THE OUTER BANK HOSPITAL INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: THE OUTER BANK HOSPITAL INC (EIN 56-2112733)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-10
IRS object ID: 202622229349301382
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 H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-10T15:17:22+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	562112733	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE OUTER BANKS HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	OUTE	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	CATHY YABLONSKI	PersonNm
Person Title	PRESIDENT	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	OUTER BANKS HEALTH	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CATHY YABLONSKI	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	$154,950,522	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.OUTERBANKSHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2002	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	10	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	76	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$3,165,116	PYContributionsGrantsAmt
CY Contributions Grants	$997,047	CYContributionsGrantsAmt
PY Program Service Revenue	$136,581,520	PYProgramServiceRevenueAmt
CY Program Service Revenue	$147,692,925	CYProgramServiceRevenueAmt
PY Investment Income	$2,199,187	PYInvestmentIncomeAmt
CY Investment Income	$2,238,831	CYInvestmentIncomeAmt
PY Other Revenue	$4,686,577	PYOtherRevenueAmt
CY Other Revenue	$4,021,719	CYOtherRevenueAmt
PY Total Revenue	$146,632,400	PYTotalRevenueAmt
CY Total Revenue	$154,950,522	CYTotalRevenueAmt
PY Grants And Similar Paid	$233,693	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$271,327	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$60,060,423	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$68,261,573	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$75,442,586	PYOtherExpensesAmt
CY Other Expenses	$69,105,441	CYOtherExpensesAmt
PY Total Expenses	$135,736,702	PYTotalExpensesAmt
CY Total Expenses	$137,638,341	CYTotalExpensesAmt
PY Revenues Less Expenses	$10,895,698	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$17,312,181	CYRevenuesLessExpensesAmt
Total Assets BOY	$144,937,932	TotalAssetsBOYAmt
Total Assets EOY	$152,666,321	TotalAssetsEOYAmt
Total Liabilities BOY	$28,460,038	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$29,876,246	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$116,477,894	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$122,790,075	NetAssetsOrFundBalancesEOYAmt
Mission	TO ENHANCE THE QUALITY OF LIFE FOR THE RESIDENTS AND VISITORS OF DARE COUNTY AND THE SURROUNDING REGION BY PROMOTING WELLNESS AND PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$125,799,806	ExpenseAmt
Grant	$271,327	GrantAmt
Revenue	$125,836,894	RevenueAmt
Desc	OUTPATIENT AND EMERGENCY SERVICES: PROVIDED EMERGENCY SERVICES TO 20,276 PATIENTS 24 HOURS A DAY FOR 365 DAYS. PROVIDED OUTPATIENT DIAGNOSTIC AND THERAPEUTIC SERVICES TO 36,182 PATIENTS. PERFORMED 2,096 OUTPATIENT SURGICAL PROCEDURES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$0	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$21,856,031	RevenueAmt
Desc	INPATIENT SERVICES: PROVIDED INPATIENT CARE 24 HOURS A DAY FOR 365 DAYS TO 1,699 PATIENTS. DELIVERED 273 BABIES. PERFORMED 157 INPATIENT SURGICAL PROCEDURES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$125,799,806	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	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	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	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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	false	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	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
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	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	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
Other Website	Yes (X)	OtherWebsiteInd
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	27834	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 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
JAMIE FOUNTAIN MD
BOARD MEMBER	40.0	0	Yes (X)	$443,545	$0	$78,756
JASON HIGGINSON MD
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
JASON WAUGHTEL
VICE CHAIR	2.0	0	Yes (X)	$0	$0	$0
MYRA BOWEN
BOARD MEMBER	2.0	0	Yes (X)	$0	$0	$0
MYRA LADD-BONE
CHAIR	2.0	0	Yes (X)	$0	$0	$0
PETE BURKHIMER
BOARD MEMBER	2.0	0	Yes (X)	$0	$0	$0
REESE JACKSON
BOARD MEMBER	2.0	0	Yes (X)	$0	$0	$0
ROBERT TULL
BOARD MEMBER (THRU 03/25)	2.0	0	Yes (X)	$0	$0	$0
SANDRA BAYNES
BOARD MEMBER (AS OF 06/25)	2.0	0	Yes (X)	$0	$0	$0
SANDY MARTIN
BOARD MEMBER (AS OF 06/25)	2.0	0	Yes (X)	$0	$0	$0
TESS JUDGE
BOARD MEMBER (THRU 03/25)	2.0	0	Yes (X)	$0	$0	$0
VAN SMITH
BOARD MEMBER	2.0	46.0	Yes (X)	$0	$527,546	$205,074
AMY MONTGOMERY
SECRETARY	40.0	0		$176,671	$0	$36,864	Yes (X)
RONALD SLOAN
PRESIDENT	40.0	0		$409,121	$0	$145,578	Yes (X)
MARCELLA BRYANT
VP, CLINICAL OPERATIONS	40.0	0		$245,355	$0	$66,791		Yes (X)
TODD WARLITNER
VP FINANCE-CRITICAL ACCESS HOSPITALS	16.0	24.0		$89,625	$134,438	$63,491		Yes (X)
CHARLES SHELTON
PHYSICIAN	40.0	0		$573,281	$0	$52,046			Yes (X)
CHRISTOPHER MANN
PHYSICIAN	40.0	0		$715,883	$0	$54,467			Yes (X)
GARY HUNTER
ANESTHESIOLOGIST	40.0	0		$564,707	$0	$33,732			Yes (X)
JEFFREY CHASE
PHYSICIAN	40.0	0		$574,975	$0	$50,538			Yes (X)
MATTHEW MCKENNA
PHYSICIAN	40.0	0		$609,482	$0	$56,231			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,402,645	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$661,984	TotReportableCompRltdOrgAmt
Total Other Compensation	$843,568	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	135	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
AMN HEALTHCARE
PO BOX 281923	ATLANTA	GA	30384	TEMP LABOR SERVICES	$3,880,296
SODEXO INC & AFFILIATES
PO BOX 905374	CHARLOTTE	NC	28290	CONTRACT LABOR & MGT	$1,020,805
MEDICAL SOLUTIONS LLC
1010 N 102ND STREET	OMAHA	NE	68114	LOCUMS/TEMP LABOR	$867,262
CHESAPEAKE REGIONAL MEDICAL GROUP
667 KINGSBOROUGH SQUARE	CHESAPEAKE	VA	23320	HOSP/MEDICAL GROUP	$802,694
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	LOCUMS/TEMP LABOR	$656,676

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$997,047	AllOtherContributionsAmt
Total Contributions	$997,047	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OUTPATIENT SERVICES	621110	$125,836,894	$125,836,894
INPATIENT SERVICES	621110	$21,856,031	$21,856,031

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	$147,692,925	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,223,612	TotalRevenueColumnAmt
Exclusion	$2,223,612	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$263,413	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$263,413	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$263,413	TotalRevenueColumnAmt
Exclusion	$263,413	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$15,219	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$15,219	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,219	TotalRevenueColumnAmt
Exclusion	$15,219	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
