﻿<?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="2009v1.7">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-05-23T15:39:10-05:00</Timestamp>
    <TaxPeriodEndDate>2010-09-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>DIXON HUGHES GOODMAN LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>1003 Red Banks Road</AddressLine1>
        <City>Greenville</City>
        <State>NC</State>
        <ZIPCode>27858</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2009-10-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>561949493</EIN>
      <Name>
        <BusinessNameLine1>ACCESS EAST INC</BusinessNameLine1>
      </Name>
      <NameControl>ACCE</NameControl>
      <Phone>2528478988</Phone>
      <USAddress>
        <AddressLine1>2100 STANTONSBURG ROAD</AddressLine1>
        <City>GREENVILLE</City>
        <State>NC</State>
        <ZIPCode>27834</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>Joel Butler</Name>
      <Title>President</Title>
      <Phone>2528478988</Phone>
      <DateSigned>2011-05-17</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>W Gordon Douglas</Name>
      <Phone>2523210505</Phone>
      <DatePrepared>2011-05-12</DatePrepared>
    </Preparer>
    <TaxYear>2009</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>Joel Butler</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>UHS FOUNDATION BLDG PO BOX 6028</AddressLine1>
        <City>Greenville</City>
        <State>NC</State>
        <ZIPCode>27835</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>9149129</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c typeOf501cOrganization="3">X</Organization501c>
      <WebSite>N/A</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1995</YearFormation>
      <StateLegalDomicile>NC</StateLegalDomicile>
      <ActivityOrMissionDescription>Access East, Inc.'s mission is to support the coordination of high quality, low cost health care to underserved populations in the region and to develop a care delivery model to facilitate improved patient outcomes and the delivery of efficient, high quality, cost-effective medical care for the benefit of the region.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>15</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>10</NbrIndependentVotingMembers>
      <TotalNbrEmployees>0</TotalNbrEmployees>
      <TotalNbrVolunteers>0</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>884577</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>971568</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>5841005</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>8141834</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>27293</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>35727</InvestmentIncomeCurrentYear>
      <OtherRevenueCurrentYear>0</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>6752875</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>9149129</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcCurrentYear>0</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>5000092</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>6625546</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>5000092</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>6625546</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>1752783</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>2523583</RevenuesLessExpensesCY>
      <TotalAssetsBOY>6968677</TotalAssetsBOY>
      <TotalAssetsEOY>9584186</TotalAssetsEOY>
      <TotalLiabilitiesBOY>496617</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>588543</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>6472060</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>8995643</NetAssetsOrFundBalancesEOY>
      <MissionDescription>Access East, Inc., through grant funded programs, provides the coordination of healthcare services to Medicaid recipients and uninsured/underinsured residents of eastern North Carolina.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>6282067</Expense>
      <Revenue>8177561</Revenue>
      <Description>Access East, Inc., through grant funded programs, provides the coordination of healthcare services to Medicaid recipients and uninsured/underinsured residents of eastern North Carolina. During the current year, Access East enrolled and served nearly 1,487,000 adults, over 390,000 aged, blind, or disabled patients, and over 714,000 children.</Description>
      <TotalProgramServiceExpense>6282067</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <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>
      <BalanceSheetAmountsReported referenceDocumentId="RetDoc1040000001">1</BalanceSheetAmountsReported>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</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>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>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 referenceDocumentId="RetDoc1043400001">0</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>0</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <NumberOfEmployees>0</NumberOfEmployees>
      <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>
      <NbrVotingGoverningBodyMembers>15</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>10</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>0</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>0</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>0</CompensationProcessCEO>
      <CompensationProcessOther>0</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>CHRIS TOWNSEND</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>2528475129</TelephoneNumber>
        <AddressUS>
          <AddressLine1>2100 STANTONSBURG RD</AddressLine1>
          <City>Greenville</City>
          <State>NC</State>
          <ZIPCode>27835</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <NoListedPersonsCompensated>X</NoListedPersonsCompensated>
      <Form990PartVIISectionA>
        <NamePerson>DIANE POOLE</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>370164</ReportableCompFromRelatedOrgs>
        <OtherCompensation>330240</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JACK HOLSTEN</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>478967</ReportableCompFromRelatedOrgs>
        <OtherCompensation>287642</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DR THOMAS IRONS</NamePerson>
