UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC (EIN 56-2141073)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-10
IRS object ID: 202622229349301532
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-10T15:14:13+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135381590	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	421 FAYETTEVILLE ST STE 300	AddressLine1Txt
City	RALEIGH	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	276011776	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	562141073	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	UNIV	BusinessNameControlTxt
Phone	2528475129	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRIAN DUNN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2528475129	PhoneNum
Signature	2026-08-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SANDRA L FEINSMITH	PreparerPersonNm
PTIN	P01064157	PTIN
Phone	9197549370	PhoneNum
Preparation	2026-08-10	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MICHAEL WALDRUM	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$458,208,549	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ECUHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	TO ADVANCE AND SUPPORT THE HEALTHCARE NEEDS OF THE COMMUNITIES OF EASTERN NORTH CAROLINA.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	8	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$823,336	PYContributionsGrantsAmt
CY Contributions Grants	$412,592	CYContributionsGrantsAmt
PY Program Service Revenue	$386,710,348	PYProgramServiceRevenueAmt
CY Program Service Revenue	$441,590,171	CYProgramServiceRevenueAmt
PY Investment Income	$13,726,459	PYInvestmentIncomeAmt
CY Investment Income	$15,903,844	CYInvestmentIncomeAmt
PY Other Revenue	$8,050	PYOtherRevenueAmt
CY Other Revenue	$8,280	CYOtherRevenueAmt
PY Total Revenue	$401,268,193	PYTotalRevenueAmt
CY Total Revenue	$457,914,887	CYTotalRevenueAmt
PY Grants And Similar Paid	$366,550	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$645,800	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$200,795,757	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$226,920,546	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$237,528,884	PYOtherExpensesAmt
CY Other Expenses	$253,074,686	CYOtherExpensesAmt
PY Total Expenses	$438,691,191	PYTotalExpensesAmt
CY Total Expenses	$480,641,032	CYTotalExpensesAmt
PY Revenues Less Expenses	-$37,422,998	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$22,726,145	CYRevenuesLessExpensesAmt
Total Assets BOY	$508,370,578	TotalAssetsBOYAmt
Total Assets EOY	$923,704,229	TotalAssetsEOYAmt
Total Liabilities BOY	$760,817,116	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$775,986,427	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$252,446,538	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$147,717,802	NetAssetsOrFundBalancesEOYAmt
Mission	TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$441,171,728	ExpenseAmt
Grant	$645,800	GrantAmt
Revenue	$441,598,451	RevenueAmt
Desc	OVERVIEW OF UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA D/B/A ECU HEALTH: AT ECU HEALTH, 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, ECU HEALTH SERVES THE NEEDS OF THE REGION, INCLUDING THOSE WHO ARE UNDERSERVED AND NEED US THE MOST. OUR MISSION AT ECU HEALTH 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. ECU HEALTH IS A NORTH CAROLINA NON-PROFIT CORPORATION WITH HEADQUARTERS IN GREENVILLE, NORTH CAROLINA. ECU HEALTH AND ITS AFFILIATES OPERATE AN INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT SERVES A TOTAL MARKET OF APPROXIMATELY 1.4 MILLION PEOPLE IN 29 CONTIGUOUS COUNTIES IN EASTERN NORTH CAROLINA. THE HEALTH SYSTEM INCLUDES HOSPITALS, PHYSICIAN PRACTICES, OUTPATIENT SERVICES, LONG-TERM CARE, HOME HEALTH, HOSPICE, AND WELLNESS SERVICES. THE HEALTH SYSTEM'S OWNED HOSPITALS ARE ECU HEALTH MEDICAL CENTER, WHICH IS A TERTIARY CARE HOSPITAL AND AN ACADEMIC MEDICAL CENTER, THAT INCLUDES THE ECU HEALTH BEAUFORT HOSPITAL AS A DEPARTMENT OPERATING AS A CAMPUS OF ECU HEALTH MEDICAL CENTER AND SEVEN OTHER ACUTE CARE HOSPITALS: ECU HEALTH ROANOKE-CHOWAN HOSPITAL, ECU HEALTH EDGECOMBE HOSPITAL, ECU HEALTH CHOWAN HOSPITAL, ECU HEALTH BERTIE HOSPITAL, ECU HEALTH DUPLIN HOSPITAL, ECU HEALTH NORTH HOSPITAL, AND THE OUTER BANKS HOSPITAL. ECU HEALTH MEDICAL CENTER SERVES AS THE TEACHING HOSPITAL FOR THE BRODY SCHOOL OF MEDICINE, EAST CAROLINA SCHOOLS OF NURSING AND ALLIED HEALTH AND PITT COMMUNITY COLLEGE. THE SYSTEM ALSO SERVES AS A REGIONAL REFERRAL CENTER FOR EASTERN NORTH CAROLINA. THE SYSTEM'S NINE OWNED HOSPITALS ARE LICENSED TO OPERATE 1,708 BEDS. EACH HOSPITAL IS LICENSED BY THE DIVISION OF FACILITY SERVICES OF THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES AND APPROVED AS A PROVIDER BY THE MEDICARE AND MEDICAID PROGRAMS. ECU HEALTH AND ITS HOSPITALS AND AFFILIATE ORGANIZATIONS PROVIDE SERVICES TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. IN FISCAL YEAR 2025 ECU HEALTH'S COMBINED PATIENT CARE STATISTICS WERE: INPATIENT ADMISSIONS, 68,570; INPATIENT DAYS OF CARE, 385,908; SURGERIES, 54,577; BIRTHS, 6,394; AND OUTPATIENT VISITS, 482,146. OUR SYSTEM'S WORKFORCE INCLUDED 13,578 EMPLOYEES. EACH OF ECU HEALTH'S HOSPITALS OPERATES AN EMERGENCY ROOM, WHICH IS OPEN 24 HOURS A DAY. ECU HEALTH MEDICAL CENTER ALSO OFFERS A FULL SPECTRUM OF TRAUMA SERVICES. EMERGENCY AND TRAUMA SERVICES ARE PROVIDED TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. IN FISCAL YEAR 2025 ECU HEALTH PROVIDED CARE TO 277,498 EMERGENCY ROOM PATIENTS. ECU HEALTH'S BOARD OF DIRECTORS CONSISTS OF 11 VOTING MEMBERS, SIX OF WHOM MUST BE CURRENT OR FORMER PITT COUNTY, NORTH CAROLINA APPOINTEES OF ECU HEALTH MEDICAL CENTER'S BOARD OF TRUSTEES AND FIVE OF WHOM MUST BE CURRENT OR FORMER BOARD OF GOVERNORS OF THE UNIVERSITY OF NORTH CAROLINA APPOINTEES OF ECU HEALTH MEDICAL CENTER'S BOARD OF TRUSTEES. ECU HEALTH MEDICAL CENTER, IN AFFILIATION WITH THE BRODY SCHOOL OF MEDICINE, WHICH IS OWNED BY THE STATE OF NORTH CAROLINA, OPERATES 30 RESIDENT-TRAINING PROGRAMS WITH OVER 400 MEDICAL RESIDENTS. THIS RELATIONSHIP ENABLES ECU HEALTH MEDICAL CENTER AND THE BRODY SCHOOL OF MEDICINE TO COMBINE THEIR RESOURCES FOR THE PROVISION OF QUALITY PATIENT CARE, MEDICAL EDUCATION AND RESEARCH FOR THE RESIDENTS OF EASTERN NORTH CAROLINA. THE BRODY SCHOOL OF MEDICINE HAS THREE IMPORTANT GOALS: EDUCATING PRIMARY CARE PHYSICIANS, MAKING MEDICAL CARE MORE READILY AVAILABLE TO THE PEOPLE OF EASTERN NORTH CAROLINA, AND PROVIDING OPPORTUNITIES TO MINORITY