OTHER REVENUE	900099	$3,444,640	$3,444,640
CAFETERIA MEALS	722514	$228,973	$228,973
REBATES	900099	$52,666	$52,666

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,027	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$32,027	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,758,306	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$154,950,522	TotalRevenueColumnAmt
Related Or Exempt Func Income	$147,692,925	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$6,260,550	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	$271,327	TotalAmt
Program Services	$271,327	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	$1,899,545	TotalAmt
Management And General	$1,899,545	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$54,506,410	TotalAmt
Program Services	$53,288,924	ProgramServicesAmt
Management And General	$1,217,486	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,421,821	TotalAmt
Program Services	$1,350,730	ProgramServicesAmt
Management And General	$71,091	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,573,872	TotalAmt
Program Services	$6,541,912	ProgramServicesAmt
Management And General	$31,960	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,859,925	TotalAmt
Program Services	$3,666,929	ProgramServicesAmt
Management And General	$192,996	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$48,172	TotalAmt
Program Services	$38,537	ProgramServicesAmt
Management And General	$9,635	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,805	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,805	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$47,161	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$47,161	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,598	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,598	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$33,323,712	TotalAmt
Program Services	$26,658,969	ProgramServicesAmt
Management And General	$6,664,743	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$659,514	TotalAmt
Program Services	$527,611	ProgramServicesAmt
Management And General	$131,903	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$440,408	TotalAmt
Program Services	$396,367	ProgramServicesAmt
Management And General	$44,041	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$67,624	TotalAmt
Program Services	$13,525	ProgramServicesAmt
Management And General	$54,099	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,138,919	TotalAmt
Program Services	$911,135	ProgramServicesAmt
Management And General	$227,784	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$266,756	TotalAmt
Program Services	$213,405	ProgramServicesAmt
Management And General	$53,351	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$334,050	TotalAmt
Management And General	$334,050	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,960,392	TotalAmt
Program Services	$4,960,392	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$774,207	TotalAmt
Program Services	$154,841	ProgramServicesAmt
Management And General	$619,366	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$23,702,354	$23,702,354
BAD DEBT	$2,163,162	$2,163,162
ALL OTHER EXPENSES	$1,174,607	$939,686	$234,921

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	$137,638,341	TotalAmt
Program Services	$125,799,806	ProgramServicesAmt
Management And General	$11,838,535	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	$28,499,435	BOYAmt
EOY	$18,895,272	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	$18,353,363	BOYAmt
EOY	$21,677,614	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	$2,094,352	BOYAmt
EOY	$2,071,000	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$230,410	BOYAmt
EOY	$182,752	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$123,454,747	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$61,239,134	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$57,042,002	BOYAmt
EOY	$62,215,613	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$31,854,989	BOYAmt
EOY	$41,101,841	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	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,863,381	BOYAmt
EOY	$6,522,229	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$144,937,932	BOYAmt
EOY	$152,666,321	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$25,004,588	BOYAmt
EOY	$27,480,069	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	$0	BOYAmt
EOY	$0	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	$3,455,450	BOYAmt
EOY	$2,396,177	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,460,038	BOYAmt
EOY	$29,876,246	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	$116,477,894	BOYAmt
EOY	$122,790,075	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	$116,477,894	BOYAmt
EOY	$122,790,075	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$144,937,932	BOYAmt
EOY	$152,666,321	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$17,312,181	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$11,000,000	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)
Hospital	Yes (X)	HospitalInd

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	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$2,598	OtherActivitiesAmt
Total Lobbying Expenditures	$2,598	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	18.81% OF DUES TO NCHA ARE ALLOCATED TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,525,175	OtherCostOrOtherBasisAmt
Book Value	$5,525,175	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$72,808,662	OtherCostOrOtherBasisAmt
Depreciation	$34,043,971	DepreciationAmt
Book Value	$38,764,691	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$464,435	OtherCostOrOtherBasisAmt
Depreciation	$464,435	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,728,285	OtherCostOrOtherBasisAmt
Depreciation	$22,491,035	DepreciationAmt
Book Value	$9,237,250	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,928,190	OtherCostOrOtherBasisAmt
Depreciation	$4,239,693	DepreciationAmt
Book Value	$8,688,497	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$62,215,613	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
DUE TO THIRD PARTY PAYORS	$2,124,177
RESERVE FOR PROFESSIONAL LIABILITY	$272,000

Field	Value	IRS element (for citing)
Total Liability	$2,396,177	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$152,787,360	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$152,787,360	RevenueSubtotalAmt
Other Revenues Not Included	$2,163,162	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,163,162	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$154,950,522	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$135,475,179	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$135,475,179	ExpensesSubtotalAmt
Other Expenses Not Included	$2,163,162	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$2,163,162	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$137,638,341	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE	THE OUTER BANKS HOSPITAL, INC. HAS BEEN DETERMINED TO QUALIFY AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE OUTER BANKS HOSPITAL, INC. HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND HAS CONCLUDED THAT NO MATERIAL LIABILITIES EXIST AS OF SEPTEMBER 30, 2025 AND 2024. THE OUTER BANKS HOSPITAL, INC. FILES TAX RETURNS WITH THE U.S. FEDERAL AND STATE OF NORTH CAROLINA JURISDICTIONS. WITH FEW EXCEPTIONS, THE OUTER BANKS HOSPITAL, INC. IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2022.
