co-sleepers, 11 new pack-n-plays with crib sheets, 12 new diaper bags, 317 packs of diaper wipes, and 12,000 diapers. PART II, COMMUNITY BUILDING ACTIVITIES: ECU Health Medical Center dedicated 372 hours of staff time to community building activities, with a total community benefit expense of $431,285. These activities included $81,870 for community support and $349,415 for workforce development. Specific initiatives included presenting at Chamber of Commerce meetings and executive leadership attending Medicaid expansion events. Educational activities and community support efforts were highlighted. For example, educational events at the Ronald McDonald House were completed with staff members contributing a total of 1.5 hours at 100% benefit. Fire drills at the ECU Education Center were conducted on multiple dates, with staff members contributing a total of 22 hours at 100% benefit. These activities were part of a broader effort to enhance community engagement and support, ensuring that healthcare professionals are well-prepared to meet the demands of their future careers. Clinical internships at ECU Health Medical Center provided hands-on experience for allied health students, contributing to workforce development and community support. These internships involved direct education and training, preparing students for real-world healthcare challenges. 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, ECU HEALTH ENTITIES DO 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 ECU HEALTH ARE PRESENTED ON A CONSOLIDATED BASIS; THE TEXT OF THE FOOTNOTE FROM PAGE 30 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 $118.3 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 ECU HEALTH, 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 ECU HEALTH. 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 ECU Health Medical Center Greenville campus is Pitt County. Pitt County is comprised of ten municipalities: Ayden, Bethel, Farmville, Faukland, Fountain, Greenville, Grifton, Grimesland, Simpson, and Winterville, with Greenville serving as the county seat. Pitt County's population has continued to grow since the 2010 Census reported the County's population as 168,148. According to the US Census Bureau, there were 170,243 individuals residing in Pitt County in 2020 and an estimated 172,169 in 2021. It is projected that Pitt County's population will grow to an estimated 203,250 by the year 2029. The White population comprises the County's largest population group (57.2%) followed by the Black or African American residents, who represent 34.7%. The Hispanic or Latino population comprises 6.3% of Pitt County's residents. In 2021, Pitt County shifted from a Tier One to a Tier Two economic ranking. The County's economic distress rank was #44 in 2021 as compared to #33 in 2020. While the County's population growth rank and unemployment rate rank improved, the county's median household income rank declined. Pitt County's median household income ($47,437) was lower than the median household income in North Carolina ($54,602). Pitt County has a higher rate of poverty than NC and the Health ENC region. Twenty-three (23.0%) of Pitt County's population lives below the poverty level, compared to 15.0% of the population in NC and 17.5% for the Health ENC region. Pitt County's most common racial or ethnic group living below the poverty level in Pitt County is Black, followed by White, and Hispanic. The rates of poverty among children, older adults, and disabled individuals living in Pitt County are all higher than the rates for NC. ECU Health Beaufort Hospital A Campus of ECU Health Medical Center: The primary service area for ECU Health Beaufort Hospital includes Beaufort and mainland Hyde Counties in North Carolina. Surrounding cities and towns include Washington, Aurora, Bath, Belhaven, Pantego, Chocowinity and Washington Park in Beaufort County and Ponzer, Swan Quarter, Fairfield and Engelhard in Hyde County. According to the 2020 Census, Beaufort County has a population of 44,468. 