2026-08-10T15:14:13+00:00 2025-09-30 135381590 BDO USA 421 FAYETTEVILLE ST STE 300 RALEIGH NC 276011776 990 2024-10-01 562141073 UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC UNIV 2528475129 2100 STANTONSBURG ROAD GREENVILLE NC 27835 BRIAN DUNN CFO 2528475129 2026-08-10 true SANDRA L FEINSMITH P01064157 9197549370 2026-08-10 2024 2025-03-06 01:10:19Z ECU HEALTH MICHAEL WALDRUM 2100 STANTONSBURG ROAD GREENVILLE NC 27835 458208549 false X WWW.ECUHEALTH.ORG X 1998 NC TO ADVANCE AND SUPPORT THE HEALTHCARE NEEDS OF THE COMMUNITIES OF EASTERN NORTH CAROLINA. 11 8 0 8 0 823336 412592 386710348 441590171 13726459 15903844 8050 8280 401268193 457914887 366550 645800 0 0 200795757 226920546 0 0 237528884 253074686 438691191 480641032 -37422998 -22726145 508370578 923704229 760817116 775986427 -252446538 147717802 TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA. false false 441171728 645800 441598451 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 441171728 true true false true false false false false false false true false false true true true false true false false true false false false false false false true false true true false false false false false false false false false true false false false false true true true true false false true X 893 0 true 0 false true CJ false false false false false false false false true false X 11 8 false false false false false false false true true false false false true true true true true true true true false false X X JENNIFER WORSLEY 2528472254 2100 STANTONSBURG ROAD GREENVILLE NC 27835 ANDY TEWARI MD VICE CHAIRMAN 2.0 0 X 0 0 0 BOB GRECZYN CHAIRMAN 2.0 0 X 0 0 0 DEBORAH DAVIS SECRETARY 2.0 2.0 X 0 0 101825 DIANE TAYLOR BOARD MEMBER 2.0 4.0 X 0 0 0 ERNIE EVANS BOARD MEMBER 2.0 2.0 X 0 0 0 JIMMY GARRIS TREASURER 2.0 2.0 X 0 0 0 MARCUS ALBERNAZ MD ASSISTANT SECRETARY 2.0 2.0 X 0 0 0 PHILIP ROGERS BOARD MEMBER 2.0 2.0 X 0 0 0 SHIRLEY CARRAWAY BOARD MEMBER (THRU 12/24) 2.0 0 X 0 0 0 TONY KHOURY BOARD MEMBER (AS OF 03/25) 2.0 2.0 X 0 0 0 VERN DAVENPORT BOARD MEMBER 2.0 2.0 X 0 0 0 WILLIAM MONK JR BOARD MEMBER 2.0 2.0 X 0 0 0 ANDY ZUKOWSKI CHIEF FINANCIAL OFFICER 40.0 10.0 X 902109 0 190261 JAY BRILEY PRESIDENT, ECU HEALTH MEDICAL CENTER 2.0 42.0 X 0 696480 202489 MICHAEL WALDRUM MD CHIEF EXECUTIVE OFFICER 40.0 14.0 X 1759349 0 393250 NITI ARMISTEAD MD CHIEF CLINICAL OFFICER & CHIEF QUALITY OFFICER 40.0 0 X 771115 0 192402 VAN SMITH PRESIDENT, ECU HEALTH COMMUNITY HOSPITALS 40.0 8.0 X 527546 0 205074 WILLIAM FLOYD CHIEF OPERATING OFFICER 40.0 2.0 X 1063343 0 296412 ANDREW MONTGOMERY VP SUPPLY CHAIN 40.0 0 X 384394 0 49493 BRIAN DUNN SVP, FINANCIAL SERVICES 40.0 4.0 X 467705 0 100082 DONNETTE HERRING CHIEF INFORMATION OFFICER 40.0 0 X 640616 0 181465 JAMES WALTON IV VP, FACILITIES AND PROPERTIES 40.0 0 X 228890 0 173524 JENNIFER MARKHAM CHIEF LEGAL OFFICER 40.0 0 X 642088 0 130510 JOSEPH PYE CHIEF MED OFF-AMB QUAL POP HTH 40.0 0 X 462986 0 135920 JULIE OEHLERT CHIEF EXPERIENCE OFFICER 40.0 0 X 538206 0 156408 KELLY WEATHERLY CHIEF HUMAN RESOURCES OFFICER 40.0 0 X 456247 0 97579 MARK DUNN CHIEF DIVERSITY, INCLUSION AND TALENT MGMT 40.0 0 X 183156 0 0 RICHARD MEDFORD CHIEF MEDICAL INFORMATION OFFICER 40.0 0 X 660810 0 76617 RYAN HICKEY CHIEF STRATEGY OFFICER 40.0 0 X 602817 0 199158 TERESA ANDERSON SVP QUALITY 