SCHEDULE D, PART XI, LINE 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS	BAD DEBT - 2163162
SCHEDULE D, PART XII, LINE 4(B) OTHER EXPENSES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS	BAD DEBT - 2163162

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,477,984	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,477,984	NetCommunityBenefitExpnsAmt
Total Expense	0.04044	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,807,956	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,322,761	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$14,285,940	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,322,761	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,477,984	NetCommunityBenefitExpnsAmt
Total Expense	0.04044	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	4461	PersonsServedCnt
Total Community Benefit Expns	$639,458	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$639,458	NetCommunityBenefitExpnsAmt
Total Expense	0.00472	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	113	PersonsServedCnt
Total Community Benefit Expns	$213,176	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$213,176	NetCommunityBenefitExpnsAmt
Total Expense	0.00157	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	37057	PersonsServedCnt
Total Community Benefit Expns	$263,411	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$263,411	NetCommunityBenefitExpnsAmt
Total Expense	0.00194	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	41631	PersonsServedCnt
Total Community Benefit Expns	$1,116,045	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,116,045	NetCommunityBenefitExpnsAmt
Total Expense	0.00824	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	41631	PersonsServedCnt
Total Community Benefit Expns	$15,401,985	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,322,761	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,594,029	NetCommunityBenefitExpnsAmt
Total Expense	0.04867	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$32,797	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,797	NetCommunityBenefitExpnsAmt
Total Expense	0.00024	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$11,817	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,817	NetCommunityBenefitExpnsAmt
Total Expense	0.00009	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$51,942	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$51,942	NetCommunityBenefitExpnsAmt
Total Expense	0.00038	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	15	PersonsServedCnt
Total Community Benefit Expns	$1,537	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,537	NetCommunityBenefitExpnsAmt
Total Expense	0.00001	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$8,317	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,317	NetCommunityBenefitExpnsAmt
Total Expense	0.00006	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	47	PersonsServedCnt
Total Community Benefit Expns	$14,021	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,021	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	62	PersonsServedCnt
Total Community Benefit Expns	$120,431	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$120,431	NetCommunityBenefitExpnsAmt
Total Expense	0.00089	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$993,797	BadDebtExpenseAmt
Reimbursed By Medicare	$31,248,324	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$31,569,561	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$321,237	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE OUTER BANKS HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4800 SOUTH CROATAN HIGHWAY	AddressLine1Txt
City	NAGS HEAD	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27959	ZIPCd

Field	Value	IRS element (for citing)
State License	H0273	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	THE OUTER BANKS HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	THE HOSPITAL MAKES ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND MOST RECENTLY ADOPTED IMPLEMENTATION ST	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	THE HOSPITAL MAKES ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND MOST RECENTLY ADOPTED IMPLEMENTATION ST	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1	FACILITY , 1 - THE OUTER BANKS HOSPITAL, INC.. INPUT WAS GATHERED FROM A BROAD RANGE OF REMARKABLE LEADERS AND STAKEHOLDERS ACROSS DARE COUNTY WHO ARE PASSIONATE ABOUT THE HEALTH AND WELLBEING OF THE RESIDENTS. THE OUTER BANKS HOSPITAL DIRECTLY COLLABORATED WITH DARE COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT. ADDITIONAL PARTNERS PARTICIPATING IN THE PLANNING, DATA REVIEW, AND PRIORITIZATION PROCESS FOR THE MOST RECENT DARE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED: COMMUNITY CARE CLINIC OF DARE, DARE COUNTY EMERGENCY MEDICAL SERVICES, DARE COUNTY HEALTH & HUMAN SERVICES, DARE COUNTY SHERIFF'S OFFICE, GEM ADULT DAY SERVICES, INTERFAITH COMMUNITY OUTREACH, INC., OUTER BANKS COMMUNITY FOUNDATION, OUTER BANKS DEMENTIA TASK FORCE, AND OUTER BANKS RELIEF FOUNDATION. THESE STAKEHOLDERS REPRESENT HEALTHCARE DELIVERY, PUBLIC HEALTH, EMERGENCY SERVICES, SOCIAL SERVICES, NONPROFIT COMMUNITY ASSISTANCE, AGING SERVICES, AND DIRECT COMMUNITY REPRESENTATION, REFLECTING A BROAD CROSS-SECTION OF COMMUNITY INTERESTS. PRIMARY AND SECONDARY DATA WERE COLLECTED AND REVIEWED BETWEEN FEBRUARY AND JULY 2024. PRIMARY DATA WAS COLLECTED THROUGH A COMMUNITY OPINION SURVEY, THREE FOCUS GROUPS, AND 15 KEY INFORMANT INTERVIEWS. THE LEADERSHIP TEAM USED GRASS ROOT EFFORTS TO DISTRIBUTE THE COMMUNITY HEALTH OPINION SURVEY TO A BROAD RANGE OF PEOPLE IN THE COMMUNITY, TARGETING DIFFERENT INCOME LEVELS, INCLUDING UNDERSERVED MEMBERS OF THE COMMUNITY, THE ELDERLY, AND THE GENERAL POPULATION. MORE THAN 1,200 SURVEYS WERE COMPLETED BY INDIVIDUALS LIVING, WORKING OR RECEIVING HEALTHCARE IN THE COMMUNITY. THE SURVEY WAS AVAILABLE IN BOTH ENGLISH AND SPANISH. THE THREE FOCUS GROUPS CONDUCTED CONNECTED WITH OVER 25 COMMUNITY MEMBERS. SECONDARY DATA PROVIDED OBJECTIVE MEASURES OF HEALTH STATUS AND DISPARITIES. THIS DATA INCLUDED DEMOGRAPHIC, SOCIOECONOMIC, HEALTH BEHAVIOR, DISEASE PREVALENCE, AND HEALTH CARE ACCESS INDICATORS DERIVED FROM PUBLICLY AVAILABLE SOURCES SUCH AS THE NORTH CAROLINA DATA PORTAL, COUNTY HEALTH RANKINGS, THE AMERICAN COMMUNITY SURVEY, AND OTHER STATE AND FEDERAL DATASETS. THESE INDICATORS ALLOWED THE HOSPITAL AND COLLABORATING PARTNERS TO CONTEXTUALIZE COMMUNITY REPORTED NEEDS WITHIN BROADER POPULATION LEVEL TRENDS. ADDITIONALLY, THE COUNTY CHNA'S WERE PART OF THE HEALTH ENC COLLABORATIVE ALIGNING THE CHNA CYCLE WITH 34 ADDITIONAL COUNTIES IN EASTERN NC. THIS ALIGNMENT PLANS TO PROMOTE COMMUNITY HEALTH IMPROVEMENT ACTIVITIES ACROSS COUNTY LINES.
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1	FACILITY , 1 - THE OUTER BANKS HOSPITAL, INC.. OUTER BANKS HOSPITAL COLLABORATED WITH DARE COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT.