AND DISADVANTAGED STUDENTS. AS A NON-PROFIT ORGANIZATION, ECU HEALTH REINVESTS ALL EXCESS OF REVENUES OVER EXPENSES IN PROGRAMS, SERVICES, AND FACILITIES THAT PROVIDE ACCESS TO PATIENT CARE AND HEALTH SERVICES TO THE CITIZENS OF EASTERN CAROLINA. OVERVIEW OF ECU HEALTH COMMUNITY BENEFIT PROGRAMS 1. EASTERN NORTH CAROLINA IS COMPRISED OF 1.4 MILLION PEOPLE LIVING IN 14,000 SQUARE MILES. BOUNDARIES ARE FROM I-95 EAST TO THE COAST, AND FROM THE VIRGINIA LINE DOWN TO AND INCLUDING ONSLOW COUNTY. THE AREA IS LARGELY RURAL AND LARGELY POOR, WITH HIGHER THAN STATE OR NATIONAL AVERAGE RATES FOR POVERTY AND UNINSURED. HEALTH STATUS INDICATORS SHOW INCREASED INCIDENCE OF DISEASE IN THE REGION, ESPECIALLY CANCER, HEART DISEASE AND STROKE. ECU HEALTH DETERMINES PRIORITIES FOR TARGET POPULATIONS BY WORKING IN CONCERT WITH MEDICAL AND COMMUNITY AGENCY PARTNERS IN ONGOING ASSESSMENT OF THE MOST PRESSING HEALTH CARE NEEDS. MANY EFFORTS OVER THE PAST DECADE HAVE FOCUSED ON DIABETES, PEDIATRIC ASTHMA, SCHOOL HEALTH, INJURY PREVENTION, ACCESS TO CARE, NUTRITION ENHANCEMENT, PHYSICAL ACTIVITIES AND CHRONIC DISEASE SCREENINGS. ALSO, SPECIAL PROGRAMS TO MANAGE THE CARE OF MEDICAID ENROLLEES, ADDRESS ACCESS TO BOTH MEDICAL CARE AND MEDICATIONS FOR THE UNINSURED, AND COORDINATION OF SERVICES FOR CHILDREN WITH OBESITY HAVE BEEN UNDERTAKEN. THE POPULATIONS THAT ARE SERVED BY ADDRESSING THESE ISSUES ARE LARGELY THE POOR, THE UNDERSERVED, AND MINORITIES. DETERMINATION OF SPECIFIC POPULATIONS TO ADDRESS OCCURS WHEN PARTNERS SUCH AS THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES, LOCAL HEALTH DEPARTMENTS, COUNTY 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 ECU HEALTH ENTITIES AND EXTERNAL GRANT-AWARDING ORGANIZATIONS. THE ECU HEALTH 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 ECU HEALTH HOSPITAL FINANCIALLY SUPPORTS COMMUNITY HEALTH RESOURCES WITHIN ITS OPERATING BUDGET. PROGRAMS VARY ACCORDING TO THE HOSPITAL'S FINANCIAL ABILITY AND COMMUNITY NEED, BUT ALL INCLUDE COLLABORATIVE EFFORTS WITH LOCAL HEALTH DEPARTMENTS, INCLUDING HEALTH SCREENINGS AND EDUCATION TO TARGETED POPULATIONS. ECU HEALTH ALSO HAS A SUCCESSFUL TRACK RECORD OF OBTAINING COMMUNITY HEALTH PROGRAM SUPPORT FROM EXTERNAL AGENCIES THAT AWARD GRANT FUNDING TO APPROVE PROJECTS. THE ECU HEALTH GRANTS OFFICE WAS ESTABLISHED IN 2008 AND SERVES AS THE CENTRAL POINT FOR GRANT MINING, ACQUISITION AND MANAGEMENT OF GRANTS AWARDED TO ECU HEALTH HOSPITALS FOR COMMUNITY-BASED PROGRAMS. GRANT FUNDS ARE UTILIZED TO DEMONSTRATE THE EFFECTIVENESS OF A PROPOSED COMMUNITY PROGRAM, MEASURE THE OUTCOMES ACHIEVED, AND GARNER LONG-TERM SUSTAINABILITY FROM EITHER THE HEALTH SYSTEM, OTHER COMMUNITY AGENCIES OR AS A COLLABORATIVE PROGRAM. MANY COMMUNITY HEALTH PROGRAMS ARE COLLABORATIVE IN NATURE WITH LOCAL SERVICE AGENCIES, AND OFTEN A PORTION OF THE GRANT FUNDS ARE USED TO SUPPORT RESOURCES OR SERVICES IN THESE AGENCIES. 3. COMMUNITY HEALTH PRIORITIES ARE DETERMINED FOLLOWING A COMPREHENSIVE REVIEW OF COMMUNITY MEMBER FEEDBACK AND SECONDARY HEALTH DATA. COMMUNITY ALLIANCES, PARTNERS AND ORGANIZATIONS, INCLUDING LOCAL HEALTH DEPARTMENTS, PARTICIPATE IN THIS REVIEW. A LIST OF THE MOST PRESSING HEALTH ISSUES IS COMPILED FOR EACH COMMUNITY AND THEN PRIORITIZED FOLLOWING AN ASSESSMENT OF CURRENT HEALTH RESOURCES TO ADDRESS THE IDENTIFIED HEALTH ISSUES. ESTABLISHED RESOURCES/COALITIONS AND NEW PARTNERSHIPS ARE FORMED TO ADDRESS THE IDENTIFIED HEALTH PRIORITIES. 4. COMMUNITY PRIORITIES ARE ALSO ESTABLISHED IN RESPONSE TO A COMPELLING NEED IDENTIFIED BY HEALTH PRACTITIONERS OR COMMUNITY GROUPS. ECU HEALTH IS FORTUNATE TO HAVE A STRONG COLLABORATIVE PARTNERSHIP WITH EAST CAROLINA UNIVERSITY, AND WORKS CLOSELY WITH THE SCHOOLS WITHIN THE HEALTH SCIENCES DIVISION, ESPECIALLY THE BRODY SCHOOL OF MEDICINE. 5. PROVIDED BELOW ARE A FEW HIGHLIGHTS OF THE COMMUNITY BENEFIT AND EDUCATION ACTIVITIES: 5A. COMMUNITY HEALTH IMPROVEMENT SERVICES: COMMUNITY HEALTH IMPROVEMENT SERVICES ARE PROGRAMS AND SERVICES THAT MEET AN IDENTIFIED NEED AND ARE OFFERED TO THE COMMUNITY AT LITTLE OR NO CHARGE. ECU HEALTH HOSPITALS SPONSOR PROGRAMS THAT IMPROVE ACCESS TO HEALTH CARE FOR THE UNDERSERVED AND ENHANCE THE IDENTIFICATION AND MANAGEMENT OF CHRONIC DISEASES, SUCH AS CANCER, DIABETES AND HEART DISEASE. HERE ARE A FEW EXAMPLES OF THESE PROGRAMS: - MEDICAL ASSISTANCE PROGRAMS FOR UNINSURED PATIENTS - SUPPORT FOR HEALTHY COMMUNITY COALITIONS, INCLUDING HEALTHY CAROLINIANS OF THE OUTER BANKS. - SUPPORT OF LOCAL FEDERALLY QUALIFIED HEALTH CENTER - SUPPORT FOR HEALTHY NEIGHBORS FAITH HEALTH PARTNERSHIP - SUPPORT FOR SCHOOL HEALTH PARTNERSHIPS	Desc
Total Program Service Expenses	$441,171,728	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	893	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIFER WORSLEY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2528472254	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANDY TEWARI MD
VICE CHAIRMAN	2.0	0	Yes (X)	$0	$0	$0
BOB GRECZYN
CHAIRMAN	2.0	0	Yes (X)	$0	$0	$0
DEBORAH DAVIS
SECRETARY	2.0	2.0	Yes (X)	$0	$0	$101,825
DIANE TAYLOR
BOARD MEMBER	2.0	4.0	Yes (X)	$0	$0	$0
ERNIE EVANS
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
JIMMY GARRIS
TREASURER	2.0	2.0	Yes (X)	$0	$0	$0
MARCUS ALBERNAZ MD
ASSISTANT SECRETARY	2.0	2.0	Yes (X)	$0	$0	$0
PHILIP ROGERS
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
SHIRLEY CARRAWAY
BOARD MEMBER (THRU 12/24)	2.0	0	Yes (X)	$0	$0	$0
TONY KHOURY
BOARD MEMBER (AS OF 03/25)	2.0	2.0	Yes (X)	$0	$0	$0
VERN DAVENPORT
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
WILLIAM MONK JR
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
ANDY ZUKOWSKI
CHIEF FINANCIAL OFFICER	40.0	10.0		$902,109	$0	$190,261	Yes (X)
JAY BRILEY
PRESIDENT, ECU HEALTH MEDICAL CENTER	2.0	42.0		$0	$696,480	$202,489	Yes (X)
MICHAEL WALDRUM MD
CHIEF EXECUTIVE OFFICER	40.0	14.0		$1,759,349	$0	$393,250	Yes (X)
NITI ARMISTEAD MD
CHIEF CLINICAL OFFICER & CHIEF QUALITY OFFICER	40.0	0		$771,115	$0	$192,402	Yes (X)
VAN SMITH
PRESIDENT, ECU HEALTH COMMUNITY HOSPITALS	40.0	8.0		$527,546	$0	$205,074	Yes (X)
WILLIAM FLOYD
CHIEF OPERATING OFFICER	40.0	2.0		$1,063,343	$0	$296,412	Yes (X)
ANDREW MONTGOMERY
VP SUPPLY CHAIN	40.0	0		$384,394	$0	$49,493		Yes (X)
BRIAN DUNN
SVP, FINANCIAL SERVICES	40.0	4.0		$467,705	$0	$100,082		Yes (X)
DONNETTE HERRING
CHIEF INFORMATION OFFICER	40.0	0		$640,616	$0	$181,465		Yes (X)
JAMES WALTON IV
VP, FACILITIES AND PROPERTIES	40.0	0		$228,890	$0	$173,524		Yes (X)
JENNIFER MARKHAM
