﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2012v2.1">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2014-08-08T14:27:26-05:00</Timestamp>
    <TaxPeriodEndDate>2013-09-30</TaxPeriodEndDate>
    <PreparerFirm>
      <EIN>420714325</EIN>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>MCGLADREY LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>1 S WACKER DRIVE STE 800</AddressLine1>
        <City>CHICAGO</City>
        <State>IL</State>
        <ZIPCode>60606</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-10-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>562141073</EIN>
      <Name>
        <BusinessNameLine1>University Health Systems of Eastern</BusinessNameLine1>
        <BusinessNameLine2>Carolina Inc</BusinessNameLine2>
      </Name>
      <NameControl>UNIV</NameControl>
      <Phone>2528475129</Phone>
      <USAddress>
        <AddressLine1>2100 Stantonsburg Road</AddressLine1>
        <City>Greenville</City>
        <State>NC</State>
        <ZIPCode>27835</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>David Hughes</Name>
      <Title>Chief Financial Officer</Title>
      <Phone>2528475129</Phone>
      <DateSigned>2014-08-08</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>Wayne Harder</Name>
      <PTIN>P00294296</PTIN>
      <Phone>3126343400</Phone>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="12">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <DoingBusinessAs>
        <BusinessNameLine1>Vidant Health</BusinessNameLine1>
      </DoingBusinessAs>
      <NameOfPrincipalOfficerPerson>David Herman</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>2100 Stantonsburg Road</AddressLine1>
        <City>Greenville</City>
        <State>NC</State>
        <ZIPCode>27835</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>121465261</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>www.vidanthealth.com</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1998</YearFormation>
      <StateLegalDomicile>NC</StateLegalDomicile>
      <ActivityOrMissionDescription>To advance and support the healthcare needs of the communities of Eastern North Carolina.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>11</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>9</NbrIndependentVotingMembers>
      <TotalNbrEmployees>806</TotalNbrEmployees>
      <TotalNbrVolunteers>13</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>178852</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>329599</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>103483821</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>120574040</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>4341133</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>561622</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>0</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>0</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>108003806</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>121465261</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>3419509</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>1505886</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>56818469</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>68728787</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>86115441</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>86246882</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>146353419</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>156481555</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-38349613</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-35016294</RevenuesLessExpensesCY>
      <TotalAssetsBOY>796136985</TotalAssetsBOY>
      <TotalAssetsEOY>791425690</TotalAssetsEOY>
      <TotalLiabilitiesBOY>609681430</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>622950006</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>186455555</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>168475684</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>The mission of Vidant Health is to enhance the quality of life for the people and communities we serve, touch and support.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>146505058</Expense>
      <Grants>1505886</Grants>
      <Revenue>120574040</Revenue>
      <Description>See Schedule O</Description>
      <Activity2>
        <Description>See Schedule O</Description>
      </Activity2>
      <TotalProgramServiceExpense>146505058</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="RetDoc1039700001">0</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="RetDoc1039700001">1</LobbyingActivities>
      <SubjectToProxyTax referenceDocumentId="RetDoc1039700001">0</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">0</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">1</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">1</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="RetDoc1041900001">0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId="RetDoc1053100001 RetDoc1053100002">1</TaxExemptBonds>
      <InvestTaxExemptBonds>0</InvestTaxExemptBonds>
      <EscrowAccount>0</EscrowAccount>
      <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      <ExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="RetDoc1042800001">0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="RetDoc1042800001">1</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="RetDoc1042800001">0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="RetDoc1042800001">0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">0</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity>1</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc1043400001">1</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>836</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>806</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>11</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>9</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>1</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <OwnWebsite>X</OwnWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>Chris Townsend</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>2528475129</TelephoneNumber>
        <AddressUS>
          <AddressLine1>2100 Stantonsburg Road</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Marcus S Albernaz MD</NamePerson>
        <Title>Vice Chairman</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>4.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Joanne K Burgdorff</NamePerson>
        <Title>Asst. Secretary</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Phillip K Flowers</NamePerson>
        <Title>Board Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Arthur H Keeney III</NamePerson>
        <Title>Chairman</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>6.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Thomasine S Kennedy</NamePerson>
        <Title>Secretary</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>4.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Melvin C McLawhorn</NamePerson>
        <Title>Board Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Walter E Pofahl II MD</NamePerson>
        <Title>Board Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>4.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David Womack</NamePerson>
        <Title>Board Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>S Lawrence Davenport</NamePerson>
        <Title>Board Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ernest L Evans</NamePerson>
        <Title>Treasurer</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Cassius S Williams</NamePerson>
        <Title>Board Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>6.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Dr David Herman</NamePerson>
        <Title>Chief Executive Officer</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>12.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>1187622</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>89223</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David Hughes</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>12.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>404052</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>139056</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Roger Robertson</NamePerson>
        <Title>President, VCOM</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>8.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>400870</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>90819</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Janet Mullaney</NamePerson>
        <Title>Chief Administrative Officer</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>380269</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>105670</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kathy Barger</NamePerson>
        <Title>Chief Sys Growth &amp; Dev Off</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>321001</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>74880</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Stephen Lawler</NamePerson>
        <Title>President, VMC</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>40.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>725691</ReportableCompFromRelatedOrgs>
        <OtherCompensation>161181</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Anissa Davenport</NamePerson>