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1	FACILITY , 1 - THE OUTER BANKS HOSPITAL, INC.. THE LEADERSHIP AND PARTNERSHIP GROUP MENTIONED IN PART V SECTION B LINE 5 HAVE A LONG HISTORY OF WORKING TOGETHER ON COMMUNITY NEEDS. TOGETHER, BASED ON THE DATA, THE GROUP DISCUSSED RESOURCES AVAILABLE AND THE ROLES OF THE PARTNERS, AS NO ONE ORGANIZATION CAN ADDRESS THE COMMUNITY HEALTH NEEDS ALONE, WHEN THEY CHOSE THE PRIORITIES FOR THE OUTER BANKS HOSPITAL. THE PRIORITIES APPROVED BY THE OUTER BANKS BOARD OF DIRECTORS WERE ACCESS TO CARE, MENTAL HEALTH, AND SUBSTANCE ABUSE. THE OUTER BANKS BOARD OF DIRECTORS ALSO APPROVED AN "ON-GOING" SET OF IMPLEMENTATION STRATEGIES FOR THE HOSPITAL TO ADDRESS FOR THE THREE-YEAR CYCLE. KEY INITIATIVES INCLUDE: ACCESS TO CARE: PREVENTIVE SERVICES AND SCREENINGS: DELIVER COMMUNITY-BASED HEALTH EDUCATION AND SCREENINGS, INCLUDING CANCER SCREENINGS, CHRONIC DISEASE SCREENING, BLOOD PRESSURE MONITORING, AND WELLNESS EDUCATION IN COMMUNITY SETTINGS. WORKFORCE DEVELOPMENT AND CAREER PROMOTION: PROMOTE HEALTHCARE CAREERS THROUGH STUDENT PROGRAMS, CAREER FAIRS, VOLUNTEER OPPORTUNITIES, AND PARTNERSHIPS WITH LOCAL SCHOOLS AND COLLEGES. COMMUNITY EDUCATION AND ENGAGEMENT: PROVIDE CPR AND AED TRAINING, ADVANCE CARE PLANNING EDUCATION, MATERNAL AND CHILD HEALTH CLASSES, STROKE EDUCATION, AND COMMUNITY WELLNESS PROGRAMS. EXPANDED PRIMARY AND SPECIALTY CARE ACCESS: ENHANCE ACCESS THROUGH PARTNERSHIPS WITH PRIMARY AND SPECIALTY CARE PRACTICES, TELEHEALTH SERVICES, EXTENDED APPOINTMENT AVAILABILITY, AND PROVIDER RECRUITMENT AND RETENTION INITIATIVES. MENTAL HEALTH: COMMUNITY-BASED EDUCATION AND TRAINING: OFFER MENTAL HEALTH FIRST AID TRAINING AND MENTAL HEALTH AWARENESS INITIATIVES TO REDUCE STIGMA AND IMPROVE RECOGNITION OF WARNING SIGNS. TELEHEALTH MENTAL HEALTH SERVICES: EXPAND ACCESS TO THERAPY AND PSYCHIATRIC SUPPORT THROUGH VIRTUAL VISITS INTEGRATED INTO PRIMARY CARE AND OUTPATIENT SETTINGS. COMMUNITY BENEFIT GRANT INVESTMENTS: SUPPORT LOCAL ORGANIZATIONS DELIVERING MENTAL HEALTH PREVENTION, EARLY INTERVENTION, AND RESILIENCE-BUILDING PROGRAMS THROUGH COMMUNITY BENEFIT GRANTS. WELLNESS AND SUPPORTIVE PROGRAMS: IMPLEMENT GROUP-BASED AND WELLNESS-ORIENTED PROGRAMS THAT SUPPORT EMOTIONAL WELL-BEING, STRESS REDUCTION, SOCIAL CONNECTION, AND QUALITY OF LIFE. COMMUNITY COLLABORATION: PARTICIPATE IN LOCAL COALITIONS FOCUSED ON MENTAL HEALTH AWARENESS, SUICIDE PREVENTION, AND SYSTEM IMPROVEMENT. SUBSTANCE USE: PREVENTION AND HARM REDUCTION: CONDUCT MEDICATION COLLECTION EVENTS TO SAFELY DISPOSE OF UNUSED MEDICATIONS AND REDUCE MISUSE RISK. COMMUNITY BENEFIT GRANT INVESTMENTS: FUND LOCAL PREVENTION, EARLY INTERVENTION, AND TREATMENT PROGRAMS ADDRESSING SUBSTANCE USE THROUGH COMMUNITY BENEFIT GRANTS. TOBACCO AND ALCOHOL USE REDUCTION: OFFER EVIDENCE-BASED TOBACCO CESSATION SERVICES AND ALCOHOL USE REDUCTION COACHING INTEGRATED INTO CLINICAL AND WELLNESS SERVICES. COMMUNITY COALITION PARTICIPATION: COLLABORATE WITH LOCAL PARTNERS AND TASK FORCES FOCUSED ON OPIOID MISUSE PREVENTION, RECOVERY SUPPORT, AND BEHAVIORAL HEALTH SYSTEM IMPROVEMENT. HOLISTIC WELLNESS PROMOTION: INTEGRATE SUBSTANCE USE PREVENTION MESSAGING AND SUPPORTS INTO BROADER COMMUNITY WELLNESS AND LIFESTYLE INITIATIVES.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7 FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AT COST	COSTS WERE CALCULATED USING THE ESTIMATED COST TO CHARGE RATIO FROM THE NORTH CAROLINA HOSPITAL ASSOCIATION'S ADVOCACY NEEDS DATA INITIATIVE WHICH IS THE STANDARD FOR REPORTING COMMUNITY BENEFITS IN NORTH CAROLINA. DURING MARCH 2023, THE HEALTHCARE ACCESS AND STABILIZATION PROGRAM (HASP) WAS ENACTED BY THE STATE OF NORTH CAROLINA AND IS A FEDERALLY FUNDED PROGRAM THROUGH THE CENTER FOR MEDICARE & MEDICAID SERVICES (CMS) TO ENHANCE MEDICAID REIMBURSEMENT. HASP WAS SPECIFICALLY DESIGNED TO STRENGTHEN VULNERABLE RURAL HOSPITALS, SUCH AS THOSE IN THE ECU HEALTH SYSTEM, AND PROVIDE THEM FINANCIAL STABILITY TO CARE FOR ALL MEMBERS OF THEIR COMMUNITY. FOR THE YEAR ENDED SEPTEMBER 30, 2025, ECU HEALTH RECOGNIZED $401.9 MILLION, NET OF ASSESSMENTS OF APPROXIMATELY $102.7 MILLION, AS NET PATIENT SERVICE REVENUE OF $299.2 MILLION. THE HASP PROGRAM BRINGS REIMBURSEMENTS IN LINE MORE CLOSELY WITH THE ACTUAL COST OF CARE, HELPING TO STABILIZE OUR HEALTHCARE SAFETY NET. THESE FUNDS PLAY A CRITICAL ROLE IN ALLOWING ECU HEALTH TO FULFIL ITS COMMITMENT TO THE CARE AND WELL-BEING OF THE PATIENTS WE SERVE AND ALLOWS US TO FOCUS ON PROVIDING SAFE, HIGH-QUALITY CARE TO ALL, REGARDLESS OF A PATIENT'S ABILITY TO PAY. MEDICAID EXPANSION BROUGHT HEALTHCARE COVERAGE TO PATIENTS IN OUR ECU HEALTH SERVICE AREA WHO WERE PREVIOUSLY UNINSURED, THEREBY IMPROVING HEALTH OUTCOMES AND FINANCIAL SECURITY FOR MANY FAMILIES. GOING FORWARD, HASP PAYMENTS, AND A HIGHER HOSPITAL TAX, ALSO HAS A NEW REQUIREMENT THAT HOSPITALS AGREE TO A MEDICAL DEBT INCENTIVE PROGRAM. HOSPITALS ARE NOT RECEIVING NEW MONEY TO IMPLEMENT THE MEDICAL DEBT MITIGATION PLAN, RATHER, HOSPITALS LIKE ECU HEALTH ARE RECEIVING THE FULL AMOUNT OF REIMBURSEMENT OWED TO THEM BY PARTICIPATING IN THE PLAN. MEDICAL DEBT IS A COMPLEX ISSUE AND CAN NOT BE SOLVED SOLELY BY HOSPITALS AND HEALTHCARE PROVIDERS. THERE IS SIGNIFICANT WORK TO BE DONE TO DEVELOP FINANCIALLY SUSTAINABLE SOLUTIONS TO ADDRESS MEDICAL DEBT THAT INCLUDES HEALTH INSURANCE PLANS, PROVIDERS, EMPLOYERS, BUSINESS LEADERS AND GOVERNMENT PARTNERS. NORTH CAROLINA HOSPITALS MAY CHOOSE TO IMPLEMENT A MEDICAL DEBT RELIEF PROGRAM TO MAXIMIZE MEDICAID REIMBURSEMENT UNDER HASP. UNDER THE PROGRAM, HOSPITALS MUST RELIEVE ALL MEDICAL DEBT DEEMED UNCOLLECTIBLE DATING BACK TO JANUARY 1, 2024, WITH A TEN YEAR LOOK BACK PERIOD, FOR ANY PATIENTS WHO ARE NORTH CAROLINA RESIDENTS ACTIVELY ENROLLED IN MEDICAID OR MANAGED MEDICAID, ARE BELOW CERTAIN FEDERAL POVERTY LEVELS, OR MEET OTHER CRITERIA. DURING THE YEAR ENDED SEPTEMBER 30, 2025, ECU HEALTH AMENDED ITS PATIENT FINANCIAL ASSISTANCE POLICIES TO ADHERE TO THE REQUIRED ELIGIBILITY REQUIREMENTS OF THE PROGRAM. MOST PEOPLE STRUGGLING WITH MEDICAL DEBT ARE INSURED. NO MATTER HOW GENEROUS, HOSPITAL FINANCIAL ASSISTANCE WILL NEVER BE A SUBSTITUTE FOR A HEALTH INSURANCE PLAN THAT COVERS PREVENTIVE AND NECESSARY CARE AT AN AFFORDABLE PRICE ON THE FRONT AND BACK END OF COVERAGE. ECU HEALTH PROVIDES HIGH-QUALITY CARE FOR EVERYONE WHO WALKS THROUGH OUR DOORS, REGARDLESS OF THEIR ABILITY TO PAY. INABILITY TO PAY FOR SERVICES SHOULD NOT DETER ANYONE FROM SEEKING NEEDED MEDICAL CARE. THAT IS WHY ECU HEALTH HAS DEVELOPED AND COMMITTED TO PRINCIPLES AND GUIDELINES FOR ASSISTING UNINSURED PATIENTS, AS WELL AS UNDERINSURED PATIENTS, AND GUIDELINES FOR DEBT COLLECTION, THAT PROVIDE SIGNIFICANT PATIENT ASSISTANCE AND PROTECTION. ECU HEALTH IS COMMITTED TO HELPING PATIENTS PLAN FOR MEDICAL BILLS BY OFFERING FINANCIAL COUNSELING AND FINANCIAL ASSISTANCE PROGRAMS AND WORK HARD TO INFORM PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICIES. IN 2025, ECU HEALTH PROVIDED $98.4 MILLION IN CHARITY CARE AND FORGAVE $8.3 MILLION IN BAD DEBT.