CHIEF LEGAL OFFICER	40.0	0		$642,088	$0	$130,510		Yes (X)
JOSEPH PYE
CHIEF MED OFF-AMB QUAL POP HTH	40.0	0		$462,986	$0	$135,920		Yes (X)
JULIE OEHLERT
CHIEF EXPERIENCE OFFICER	40.0	0		$538,206	$0	$156,408		Yes (X)
KELLY WEATHERLY
CHIEF HUMAN RESOURCES OFFICER	40.0	0		$456,247	$0	$97,579		Yes (X)
MARK DUNN
CHIEF DIVERSITY, INCLUSION AND TALENT MGMT	40.0	0		$183,156	$0	$0		Yes (X)
RICHARD MEDFORD
CHIEF MEDICAL INFORMATION OFFICER	40.0	0		$660,810	$0	$76,617		Yes (X)
RYAN HICKEY
CHIEF STRATEGY OFFICER	40.0	0		$602,817	$0	$199,158		Yes (X)
TERESA ANDERSON
SVP QUALITY	40.0	0.0		$340,147	$0	$160,294		Yes (X)
TRISH BAISE
CHIEF NURSE EXECUTIVE	40.0	2.0		$649,752	$0	$144,699		Yes (X)
CHRISTINA BOWEN
CHIEF WELL-BEING OFFICER	40.0	0		$438,817	$0	$50,458			Yes (X)
DEAN MINER
ASSOCIATE CMIO, AMBULATORY	40.0	0		$411,418	$0	$93,434			Yes (X)
JASON BUSKIRK
VP, ENTERPRISE DATA & ANALYTICS	40.0	0		$427,447	$0	$49,982			Yes (X)
MICHELLE TAYLOR
VP, FINANCIAL SVCS-OPERATIONS	0.0	40.0		$356,309	$0	$159,166			Yes (X)
SABRINA SIMS
VP, REVENUE CYCLE	40.0	0		$365,849	$0	$63,958			Yes (X)
DAVID MICHAEL
FORMER KEY EMPLOYEE	40.0	0		$413,956	$0	$92,576				Yes (X)
VICKI HADDOCK
FORMER KEY EMPLOYEE	40.0	0		$321,251	$0	$211,801				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,016,323	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$696,480	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,908,837	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	436	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HURON CONSULTING GROUP INC
550 W VAN BUREN STREET SUITE 550	CHICAGO	IL	60607	CONSULTING	$15,675,481
GUIDEHOUSE
150 N RIVERSIDE PLAZA SUITE 2100	CHICAGO	IL	60606	CONSULTING	$9,494,408
MEDCOST
PO BOX 24042	WINSTON SALEM	NC	27114	ADMIN FEES	$6,102,496
TEK SYSTEMS
PO BOX 198568	ATLANTA	GA	303848568	CONSULTING	$3,581,019
PRESS GANEY ASSOCIATES INC
PO BOX 88335	MILWAUKEE	WI	532880335	SERVICE CONTRACTS	$2,722,447

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	108	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$412,592	AllOtherContributionsAmt
Total Contributions	$412,592	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	SUPPORTED ORGANIZATIONS	Desc
Business	900099	BusinessCd
Total Revenue Column	$441,590,171	TotalRevenueColumnAmt
Related Or Exempt Func Income	$441,590,171	RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$441,590,171	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,642,063	TotalRevenueColumnAmt
Exclusion	$7,642,063	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$8,280	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$8,280	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,280	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,280	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$8,555,443	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$293,662	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,555,443	SecuritiesAmt
Other	-$293,662	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,261,781	TotalRevenueColumnAmt
Exclusion	$8,261,781	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$457,914,887	TotalRevenueColumnAmt
Related Or Exempt Func Income	$441,598,451	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$15,903,844	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$645,800	TotalAmt
Program Services	$645,800	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$15,023,962	TotalAmt
Program Services	$15,023,962	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$162,742,747	TotalAmt
Program Services	$162,742,747	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,716,384	TotalAmt
Program Services	$8,716,384	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$28,005,526	TotalAmt
Program Services	$28,005,526	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,431,927	TotalAmt
Program Services	$12,431,927	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,537,562	TotalAmt
Management And General	$1,537,562	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$54,086	TotalAmt
Management And General	$54,086	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$414,035	TotalAmt
Management And General	$414,035	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,736,204	TotalAmt
Program Services	$1,736,204	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$65,945,886	TotalAmt
Program Services	$32,313,484	ProgramServicesAmt
Management And General	$33,632,402	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,649,722	TotalAmt
Program Services	$5,649,722	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,578,047	TotalAmt
Program Services	$5,746,828	ProgramServicesAmt
Management And General	$3,831,219	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$32,324,226	TotalAmt
Program Services	$32,324,226	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,341,778	TotalAmt
Program Services	$3,341,778	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,799,487	TotalAmt
Program Services	$1,799,487	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$23,069,369	TotalAmt
Program Services	$23,069,369	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$43,094,558	TotalAmt
Program Services	$43,094,558	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,168,598	TotalAmt
Program Services	$5,168,598	ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$56,728,876	$56,728,876
ALL OTHER EXPENSES	$2,602,868	$2,602,868
BAD DEBT	$29,384	$29,384

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$480,641,032	TotalAmt
Program Services	$441,171,728	ProgramServicesAmt
Management And General	$39,469,304	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,482,193	BOYAmt
EOY	$855,946	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

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

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,232,669	BOYAmt
EOY	$7,801,684	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$13,922,096	BOYAmt
EOY	$15,461,001	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$273,175,716	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$154,924,717	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$109,585,511	BOYAmt
EOY	$118,250,999	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$889,972	BOYAmt
EOY	$889,972	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$373,258,137	BOYAmt
EOY	$780,444,627	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$508,370,578	BOYAmt
EOY	$923,704,229	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$124,174,453	BOYAmt