72.1% of the population is white, followed by 24.2% black, and 8.5% Hispanic. Less than 1% consider themselves American Indian or Asian. The 2020 Census reports a population of 4,508 in Hyde County. 69.1% of the population is white, 27% is black, and 10.2% is Hispanic. 1.3% consider themselves American Indian or Asian. Beaufort County . Persons living below the Federal Poverty Level: 19% of the population in Beaufort County is living in poverty which is higher than the rate for North Carolina (15.0% of the population) and the Health ENC region (17.5%). . 27% of the black population in Beaufort County live at or below the poverty level. 32% of the Hispanic population in Beaufort County live at or below the poverty level compared to 12% of the white population live at or below the poverty level. . Seniors who live in poverty are an especially vulnerable group due to medical needs, social isolation and decreased physical mobility: 9.6% of adults are living below the poverty level. . Median household income in Beaufort County is 17.2% lower than the median household income in North Carolina. Hyde County . The rate of children below the poverty level is much higher for Hyde County (38%) when compared with N.C. (21%) and the Health ENC Counties (25.5%). . The child abuse rate in Hyde County has been inconsistent over the past three measurement periods. The 2018 child abuse rate in Hyde County (9.2 per 1,000 population) was higher than North Carolina (8.0) and Health ENC (8.8) . 35% of the black population living in Hyde County live at or below the poverty line. . Children in poverty are more likely to have physical health problems, behavioral problems and emotional problems. . Seniors who live in poverty are an especially vulnerable group due to the increase in physical limitations, medical needs and social isolation. 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-BEING, 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 true PCMH Foundation PO BOX 8469 GREENVILLE NC 27834 581399266 501(C)(3) 1041800 CHARITABLE DONATION Washington-Beaufort Co Chamber of Commerce 102 Stewart Parkway WASHINGTON NC 27889 270537248 501(C)(3) 7841 COMMUNITY EVENTS SPONSORSHIP BEAUFORT COUNTY COMMUNITY COLLEGE PO BOX 1069 WASHINGTON NC 27889 561698724 GOVT ENTITY 5600 Scholarship Funds & Community Events 3 0 SCHEDULE I, PART I, LINE 2: ECU HEALTH MEDICAL CENTER MAINTAINS RECORDS TO SUBSTANTIATE ALL DISBURSEMENTS MADE IN ACCORDANCE WITH ITS DOCUMENT RETENTION POLICY. ALL GRANTS AND ASSISTANCE ARE APPROVED AT THE APPROPRIATE LEVEL OUTLINED IN ITS POLICY AND PROCEDURES. X X X X false false false false false false false false false MICHAEL WALDRUM MD CHIEF EXECUTIVE OFFICER 0 960564 0 404165 0 13052 0 313500 0 54620 0 1745901 0 0 WILLIAM FLOYD THRU 1223 COO/PRESIDENT 730910 0 88124 0 0 0 211403 0 48214 0 1078651 0 0 0 DAPHNE BREWINGTON SVP, NURSING EXCELLENCE 367803 0 14000 0 0 0 557487 0 19790 0 959080 0 0 0 JENNIFER THOMAS SVP, FINANCIAL SERVICES 0 193427 0 0 0 0 0 -449272 0 11072 0 -244773 0 0 JAY BRILEY AS OF 0124 PRES., ECUH COMM HOSP/ECUHMC 0 455176 0 57144 0 0 0 131913 0 43940 0 688173 0 0 TRISH BAISE CHIEF NURSE EXECUTIVE 0 421959 0 72344 0 15000 0 84200 0 35536 0 629039 0 0 VAN SMITH THRU 1223 EVP, OPS. ECUHMC/PRES., ECUH 377403 0 19734 0 0 0 135942 0 44507 0 577586 0 0 0 WALTER POFAHL SVP, MEDICAL AFFAIRS 412786 0 21115 0 0 0 44294 0 41686 0 519881 0 0 0 BOBBY DUNN SVP, FINANCE 0 352065 0 17500 0 0 0 38047 0 49616 0 457228 0 0 JEFFERY DIAL VP, OPERATIONS 0 249714 0 34745 0 6250 0 108015 0 46743 0 445467 0 0 DEBRA HERNANDEZ SVP, SYSTEM EMERGENCY SERVICES 322845 0 15748 0 0 0 74642 0 20864 0 434099 0 0 0 TERESA ANDERSON VP, QUALITY 0 261268 0 13073 0 0 0 87507 0 43078 0 404926 0 0 STEPHEN TRIPP VP, PERIOPERATIVE SVCS AND SMS 0 229306 0 28688 0 0 0 105910 0 39837 0 403741 0 0 JAMES WORDEN JR SYS ADMIN, PHARMACY SVC LINE 250511 0 667 0 0 0 126563 0 17203 0 394944 0 0 0 KIMBERLY CRICKMORE OSBORNE VP, WOMENS & CHILDRENS SVS 241184 0 12250 0 0 0 119165 0 18558 0 391157 0 0 0 LOUIS