SCHEDULE H, PART I, LINE 7 OTHER BENEFITS	COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS (E) OUTER BANKS HOSPITAL COMMUNITY HEALTH IMPROVEMENT SERVICES TOTALED $148,123 IN REPORTED EXPENSE AND SERVED 4,461 INDIVIDUALS. KEY COST COMPONENTS INCLUDED ADVANCE CARE PLANNING OF $34,831 , COMMUNITY HEALTH IMPROVEMENT OF $104,713, AND HEALTH EDUCATION - COMMUNITY OF $8,579. TO ILLUSTRATE THE COMMUNITY HEALTH IMPROVEMENT EXPENSE, A CHRONIC CARE NURSE NAVIGATOR HAD 516.0 STAFF HOURS, $37,689 IN EXPENSE, AND 181 PERSONS SERVED; THIS WORK INCLUDED DIABETES EDUCATION, STROKE RISK REDUCTION EDUCATION, COMMUNITY PRESENTATIONS, AND SUPPORT PROGRAMMING (INCLUDING A MONTHLY STROKE SUPPORT NETWORK). COMMUNITY HEALTH IMPROVEMENT INCLUDED $59,308 IN EXPENSE CAPTURED FOR "COMMUNITY HEALTH IMPROVEMENT FY 24-25 $7,716 FOR THE UNITE US PLATFORM THAT SUPPORTS SCREENING FOR HEALTH-RELATED SOCIAL NEEDS AND SOCIAL CARE REFERRALS (NC CARE360/UNITE US), WITH THE PLATFORM NOTED AS A SHARED ANNUAL COST ALLOCATION ACROSS ENTITIES. HEALTH EDUCATION FOR THE COMMUNITY TOTALED $8,579 AND SERVED 3,486 INDIVIDUALS, WITH 174.0 STAFF HOURS REPORTED IN THE EXTENDED REPORT'S PROGRAM TOTALS. EXAMPLES INCLUDE RECURRING "EAT THE RAINBOW" COMMUNITY NUTRITION EDUCATION AT LOCAL FARMERS MARKETS (E.G., $418 EXPENSES WITH 100 PERSONS SERVED AT ONE EVENT, AND $418 EXPENSES WITH 176 PERSONS SERVED AT ANOTHER EVENT), AND A STROKE AWARENESS WALK WITH $220 IN EXPENSE AND 75 PERSONS SERVED. THESE EXAMPLES DEMONSTRATE HOW REPORTED HEALTH EDUCATION DOLLARS SUPPORTED COMMUNITY-BASED PREVENTION EDUCATION AND ENGAGEMENT OPPORTUNITIES OFFERED AT NO OR NOMINAL COST TO PARTICIPANTS, CONSISTENT WITH COMMUNITY HEALTH IMPROVEMENT INTENT. THE COMMUNITY BENEFIT OPERATIONS COST OF $491,335 PAYS FOR FIVE STAFF MEMBERS WHO SPENT 5,928 HOURS PLANNING, COORDINATING, AND PROMOTING COMMUNITY HEALTH PROGRAMS ACROSS DARE COUNTY, PLUS THE SUPPLIES, SOFTWARE, AND MATERIALS THEY NEED TO DO THAT WORK. THE COMMUNITY HEALTH IMPROVEMENT SERVICES COST OF $148,123, ON THE OTHER HAND, ONLY COVERS THE ACTUAL PROGRAM COSTS, FOR EXAMPLE, THE NURSE WHO DOES DIABETES EDUCATION AND STROKE PREVENTION. THE STAFF AND OVERHEAD COSTS THAT MAKE THOSE PROGRAMS HAPPEN ARE COUNTED SEPARATELY UNDER OPERATIONS. OUTER BANKS HOSPITAL PROVIDED COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, REPORTING 12 ACTIVITIES THAT SERVED 4,461 INDIVIDUALS, WITH A TOTAL COMMUNITY BENEFIT EXPENSE OF $639,458, NO OFFSETTING REVENUE, AND A NET COMMUNITY BENEFIT EXPENSE OF $639,458. HEALTH PROFESSIONS EDUCATION (F) OUTER BANKS HOSPITAL SUPPORTED HEALTH PROFESSIONS EDUCATION BY PROVIDING CLINICAL TRAINING SETTINGS, PRECEPTORSHIPS, AND EDUCATIONAL SUPPORT FOR FUTURE HEALTHCARE PROFESSIONALS. THE HOSPITAL REPORTED 3 ACTIVITIES, SERVING 113 INDIVIDUALS, WITH A TOTAL COMMUNITY BENEFIT EXPENSE OF $213,176 AND NET COMMUNITY BENEFIT EXPENSE OF $213,176. REPORTED HEALTH PROFESSIONS EDUCATION EXPENSE INCLUDES NURSING INTERNSHIPS/PRECEPTORSHIPS OF $75,287, OTHER ALLIED HEALTH PROFESSIONS EDUCATION OF $106,814, AND HEALTH PROFESSIONS EDUCATION SCHOLARSHIPS/TUITION ASSISTANCE OF $31,075. NURSING CLINICAL ROTATIONS TOTALED 1,030 STAFF HOURS (44 LEARNERS SERVED; $75,287 TOTAL EXPENSE) AND 1,456.1 STAFF HOURS FOR ALLIED HEALTH CLINICAL ROTATIONS (46 LEARNERS SERVED; $106,814 TOTAL EXPENSE). EXAMPLES OF NURSING TRAINING INCLUDE COLLEGE OF THE ALBEMARLE NURSING STUDENT ROTATIONS (E.G., $25,243 EXPENSE SUPPORTING 8 STUDENTS IN ONE ROTATION WITH 345.6 STAFF HOURS). EXAMPLES OF ALLIED HEALTH TRAINING INCLUDE CLINICAL ROTATIONS FOR SURGICAL TECHNOLOGISTS ($8,450 EXPENSE SUPPORTING 2 LEARNERS WITH 115.2 STAFF HOURS) AND PHYSICAL THERAPY STUDENTS (E.G., $10,563 EXPENSE SUPPORTING 2 LEARNERS WITH 144 STAFF HOURS). TUITION ASSISTANCE AND SCHOLARSHIPS TOTALED $31,075, AND THE EXTENDED REPORT DOCUMENTS SUPPORT FOR 23 HIGH SCHOOL STUDENTS WITH A STATED $23,000 SCHOLARSHIP AMOUNT TOWARD HEALTHCARE-FOCUSED COLLEGE TUITION, WITH THE PROGRAM OVERSEEN BY A NURSE EDUCATOR. CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT (I) THE OUTER BANKS HOSPITAL REPORTED $263,411 IN TOTAL CASH AND IN KIND CONTRIBUTIONS, BENEFITING 37,057 PERSONS, WITH DOCUMENTED EXAMPLES INCLUDING COMMUNITY BENEFIT GRANT FUNDING OF $155,500 SUPPORTING COMMUNITY HEALTH INITIATIVES AND PROGRAMS ALIGNED WITH IDENTIFIED COMMUNITY NEEDS. ADDITIONAL DOCUMENTED CASH CONTRIBUTIONS INCLUDE A $64,000 DONATION SUPPORTING THE COMMUNITY CARE CLINIC, DOCUMENTED AS SALARY SUPPORT TO EXPAND ACCESS TO CARE FOR UNDERSERVED POPULATIONS. IN KIND CONTRIBUTIONS TOTALED $43,911 AND REFLECT BENEVOLENT CASE MANAGEMENT ASSISTANCE, PROVIDING DIRECT SUPPORT TO INDIVIDUALS EXPERIENCING FINANCIAL HARDSHIP. DOCUMENTED BLOOD DRIVE ACTIVITY TOTALED $6,636 IN EXPENSE, SUPPORTING COMMUNITY BLOOD COLLECTION EFFORTS DURING MULTIPLE BLOOD DRIVE EVENTS HOSTED THROUGHOUT THE FISCAL YEAR.
SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT REPORT PREPARED BY RELATED ORGANIZATION	ECU HEALTH PREPARES THE COMMUNITY BENEFIT REPORT. THE NUMERIC DATA IN THIS REPORT IS BASED ON THE FORM 990, SCHEDULE H CRITERIA.