EOY	$116,552,939	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$557,479,411	BOYAmt
EOY	$529,075,274	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$79,163,252	BOYAmt
EOY	$130,358,214	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$760,817,116	BOYAmt
EOY	$775,986,427	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$252,446,538	BOYAmt
EOY	$147,717,802	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$252,446,538	BOYAmt
EOY	$147,717,802	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$508,370,578	BOYAmt
EOY	$923,704,229	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$22,726,145	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$43,373,886	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$379,516,599	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type3 Func Int	Yes (X)	SupportingOrgType3FuncIntInd
Supported Organizations	10	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (10 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
PITT COUNTY MEMORIAL HOSPITAL
560585243	3	Yes (true)	$0	$0
VIDANT MEDICAL GROUP LLC
383740839	9	Yes (true)	$229,612,000	$0
THE OUTER BANKS HOSPITAL INC
562112733	3	Yes (true)	$0	$0
EAST CAROLINA HEALTH
562003393	3	Yes (true)	$0	$0
EAST CAROLINA HEALTH - BERTIE
562072002	3	Yes (true)	$0	$0
EAST CAROLINA HEALTH - CHOWAN
562101090	3	Yes (true)	$0	$0
EAST CAROLINA HEALTH - HERITAGE
562093700	3	Yes (true)	$0	$0
EAST CAROLINA HEALTH - BEAUFORT
452436270	3	Yes (true)	$0	$0
DUPLIN GENERAL HOSPITAL
566011594	3	Yes (true)	$0	$0
HALIFAX REGIONAL MEDICAL CENTER
560989789	3	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	10	SupportedOrganizationsTotalCnt
Support Sum	$229,612,000	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (true)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (true)	OfficersCloseRelationshipInd
Supported Org Voice Investment	Yes (true)	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Appoint Elect Majority Officer	Yes (true)	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (true)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE A, PART IV, SECTION E, LINE 3A ORGANIZATION HAVE THE POWER TO REGULARLY APPOINT OR ELECT A

ECU HEALTH MAINTAINS CONTROL OVER THE MANAGEMENT OF ECU HEALTH MEDICAL CENTER THROUGH RESTRICTIVE PROVISIONS IN THE ARTICLES OF INCORPORATION AND CORPORATE POLICIES ADDRESSING FINANCIAL MANAGEMENT. IN ADDITION, THE STANDING COMMITTEES OF THE BOARD OF DIRECTORS SERVE AS THE COMMITTEES FOR ECU HEALTH MEDICAL CENTER OR HOLD RESERVED POWERS. THE CHIEF EXECUTIVE OFFICER OF ECU HEALTH SELECTS AND POINTS A PRESIDENT OF THE CORPORATION. ECU HEALTH MAINTAINS CONTROL OVER THE MANAGEMENT OF THE ECU HEALTH COMMUNITY HOSPITALS THROUGH (1) ELECTION OF THE MEMBERS OF THE BOARD; (2) APPOINTMENT AND REMOVAL OF THE OFFICERS; (3) RESTRICTIVE PROVISIONS IN THE ARTICLE OF INCORPORATION; AND (4) CORPORATE POLICIES ADDRESSING FINANCIAL MANAGEMENT. IN ADDITION, THE STANDING COMMITTEES OF THE BOARD OF DIRECTORS SERVE AS THE COMMITTEES FOR THE ECU HEALTH COMMUNITY HOSPITALS. THE CHIEF EXECUTIVE OFFICER OF ECU HEALTH SERVES AS PRESIDENT OF THE CORPORATION PURSUANT TO THE ARTICLES AND SERVES AS CHAIRMAN OF THE BOARD. THE CHIEF FINANCIAL OFFICER OF ECU HEALTH SERVES AS SECRETARY AND TREASURER. THE BOARD OF DIRECTORS OF ECU HEALTH CONSISTS OF ELEVEN (11) MEMBERS, OF WHOM 55% OF SHALL BE CURRENT OR FORMER APPOINTMENT OF ECU HEALTH MEDICAL CENTER'S BOARD OF TRUSTEES. THE ECU HEALTH ARTICLES OF RESTATEMENT REQUIRE THAT, AT ALL TIMES, A MAJORITY OF THE MEMBERS OF THE ECU HEALTH'S BOARD OF DIRECTORS SHALL BE CURRENTLY SERVING MEMBERS OF THE ECU HEALTH MEDICAL CENTER'S BOARD OF TRUSTEES. FURTHER, AT ALL TIMES, AT LEAST ONE DIRECTOR OR TRUSTEE FROM EACH OF THE SUPPORTED ENTITIES SHALL SERVE ON THE ECU HEALTH BOARD OF DIRECTORS.

SCHEDULE A, PART IV, SECTION E, LINE 3B SUBSTANTIAL DIRECTION OVER POLICIES/PROGRAMS/ACTIVITIES

PURSUANT TO ECU HEALTH MEDICAL CENTER'S ARTICLES OF INCORPORATION, (I) ECU HEALTH MUST APPROVE ANY AMENDMENTS TO ECU HEALTH MEDICAL CENTER'S ARTICLES OF INCORPORATION OR BYLAWS, AND (II) THE CHIEF EXECUTIVE OFFICER OF ECU HEALTH HAS GENERAL CHARGE OF THE BUSINESS AFFAIRS AND PROPERTY OF ECU HEALTH MEDICAL CENTER. ECU HEALTH MAINTAINS CONTROL OVER THE MANAGEMENT AND POLICIES OF THE OTHER SUPPORTED ORGANIZATIONS THROUGH RESTRICTIVE PROVISIONS IN THEIR ARTICLES OF INCORPORATION AND BYLAWS AND THROUGH THE DIRECT OR INDIRECT RIGHT TO APPOINT AND REMOVE WITHOUT CAUSE A MAJORITY OF THE BOARD OF DIRECTORS FOR EACH. THE CHIEF EXECUTIVE OFFICER OF ECU HEALTH ALSO SERVES AS THE CHAIRMAN OF THE BOARD OF DIRECTORS FOR EACH OF THE SUPPORTED ORGANIZATIONS, OTHER THAN ECU HEALTH MEDICAL CENTER.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$154,382	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$259,653	OtherActivitiesAmt
Total Lobbying Expenditures	$414,035	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	39% OF DUES TO AHA ARE ALLOCATED TO LOBBYING. JASON LOWRY WAS PAID $103,428 TO PERFORM LOBBYING ACTIVITIES. DANIEL VAN LIERE WAS PAID $50,954 TO PERFORM LOBBYING ACTIVITIES. CONNECT C, LLC WAS PAID $72,000 TO PERFORM LOBBYING ACTIVITIES. JONES STREET CONSULTING WAS PAID $30,000 TO PERFORM LOBBYING ACTIVITIES. RICHARD CARLTON LAW WAS PAID $18,000 TO PERFORM LOBBYING ACTIVITIES. BALLANTINE COMPANY WAS PAID $18,000 TO PERFORM LOBBYING ACTIVITIES. JENKINS CONSULTING WAS PAID $15,000 TO PERFORM LOBBYING ACTIVITIES. FIDEO GROUP WAS PAID $20,000 TO PERFORM LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,320,706	OtherCostOrOtherBasisAmt
Book Value	$1,320,706	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,992,377	OtherCostOrOtherBasisAmt
Depreciation	$5,941,065	DepreciationAmt
Book Value	$6,051,312	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$133,557,147	OtherCostOrOtherBasisAmt
Depreciation	$82,257,025	DepreciationAmt
Book Value	$51,300,122	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$126,305,486	OtherCostOrOtherBasisAmt
Depreciation	$66,726,627	DepreciationAmt
Book Value	$59,578,859	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$118,250,999	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
ASSETS LTD. FOR IMPROVEMENTS	$677,065,815
OTHER RECEIVABLES	$49,516,251
DEFERRED OUTFLOWS FROM REFUNDING AND PENSION	$48,286,644
OTHER ASSETS	$5,575,874
ASSETS HELD BY TRUSTEE	$43

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$780,444,627	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
OTHER LIABILITY	$87,590,194
NET PENSION LIABILITY	$26,265,019
DEFERRED INFLOW	$9,032,001