        <Title>Chief Strategic Dev &amp; Mktg Officer</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>222503</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>73976</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Joel Butler</NamePerson>
        <Title>Chief External Affairs Officer</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>269786</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>76979</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Joan Wynn</NamePerson>
        <Title>Chief Quality&amp;Patient Safety Officer</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>237355</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>85242</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Timothy McDonnell</NamePerson>
        <Title>Chief Facilities Officer</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>217260</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>81945</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John Falcetano</NamePerson>
        <Title>Chief Audit/Compliance Officer</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>194167</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>68563</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Laura Land</NamePerson>
        <Title>Chief Human Resouces Officer</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David McRae</NamePerson>
        <Title>Chief Executive Officer, Emeritus</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>1685299</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>104278</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Nancy Aycock</NamePerson>
        <Title>Chief General Counsel</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>1658395</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>52001</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Stuart James</NamePerson>
        <Title>Chief Information Officer</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>762573</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>68546</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Preston Comeaux III</NamePerson>
        <Title>VP, FinSuptSvs-SupChainMgt-UHS</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>206220</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>41540</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mary Collier</NamePerson>
        <Title>VP, Service&amp;Patient Family Exp</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>197608</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>35879</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lynn Lanier</NamePerson>
        <Title>VP, ECH Financial Svcs - UHS</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>42.00</AverageHoursPerWeekRelated>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>216020</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>76267</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Carmen Vincent</NamePerson>
        <Title>VP, Corp Accred &amp; Reg Comp-UHS</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>185969</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>43001</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sharon Tanner</NamePerson>
        <Title>President, Albemarle Health</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>937430</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>46030</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Raymond Owings</NamePerson>
        <Title>VP, Financial Svs-Albemarle</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>249631</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>44098</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>William Case</NamePerson>
        <Title>President, Beaufort</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>297817</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>93911</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David Michael</NamePerson>
        <Title>Chief Medical Info Officer</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>256122</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>64652</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jay Briley</NamePerson>
        <Title>President, Duplin</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>191692</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>53988</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jack Holsten</NamePerson>
        <Title>Chief Financial Officer</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Former>X</Former>
        <ReportableCompFromOrganization>292344</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>60258</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jeffrey Chambers</NamePerson>
        <Title>Chief Human Resouces Officer</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Former>X</Former>
        <ReportableCompFromOrganization>268559</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>16338</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>11240564</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>725691</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>1848321</TotalOtherCompensation>
      <NumberIndividualsGT100K>109</NumberIndividualsGT100K>
      <FormersListed>1</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>EPIC Systems Corporation</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 88314</AddressLine1>
            <City>Milwaukee</City>
            <State>WI</State>
            <ZIPCode>53288</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Contracted Services</DescriptionOfServices>
        <Compensation>2145785</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>OptuminSight</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 86 SDS 23-2547</AddressLine1>
            <City>Minneapolis</City>
            <State>MN</State>
            <ZIPCode>55486</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Consulting Services</DescriptionOfServices>
        <Compensation>1870978</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Jennings &amp; Company</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>104A North Elliott Road</AddressLine1>
            <City>Chapel Hill</City>
            <State>NC</State>
            <ZIPCode>75254</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Marketing Services</DescriptionOfServices>
        <Compensation>1604349</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Philips Healthcare Informatics</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4100 East Third Avenue</AddressLine1>
            <City>Foster City</City>
            <State>CA</State>
            <ZIPCode>94404</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Service Contracts</DescriptionOfServices>
        <Compensation>1397431</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>VHA Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>75 Remittance Drive Suite 1855</AddressLine1>
            <City>Chicago</City>
            <State>IL</State>
            <ZIPCode>60675</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Consulting Services</DescriptionOfServices>
        <Compensation>1120932</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>44</NumberOfContractorsGT100K>
      <AllOtherContributions>329599</AllOtherContributions>
      <TotalContributions>329599</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Administrative Support for Suppor</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>120574040</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>120574040</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>120574040</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>561622</TotalRevenueColumn>
        <ExclusionAmount>561622</ExclusionAmount>
      </InvestmentIncome>
      <TotalRevenue>
        <TotalRevenueColumn>121465261</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>120574040</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>561622</ExclusionAmount>
      </TotalRevenue>
      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <GrantsToDomesticOrgs>
        <Total>1505886</Total>
        <ProgramServices>1505886</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>7681870</Total>
        <ProgramServices>7681870</ProgramServices>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>783406</Total>
        <ProgramServices>783406</ProgramServices>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>49317011</Total>
        <ProgramServices>49317011</ProgramServices>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>875707</Total>
        <ProgramServices>875707</ProgramServices>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>6569734</Total>
        <ProgramServices>6569734</ProgramServices>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>3501059</Total>
        <ProgramServices>3501059</ProgramServices>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>724653</Total>
        <ManagementAndGeneral>724653</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>145201</Total>
        <ManagementAndGeneral>145201</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesInvstMgmntFees>
        <Total>1349693</Total>
        <ProgramServices>1349693</ProgramServices>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>17836162</Total>
        <ProgramServices>8918081</ProgramServices>
        <ManagementAndGeneral>8918081</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>2828564</Total>
        <ProgramServices>2828564</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>4714045</Total>