SCHEDULE H, PART I, LINE 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION	2163162
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES	DURING THE REPORTING PERIOD, OUTER BANKS HOSPITAL REPORTED SIX COMMUNITY BUILDING ACTIVITIES UNDER SCHEDULE H, PART II, SERVING 62 PERSONS, WITH A TOTAL COMMUNITY BENEFIT EXPENSE OF $120,431, NO DIRECT OFFSETTING REVENUE AND NET COMMUNITY BENEFIT EXPENSE OF $120,431. THESE ACTIVITIES WERE REPORTED ACROSS SIX CATEGORIES: COMMUNITY SUPPORT OF $51,942, PHYSICAL IMPROVEMENTS/HOUSING OF $32,797, WORKFORCE DEVELOPMENT OF $14,021, ECONOMIC DEVELOPMENT OF $11,817, COALITION BUILDING OF $8,317, AND LEADERSHIP DEVELOPMENT AND TRAINING OF $1,537. FIVE OF THESE ACTIVITIES REFLECTED DEDICATED STAFF AND LEADERSHIP TIME SERVING ON COMMUNITY BOARDS, COMMITTEES, AND TASK FORCES THAT ADDRESS THE SOCIAL AND ECONOMIC CONDITIONS UNDERLYING COMMUNITY HEALTH IN DARE COUNTY. THIS INCLUDED PARTICIPATION ON HOUSING-RELATED BOARDS AND COMMITTEES FOR $32,797; BROAD COMMUNITY SUPPORT PARTNERSHIPS FOR $51,942; LOCAL ECONOMIC DEVELOPMENT ENGAGEMENT FOR $11,817; HEALTH-FOCUSED COALITION BUILDING FOR $8,317; AND LEADERSHIP DEVELOPMENT AND TRAINING FOR $1,537, WHICH SERVED 15 INDIVIDUALS. ALTHOUGH THESE ENGAGEMENTS ARE NOT DIRECT CLINICAL SERVICES, THEY STRENGTHEN COMMUNITY INFRASTRUCTURE AND THE LOCAL SYSTEMS THAT SUPPORT ACCESS TO CARE AND SERVICES IN A RURAL COASTAL COMMUNITY. THE HOSPITAL'S REMAINING COMMUNITY BUILDING ACTIVITY FOCUSED ON WORKFORCE DEVELOPMENT THROUGH HEALTH CAREERS PROMOTION OF $14,021, SERVING 47 PERSONS, DESIGNED TO STRENGTHEN THE HEALTHCARE WORKFORCE PIPELINE IN A RURAL COASTAL COMMUNITY. SUPPORTING DETAIL INCLUDES A HEALTHCARE CAREERS EXPLORATION PROGRAM WITH ONE-DAY STUDENT EXPERIENCES (E.G., $1,445 IN EXPENSE SUPPORTING 20 STUDENTS AND 33 STAFF HOURS) AND STUDENT INTERN/SHADOWING EXPERIENCES (E.G., $7,096 SUPPORTING 5 STUDENTS AND 162 STAFF HOURS; AND $5,480 SUPPORTING 7 STUDENTS AND 125.1 STAFF HOURS), WITH PROGRAM TOTALS OF $14,021 AND 47 PERSONS SERVED. THESE ACTIVITIES PROMOTE COMMUNITY HEALTH BY INCREASING AWARENESS OF HEALTHCARE CAREER PATHWAYS AND BUILDING LONGER-TERM CAPACITY TO SUPPORT ACCESS TO CARE IN REGIONS FACING PERSISTENT STAFFING CONSTRAINTS.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT	BAD DEBT IS BASED ON AGING CATEGORIES, CURRENT ECONOMIC CONDITIONS AND HISTORICAL COLLECTION EXPERIENCE; AND IS RECORDED IN THE PERIOD IN WHICH COLLECTION IS CONSIDERED DOUBTFUL.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY	IN CONNECTION WITH THE PRESUMPTIVE ELIGIBILITY CONSIDERATION OF THE AFFORDABLE CARE ACT, THE OUTER BANKS HOSPITAL DOES NOT REFLECT ANY BAD DEBT IN CONNECTION WITH FAP-ELIGIBLE PATIENTS. THESE PATIENTS ARE PRESUMED TO BE PART OF THE MEDICAID POPULATION AND AFFORDED COVERAGE AS SUCH.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	THE FINANCIAL STATEMENTS OF THE OUTER BANKS HOSPITAL ARE PRESENTED ON A STAND ALONE BASIS; THE TEXT OF THE FOOTNOTE FROM PAGE 20 IS PRESENTED BELOW: PATIENT ACCOUNTS RECEIVABLE, NET PATIENT ACCOUNTS RECEIVABLES ARE REPORTED NET OF ESTIMATED ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS AND ALLOWANCES FOR BAD DEBTS AND ARE RECORDED IN THE PERIOD IN WHICH COLLECTION IS CONSIDERED DOUBTFUL. ESTIMATED ALLOWANCES FOR BAD DEBTS ARE APPROXIMATELY $8.3 MILLION AS OF SEPTEMBER 30, 2025.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	THE SHORTFALL OF MEDICARE REVENUE TO MEDICARE WAS CALCULATED ACCORDING TO THE COST TO CHARGE RATIO. ALLOWABLE COSTS OF CARE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE IN THE AREA SERVED BY THE OUTER BANKS HOSPITAL, THERE ARE NO OTHER PROVIDERS AVAILABLE TO PROVIDE THE REQUIRED SERVICES. THEREFORE, THE CARE WOULD BECOME A GOVERNMENT OBLIGATION AND IS TREATED AS A COMMUNITY BENEFIT PROVIDED BY THE OUTER BANKS HOSPITAL.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	RECOMMENDED PATIENT ACCOUNTS WILL CONTINUE TO GO THROUGH THE ACCOUNTS RECEIVABLE BILLING CYCLE AS NORMAL. WHEN THE ACCOUNT REACHES THE CUSTOMER SERVICE/COLLECTIONS MANAGER, FINANCIAL COUNSELING SUPERVISOR OR PATIENT ACCOUNTS SUPERVISOR, BASED ON THE INFORMATION GIVEN, A DECISION WILL BE MADE WHETHER TO PROCEED WITH COLLECTION OR REFER THE ACCOUNT FOR APPROVAL OF CHARITY CARE. THE PROCESS WILL OCCUR AS FOLLOWS: I. FINANCIAL COUNSELORS WILL TRY TO LOCATE THIRD PARTY PAYORS. IF NOT ELIGIBLE FOR ANY THIRD-PARTY COVERAGE (INCLUDING CHARITIES), THEY MAY, BASED UPON THE FINANCIAL INFORMATION RECEIVED, RECOMMEND THE PATIENT FOR CHARITY CARE. II. PATIENT COUNSELORS WILL REVIEW FOR ANY THIRD-PARTY PAYORS AND VERIFY EMPLOYMENT AND ASSETS. A CHARITY CARE APPLICATION WILL NEED TO BE COMPLETED ALONG WITH TAX RETURN, PAY STUBS, SOCIAL SECURITY AWARD LETTER AND OTHER FINANCIAL INFORMATION AS MAY BE REQUIRED. III. THE PATIENT ACCOUNTS SUPERVISOR, FINANCIAL COUNSELING SUPERVISOR OR CUSTOMER SERVICE/COLLECTIONS MANAGER, BASED UPON ACCOUNT BALANCE AND THE INFORMATION GIVEN, WILL MAKE A DECISION WHETHER TO PROCEED WITH COLLECTION OR REFER THE PATIENT ACCOUNT FOR APPROVAL FOR CHARITY CARE. PRESUMPTIVE ELIGIBILITY FOR CHARITY CARE - THERE ARE OCCASIONS IN WHICH A PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE DISCOUNT, BUT THERE IS NO FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO SUPPORT FINANCIAL AID. A. SOME PATIENTS ARE PRESUMED TO BE ELIGIBLE FOR CHARITY CARE DISCOUNTS ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES (E.G., HOMELESSNESS PATIENTS WITH NO INCOME, BANKRUPTCY, DECEASED PATIENTS WITH NO ESTATE OR SPOUSE, ETC.) B. THROUGH THE ASSISTANCE OF A THIRD-PARTY VENDOR AND CERTAIN ALGORITHMS, IN CONJUNCTION WITH OUR CHARITY POLICY GUIDELINES, ALL ACCOUNTS, PRIOR TO OUTSIDE COLLECTION AGENCY REFERRAL, WILL BE TESTED FOR PRESUMPTIVE CHARITY. C. THE ACCOUNTS DEEMED CHARITY WILL BE ADJUSTED OFF AND THE REMAINING ACCOUNTS WILL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY. D. ONCE THE AGENCY HAS HAD THE ACCOUNTS FOR SIX MONTHS AND HAS DEEMED THEM UNCOLLECTIBLE, THE ACCOUNTS WITH BALANCES OF $1,580 OR GREATER WILL REMAIN WITH THE AGENCY AND BE KEPT ON THE PATIENT'S CREDIT FILE. E. THE ACCOUNTS RETURNED TO THE HOSPITAL WILL BE PLACED IN A UNIQUE FINANCIAL CLASS AND WILL NOT BE PURSUED FOR COLLECTIONS.