40.0 0.0 X 340147 0 160294 TRISH BAISE CHIEF NURSE EXECUTIVE 40.0 2.0 X 649752 0 144699 CHRISTINA BOWEN CHIEF WELL-BEING OFFICER 40.0 0 X 438817 0 50458 DEAN MINER ASSOCIATE CMIO, AMBULATORY 40.0 0 X 411418 0 93434 JASON BUSKIRK VP, ENTERPRISE DATA & ANALYTICS 40.0 0 X 427447 0 49982 MICHELLE TAYLOR VP, FINANCIAL SVCS-OPERATIONS 0.0 40.0 X 356309 0 159166 SABRINA SIMS VP, REVENUE CYCLE 40.0 0 X 365849 0 63958 DAVID MICHAEL FORMER KEY EMPLOYEE 40.0 0 X 413956 0 92576 VICKI HADDOCK FORMER KEY EMPLOYEE 40.0 0 X 321251 0 211801 14016323 696480 3908837 436 true true false HURON CONSULTING GROUP INC 550 W VAN BUREN STREET SUITE 550 CHICAGO IL 60607 CONSULTING 15675481 GUIDEHOUSE 150 N RIVERSIDE PLAZA SUITE 2100 CHICAGO IL 60606 CONSULTING 9494408 MEDCOST PO BOX 24042 WINSTON SALEM NC 27114 ADMIN FEES 6102496 TEK SYSTEMS PO BOX 198568 ATLANTA GA 303848568 CONSULTING 3581019 PRESS GANEY ASSOCIATES INC PO BOX 88335 MILWAUKEE WI 532880335 SERVICE CONTRACTS 2722447 108 412592 412592 SUPPORTED ORGANIZATIONS 900099 441590171 441590171 0 0 0 0 441590171 7642063 7642063 8280 0 8280 0 8280 8280 8555443 0 0 293662 8555443 -293662 8261781 8261781 0 0 0 0 0 457914887 441598451 0 15903844 X 645800 645800 0 0 15023962 15023962 162742747 162742747 8716384 8716384 28005526 28005526 12431927 12431927 1537562 1537562 54086 54086 414035 414035 1736204 1736204 65945886 32313484 33632402 0 5649722 5649722 9578047 5746828 3831219 32324226 32324226 3341778 3341778 1799487 1799487 23069369 23069369 43094558 43094558 5168598 5168598 MEDICAL SUPPLIES 56728876 56728876 ALL OTHER EXPENSES 2602868 2602868 BAD DEBT 29384 29384 0 0 0 0 480641032 441171728 39469304 0 0 0 7482193 855946 0 0 0 0 0 0 0 0 0 0 3232669 7801684 13922096 15461001 273175716 154924717 109585511 118250999 0 0 0 0 889972 889972 373258137 780444627 508370578 923704229 124174453 116552939 0 0 0 0 557479411 529075274 0 0 0 0 0 0 0 0 79163252 130358214 760817116 775986427 X -252446538 147717802 0 0 -252446538 147717802 508370578 923704229 X -22726145 43373886 379516599 X X false true true false X X 10 PITT COUNTY MEMORIAL HOSPITAL 560585243 3 true 0 0 VIDANT MEDICAL GROUP LLC 383740839 9 true 229612000 0 THE OUTER BANKS HOSPITAL INC 562112733 3 true 0 0 EAST CAROLINA HEALTH 562003393 3 true 0 0 EAST CAROLINA HEALTH - BERTIE 562072002 3 true 0 0 EAST CAROLINA HEALTH - CHOWAN 562101090 3 true 0 0 EAST CAROLINA HEALTH - HERITAGE 562093700 3 true 0 0 EAST CAROLINA HEALTH - BEAUFORT 452436270 3 true 0 0 DUPLIN GENERAL HOSPITAL 566011594 3 true 0 0 HALIFAX REGIONAL MEDICAL CENTER 560989789 3 true 0 0 10 229612000 0 true false false false false false false false false false false false false false false true true true X true true 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 154382 false true 259653 414035 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 1320706 1320706 11992377 5941065 6051312 133557147 82257025 51300122 126305486 66726627 59578859 118250999 ASSETS LTD. FOR IMPROVEMENTS 677065815 OTHER RECEIVABLES 49516251 DEFERRED OUTFLOWS FROM REFUNDING AND PENSION 48286644 OTHER ASSETS 5575874 ASSETS HELD BY TRUSTEE 43 780444627 FEDERAL INCOME TAXES OTHER LIABILITY 87590194 NET PENSION LIABILITY 26265019 DEFERRED INFLOW 9032001 RESERVE FOR PROFESSIONAL LIABILITY 7471000 130358214 X 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE 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. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 73562210 0 0 0 0 0 0 73562210 0 73562210 true false true false false false SCHEDULE F, PART I, LINE 3 METHOD USED TO ACCOUNT FOR EXPENDITURES ON ORG'S FINANCIAL STATEMENTS CENTRAL AMERICA AND THE CARIBBEAN-ACCRUAL true AMERICAN CANCER SOCIETY 250 WILLIAMS STREET NW SUITE 400 ATLANTA GA 303031002 131788491 501(C)(3) 268000 CHARITABLE GREENVILLE-ENC ALLIANCE PO BOX 1714 GREENVILLE NC 27835 561912849 501(C)(3) 100000 CHARITABLE AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 752315129 135613797 501(C)(3) 50000 CHARITABLE NORTH CAROLINA EASTERN ECONOMIC DEVELOPMENT CORP 216 SOUTH BROAD STREET STE 200 EDENTON NC 27932 561995352 501(C)(3) 50000 CHARITABLE CITY OF GREENVILLE-WEST GREENVILLE AFFORDABLE HOUSING 500 S GREENE STREET GREENVILLE NC 27834 566000229 GOVT ENTITY 25000 CHARITABLE-HOUSING NORTH CAROLINA PROFESSIONALS HEALTH PROGRAM 220 HORIZON DRIVE SUITE 201 RALEIGH NC 27615 561846599 501(C)(3) 17000 CHARITABLE GREAT 100 GALA PO BOX 4875 GREENSBORO NC 274044875 561705456 501(C)(3) 15000 CHARITABLE 1-OF-US INC 8024 GLENWOOD AVENUE SUITE 200 RALEIGH NC 27612 274754653 501(C)(3) 10000 CHARITABLE B'NAI B'RITH INTERNATIONAL 1120 20TH STREET NW SUITE 300 NORTH WASHINGTON DC 20036 530179971 501(C)(3) 10000 CHARITABLE LITTLE LEAGUE SOFTBALL PO BOX 4433 GREENVILLE NC 27836 231688231 501(C)(3) 10000 CHARITABLE LUNG CANCER INITIATIVE 5171 GENWOOD AVENUE RALEIGH NC 27612 262300885 501(C)(3) 10000 CHARITABLE RONALD MCDONALD HOUSE 529 MOYE BOULEVARD GREENVILLE NC 27834 561420505 501(C)(3) 10000 CHARITABLE ECU FOUNDATION 1000 E 5TH STREET MAIL STOP 301 GREENVILLE NC 27858 566093187 501(C)(3) 9500 CHARITABLE FOOD BANK OF CENTRAL & EASTERN NC INC 1924 CAPITAL BOULEVARD RALEIGH NC 27604 561283426 501(C)(3) 5000 CHARITABLE NORTH CAROLINA FREE ENTERPRISE FOUNDATION 3700 GLENWOOD AVENUE SUITE 310 RALEIGH NC 27612 561782403 501(C)(3) 5000 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) 5000 CHARITABLE 16 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS 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. X true true X X X X true false false false false false false false false JAY BRILEY PRESIDENT, ECU HEALTH MEDICAL CENTER 0 539950 0 156530 0 0 9213 147012 2667 43597 11880 887089 0 0 MICHAEL WALDRUM MD CHIEF EXECUTIVE OFFICER 1011508 0 729088 0 18753 0 341625 0 51625 0 2152599 0 0 0 VAN SMITH PRESIDENT, ECU HEALTH COMMUNITY HOSPITALS 415805 0 111741 0 0 0 150398 7954 43958 2764 721902 10718 0 0 ANDY ZUKOWSKI CHIEF FINANCIAL OFFICER 704511 0 197598 0 0 0 142069 0 48192 0 1092370 0 0 0 WILLIAM FLOYD CHIEF OPERATING OFFICER 834288 0 229055 0 0 0 230679 14859 48238 2636 1342260 17495 0 0 NITI ARMISTEAD MD CHIEF CLINICAL OFFICER & CHIEF QUALITY OFFICER 600387 0 170728 0 0 0 142545 0 49857 0 963517 0 0 0 VICKI HADDOCK FORMER KEY EMPLOYEE 263322 0 57929 0 0 0 168711 0 43090 0 533052 0 0 0 DAVID MICHAEL FORMER KEY EMPLOYEE 337252 0 76704 0 0 0 42200 0 50376 0 506532 0 0 0 BRIAN DUNN SVP, FINANCIAL SERVICES 380041 0 87664 0 0 0 47900 0 52182 0 567787 0 0 0 TERESA ANDERSON SVP QUALITY 277638 0 62509 0 0 0 113792 0 46502 0 500441 0 0 0 TRISH BAISE CHIEF NURSE EXECUTIVE 431297 0 218455 0 0 0 102031 0 42668 0 794451 0 0 0 MARK DUNN CHIEF