        <ProgramServices>4525483</ProgramServices>
        <ManagementAndGeneral>188562</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>3571458</Total>
        <ProgramServices>3571458</ProgramServices>
      </InformationTechnology>
      <Occupancy>
        <Total>2211351</Total>
        <ProgramServices>2211351</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>1229804</Total>
        <ProgramServices>1229804</ProgramServices>
      </Travel>
      <Interest>
        <Total>24869333</Total>
        <ProgramServices>24869333</ProgramServices>
      </Interest>
      <DepreciationDepletion>
        <Total>10680390</Total>
        <ProgramServices>10680390</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>8720854</Total>
        <ProgramServices>8720854</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>Medical Supplies</Description>
        <Total>5624512</Total>
        <ProgramServices>5624512</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Membership Dues</Description>
        <Total>789970</Total>
        <ProgramServices>789970</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>950892</Total>
        <ProgramServices>950892</ProgramServices>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>156481555</Total>
        <ProgramServices>146505058</ProgramServices>
        <ManagementAndGeneral>9976497</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>16090963</BOY>
        <EOY>7960648</EOY>
      </SavingsAndTempCashInvestments>
      <PrepaidExpensesDeferredCharges>
        <BOY>3734117</BOY>
        <EOY>4319526</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>51413722</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>16918759</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>28979279</BOY>
        <EOY>34494963</EOY>
      </LandBuildingsEquipmentBasisNet>
      <IntangibleAssets>
        <BOY>305374</BOY>
        <EOY>305374</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>747027252</BOY>
        <EOY>744345179</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>796136985</BOY>
        <EOY>791425690</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>39154049</BOY>
        <EOY>35702926</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>541188843</BOY>
        <EOY>543087079</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>29338538</BOY>
        <EOY>44160001</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>609681430</BOY>
        <EOY>622950006</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>186455555</BOY>
        <EOY>168475684</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>186455555</BOY>
        <EOY>168475684</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>796136985</BOY>
        <EOY>791425690</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-35016294</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>17036423</ReconciliationUnrealizedInvest>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
      <SupportingOrg509a3Type3FuncInt>X</SupportingOrg509a3Type3FuncInt>
      <CertificationCheckbox>X</CertificationCheckbox>
      <ContribByControllingIndividual>0</ContribByControllingIndividual>
      <ContributionByRelatedParty>0</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>0</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Pitt County Memorial Hospital</BusinessNameLine1>
        </Name>
        <EIN>560585243</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <SupportedOrganizationNotified>1</SupportedOrganizationNotified>
        <OrganizedInUS>1</OrganizedInUS>
        <Amount>10706277</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>East Carolina Health</BusinessNameLine1>
        </Name>
        <EIN>911997979</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <SupportedOrganizationNotified>1</SupportedOrganizationNotified>
        <OrganizedInUS>1</OrganizedInUS>
        <Amount>768918</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>East Carolina Health (RCH)</BusinessNameLine1>
        </Name>
        <EIN>562003393</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <SupportedOrganizationNotified>1</SupportedOrganizationNotified>
        <OrganizedInUS>1</OrganizedInUS>
        <Amount>1006153</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>PCMH Management</BusinessNameLine1>
        </Name>
        <EIN>561690740</EIN>
        <TypeOfOrganization>9</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <SupportedOrganizationNotified>1</SupportedOrganizationNotified>
        <OrganizedInUS>1</OrganizedInUS>
        <Amount>1560951</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>HealthAccess Inc</BusinessNameLine1>
        </Name>
        <EIN>561396133</EIN>
        <TypeOfOrganization>9</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <SupportedOrganizationNotified>1</SupportedOrganizationNotified>
        <OrganizedInUS>1</OrganizedInUS>
        <Amount>59713</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>5</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>14102012</SumOfAmounts>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>1</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>46726</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>46726</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Explanation of Lobbying Activities:</Identifier>
        <ReturnReference>Part II-B, Line 1:</ReturnReference>
        <Explanation>23.65% of dues to AHA are allocated to lobbying.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>1764436</OtherCostOrOtherBasis>
        <BookValue>1764436</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>1574590</OtherCostOrOtherBasis>
        <Depreciation>183027</Depreciation>
        <BookValue>1391563</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>48074696</OtherCostOrOtherBasis>
        <Depreciation>16735732</Depreciation>
        <BookValue>31338964</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>34494963</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Due from affiliates</Description>
        <BookValue>464870860</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Assets limited for improvements</Description>
        <BookValue>159396784</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Assets limited for liability losses</Description>
        <BookValue>30268354</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Assets held by trustee</Description>
        <BookValue>18069237</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Other assets</Description>
        <BookValue>6961911</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Other receivables</Description>
        <BookValue>27793006</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Inventory</Description>
        <BookValue>1383625</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Deferred Outflows from Refunding</Description>
        <BookValue>35601402</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>744345179</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Reserve for Professional Liability Losses</Description>
        <Amount>30700001</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other Liabilities</Description>
        <Amount>13460000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>44160001</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X, Line 2:</ReturnReference>
        <Explanation>Vidant Health has been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Vidant Health has reviewed its tax positions for all open years and has concluded that no material liabilities exist as of September 30, 2013 and 2012. Vidant Health files tax returns with the U.S. federal and State of North Carolina jurisdictions. With few exceptions, Vidant Health is no longer subject to U.S. federal examinations by tax authorities for years before 2009.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Foundation of Nursing</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 2129</AddressLine1>
          <City>Raleigh</City>
          <State>NC</State>
          <ZIPCode>27602</ZIPCode>
        </AddressUS>
        <EINOfRecipient>560340470</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NC Physicians Health Program Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>220 Horizon Drive Suite 201</AddressLine1>
          <City>Raleigh</City>
          <State>NC</State>
          <ZIPCode>27615</ZIPCode>
        </AddressUS>
        <EINOfRecipient>561846599</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>12000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>East Carolina University</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>120 Reade Street</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27858</ZIPCode>
        </AddressUS>
        <EINOfRecipient>566000403</EINOfRecipient>