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	- THE OUTER BANKS HOSPITAL, INC.: LINE 16A URL: HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSISTANCE/;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	- THE OUTER BANKS HOSPITAL, INC.: LINE 16B URL: HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSISTANCE/;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	- THE OUTER BANKS HOSPITAL, INC.: LINE 16C URL: HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSISTANCE/;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	THE ORGANIZATION ASSESSES COMMUNITY NEED IN CONJUNCTION WITH THE STATE AFFILIATED COUNTY HEALTH DEPARTMENTS AND OTHER LOCAL HEALTH CARE ORGANIZATIONS. THIS HAS BEEN DESCRIBED IN DETAIL IN SCHEDULE H, PART V, SECTION C, LINES 5 AND 11.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	INFORMATION IS AVAILABLE ON THE ORGANIZATION'S WEBSITE AND AT REGISTRATION FOR PATIENTS. IN ADDITION, FACE TO FACE FINANCIAL COUNSELING IS AVAILABLE TO PATIENTS AND THEIR FAMILIES IN THE CENTRAL BUSINESS OFFICE.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	THE PRIMARY SERVICE AREA FOR THE OUTER BANKS HOSPITAL ENCOMPASSES DARE COUNTY. DARE COUNTY IS LOCATED ALONG THE COAST IN NORTHEASTERN NORTH CAROLINA. THE SIX MUNICIPALITIES WITHIN DARE COUNTY INCLUDE DUCK, SOUTHERN SHORES, KITTY HAWK, KILL DEVIL HILLS, NAGS HEAD, AND MANTEO. ADDITIONAL COMMUNITIES INCLUDE AVON, BUXTON, FRISCO, HATTERAS, MANNS HARBOR, RODANTHE, AND WANCHESE. THE MOST RECENT CHNA INDICATES: DARE COUNTY HAS A POPULATION OF 38,482 MAKING UP LESS THAN 1% OF NORTH CAROLINA'S TOTAL POPULATION. THE POPULATION OF THE COUNTY IS PROJECTED TO GROW 0.56% ANNUALLY BETWEEN NOW AND 2029. RACE AND ETHNICITY: DARE COUNTY'S RACIAL COMPOSITION DIFFERS SIGNIFICANTLY FROM STATE AND NATIONAL AVERAGES. NON-HISPANIC WHITE RESIDENTS MAKE UP THE LARGEST RACIAL GROUP AT 84.4%, WHICH IS NOTABLY HIGHER THAN BOTH NORTH CAROLINA (61.2%) AND UNITED STATES (60.6%) FIGURES. NON-HISPANIC BLACK RESIDENTS COMPRISE JUST 1.9% OF THE POPULATION, CONSIDERABLY LOWER THAN STATE (20.4%) AND NATIONAL (12.5%) AVERAGES. THE COUNTY HAS LOWER PERCENTAGES OF ASIAN (0.8%), AMERICAN INDIAN ALASKA NATIVE (0.5%), AND NATIVE HAWAIIAN PACIFIC ISLANDER (0.0%) POPULATIONS COMPARED TO STATE AND NATIONAL FIGURES. THE PERCENTAGE OF RESIDENTS IDENTIFYING AS TWO OR MORE RACES (6.2%) IS LOWER THAN THE STATE AVERAGE (7.2%). BY ETHNICITY, 7.4% OF DARE COUNTY'S POPULATION IS HISPANIC. THIS IS LOWER THAN THE STATE PROPORTION (11.4%). AGE AND SEX: THE AGE DISTRIBUTION OF DARE COUNTY SKEWS OLDER COMPARED TO STATE AND NATIONAL AVERAGES. DARE HAS A LOWER PERCENTAGE OF RESIDENTS BELOW AGE 15 (14.9%) COMPARED TO NORTH CAROLINA (17.9%) AND THE UNITED STATES (18.1%). THE PERCENTAGE OF RESIDENTS BETWEEN 15 AND 44 (33.0%) IS ALSO LOWER THAN STATE (39.3%) AND NATIONAL (39.5%) FIGURES. HOWEVER, DARE COUNTY HAS HIGHER PERCENTAGES OF RESIDENTS AGED 45-64 (29.6%) AND 65 AND OLDER (22.5%) COMPARED TO BOTH STATE AND NATIONAL AVERAGES. THE SEX DISTRIBUTION IN DARE COUNTY IS NEARLY BALANCED, WITH FEMALES MAKING UP 49.9% AND MALES 50.1% OF THE POPULATION. LANGUAGE: APPROXIMATELY 8.1% OF DARE COUNTY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, COMPARED TO AROUND 12.7% OF NORTH CAROLINA RESIDENTS. APPROXIMATELY 7.0% OF COUNTY RESIDENTS SPEAK SPANISH AT HOME, SUGGESTING A PREDOMINANCE OF ENGLISH SPEAKERS. DISABILITY STATUS: IN DARE COUNTY THE DISABILITY RATE (11%) IS LOWER THAN THE STATE AVERAGE OF 13.3%. VETERAN STATUS: VETERANS MAKE UP NEARLY 9% OF DARE COUNTY'S POPULATION, A SLIGHTLY HIGHER PROPORTION COMPARED TO NORTH CAROLINA (7.8%). ECONOMIC INDICATORS: DARE COUNTY IS RANKED AS A TIER 2 COUNTY BY THE NC DEPARTMENT OF COMMERCE. DARE COUNTY'S MEDIAN HOUSEHOLD INCOME OF $73,526 WAS HIGHER THAN THE MEDIAN HOUSEHOLD INCOME IN NORTH CAROLINA OF $64,316. THE OVERALL UNEMPLOYMENT RATE IN DARE COUNTY (5.1%) MATCHES THE STATE AVERAGE (5.1%) AND IS HIGHER THAN THE NATIONAL AVERAGE (3.9%). IN DARE COUNTY 5.4% OF HOUSEHOLDS WERE BELOW THE FEDERAL POVERTY LEVEL (FPL) - ROUGHLY HALF THE PROPORTION IN THE STATE (10.1%) AND NATION (9.5%). DARE COUNTY HAS A SMALLER PROPORTION OF RESIDENTS RECEIVING FOOD STAMPS/SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (8%) COMPARED TO NORTH CAROLINA (13.4%) INDICATING A LOWER LEVEL OF FOOD INSECURITY AMONG COUNTY HOUSEHOLDS. ADDITIONALLY, SEE INFORMATION POSTED AT HTTPS://WWW.ECUHEALTH.ORG/ABOUT-US/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	THIS HAS BEEN DESCRIBED IN DETAIL IN SCHEDULE H, PART V, SECTION C, LINES 5 AND 11. ADDITIONALLY, SEE INFORMATION POSTED AT HTTPS://WWW.ECUHEALTH.ORG/ABOUT-US/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	OUR MISSION AT ECU HEALTH IS TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA. OUR VISION IS TO BECOME THE NATIONAL MODEL FOR RURAL HEALTH AND WELLNESS BY CREATING A PREMIER, TRUSTED HEALTH CARE DELIVERY SYSTEM WHILE REMAINING TRUE TO OUR VALUES OF INTEGRITY, COMPASSION, EDUCATION, ACCOUNTABILITY, SAFETY AND TEAMWORK. OUR OPERATIONAL IMPERATIVES DRIVE ECU HEALTH PERFORMANCE AND OUTCOMES. THESE IMPERATIVES ARE EXPERIENCE, FINANCE, QUALITY, WELL-BRING, EQUITY & INCLUSION. WE KEEP PATIENTS, FAMILIES, TEAM MEMBERS AND