RESERVE FOR PROFESSIONAL LIABILITY	$7,471,000

Field	Value	IRS element (for citing)
Total Liability	$130,358,214	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE	FormAndLineReferenceDesc
Explanation	ECU HEALTH HAS BEEN DETERMINED TO QUALIFY AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ECU HEALTH HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND HAS CONCLUDED THAT NO MATERIAL LIABILITIES EXIST AS OF SEPTEMBER 30, 2025 AND 2024. ECU HEALTH FILES TAX RETURNS WITH THE U.S. FEDERAL AND STATE OF NORTH CAROLINA JURISDICTIONS. WITH FEW EXCEPTIONS, ECU HEALTH IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2022.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$73,562,210	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$73,562,210	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$73,562,210	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART I, LINE 3 METHOD USED TO ACCOUNT FOR EXPENDITURES ON ORG'S FINANCIAL STATEMENTS	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-ACCRUAL	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN CANCER SOCIETY
250 WILLIAMS STREET NW	SUITE 400	ATLANTA	GA	303031002	131788491	501(C)(3)	$268,000	CHARITABLE
GREENVILLE-ENC ALLIANCE
PO BOX 1714		GREENVILLE	NC	27835	561912849	501(C)(3)	$100,000	CHARITABLE
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUE		DALLAS	TX	752315129	135613797	501(C)(3)	$50,000	CHARITABLE
NORTH CAROLINA EASTERN ECONOMIC DEVELOPMENT CORP
216 SOUTH BROAD STREET	STE 200	EDENTON	NC	27932	561995352	501(C)(3)	$50,000	CHARITABLE
CITY OF GREENVILLE-WEST GREENVILLE AFFORDABLE HOUSING
500 S GREENE STREET		GREENVILLE	NC	27834	566000229	GOVT ENTITY	$25,000	CHARITABLE-HOUSING
NORTH CAROLINA PROFESSIONALS HEALTH PROGRAM
220 HORIZON DRIVE	SUITE 201	RALEIGH	NC	27615	561846599	501(C)(3)	$17,000	CHARITABLE
GREAT 100 GALA
PO BOX 4875		GREENSBORO	NC	274044875	561705456	501(C)(3)	$15,000	CHARITABLE
1-OF-US INC
8024 GLENWOOD AVENUE	SUITE 200	RALEIGH	NC	27612	274754653	501(C)(3)	$10,000	CHARITABLE
B'NAI B'RITH INTERNATIONAL
1120 20TH STREET NW	SUITE 300 NORTH	WASHINGTON	DC	20036	530179971	501(C)(3)	$10,000	CHARITABLE
LITTLE LEAGUE SOFTBALL
PO BOX 4433		GREENVILLE	NC	27836	231688231	501(C)(3)	$10,000	CHARITABLE
LUNG CANCER INITIATIVE
5171 GENWOOD AVENUE		RALEIGH	NC	27612	262300885	501(C)(3)	$10,000	CHARITABLE
RONALD MCDONALD HOUSE
529 MOYE BOULEVARD		GREENVILLE	NC	27834	561420505	501(C)(3)	$10,000	CHARITABLE
ECU FOUNDATION
1000 E 5TH STREET MAIL STOP 301		GREENVILLE	NC	27858	566093187	501(C)(3)	$9,500	CHARITABLE
FOOD BANK OF CENTRAL & EASTERN NC INC
1924 CAPITAL BOULEVARD		RALEIGH	NC	27604	561283426	501(C)(3)	$5,000	CHARITABLE
NORTH CAROLINA FREE ENTERPRISE FOUNDATION
3700 GLENWOOD AVENUE SUITE 310		RALEIGH	NC	27612	561782403	501(C)(3)	$5,000	CHARITABLE
THE UNIVERSITY OF NC CENTER FOR PUBLIC MEDIA DBA PBS NORTH CAROLINA
10 UNC-TV DRIVE		RESEARCH TRIANGLE PARK	NC	277094900	566172047	501(C)(3)	$5,000	CHARITABLE

Field	Value	IRS element (for citing)
Total501c3 Org	16	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	ECU HEALTH MAINTAINS RECORDS TO SUBSTANTIATE ALL DISBURSEMENTS MADE IN ACCORDANCE WITH ITS DOCUMENT RETENTION POLICY. ALL GRANTS AND ASSISTANCE ARE APPROVED AT THE APPROPRIATE LEVEL OUTLINED IN ITS POLICY AND PROCEDURES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAY BRILEY
PRESIDENT, ECU HEALTH MEDICAL CENTER	$0	$539,950	$0	$156,530	$0	$0	$9,213	$147,012	$2,667	$43,597	$11,880	$887,089	$0	$0
MICHAEL WALDRUM MD
CHIEF EXECUTIVE OFFICER	$1,011,508	$0	$729,088	$0	$18,753	$0	$341,625	$0	$51,625	$0	$2,152,599	$0	$0	$0
VAN SMITH
PRESIDENT, ECU HEALTH COMMUNITY HOSPITALS	$415,805	$0	$111,741	$0	$0	$0	$150,398	$7,954	$43,958	$2,764	$721,902	$10,718	$0	$0
ANDY ZUKOWSKI
CHIEF FINANCIAL OFFICER	$704,511	$0	$197,598	$0	$0	$0	$142,069	$0	$48,192	$0	$1,092,370	$0	$0	$0
WILLIAM FLOYD
CHIEF OPERATING OFFICER	$834,288	$0	$229,055	$0	$0	$0	$230,679	$14,859	$48,238	$2,636	$1,342,260	$17,495	$0	$0
NITI ARMISTEAD MD
CHIEF CLINICAL OFFICER & CHIEF QUALITY OFFICER	$600,387	$0	$170,728	$0	$0	$0	$142,545	$0	$49,857	$0	$963,517	$0	$0	$0
VICKI HADDOCK
FORMER KEY EMPLOYEE	$263,322	$0	$57,929	$0	$0	$0	$168,711	$0	$43,090	$0	$533,052	$0	$0	$0
DAVID MICHAEL
FORMER KEY EMPLOYEE	$337,252	$0	$76,704	$0	$0	$0	$42,200	$0	$50,376	$0	$506,532	$0	$0	$0
BRIAN DUNN
SVP, FINANCIAL SERVICES	$380,041	$0	$87,664	$0	$0	$0	$47,900	$0	$52,182	$0	$567,787	$0	$0	$0
TERESA ANDERSON
SVP QUALITY	$277,638	$0	$62,509	$0	$0	$0	$113,792	$0	$46,502	$0	$500,441	$0	$0	$0
TRISH BAISE
CHIEF NURSE EXECUTIVE	$431,297	$0	$218,455	$0	$0	$0	$102,031	$0	$42,668	$0	$794,451	$0	$0	$0
MARK DUNN
CHIEF DIVERSITY, INCLUSION AND TALENT MGMT	$0	$0	$0	$0	$183,156	$0	$0	$0	$0	$0	$183,156	$0	$0	$0
DONNETTE HERRING
CHIEF INFORMATION OFFICER	$502,010	$0	$138,606	$0	$0	$0	$132,353	$0	$49,112	$0	$822,081	$0	$0	$0
RYAN HICKEY
CHIEF STRATEGY OFFICER	$470,856	$0	$131,961	$0	$0	$0	$151,520	$0	$47,638	$0	$801,975	$0	$0	$0
JENNIFER MARKHAM
CHIEF LEGAL OFFICER	$502,525	$0	$139,563	$0	$0	$0	$101,200	$0	$29,310	$0	$772,598	$0	$0	$0
RICHARD MEDFORD
CHIEF MEDICAL INFORMATION OFFICER	$537,852	$0	$122,958	$0	$0	$0	$66,300	$0	$10,317	$0	$737,427	$0	$0	$0
ANDREW MONTGOMERY
VP SUPPLY CHAIN	$312,908	$0	$71,486	$0	$0	$0	$38,400	$0	$11,093	$0	$433,887	$0	$0	$0
JULIE OEHLERT
CHIEF EXPERIENCE OFFICER	$417,694	$0	$120,512	$0	$0	$0	$109,786	$0	$46,622	$0	$694,614	$0	$0	$0
JOSEPH PYE
CHIEF MED OFF-AMB QUAL POP HTH	$376,505	$0	$86,481	$0	$0	$0	$88,151	$0	$47,769	$0	$598,906	$0	$0	$0
JAMES WALTON IV
VP, FACILITIES AND PROPERTIES	$184,906	$0	$43,984	$0	$0	$0	$130,427	$0	$43,097	$0	$402,414	$0	$0	$0
KELLY WEATHERLY
CHIEF HUMAN RESOURCES OFFICER	$353,383	$0	$102,864	$0	$0	$0	$46,900	$0	$50,679	$0	$553,826	$0	$0	$0
MICHELLE TAYLOR
VP, FINANCIAL SVCS-OPERATIONS	$290,640	$0	$65,669	$0	$0	$0	$111,841	$0	$47,325	$0	$515,475	$0	$0	$0
CHRISTINA BOWEN
CHIEF WELL-BEING OFFICER	$356,813	$0	$82,004	$0	$0	$0	$43,900	$0	$6,558	$0	$489,275	$0	$0	$0
JASON BUSKIRK
VP, ENTERPRISE DATA & ANALYTICS	$307,255	$0	$120,192	$0	$0	$0	$40,300	$0	$9,682	$0	$477,429	$0	$0	$0
DEAN MINER
ASSOCIATE CMIO, AMBULATORY	$332,861	$0	$78,557	$0	$0	$0	$42,400	$0	$51,034	$0	$504,852	$0	$0	$0
SABRINA SIMS
VP, REVENUE CYCLE	$281,481	$0	$64,895	$0	$19,473	$0	$34,682	$0	$29,276	$0	$429,807	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A TRAVEL FOR COMPANIONS	DURING THE YEAR AN OFFICER'S SPOUSE ACCOMPANIED THE BOARD MEMBER ON A BUSINESS TRIP THAT WAS TAKEN ON BEHALF OF THE ORGANIZATION. THE SPOUSAL TRAVEL WAS TREATED AS A TAXABLE BENEFIT.
SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT	MARK DUNN RECEIVED A SEVERANCE PAYMENT OF $183,156.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A	521309402	65821DSP7	2015-04-01	$323,487,711	SEE PART VI	false	false	false
NORTH CAROLINA MEDICAL CARE COMMISSION
B	521309402	000000000	2019-10-23	$54,065,000	SEE PART VI	false	false	false
NORTH CAROLINA MEDICAL CARE COMMISSION
C	521309402	000000000	2022-03-03	$94,710,000	SEE PART VI	false	false	false
NORTH CAROLINA MEDICAL CARE COMMISSION
D	521309402	000000000	2022-06-15	$149,080,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$12,940,000	$101,920,000	$331,133,890	$19,782,750	$2,579,709	$170,187,251	$138,584,180	2018	false	Yes (true)	Yes (true)	Yes (true)
B	$9,510,000		$54,072,613		$173,473	$3,867,613	$50,031,527	2019	Yes (true)	Yes (true)	Yes (true)	Yes (true)
C	$17,605,000		$94,710,000				$94,710,000		false	Yes (true)	Yes (true)	Yes (true)
D	$46,480,000		$149,080,000				$149,080,000		Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	false	false	false	Yes (true)
D	false	false	false	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	Yes (true)	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	Yes (true)	Yes (true)	false	false	false	false	false	false	Yes (true)
D	false	false	Yes (true)	false	false	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN (F) LINE A	PROCEEDS USED TO (A) REFUND SERIES 2008D BONDS (ISSUED 12/10/2008) AND (B) FUND CANCER CENTER CONSTRUCTION, TWO NEW OUTPATIENT CLINICS AND VARIOUS EQUIPMENT.
SCHEDULE K, PART I, COLUMN (F) LINE B	PROCEEDS USED TO (A) REFUND SERIES 2012A BONDS (ISSUED 5/3/2012), HRMC SERIES 2016 BONDS (ISSUED 9/1/2016), HRMC SERIES 2011 BONDS (ISSUED 7/1/2011) AND HRMC TAXABLE NOTE (ISSUED 9/27/2016) AND (B) PURCHASE A MEDICAL TRANSPORTATION HELICOPTER.
SCHEDULE K, PART I, COLUMN (F) LINE C	PROCEEDS USED TO REFUND SERIES 2019A BONDS (ISSUED 10/23/2019).
SCHEDULE K, PART I, COLUMN (F) LINE D	PROCEEDS USED TO REFUND SERIES 2011 BONDS (ISSUED 6/23/2011) AND SERIES 2013 A&B BOND (ISSUED 8/22/2013).
SCHEDULE K, PART I, COLUMN (F) LINE E	PROCEEDS USED TO REFUND SERIES 2021A TAXABLE BONDS (ISSUED 3/25/2021)
SCHEDULE K, PART II, LINE 3 COLUMNS A & B	INCLUDES INVESTMENT EARNINGS ON BOND PROCEEDS.
SCHEDULE K, PART IV, LINE 2C COLUMN A	ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 06/01/2024
SCHEDULE K, PART IV, LINE 2C COLUMN B	ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 06/01/2024
SCHEDULE K, PART IV, LINE 2C COLUMN C	ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 06/01/2022

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA MEDICAL CARE COMMISSION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	521309402	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2025-06-02	BondIssuedDt
Issue Price	$114,075,000	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Total Proceeds	$114,075,000	TotalProceedsAmt
Other Spent Proceeds	$114,075,000	OtherSpentProceedsAmt
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (true)	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	false	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Engage Bond Counsel Research	false	EngageBondCounselResearchInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	Yes (true)	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Term Of Hedge	0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Term Of GIC	0	TermOfGICPct
Regulatory Safe Harbor Stsfd	false	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ELE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	ERNEST L. EVANS (BOARD MEMBER)	RelationshipDescriptionTxt
Transaction	$115,404	TransactionAmt
Transaction	LEASES OFFICE SPACE TO ECU HEALTH	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION (CONTINUATION):	5B. HEALTH PROFESSIONAL EDUCATION: PREPARING FUTURE HEALTH CARE PROFESSIONALS IS IMPORTANT TO US. OUR HOSPITALS PROVIDE CLINICAL SETTINGS FOR STUDENTS OF HEALTH PROFESSIONS, SUCH AS FUTURE PHYSICIANS, NURSES AND OTHER ALLIED HEALTH PROFESSIONALS. WE ALSO SUPPORT STUDENTS THROUGH DEFERRED FORGIVABLE LOANS AND INTERNSHIPS INCLUDING RESIDENT TRAINING, NURSING CLINIC SITES, ALLIED HEALTH PROFESSIONALS, AND FINANCIAL SUPPORT OF NURSING PROGRAMS. 5C. RESEARCH: EAST CAROLINA UNIVERSITY (ECU) CONDUCTS RESEARCH TO EVALUATE NEW TREATMENTS AND PROTOCOLS. THESE STUDIES HELP HEALTH PROFESSIONALS EVERYWHERE PROVIDE QUALITY CARE TO PATIENTS. ECU HEALTH SUPPORTS THIS THROUGH VARIOUS MEANS INCLUDING SUPPORTING THE INSTITUTIONAL REVIEW BOARD AT ECU AND PROVIDING STUDY SITES. 5D. FINANCIAL AND IN-KIND CONTRIBUTIONS: ECU HEALTH DONATES MONEY AND IN-KIND SERVICES TO COMMUNITY GROUPS AND ACTIVITIES THAT SHARE OUR MISSION OF IMPROVING HEALTH. THEY INCLUDE MEALS ON WHEELS, THE BLOOD CONNECTION BLOOD DRIVES, MEDICAL SUPPLIES TO EMERGENCY MEDICAL SERVICES, FREE MEDICATIONS TO QUALIFYING PATIENTS, AND LOCAL HIGH SCHOOL AND COMMUNITY COLLEGE ALLIED HEALTH PROGRAMS. ECU HEALTH HOSPITALS ARE KEY PARTNERS IN FUNDRAISING FOR ORGANIZATIONS SUCH AS THE UNITED WAY, AMERICAN HEART ASSOCIATION, AND THE AMERICAN CANCER SOCIETY. 5E. COMMUNITY BUILDING: COMMUNITY-BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ARE NOT DIRECTLY RELATED TO HEALTH CARE BUT ADDRESS UNDERLYING ISSUES THAT IMPACT THE HEALTH OF COMMUNITIES. POVERTY, CRIME, HOMELESSNESS, WORKFORCE DEVELOPMENT AND ECONOMIC DEVELOPMENT ALL AFFECT THE OVERALL HEALTH OF COMMUNITIES. ECU HEALTH HAS PROVIDED SUPPORT FOR OUR LOCAL CHAMBERS OF COMMERCE, INVESTMENTS IN COMMUNICATION INFRASTRUCTURE VIA INFORMATION TECHNOLOGY CONNECTIONS, SUPPORT FOR THE TEEN LEADERSHIP ACADEMY, RECRUITMENT OF PHYSICIANS TO OUR RURAL COMMUNITIES, AND PROGRAMS THAT ENCOURAGE STUDENTS TO PURSUE HEALTH CAREERS.