        <AmountOfCashGrant>1483886</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>3</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: Primary oversight responsibility for all grants received by Vidant Health organizations rests with the entity receiving the funds. Each entity is responsible for documenting the receipt of funds, assigning a cost center to track expenses and/or creating a restricted liability for deposit of the funds, documenting expenditures and completing all grantor required reporting. Their compliance with the terms of the agreement related to project implementation and management, fund expenditures and reporting is monitored by the granting agency's designated contact person with assistance from the Vidant Health Grants office. Note: The majority of the grant funds received for programs at PCMH (D/B/A Vidant Medical Center) are acquired through the VMC Foundation which has a compliance audit completed each year. Grant funds for Vidant Health are sent to the Vidant Health Foundation and have the same audit procedures. All grant funds are recorded/monitored by the corporate accountant and the Assistant Vice President of Financial Services. Selection Criteria/Process Grants provided by the Vidant Health and VMC Foundations require the applicant to be a 501(c)(3) or government entity and recipients are required to provide proof of their status by submitting a copy of their IRS Letter of Determination. Requests must be related to disease prevention and disease management or wellness. There are different health related focus areas for each of the hospitals community benefits grant programs. Each hospital's program has their own local community benefits grants review committee comprised of local representatives from their respective communities. These committees review letters of intent, decide which organizations are to be invited to submit a grant application, then review the grant applications and make funding recommendations. Their funding recommendations are then reviewed by the Vidant Health Foundation Community Benefits Committee and final decisions are confirmed by the Vidant Health Foundation Board.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <FirstClassOrCharterTravel>X</FirstClassOrCharterTravel>
      <TravelForCompanions>X</TravelForCompanions>
      <HousingAllowanceOrResidence>X</HousingAllowanceOrResidence>
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>1</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Dr David Herman</NamePerson>
        <Title>Chief Executive Officer</Title>
        <BaseCompensationFilingOrg>907202</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>185006</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>95414</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>72500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16723</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1276845</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>David Hughes</NamePerson>
        <Title>CFO</Title>
        <BaseCompensationFilingOrg>357502</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>45500</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1050</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>100966</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>38090</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>543108</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Roger Robertson</NamePerson>
        <Title>President, VCOM</Title>
        <BaseCompensationFilingOrg>362398</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>36780</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1692</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>70556</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20263</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>491689</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Janet Mullaney</NamePerson>
        <Title>Chief Administrative Officer</Title>
        <BaseCompensationFilingOrg>330457</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>48793</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1019</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>68620</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>37050</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>485939</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kathy Barger</NamePerson>
        <Title>Chief Sys Growth &amp; Dev Off</Title>
        <BaseCompensationFilingOrg>300594</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>19627</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>780</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>55786</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19094</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>395881</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stephen Lawler</NamePerson>
        <Title>President, VMC</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>609947</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>110023</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>5721</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>120209</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>40972</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>886872</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Anissa Davenport</NamePerson>
        <Title>Chief Strategic Dev &amp; Mktg Officer</Title>
        <BaseCompensationFilingOrg>209127</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>13083</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>293</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>35696</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>38280</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>296479</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Joel Butler</NamePerson>
        <Title>Chief External Affairs Officer</Title>
        <BaseCompensationFilingOrg>232700</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>35588</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1498</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>37089</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>39890</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>346765</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Joan Wynn</NamePerson>
        <Title>Chief Quality&amp;Patient Safety Officer</Title>
        <BaseCompensationFilingOrg>223281</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>13624</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>450</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>46307</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>38935</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>322597</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Timothy McDonnell</NamePerson>
        <Title>Chief Facilities Officer</Title>
        <BaseCompensationFilingOrg>200823</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>15871</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>566</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>40880</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>41065</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>299205</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>John Falcetano</NamePerson>
        <Title>Chief Audit/Compliance Officer</Title>
        <BaseCompensationFilingOrg>179787</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>13609</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>771</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>36165</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>32398</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>262730</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>David McRae</NamePerson>
        <Title>Chief Executive Officer, Emeritus</Title>
        <BaseCompensationFilingOrg>1157570</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>221626</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>306103</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>72500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>31778</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1789577</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>294157</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Nancy Aycock</NamePerson>
        <Title>Chief General Counsel</Title>
        <BaseCompensationFilingOrg>298131</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>42793</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1317471</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>33817</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18184</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1710396</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>248077</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stuart James</NamePerson>
        <Title>Chief Information Officer</Title>
        <BaseCompensationFilingOrg>300110</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>21507</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>440956</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>31003</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>37543</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>831119</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Preston Comeaux III</NamePerson>
        <Title>VP, FinSuptSvs-SupChainMgt-UHS</Title>
        <BaseCompensationFilingOrg>192387</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>12596</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1237</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>23476</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18064</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>247760</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mary Collier</NamePerson>
        <Title>VP, Service&amp;Patient Family Exp</Title>
        <BaseCompensationFilingOrg>184072</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>13085</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>451</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>19860</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16019</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>233487</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Lynn Lanier</NamePerson>