HARLOW SVP, ALLIED HEALTH SYSTEM 312229 0 15250 0 0 0 33000 0 21122 0 381601 0 0 0 WENDY LEUTGENS SVP, PERIOPERATIVE SERVICES 264900 0 13500 0 0 0 28092 0 29330 0 335822 0 0 0 TRACY ESKRA PHYSICIAN 0 276784 0 0 0 0 0 0 0 54525 0 331309 0 0 JACOB PARRISH VP, CAPACITY & THROUGHPUT 198828 0 25750 0 0 0 51719 0 37985 0 314282 0 0 0 JENNIFER STYRON PHARMACIST IV 240534 0 667 0 0 0 29683 0 32650 0 303534 0 0 0 DENNIS CAMPBELL PRESIDENT - BEAUFORT CAMPUS 200267 0 11417 0 0 0 27208 0 38680 0 277572 0 0 0 TERESA CRANDOL STAFF NURSE IV 240451 0 0 0 0 0 0 0 0 0 240451 0 0 0 JULIE FORBES VP, PATIENT CARE SERVICES 176280 0 4375 0 0 0 26791 0 28605 0 236051 0 0 0 TAMESIA VANN STAFF NURSE INTERNAL TRAVEL-NB 234417 0 0 0 0 0 0 0 0 0 234417 0 0 0 SCHEDULE J, PART I, LINE 3: THE TOP MANAGEMENT OFFICIAL IS THE PRESIDENT WHO IS AN EMPLOYEE OF ECU HEALTH MEDICAL CENTER. 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. Ariana Crumpler Family of Board Member 28297 Empl. of ECU Health Med.Center false 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 PROGRAMS THAT ARE NOT DIRECTLY RELATED TO HEALTH CARE BUT ADDRESS UNDERLYING ISSUES THAT IMPACT THE HEALTH OF COMMUNITIES. POVERTY, CRIME, HOMELESSNESS, WORKFORCE DEVELOPMENT AND ECONOMIC DEVELOPMENT ALL AFFECT THE OVERALL HEALTH OF COMMUNITIES. ECU HEALTH HAS PROVIDED SUPPORT FOR OUR LOCAL CHAMBERS OF COMMERCE, INVESTMENTS IN COMMUNICATION INFRASTRUCTURE VIA INFORMATION TECHNOLOGY CONNECTIONS, SUPPORT FOR THE TEEN LEADERSHIP ACADEMY, RECRUITMENT OF PHYSICIANS TO OUR RURAL COMMUNITIES, AND PROGRAMS THAT ENCOURAGE STUDENTS TO PURSUE HEALTH CAREERS. FORM 990, PART VI, SECTION A, LINE 1A: THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES SHALL CONSIST OF NINE MEMBERS INCLUDING THE CHAIRMAN, VICE CHAIRMAN, SECRETARY, AND SIX MEMBERS ELECTED BY THE BOARD OF TRUSTEES FROM THE AT LARGER MEMBERSHIP IN A MANNER SUCH THAT A TOTAL OF FIVE MEMBERS OF THE EXECUTIVE COMMITTEE ARE MEMBERS OF THE BOARD APPOINTED BY THE COUNTY COMMISSIONERS AND A TOTAL OF FOUR MEMBERS OF THE EXECUTIVE COMMITTEE ARE MEMBERS OF THE BOARD APPOINTED BY THE BOARD OF GOVERNORS OF THE UNIVERSITY OF NORTH CAROLINA. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE, IN THE INTERIM BETWEEN MEETINGS OF THE BOARD OF TRUSTEES, AND EXCEPT AS OTHER PROVIDED IN THE BYLAWS, ALL THE POWERS OF THE BOARD OF TRUSTEES OF PITT COUNTY MEMORIAL HOSPITAL, INCORPORATED. IF THE EXECUTIVE COMMITTEE DETERMINES THAT EMERGENCY CIRCUMSTANCES EXIST WHICH REQUIRE ACTION, THE COMMITTEE SHALL HAVE THE POWER TO TAKE SUCH ACTION AS IT MAY DEEM TO BE WISE AND IN THE BEST INTEREST OF THE HOSPITAL AND THE PATIENTS THEREIN AND REPORT THE ACTIONS TAKEN TOGETHER WITH THE EMERGENCY CIRCUMSTANCES TO THE NEXT MEETING OF THE FULL BOARD. MEETINGS MAY ALSO BE CALLED BY OR AT THE REQUEST OF THE CHAIRMAN OF THE EXECUTIVE COMMITTEE OR BY TWO OR MORE OF THE EXECUTIVE COMMITTEE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A: THE BOARD OF COMMISSIONERS OF PITT COUNTY AND THE BOARD OF GOVERNORS OF THE UNIVERSITY OF NORTH CAROLINA SHALL HAVE THE POWER TO APPOINT THE TWENTY MEMBERS OF THE BOARD OF TRUSTEES OF PITT COUNTY MEMORIAL HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B: THE RESTATED ARTICLES OF INCORPORATION FOR PITT COUNTY MEMORIAL HOSPITAL, INC. STATE THE ARTICLES AND BYLAWS MAY NOT BE AMENDED WITHOUT THE APPROVAL OF UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. (ECU HEALTH). THE CEO OF ECU HEALTH, IN CONSULTATION WITH THE GOVERNING BOARD, SHALL SELECT AND APPOINT A QUALIFIED PRESIDENT OF THE CORPORATION, SHALL HAVE CONTROL AND AUTHORITY OVER ITS OTHER OFFICERS, AGENTS, AND EMPLOYEES, AND SHALL HAVE GENERAL CHARGE OF THE BUSINESS AFFAIRS AND PROPERTY OF THE CORPORATION. 