FORM 990, PART VI, LINE 15 PROCESS TO ESTABLISH COMPENSATION	THE TOP MANAGEMENT OFFICIAL IS THE CEO WHO IS AN EMPLOYEE OF ECU HEALTH. THE COMPENSATION IS DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE ECU HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS ALSO DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE ECU HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. ALL COMPENSATION DISCUSSIONS AND ACTIONS ARE DOCUMENTED AND APPROVED IN THE MINUTES OF THE COMMITTEE.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	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 ECU HEALTH PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	ALL OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A YEARLY COMPREHENSIVE CONFLICT OF INTEREST QUESTIONNAIRE. THESE ARE REVIEWED BY LEGAL COUNSEL AND ANY POTENTIAL OR ACTUAL CONFLICTS ARE BROUGHT TO THE BOARD FOR DISPOSITION. BOARD MEMBERS ARE INSTRUCTED TO REPORT ANY POTENTIAL CONFLICTS ARISING DURING THE YEAR FOR REVIEW. BOARD MEMBERS ARE REQUIRED TO RECUSE THEMSELVES FROM VOTING ON ISSUES IN WHICH THEY ARE DEEMED TO HAVE A CONFLICT.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D).
FORM 990, PART VII, SECTION A BOARD DIRECTOR COMPENSATION	AMOUNTS PAID TO BOARD DIRECTOR ARE RELATED TO PRIOR YEAR EMPLOYMENT AGREEMENTS AND NOT THE INDIVIDUAL'S ROLE ON THE BOARD OF DIRECTORS.
FORM 990, PART IX, LINE 11G OTHER FEES	CONTRACTED SERVICES - TOTAL EXPENSE: 65945886, PROGRAM SERVICE EXPENSE: 32313484, MANAGEMENT AND GENERAL EXPENSES: 33632402, FUNDRAISING EXPENSES: 0;
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	NET ASSET TRANSFER - XXX-XX-XXXX; CAPITAL CONTRIBUTED TO VIDANT INTEGRATED CARE - 2517000; CAPITAL CONTRIBUTED TO COASTAL PLAINS NETWORK - 2145000; TOTAL - XXX-XX-XXXX;
FORM 990, PART XII, LINE 2C CHANGE OF OVERSIGHT PROCESS OR SELECTION PROCESS	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
VIDANT INTEGRATED CARE LLC DBA ECU HEALTH ALLIANCE LLC
2335 HEMBY LANE	GREENVILLE	NC	27834	562141073	CLINICALLY INTEGRATED NETWORK	NC	$0	$41,963	ECU HEALTH
COASTAL PLAINS NETWORK LLC
800 WH SMITH BLVD	GREENVILLE	NC	27835	465731823	ACCOUNTABLE CARE ORGANIZATION	NC	$0	$3,504,570	ECU HEALTH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ACCESS EAST INC
2410 STATONSBURG RD	STANTON SQUARE	GREENVILLE	NC	27834	561949493	HEALTHCARE	NC	501(C)(3)	10	ECU HEALTH	false
DUPLIN GENERAL HOSPITAL DBA ECU HEALTH DUPLIN HOSPITAL
2100 STANTONSBURG RD		GREENVILLE	NC	27835	566011594	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false
EAST CAROLINA HEALTH - BEAUFORT DBA ECU HEALTH BEAUFORT HOSPITAL
2100 STANTONSBURG RD		GREENVILLE	NC	27835	452436270	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false
EAST CAROLINA HEALTH - BERTIE DBA ECU HEALTH BERTIE HOSPITAL
2100 STANTONSBURG RD		GREENVILLE	NC	27835	562072002	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false
EAST CAROLINA HEALTH - CHOWAN DBA ECU HEALTH CHOWAN HOSPITAL
2100 STANTONSBURG RD		GREENVILLE	NC	27835	562101090	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false
EAST CAROLINA HEALTH - HERITAGE DBA ECU HEALTH EDGECOMBE HOSPITAL
2100 STANTONSBURG RD		GREENVILLE	NC	27835	562093700	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false
EAST CAROLINA HEALTH DBA ECU HEALTH COMMUNITY HOSPITALS
2100 STANTONSBURG RD		GREENVILLE	NC	27835	562003393	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false
HALIFAX REGIONAL MEDICAL CENTER INC DBA ECU HEALTH NORTH HOSPITAL
2100 STANTONSBURG RD		GREENVILLE	NC	27835	560989789	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false
HEALTHACCESS INC
2100 STANTONSBURG RD		GREENVILLE	NC	27835	561396133	HEALTHCARE	NC	501(C)(3)	TYPE II	ECU HEALTH	false
PCMH MANAGEMENT INC DBA ECU HEALTH PROPERTIES
2100 STANTONSBURG RD		GREENVILLE	NC	27835	561690740	MED PROP MGMT	NC	501(C)(2)		ECU HEALTH	false
PITT COUNTY MEMORIAL HOSPITAL INC DBA ECU HEALTH MEDICAL CENTER
2100 STANTONSBURG RD		GREENVILLE	NC	27835	560585243	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false
ROANOKE VALLEY HEALTH SERVICES INC
2100 STANTONSBURG RD		GREENVILLE	NC	27835	561925492	HEALTHCARE	NC	501(C)(3)	3	ECU HEALTH	false
THE OUTER BANKS HOSPITAL INC DBA OUTER BANKS HEALTH
2100 STANTONSBURG RD		GREENVILLE	NC	27835	562112733	HOSPITAL	NC	501(C)(3)	3	EC HEALTH	false
VIDANT MEDICAL GROUP LLC DBA ECU HEALTH PHYSICIANS
2100 STANTONSBURG RD		GREENVILLE	NC	27835	383740839	HEALTHCARE	NC	501(C)(3)	10	ECU HEALTH	false
EAST CAROLINA HEALTH DBA ECU HEALTH COMMUNITY HOSPITALS
2100 STANTONSBURG RD		GREENVILLE	NC	27835	911997979	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SURGICENTER OF EASTERN CAROLINA	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	262558314	EIN
Primary Activities	AMBULATORY SURGICAL SERVICES	PrimaryActivitiesTxt
Legal Domicile State	NC	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PITT COUNTY MEMORIAL HOSPITAL INC DBA ECU HEALTH MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$11,087,175	ShareOfTotalIncomeAmt