        <Title>VP, ECH Financial Svcs - UHS</Title>
        <BaseCompensationFilingOrg>203205</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>12276</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>539</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>45891</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>30376</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>292287</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Carmen Vincent</NamePerson>
        <Title>VP, Corp Accred &amp; Reg Comp-UHS</Title>
        <BaseCompensationFilingOrg>173017</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>12533</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>419</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>26895</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16106</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>228970</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Sharon Tanner</NamePerson>
        <Title>President, Albemarle Health</Title>
        <BaseCompensationFilingOrg>326338</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>611092</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>29410</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16620</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>983460</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Raymond Owings</NamePerson>
        <Title>VP, Financial Svs-Albemarle</Title>
        <BaseCompensationFilingOrg>173065</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>76566</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16862</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>27236</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>293729</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>William Case</NamePerson>
        <Title>President, Beaufort</Title>
        <BaseCompensationFilingOrg>267749</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>28708</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1360</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>52204</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>41707</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>391728</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>David Michael</NamePerson>
        <Title>Chief Medical Info Officer</Title>
        <BaseCompensationFilingOrg>241185</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>14937</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>26600</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>38052</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>320774</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jay Briley</NamePerson>
        <Title>President, Duplin</Title>
        <BaseCompensationFilingOrg>173692</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>18000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>24187</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>29801</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>245680</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jack Holsten</NamePerson>
        <Title>Chief Financial Officer</Title>
        <BaseCompensationFilingOrg>290369</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1975</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>29208</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>31050</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>352602</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jeffrey Chambers</NamePerson>
        <Title>Chief Human Resouces Officer</Title>
        <BaseCompensationFilingOrg>139809</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>128750</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>13953</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>2385</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>284897</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>David Herman, Roger Robertson, Kathy Barger, Joan Wynn, Janet Mullaney were provided with first-class or charter travel. Totals during the year amounted to $42,892. These amounts are nontaxable to the recipients. David Herman also was provided with spousal travel, temporary housing and travel reimbursements for business travel to Minnesota, in the following amounts: - Spousal Travel $4,692 - Housing Allowance 20,000 - Mileage/Other Reimb 69,339 David McRae received taxable compensation for social club dues in the amount of $3,624.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Lines 4a-b</ReturnReference>
        <Explanation>The following individuals received severance payments during the year in the following amounts: - Stuart James, $440,000 - Sharon Tanner, 601,945 - Raymond Owings, 76,566 - Jeffrey Chambers, 128,750 The amounts of compensation reported to these individuals are included in Schedule J, Part II, column B(iii) as taxable W-2 wages during the 2012 calendar year. David McRae, CEO Emeritus, received payment from his SERP. Of the compensation reported in Column B(iii) of Part II to this Schedule, $294,157 is attributable to a distribution from a SERP. This amount has been reported as deferred compensation on prior filings. Nancy Aycock, Chief General Counsel, received payment from her SERP. Of the compensation reported in Column B(iii) of Part II to this Schedule, $1,315,494 is attributable to a distribution from a SERP. Of the total amount, $591,972 was paid to Federal and State governments as withheld taxes. The remainder is held by a trustee with actuarially determined monthly payments, consisting of principal and earnings, being made to Mrs. Aycock over a specified number of years. This retirement compensation was earned by the recipient over 21 years of service. The following individuals participated in a supplemental non-qualified retirement plan during the year. The yearly change of such plan is included in their compensation per Schedule J, Part II, column C: - Kathy Barger, $13,536 - Joel Butler, (1,224) - William Case, 16,824 - Anissa Davenport, 8,976 - John Falcetano, 12,480 - David Hughes, 55,608 - Lynn Lanier, 16,812 - Stephen Lawler, 45,804 - Timothy McDonnell, 13,500 - Janet Mullaney, 22,452 - Roger Robertson, 19,716 - Carmen Vincent, 2,076 - Joan Wynn, 13,812</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>North Carolina Medical Care Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <CUSIPNumber>65821DCB5</CUSIPNumber>
        <DateIssued>2008-12-10</DateIssued>
        <IssuePrice>112690000</IssuePrice>
        <DescriptionOfPurpose>Proceeds were used to refund</DescriptionOfPurpose>
        <Defeased>1</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>North Carolina Medical Care Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <CUSIPNumber>65821DCC3</CUSIPNumber>
        <DateIssued>2008-12-10</DateIssued>
        <IssuePrice>123850000</IssuePrice>
        <DescriptionOfPurpose>Proceeds were used to refund</DescriptionOfPurpose>
        <Defeased>1</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>North Carolina Medical Care Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <CUSIPNumber>65821DBF7</CUSIPNumber>
        <DateIssued>2008-12-10</DateIssued>
        <IssuePrice>74455000</IssuePrice>
        <DescriptionOfPurpose>Proceeds were used to refund</DescriptionOfPurpose>
        <Defeased>1</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>North Carolina Medical Care Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <CUSIPNumber>65821DBW0</CUSIPNumber>
        <DateIssued>2008-12-10</DateIssued>
        <IssuePrice>119715000</IssuePrice>
        <DescriptionOfPurpose>Proceeds were used to refund</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountBondDefeased>101268135</AmountBondDefeased>
        <TotalProceeds>112380208</TotalProceeds>
        <IssuanceCostsFromProceeds>497140</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>111883068</OtherSpentProceeds>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>B</BondReferenceCd>
        <AmountBondDefeased>111803920</AmountBondDefeased>
        <TotalProceeds>123510128</TotalProceeds>
        <IssuanceCostsFromProceeds>747060</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>122763068</OtherSpentProceeds>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>C</BondReferenceCd>
        <AmountBondDefeased>71525000</AmountBondDefeased>
        <TotalProceeds>79497579</TotalProceeds>
        <AmountInReserveFund>832237</AmountInReserveFund>
        <RefundingEscrow>73841369</RefundingEscrow>
        <IssuanceCostsFromProceeds>201418</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>4622555</OtherSpentProceeds>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>D</BondReferenceCd>
        <TotalProceeds>111172271</TotalProceeds>
        <AmountInReserveFund>11369689</AmountInReserveFund>