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 WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C: ALL OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A YEARLY COMPREHENSIVE CONFLICT OF INTEREST QUESTIONNAIRE. THESE ARE REVIEWED BY LEGAL COUNSEL AND ANY POTENTIAL OR ACTUAL CONFLICTS ARE BROUGHT TO THE BOARD FOR DISPOSITION. BOARD MEMBERS ARE INSTRUCTED TO REPORT ANY POTENTIAL CONFLICTS ARISING DURING THE YEAR FOR REVIEW. BOARD MEMBERS ARE REQUIRED TO RECUSE THEMSELVES FROM VOTING ON ISSUES IN WHICH THEY ARE DEEMED TO HAVE A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15: THE COMPENSATION IS DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE ECU HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. THIS PROCESS IS PERFORMED EVERY YEAR. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS ALSO DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE ECU HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. THIS PROCESS IS PERFORMED EVERY YEAR. ALL COMPENSATION DISCUSSIONS AND ACTIONS ARE DOCUMENTED AND APPROVED IN THE MINUTES OF THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D). FORM 990, PART VII: AMOUNTS PAID TO BOARD DIRECTOR ARE RELATED TO PRIOR YEAR EMPLOYMENT AGREEMENTS AND NOT THE INDIVIDUAL'S ROLE ON THE BOARD OF DIRECTORS. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: NET ASSET TRANSFER $(309,136,967) 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:XXX-XX-XXXX MOYE MEDICAL ENDOSCOPY CENTER 521 MOYE BOULEVARD GREENVILLE NC 27834 261671435 HEALTHCARE NC 1145732 484037 SEE PART VII Vidant Radiation Oncology 2100 Stantonsburg Road Greenville NC 27834 474828383 HEALTHCARE NC 16656547 36523955 SEE PART VII Univ Health Systems of Eastern Carolina 2100 Stantonsburg Road Greenville NC 27835 562141073 HEALTHCARE NC 501(C)(3) 12C, III-FI NA false East Carolina Health 2100 Stantonsburg Road Greenville NC 27835 562003393 HOSPITAL NC 501(C)(3) LINE 3 ECU HEALTH false PCMH Management Inc 2100 Stantonsburg Road Greenville NC 27835 561690740 MEDICAL PROPE 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 The Outer Banks Hospital Inc 2100 Stantonsburg Road Greenville NC 27835 562112733 HOSPITAL NC 501(C)(3) LINE 3 EC Health false HealthAccess 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 Access East Inc 2410 Stantonsburg Rd Stanton Squa Greenville NC 27835 561949493 HEALTHCARE NC 501(C)(3) LINE 10 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 2100 Stantonsburg Road Greenville NC 27835 561925492 HEALTHCARE NC 501(C)(3) LINE 3 ECU HEALTH false EAST CAROLINA HEALTH 2100 STANTONSBURG ROAD GREENVILLE NC 27835 911997979 HOSPITAL NC 501(C)(3) LINE 3 ECU HEALTH false SURGICENTER CENTER OF EASTERN CAROLINA 2100 Stantonsburg Road Greenville NC 27835 262558314 SEE PART VII NC SEE PART VII RELATED 10403095 10832136 false 0 false 0.55000 true true false false false false false false true true true true true false true true true false false SURGICENTER CENTER OF EASTERN CAROLINA LLC A 25702 FMV SCHEDULE R, PART I, COLUMN F, DIRECT CONTROLLING ENTITY: DISREGARDED ENTITY: MOYE MEDICAL ENDOSCOPY CENTER DIRECT CONTROLLING ENTITY: PITT COUNTY MEMORIAL HOSPITAL, INC. D/B/A ECU HEALTH MEDICAL CENTER DISREGARDED ENTITY: Vidant Radiation Oncology DIRECT CONTROLLING ENTITY: PITT COUNTY MEMORIAL HOSPITAL, INC. D/B/A ECU HEALTH MEDICAL CENTER 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: EAST CAROLINA HEALTH D/B/A ECU HEALTH COMMUNITY HOSPITALS EIN: 56-2003393 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 NAME: PCMH MANAGEMENT, INC. D/B/A ECU HEALTH PROPERTIES EIN: 56-1690740 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 NAME: VIDANT MEDICAL GROUP, LLC. D/B/A ECU HEALTH PHYSICIANS EIN: 38-3740839 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 NAME: THE OUTER BANKS HOSPITAL, INC. D/B/A OUTER BANKS HEALTH EIN: 56-2112733 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 NAME: 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 SCH. R, PART III, IDENTIFICATION OF RELATED ORG. TAXABLE AS A PARTNERSHIP: FULL NAME, EIN, AND ADDRESS OF RELATED ORGANIZATION: NAME: SURGICENTER CENTER OF EASTERN CAROLINA, LLC EIN: 26-2558314 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 PRIMARY ACTIVITY: AMBULATORY SURGICAL SERVICES DIRECT CONTROLLING ENTITY: PITT COUNTY MEMORIAL HOSPITAL, INC. D/B/A ECU HEALTH MEDICAL CENTER