Share Of EOY Assets	$11,305,046	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.5500	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CHANNEL MARKER INSURANCE COMPANY SPC	BusinessNameLine1Txt

Foreign Address ForeignAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1085	AddressLine1Txt
City	GRAND CAYMAN	CityNm
Country	CJ	CountryCd
Foreign Postal	KY1102	ForeignPostalCd

Field	Value	IRS element (for citing)
Primary Activities	SELF-INSURANCE	PrimaryActivitiesTxt
Legal Domicile Foreign Country	CJ	LegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C CORPORATION	EntityTypeTxt
Share Of Total Income	$12,064,936	ShareOfTotalIncomeAmt
Share Of EOY Assets	$73,451,895	ShareOfEOYAssetsAmt
Ownership	1.0000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (68 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ACCESS EAST INC
A	$307,390	INTERCOMPANY INVOICES
ACCESS EAST INC
L	-$2,208,389	INTERCOMPANY INVOICES
ACCESS EAST INC
O	-$4,172	INTERCOMPANY INVOICES
ACCESS EAST INC
P	-$255,690	INTERCOMPANY INVOICES
ACCESS EAST INC
Q	$4,928,848	INTERCOMPANY INVOICES
CHANNEL MARKER INSURANCE COMPANY SPC
R	$27,261,743	INTERCOMPANY INVOICES
CHANNEL MARKER INSURANCE COMPANY SPC
S	$2,728,258	INTERCOMPANY INVOICES
CHANNEL MARKER INSURANCE COMPANY SPC
S	$26,709,792	INTERCOMPANY INVOICES
COASTAL PLAINS NETWORK LLC
B	$2,144,632	ACTUAL CASH
COASTAL PLAINS NETWORK LLC
L	-$1,144,616	INTERCOMPANY INVOICES
ECU HEALTH BEAUFORT HOSPITAL
Q	$10,463	INTERCOMPANY INVOICES
ECU HEALTH BERTIE HOSPITAL
A	-$7,097	INTERCOMPANY INVOICES
ECU HEALTH BERTIE HOSPITAL
L	-$3,053,839	INTERCOMPANY INVOICES
ECU HEALTH BERTIE HOSPITAL
Q	$1,113,347	INTERCOMPANY INVOICES
ECU HEALTH CHOWAN HOSPITAL
A	-$139,987	INTERCOMPANY INVOICES
ECU HEALTH CHOWAN HOSPITAL
L	-$8,308,703	INTERCOMPANY INVOICES
ECU HEALTH CHOWAN HOSPITAL
Q	$1,853,399	INTERCOMPANY INVOICES
ECU HEALTH DUPLIN HOSPITAL
L	-$7,007,932	INTERCOMPANY INVOICES
ECU HEALTH DUPLIN HOSPITAL
Q	$5,097,196	INTERCOMPANY INVOICES
ECU HEALTH EDGECOMBE HOSPITAL
A	-$2,104,881	INTERCOMPANY INVOICES
ECU HEALTH EDGECOMBE HOSPITAL
L	-$12,487,156	INTERCOMPANY INVOICES
ECU HEALTH EDGECOMBE HOSPITAL
Q	$5,183,393	INTERCOMPANY INVOICES
ECU HEALTH MEDICAL CENTER
A	-$24,572,719	INTERCOMPANY INVOICES
ECU HEALTH MEDICAL CENTER
A	$6,588,058	INTERCOMPANY INVOICES
ECU HEALTH MEDICAL CENTER
C	-$594,373,979	ACTUAL CASH
ECU HEALTH MEDICAL CENTER
J	-$59,601	INTERCOMPANY INVOICES
ECU HEALTH MEDICAL CENTER
K	$247,983	INTERCOMPANY INVOICES
ECU HEALTH MEDICAL CENTER
L	-$265,721,768	INTERCOMPANY INVOICES
ECU HEALTH MEDICAL CENTER
M	$135	INTERCOMPANY INVOICES
ECU HEALTH MEDICAL CENTER
P	$200,718	INTERCOMPANY INVOICES
ECU HEALTH MEDICAL CENTER
P	-$19,190,341	INTERCOMPANY INVOICES
ECU HEALTH MEDICAL CENTER
Q	$13,923,023	INTERCOMPANY INVOICES
ECU HEALTH NORTH HOSPITAL
A	-$405,582	INTERCOMPANY INVOICES
ECU HEALTH NORTH HOSPITAL
L	-$13,348,216	INTERCOMPANY INVOICES
ECU HEALTH NORTH HOSPITAL
Q	$6,668,660	INTERCOMPANY INVOICES
ECU HEALTH PHYSICIANS
B	$229,168,467	ACTUAL CASH
ECU HEALTH PHYSICIANS
L	-$18,518,651	INTERCOMPANY INVOICES
ECU HEALTH PHYSICIANS
M	$249,983	INTERCOMPANY INVOICES
ECU HEALTH PHYSICIANS
O	$4,520,778	INTERCOMPANY INVOICES
ECU HEALTH PHYSICIANS
P	-$2,095,492	INTERCOMPANY INVOICES
ECU HEALTH PHYSICIANS
Q	$32,312,194	INTERCOMPANY INVOICES
ECU HEALTH PROPERTIES (PMI)
K	$2,762,071	INTERCOMPANY INVOICES
ECU HEALTH PROPERTIES (PMI)
L	-$361,594	INTERCOMPANY INVOICES
ECU HEALTH PROPERTIES (PMI)
P	-$4,534	INTERCOMPANY INVOICES
ECU HEALTH PROPERTIES (PMI)
Q	$1,387,407	INTERCOMPANY INVOICES
ECU HEALTH ROANOKE-CHOWAN HOSPITAL
A	-$330,694	INTERCOMPANY INVOICES
ECU HEALTH ROANOKE-CHOWAN HOSPITAL
L	-$13,748,230	INTERCOMPANY INVOICES
ECU HEALTH ROANOKE-CHOWAN HOSPITAL
O	-$114,958	INTERCOMPANY INVOICES
ECU HEALTH ROANOKE-CHOWAN HOSPITAL
Q	$4,404,460	INTERCOMPANY INVOICES
HEALTHACCESS INC
B	$11,842,314	ACTUAL CASH
HEALTHACCESS INC
L	-$3,151,074	INTERCOMPANY INVOICES
HEALTHACCESS INC
P	$2,553,709	INTERCOMPANY INVOICES
HEALTHACCESS INC
Q	$355,097	INTERCOMPANY INVOICES
MOYE MEDICAL ENDOSCOPY CENTER LLC
L	-$1,496	INTERCOMPANY INVOICES
MOYE MEDICAL ENDOSCOPY CENTER LLC
P	-$181,307	INTERCOMPANY INVOICES
MOYE MEDICAL ENDOSCOPY CENTER LLC
Q	$1,843	INTERCOMPANY INVOICES
ROANOKE VALLEY HEALTH SERVICES INC
B	$443,842	ACTUAL CASH
ROANOKE VALLEY HEALTH SERVICES INC
P	-$16,462	INTERCOMPANY INVOICES
ROANOKE VALLEY HEALTH SERVICES INC
Q	$18,593	INTERCOMPANY INVOICES
THE OUTER BANKS HOSPITAL INC
C	-$6,600,000	ACTUAL CASH
THE OUTER BANKS HOSPITAL INC
L	-$10,348,326	INTERCOMPANY INVOICES
THE OUTER BANKS HOSPITAL INC
O	$90,047	INTERCOMPANY INVOICES
THE OUTER BANKS HOSPITAL INC
Q	$6,930,483	INTERCOMPANY INVOICES
VIDANT INTERGRATED CARE LLC
B	$2,516,837	ACTUAL CASH
VIDANT INTERGRATED CARE LLC
L	-$1,468,858	INTERCOMPANY INVOICES
VIDANT RADIATION ONCOLOGY (VRO)
L	-$52,600	INTERCOMPANY INVOICES
VIDANT RADIATION ONCOLOGY (VRO)
P	-$41,087	INTERCOMPANY INVOICES
VIDANT RADIATION ONCOLOGY (VRO)
Q	$253,638	INTERCOMPANY INVOICES