        <IssuanceCostsFromProceeds>322582</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>99480000</OtherSpentProceeds>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>1</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedProperty>1</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>1</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>Citibank NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>27.000000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>0</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>1</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>Citibank NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>27.000000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>0</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>1</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <WrittenProcToMonitorReqs>0</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>1</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>0</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>C</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>D</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="RetDoc1053100002">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>North Carolina Medical Care Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <CUSIPNumber>65821DBU4</CUSIPNumber>
        <DateIssued>2008-12-10</DateIssued>
        <IssuePrice>77900000</IssuePrice>
        <DescriptionOfPurpose>Proceeds were used to refund</DescriptionOfPurpose>
        <Defeased>1</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>North Carolina Medical Care Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <CUSIPNumber>NONEAVAIL</CUSIPNumber>
        <DateIssued>2011-06-23</DateIssued>
        <IssuePrice>50000000</IssuePrice>
        <DescriptionOfPurpose>To purchase capital equipment</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>North Carolina Medical Care Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <CUSIPNumber>65821DKH3</CUSIPNumber>
        <DateIssued>2012-05-03</DateIssued>
        <IssuePrice>159226894</IssuePrice>
        <DescriptionOfPurpose>Proceeds used to partially refund</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>North Carolina Medical Care Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <CUSIPNumber>noneAVAIL</CUSIPNumber>
        <DateIssued>2013-08-22</DateIssued>
        <IssuePrice>213605000</IssuePrice>
        <DescriptionOfPurpose>Proceeds used to refund 2008</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountBondDefeased>75935000</AmountBondDefeased>
        <TotalProceeds>86008162</TotalProceeds>
        <AmountInReserveFund>506646</AmountInReserveFund>
        <RefundingEscrow>80787160</RefundingEscrow>
        <IssuanceCostsFromProceeds>212631</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>4501725</OtherSpentProceeds>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceeds>50000000</TotalProceeds>
        <CapitalExpenditures>50000000</CapitalExpenditures>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>C</BondReferenceCd>
        <TotalProceeds>159226894</TotalProceeds>
        <IssuanceCostsFromProceeds>1577921</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>157648973</OtherSpentProceeds>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>D</BondReferenceCd>
        <TotalProceeds>213612056</TotalProceeds>
        <RefundingEscrow>213072056</RefundingEscrow>
        <IssuanceCostsFromProceeds>540000</IssuanceCostsFromProceeds>
        <YearOfSubstCompletion>2013</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>1</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>1</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>0</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>1</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>0</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>1</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>0</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>1</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>0</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>C</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>D</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Rock Springs</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Phillip Flowers (Board Director) owns/has material interest in Rock Springs</Relationship>
        <AmountOfTransaction>142000</AmountOfTransaction>
        <DescriptionOfTransaction>Occasional catering services for Vidant Health entities.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Anissa Davenport Chief Strategic Development &amp; Marketing Officer</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Lawrence Davenport (Board Director) has a family relationship with Anissa</Relationship>
        <AmountOfTransaction>222503</AmountOfTransaction>
        <DescriptionOfTransaction>Employee of Vidant Health</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Program Service Statement</Identifier>
        <ReturnReference>Form 990, Part III, Line 4a</ReturnReference>
        <Explanation>Overview of University Health Systems of Eastern Carolina, D.B.A Vidant Health ("VH") At Vidant Health ("VH"), we are committed to improving the health of our communities. Eastern North Carolina residents look to our hospitals for quality health care. We work hard to uphold the trust that our communities place in us. Through a clear vision, disciplined leadership and committed employees, VH serves the needs of the region, including those who are underserved and need us the most. Our mission at VH, to enhance the quality of life for the people and communities we serve, touch and support, drives us far beyond caring for patients within the confines of our hospital walls. It calls us to help make Eastern North Carolina a better, healthier place to live. VH is a North Carolina non-profit corporation with headquarters in Greenville, North Carolina. VH and its affiliates operate an integrated health care delivery system that serves a total market of approximately 1.4 million people in 29 contiguous counties in Eastern North Carolina. The health system includes hospitals, physician practices, outpatient services, long-term care, home health, hospice, and wellness services. The health system's owned hospitals are Vidant Medical Center ("VMC"), which is a tertiary care hospital and an academic medical center, and eight other acute care hospitals; Vidant Roanoke-Chowan Hospital, Vidant Edgecombe Hospital, Vidant Chowan Hospital, Vidant Bertie Hospital, Vidant Duplin Hospital, Vidant Beaufort Hospital, Vidant Pungo Hospital and the Outer Banks Hospital. VH also manages Albemarle Hospital. VMC serves as the teaching hospital for the Brody School of Medicine, East Carolina Schools of Nursing and Allied Health and Pitt Community College. The system also serves as a regional referral center for Eastern North Carolina. The system's nine owned acute care hospitals are licensed to operate 1,488 beds. Each hospital is licensed by the division of facility services of the North Carolina Department of Health and Human Services and approved as a provider by the Medicare and Medicaid programs. VH and its hospitals and affiliate organizations provide services to patients without regard to their ability to pay. In fiscal year 2013 VH combined patient care statistics were: inpatient admissions, 67,383; inpatient days of care, 353,862; surgeries, 46,802; births, 5,911; and outpatient visits, 486,429. Our system's workforce included 12,561 employees. Each of VH's hospitals operates an emergency room, which is open 24 hours a day. VMC also offers a full spectrum of trauma services. Emergency and trauma services are provided to patients without regard to their ability to pay. In fiscal year 2013 VH provided care to 273,073 emergency room patients. VH's Board of Directors consists of 11 voting members, six of whom must be current or former Pitt County, North Carolina appointees of VMC's Board of Trustees and five of whom must be current or former Board of Governors of the University of North Carolina appointees of VMC's Board of Trustees. VMC, in affiliation with the Brody School of Medicine, which is owned by the state of North Carolina, operates 30 resident-training programs with over 400 medical residents. This relationship enables VMC and the Brody School of Medicine to combine their resources for the provision of quality patient care, medical education and research for the residents of Eastern North Carolina. The Brody School of Medicine has three important goals: educating primary care physicians, making medical care more readily available to the people of Eastern North Carolina, and providing opportunities to minority and disadvantaged students. As a non-profit organization, VH reinvests all excess of revenues over expenses in programs, services, and facilities that provide access to patient care and health services to the citizens of Eastern Carolina. Overview of Vidant Health Company 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 up to and including Onslow County. The area is largely rural and largely poor, with higher than state or national average rates for poverty and uninsured. Health status indicators show increased incidence of disease in the region, especially cancer, heart disease and stroke. VH determines priorities for target populations by working in concert with medical and community agency partners in ongoing assessment of the most pressing health care needs. Many efforts over the past decade have focused on diabetes, pediatric asthma, school health, injury prevention, access to care, nutrition enhancement, physical activities and chronic disease screenings. Also, special programs to manage the care of Medicaid enrollees, address access to both medical care and medications for the uninsured, and coordination of services for children with obesity have been undertaken. The populations that are served by addressing these issues are largely the poor, the underserved, and minorities. Determination of specific populations to address occurs when partners such as the North Carolina Department of Health and Human Services, local health departments, county Healthy Carolinian task forces, and physicians identify a quantifiable need, and community partners are engaged to work together with the health system. 