        <Title>CHAIRMAN</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John Morrow MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHARLES BARRIER MD</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT TURNER MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WICK BAKER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Norman Lewis</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOEL BUTLER</NamePerson>
        <Title>President</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>235915</ReportableCompFromRelatedOrgs>
        <OtherCompensation>215880</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Susan Davenport</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Brian Harris</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jerry Parks</NamePerson>
        <Title>DirECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mike Kupecki</NamePerson>
        <Title>DirECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michelle Brooks</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>156062</ReportableCompFromRelatedOrgs>
        <OtherCompensation>56698</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Paul Cunningham MD</NamePerson>
        <Title>Director - Ex-Officio</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Dave McRae</NamePerson>
        <Title>Director - Ex-Officio</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lawrence Cutchin MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>0</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>1241108</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>890460</TotalOtherCompensation>
      <NumberIndividualsGT100K>0</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>PITT COUNTY MEMORIAL HOSPITAL</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2100 STANTONSBURG RD</AddressLine1>
            <City>GREENVILLE</City>
            <State>NC</State>
            <ZIPCode>27834</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONTRACT SALARIES</DescriptionOfServices>
        <Compensation>2206406</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>NCCCN Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 185</AddressLine1>
            <City>Morrisville</City>
            <State>NC</State>
            <ZIPCode>27560</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONTRACT SALARIES</DescriptionOfServices>
        <Compensation>1491566</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>NorthAMPTON CO Local Government</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 663</AddressLine1>
            <City>JACKSON</City>
            <State>NC</State>
            <ZIPCode>27845</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ConTRACT SALARIES</DescriptionOfServices>
        <Compensation>215720</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Albemarle Regional Health Services</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 189</AddressLine1>
            <City>Elizabeth City</City>
            <State>NC</State>
            <ZIPCode>27907</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONTRACT SALARIES</DescriptionOfServices>
        <Compensation>178435</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ECU - Heritage Hospital Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>111 Hospital Drive</AddressLine1>
            <City>Tarboro</City>
            <State>NC</State>
            <ZIPCode>27886</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ConTRACT SALARIES</DescriptionOfServices>
        <Compensation>158614</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>11</NumberOfContractorsGT100K>
      <GovernmentGrants>971568</GovernmentGrants>
      <TotalContributions>971568</TotalContributions>
      <ProgramServiceRevenue>
        <Description>ACCESS FEES</Description>
        <BusinessCode>624100</BusinessCode>
        <TotalRevenueColumn>8141834</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>8141834</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>8141834</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>35727</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>35727</RelatedOrExemptFunctionIncome>
      </InvestmentIncome>
      <TotalRevenue>
        <TotalRevenueColumn>9149129</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>8177561</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalRevenue>
      <FeesForServicesLegal>
        <Total>4556</Total>
        <ManagementAndGeneral>4556</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>23350</Total>
        <ManagementAndGeneral>23350</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>36022</Total>
        <ProgramServices>36022</ProgramServices>
      </FeesForServicesOther>
      <Advertising>
        <Total>18448</Total>
        <ProgramServices>18448</ProgramServices>
      </Advertising>
      <Travel>
        <Total>96108</Total>
        <ProgramServices>96108</ProgramServices>
      </Travel>
      <DepreciationDepletion>
        <Total>152685</Total>
        <ProgramServices>152685</ProgramServices>
      </DepreciationDepletion>
      <OtherExpenses>
        <Description>Contract Services</Description>
        <Total>6066986</Total>
        <ProgramServices>5751413</ProgramServices>
        <ManagementAndGeneral>315573</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Supplies</Description>
        <Total>82621</Total>
        <ProgramServices>82621</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Insurance</Description>
        <Total>38043</Total>
        <ProgramServices>38043</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Building Rental Expense</Description>
        <Total>32166</Total>
        <ProgramServices>32166</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Telephone</Description>
        <Total>30683</Total>
        <ProgramServices>30683</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>43878</Total>
        <ProgramServices>43878</ProgramServices>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>6625546</Total>
        <ProgramServices>6282067</ProgramServices>
        <ManagementAndGeneral>343479</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>4687269</BOY>
        <EOY>7397351</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>4478</BOY>
        <EOY>17323</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>21649</BOY>
        <EOY>21924</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>3037925</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>944753</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2200865</BOY>
        <EOY>2093172</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
        <BOY>54416</BOY>
        <EOY>54416</EOY>
      </InvestmentsOtherSecurities>
      <TotalAssets>