DIVERSITY, INCLUSION AND TALENT MGMT 0 0 0 0 183156 0 0 0 0 0 183156 0 0 0 DONNETTE HERRING CHIEF INFORMATION OFFICER 502010 0 138606 0 0 0 132353 0 49112 0 822081 0 0 0 RYAN HICKEY CHIEF STRATEGY OFFICER 470856 0 131961 0 0 0 151520 0 47638 0 801975 0 0 0 JENNIFER MARKHAM CHIEF LEGAL OFFICER 502525 0 139563 0 0 0 101200 0 29310 0 772598 0 0 0 RICHARD MEDFORD CHIEF MEDICAL INFORMATION OFFICER 537852 0 122958 0 0 0 66300 0 10317 0 737427 0 0 0 ANDREW MONTGOMERY VP SUPPLY CHAIN 312908 0 71486 0 0 0 38400 0 11093 0 433887 0 0 0 JULIE OEHLERT CHIEF EXPERIENCE OFFICER 417694 0 120512 0 0 0 109786 0 46622 0 694614 0 0 0 JOSEPH PYE CHIEF MED OFF-AMB QUAL POP HTH 376505 0 86481 0 0 0 88151 0 47769 0 598906 0 0 0 JAMES WALTON IV VP, FACILITIES AND PROPERTIES 184906 0 43984 0 0 0 130427 0 43097 0 402414 0 0 0 KELLY WEATHERLY CHIEF HUMAN RESOURCES OFFICER 353383 0 102864 0 0 0 46900 0 50679 0 553826 0 0 0 MICHELLE TAYLOR VP, FINANCIAL SVCS-OPERATIONS 290640 0 65669 0 0 0 111841 0 47325 0 515475 0 0 0 CHRISTINA BOWEN CHIEF WELL-BEING OFFICER 356813 0 82004 0 0 0 43900 0 6558 0 489275 0 0 0 JASON BUSKIRK VP, ENTERPRISE DATA & ANALYTICS 307255 0 120192 0 0 0 40300 0 9682 0 477429 0 0 0 DEAN MINER ASSOCIATE CMIO, AMBULATORY 332861 0 78557 0 0 0 42400 0 51034 0 504852 0 0 0 SABRINA SIMS VP, REVENUE CYCLE 281481 0 64895 0 19473 0 34682 0 29276 0 429807 0 0 0 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. A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DSP7 2015-04-01 323487711 SEE PART VI false false false B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 000000000 2019-10-23 54065000 SEE PART VI false false false C NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 000000000 2022-03-03 94710000 SEE PART VI false false false D NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 000000000 2022-06-15 149080000 SEE PART VI false false false A 12940000 101920000 331133890 19782750 2579709 170187251 138584180 2018 false true true true B 9510000 54072613 173473 3867613 50031527 2019 true true true true C 17605000 94710000 94710000 false true true true D 46480000 149080000 149080000 true false true true A false false false false false false 0 0 0.0 false false 0 false true B false false false false false false 0 0 0.0 false false 0 false true C false false false false false false 0 0 0.0 false false 0 false true D false false false false false false 0 0 0.0 false false 0 false true A false false false true false false 0 false false false 0 false false true B false false false true false false 0 false false false 0 false false true C false false false true true false 0 false false false 0 false false true D false false true false false false 0 false false false 0 false false true A true B true C true D true 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 A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 000000000 2025-06-02 114075000 SEE PART VI false false false A 0 114075000 114075000 false true true true A false false false false false false 0 0 0.0 false false 0 false true A false false true false false false 0 false false false 0 false false true A true ELE INC ERNEST L. EVANS (BOARD MEMBER) 115404 LEASES OFFICE SPACE TO ECU HEALTH false 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. 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