2. Funding for community health programs is obtained from both the operating funds of VH entities and external grant-awarding organizations. The VH board annually provides financial support for the community benefit initiatives program of its foundation. These funds are then awarded to community agencies that successfully demonstrate both need and a well-designed plan to address one of the foundation's priority categories. In addition, each VH hospital financially supports community health resources within its operating budget. Programs vary according to the hospital's financial ability and community need, but all include collaborative efforts with local health departments, including health screenings and education to targeted populations. VH also has a successful track record of obtaining community health program support from external agencies that award grant funding to approve projects. The VH grants office was established in 2008 and serves as the central point from grant mining, acquisition and management of grants awarded to VH hospitals from 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 in several ways. In partnership with the local health departments, the results of state-mandated community health assessments are studied by each local Healthy Carolinians task force. Those task force groups then compile a list of the most pressing issues in their communities based on data community input. Both established resources within various agencies and potential opportunities to garner new support are reviewed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Program Service Statement</Identifier>
        <ReturnReference>Form 990, Part III, Line 4b</ReturnReference>
        <Explanation>4. Community priorities are also established in response to a compelling need identified by health practitioners or community groups. Examples include the pediatric asthma program that has been in place for over 10 years in Pitt County, and expanded to other communities in the region. This major community-based program was established following a plea for assistance by pediatricians and pediatric clinical nurse specialists caring for children with asthma in the acute care setting. The Pitt County School system and local parents identified a lack of health care support in the schools, resulting in an award-winning school nurse program that has been replicated in several counties. Most recently, the focused attention on pediatric obesity and associated diseases has resulted in multiple community-based programs directed at improving nutrition, physical activity, and case management for that population. VH is fortunate to have a strong collaborative partnership with East Carolina University, and works closely with the schools within the health sciences division, especially the Brody School of Medicine. BSOM is an active participant in almost every community health initiative, supporting the research and evaluation of these programs, and contributes to programs for the under and uninsured in multiple ways. ECU and other educational institutions whose students matriculate through VH facilities also provide opportunities for collaboration and participation in various community health initiatives. 5. Provided below are a few highlights of the community benefit and education activities: a. Community Health Improvement Services - Community health improvement services are programs and services that meet an identified need and are offered to the community at little or no charge. VH hospitals sponsor programs that improve access to health care for the underserved and enhance the identification and management of chronic diseases, such as cancer, diabetes and heart disease. Here are a few examples of these programs: - Medication assistance programs for uninsured patients - The Pediatric Healthy Weight Program - Support for Healthy Carolinians collobaratives, including Pitt Partners for Health, the Hertford Partnership for Health and Three Rivers Healthy Carolinians. - School nurse programs - Support for the Community Care Plan of Eastern Carolina for Medicaid recipients and HealthAssist for the uninsured - Support of local Federally Qualified Health Center b. 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. c. Research - East Carolina University (ECU) conducts research to evaluate new treatments and protocols. These studies help health professionals everywhere provide quality care to patients. VH supports this through various means including supporting the institutional review board at ECU and providing study sites. d. Financial and In-Kind Contributions - VH donates money and in-kind services to community groups and activities that share our mission of improving health. They include Meals on Wheels, American Red Cross blood drives, medical supplies to emergency medical services, and free medication to qualifying patients. VH hospitals are key partners in fundraising for organizations such as the United Way, American Heart Association, Juvenile Diabetes Association and the American Cancer Society. VH contributed $1.0 million to the Community Benefits Grants Program which awards grants to local non-profits for health related programs. e. Community Building - Community-building activities include programs that are not directly related to health care but address underlying issues that impact the health of communities. Poverty, crime, homelessness, workforce development and economic development all affect the overall health of communities. VH has provided support for our local Chambers of Commerce, financial support for road improvements, investments in communication infrastructure via information technology connections, support for the teen leadership academy, recruitment of physicians to our rural communities, and programs that encourage students to pursue health careers.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 2</ReturnReference>
        <Explanation>Lawrence Davenport, Board Director, is related to Anissa Davenport, Chief Strategic Development and Marketing Officer.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>The 990 is made available to Board Members by posting to a Board Member's website. Any Board Member who does not have the ability to access the return in this manner will receive a copy via electronic or regular mail. The return is also reviewed by the Chief Financial Officer, Chief General Counsel and the Chief Audit and Compliance Officer of University Health Systems prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The Top Management Official is the CEO who is an employee of VH. The compensation is determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. This process is performed every two years, the last year being 2012. It will be performed again in fiscal year 2014. Compensation of other officers and key employees is also determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. This process is performed every two years, the last year being 2012. It will be performed again in fiscal year 2014. All compensation discussions and actions are documented and approved in the minutes of the Committee.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Fees</Identifier>
        <ReturnReference>Form 990, Part IX, line 11g</ReturnReference>
        <Explanation>Consultant Fees: Program service expenses 8,918,081. Management and general expenses 8,918,081. Fundraising expenses 0. Total expenses 17,836,162.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Pitt County Memorial Hospital Inc (DBA Vidant Medical Center)</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 Stantonsburg Road</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
        <EIN>560585243</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Vidant Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Surgicenter Services of Pitt Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>102 Bethesda Drive</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
        <EIN>561690553</EIN>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11b, II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Vidant Medical Center</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>East Carolina Health Inc (DBA Vidant Community Hospitals - Central)</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 Stantonsburg Road</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
        <EIN>562003393</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Vidant Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PCMH Management Inc (DBA Vidant Properties)</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 Stantonsburg Road</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
        <EIN>561690740</EIN>
        <PrimaryActivities>Medical Property Management</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(2)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>Vidant Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HealthAccess Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 Stantonsburg Road</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