        <BOY>6968677</BOY>
        <EOY>9584186</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>496617</BOY>
        <EOY>588543</EOY>
      </AccountsPayableAccruedExpenses>
      <TotalLiabilities>
        <BOY>496617</BOY>
        <EOY>588543</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>6022955</BOY>
        <EOY>8360009</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>449105</BOY>
        <EOY>635634</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>6472060</BOY>
        <EOY>8995643</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>6968677</BOY>
        <EOY>9584186</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>0</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>977261</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>789818</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>735543</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>884577</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>971568</CurrentTaxYear>
        <Total>4358767</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>977261</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>789818</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>735543</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>884577</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>971568</CurrentTaxYear>
        <Total>4358767</Total>
      </Total170>
      <PublicSupportTotal170>4358767</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>36025</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>91243</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>65498</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>27293</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>35727</CurrentTaxYear>
        <Total>255786</Total>
      </GrossInvestmentIncome170>
      <TotalSupport>4614553</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>23432367</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.94460</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.94500</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <InvestmentCostOrOtherBasis>525880</InvestmentCostOrOtherBasis>
        <BookValue>525880</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>1491180</InvestmentCostOrOtherBasis>
        <Depreciation>255826</Depreciation>
        <BookValue>1235354</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <InvestmentCostOrOtherBasis>12460</InvestmentCostOrOtherBasis>
        <Depreciation>5093</Depreciation>
        <BookValue>7367</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <InvestmentCostOrOtherBasis>1008405</InvestmentCostOrOtherBasis>
        <Depreciation>683834</Depreciation>
        <BookValue>324571</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>2093172</TotalOfBookValueLandBuildings>
      <TotalRevenue>9149129</TotalRevenue>
      <TotalExpenses>6625546</TotalExpenses>
      <ExcessOrDeficitForYear>2523583</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>2523583</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>9032091</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>9032091</RevenueSubtotal>
      <OtherRevenuesNotIncluded>117038</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>117038</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>9149129</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>6625546</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>6625546</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>6625546</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>Change in Deferred Income Not Yet Recognized as Revenue on 990: 117038.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>DIANE POOLE</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>342849</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>25134</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>2181</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>318701</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>11539</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>700404</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>JACK HOLSTEN</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>413574</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>62776</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>2617</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>274997</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>12645</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>766609</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>JOEL BUTLER</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>200812</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>34110</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>993</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>208417</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>7463</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>451795</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Michelle Brooks</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>144158</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>11904</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>50635</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>6063</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>212760</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 8b</Identifier>
        <Explanation>There are no sub-committees with authority to act on behalf of the Board of Directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>A copy of the Form 990 was provided to the organizations Board of Directors for review prior to the return being filed. The return is also reviewed by the Chief Financial Officer, Chief General Counsel, and the Chief Audit and Compliance Officer of the Unviersity Health Systems prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>The conflict of interest is reviewed, monitored, and enforced by the entity's council and Board of Directors. The Board further discusses any conflicts and resolves any issues, if necessary.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 18</Identifier>
        <Explanation>The organization makes its Form 1023 and Form 990 available to the public for inspection upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public for inspection upon request.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>University Health Systems of Eastern North Carolina Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <LegalDomicileState>NC</LegalDomicileState>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>