        <EIN>561396133</EIN>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11b, II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Vidant Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Vidant Medical Group LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 Stantonsburg Road</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
        <EIN>383740839</EIN>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Vidant Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>The Outer Banks Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 Stantonsburg Road</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
        <EIN>562112733</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>East Carolina Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>East Carolina Health-Bertie (DBA Vidant Bertie Hospital)</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 Stantonsburg Road</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
        <EIN>562072002</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Vidant Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>East Carolina Health-Chowan (DBA Vidant Chowan Hospital)</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 Stantonsburg Road</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
        <EIN>562101090</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Vidant Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>East Carolina Health-Heritage (DBA Vidant Edgecombe Hospital)</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 Stantonsburg Road</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
        <EIN>562093700</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Vidant Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>East Carolina Health-Beaufort (DBA Vidant Beaufort Hospital)</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 Stantonsburg Road</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
        <EIN>452436270</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Vidant Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Duplin General Hospital (DBA Vidant Duplin Hospital)</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 Stantonsburg Road</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
        <EIN>566011594</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Vidant Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>East Carolina Health Inc (DBA Vidant Roanoke-Chowan Hospital)</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 Stantonsburg Road</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
        <EIN>264634725</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Vidant Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Pungo District Hospital Corporation (DBA Vidant Pungo Hospital)</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 Stantonsburg Road</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
        <EIN>560518757</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Vidant Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Surgicenter of Eastern Carolina LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2100 Stantonsburg Road</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
        <EIN>262558314</EIN>
        <PrimaryActivity>Ambulatory Surgical Services</PrimaryActivity>
        <LegalDomicileState>NC</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>VMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <ShareOfTotalIncome>36507995</ShareOfTotalIncome>
        <ShareOfEOYAssets>41192321</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.55000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>1</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Pitt County Memorial Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>14951267</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health-Heritage Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>2733650</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health (RCH)</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>431479</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health-Chowan Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>156790</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health-Beaufort Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>252622</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PCMH Management Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>96658</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HealthAccess Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>59713</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Pitt County Memorial Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>10414030</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>1006153</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Duplin General Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1006773</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Pitt County Memorial Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>26518821</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HealthAccess Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>233872</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health-Bertie</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>279509</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health-Heritage Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1714534</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health (RCH)</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>960837</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Surgicenter of Eastern Carolina LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>146256</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PCMH Management Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1648389</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>146108</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>The Outer Banks Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>178653</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health-Beaufort Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>529332</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health-Pungo Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>350733</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Vidant Medical Group LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1434428</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Surgicenter of Eastern Carolina LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>1096727</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HealthAccess Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>1354447</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PCMH Management Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>498384</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Vidant Medical Group LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>3282266</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>67128</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health-Bertie</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>1497794</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health-Chowan Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>3815329</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health (RCH)</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>5878419</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health-Heritage Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>6030526</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>The Outer Banks Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>3047088</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Pitt County Memorial Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>79852910</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Duplin General Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>3308264</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health-Beaufort Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>4461508</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health-Pungo Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>1098948</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Pitt County Memorial Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>105655</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HealthAccess Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>58757</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Duplin General Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>614931</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Vidant Medical Group LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>363465</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Pitt County Memorial Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>186592</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health-Chowan Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>298711</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health-Heritage Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>364810</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PCMH Management Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>1464293</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Vidant Medical Group LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>48408156</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>East Carolina Health (RCH)</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>97252</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cash Payment</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>