COMMUNITIES AT THE CENTER OF EVERYTHING THAT WE DO. WE ARE MANAGING LIVES THROUGH A MODERN DELIVERY SYSTEM OF HEALTH CARE IN AN ACADEMIC AND RURAL SETTING TO DELIVER SAFE, HIGHLY RELIABLE HUMAN CENTERED CARE. ECU HEALTH IS A NORTH CAROLINA NON-PROFIT CORPORATION WITH HEADQUARTERS IN GREENVILLE, NORTH CAROLINA. ECU HEALTH AND ITS AFFILIATES OPERATE AN INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT SERVES A TOTAL MARKET OF APPROXIMATELY 1.4 MILLION PEOPLE IN 29 CONTIGUOUS COUNTIES IN EASTERN NORTH CAROLINA. THE HEALTH SYSTEM INCLUDES HOSPITALS, PHYSICIAN PRACTICES, OUTPATIENT SERVICES, HOME HEALTH, HOSPICE, AND WELLNESS SERVICES. THE HEALTH SYSTEM'S OWNED HOSPITALS ARE ECU HEALTH MEDICAL CENTER, WHICH IS A TERTIARY CARE HOSPITAL AND AN ACADEMIC MEDICAL CENTER, THAT INCLUDES THE ECU HEALTH BEAUFORT HOSPITAL AS A DEPARTMENT OPERATING AS A CAMPUS OF ECU HEALTH MEDICAL CENTER AND SEVEN OTHER ACUTE CARE HOSPITALS: ECU HEALTH ROANOKE-CHOWAN HOSPITAL, ECU HEALTH EDGECOMBE HOSPITAL, ECU HEALTH CHOWAN HOSPITAL, ECU HEALTH BERTIE HOSPITAL, ECU HEALTH DUPLIN HOSPITAL, ECU HEALTH NORTH HOSPITAL, AND THE OUTER BANKS HOSPITAL. ECU HEALTH MEDICAL CENTER SERVES AS THE TEACHING HOSPITAL FOR THE BRODY SCHOOL OF MEDICINE, EAST CAROLINA SCHOOLS OF NURSING AND ALLIED HEALTH, PITT COMMUNITY COLLEGE AND BEAUFORT COMMUNITY COLLEGE. THE SYSTEM ALSO SERVES AS A REGIONAL REFERRAL CENTER FOR EASTERN NORTH CAROLINA. IN OUR RURAL HEALTH CARE SETTING, WE ARE FACED WITH UNIQUE CHALLENGES. ONE OF THE CHALLENGES IS ACCESS TO CARE. FACTORS INFLUENCING ACCESS INCLUDE PATIENT FACTORS SUCH AS TRANSPORTATION NEEDS AS WELL AS PROVIDER AND STAFFING SHORTAGES. SHORTAGES IN STAFFING INFLATE THE COST OF PROVIDING CARE THROUGH THE USE OF LOCUM AND TEMPORARY LABOR AND CAUSE ADDITIONAL FINANCIAL STRAINS RELATED TO THE HIGH PERCENTAGE OF GOVERNMENT PAYORS AS WELL AS THE UNINSURED POPULATION IN OUR REGION. ALL COUNTIES IN WHICH ECU HEALTH OPERATES ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). AS A RESULT, OUR EMERGENCY DEPARTMENTS BECOME A PRIMARY CARE ACCESS POINT AND CAUSE OVERLOAD ON THE SYSTEM WHICH RESULT IN CAPACITY CONSTRAINTS FOR BEDS NEEDED FOR ADMISSIONS AND BOARDERS WAITING FOR TRANSFERS TO BEHAVIORAL HEALTH FACILITIES. ECU HEALTH HAS MADE A CONSCIOUS DECISION TO PROVIDE CERTAIN SERVICES FOR THE BENEFIT OF THE COMMUNITY ALTHOUGH VOLUMES ARE NOT LARGE ENOUGH TO GENERATE A PROFIT. ONE EXAMPLE OF THESE SERVICES ARE OB SERVICES WHERE LESS THAN 1 BABY IS BORN A DAY IN SOME OF OUR REGIONAL HOSPITALS; HOWEVER, DUE TO OUR RURAL NATURE WE BELIEVE IT WOULD BE DETRIMENTAL TO OUR COMMUNITY TO NOT MAINTAIN THESE SERVICES. ECU HEALTH IS CONTINUOUSLY COLLABORATING ON WAYS TO INCREASE ACCESS SUCH AS THROUGH USE OF TELEMEDICINE TO PROVIDE HIGH LEVEL CARE TO OUR REGIONAL HOSPITALS BY USING RESOURCES AT OUR ACADEMIC MEDICAL CENTER TO KEEP PATIENTS CLOSE TO HOME WHEN POSSIBLE. ADDITIONALLY. SEE INFORMATION POSTED AT HTTPS://WWW.ECUHEALTH.ORG/ABOUT-US/COMMUNITY/HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	NC

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
COMMUNITY CARE CLINIC OF DARE
PO BOX 1000	MANTEO	NC	27954	202230717	501 (C) (3)	$85,000	SUPPORT IN HIRING EXECUTIVE DIRECTOR
COLLEGE OF THE ALBEMARLE FOUNDATION
PO BOX 2327	ELIZABETH CITY	NC	27906	581399254	501 (C) (3)	$23,000	COMMUNITY OUTREACH
INTERFAITH COMMUNITY
PO BOX 87	NAGS HEAD	NC	27959	223902355	501 (C) (3)	$20,000	COMMUNITY BENEFIT GRANT PROGRAM
OUTER BANKS COMMUNITY FOUNDATION
PO BOX 1100	KILL DEVIL HILLS	NC	27948	581516313	501(C) (3)	$15,000	COMMUNITY BENEFIT GRANT PROGRAM
CAPE HATTERAS UNITED METHODIST MEN
PO BOX 672	BUXTON	NC	27920	561215425	501(C) (3)	$10,000	COMMUNITY BENEFIT GRANT PROGRAM
DARE COUNTY HEALTH DEPARTMENT
109 EXETER ST	MANTEO	NC	27954	566000293	GOVT ENTITY	$8,500	COMMUNITY BENEFIT GRANT PROGRAM
CHILDREN & YOUTH PARTNERSHIP
PO BOX 2539	KILL DEVIL HILLS	NC	27948	561885539	501(C) (3)	$8,000	COMMUNITY BENEFIT GRANT PROGRAM
OUTER BANKS DEMENTIA FRIENDLY COALITION
PO BOX 752	KITTY HAWK	NC	27949	850522723	501(C) (3)	$7,550	EVENT SPONSORSHIP
DARE COUNTY TRANSPORTATION
954 MARSHALL C COLLINS DR	MANTEO	NC	27954	566000293	GOVT ENTITY	$7,500	COMMUNITY BENEFIT GRANT PROGRAM
CROSS ROADS OBX ASSOCIATION
111 W CARLTON AVE	KILL DEVIL HILLS	NC	27948	372004420	501(C) (3)	$7,500	COMMUNITY BENEFIT GRANT PROGRAM
OUTER BANKS CHAMBER OF COMMERCE
PO BOX 1757	KILL DEVIL HILLS	NC	27948	560899110	501(C) (3)	$7,500	EVENT SPONSORSHIP
NC AQUARIUM SOCIETY
3125 POPLARWOOD CT STE 160	RALEIGH	NC	27604	561512990	501(C) (3)	$7,500	COMMUNITY BENEFIT GRANT PROGRAM
OBX ROOM IN THE INN
PO BOX 2786	KILL DEVIL HILLS	NC	27948	455030512	501(C) (3)	$7,500	COMMUNITY BENEFIT GRANT PROGRAM

Field	Value	IRS element (for citing)
Total501c3 Org	13	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	TOBH 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)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	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 (11 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
VAN SMITH
BOARD MEMBER	$0	$415,805	$0	$111,741	$0	$0	$0	$158,352	$0	$46,722	$0	$732,620	$0	$0
JAMIE FOUNTAIN MD
BOARD MEMBER	$320,994	$0	$122,551	$0	$0	$0	$29,948	$0	$48,808	$0	$522,301	$0	$0	$0
AMY MONTGOMERY
SECRETARY	$175,171	$0	$1,500	$0	$0	$0	$0	$0	$36,864	$0	$213,535	$0	$0	$0
RONALD SLOAN
PRESIDENT	$317,063	$0	$92,058	$0	$0	$0	$88,174	$0	$57,404	$0	$554,699	$0	$0	$0
TODD WARLITNER
VP FINANCE-CRITICAL ACCESS HOSPITALS	$72,632	$108,949	$16,993	$25,489	$0	$0	$9,444	$14,165	$15,953	$23,929	$115,022	$172,532	$0	$0
MARCELLA BRYANT
VP, CLINICAL OPERATIONS	$197,276	$0	$48,079	$0	$0	$0	$25,899	$0	$40,892	$0	$312,146	$0	$0	$0
JEFFREY CHASE
PHYSICIAN	$566,642	$0	$8,333	$0	$0	$0	$0	$0	$50,538	$0	$625,513	$0	$0	$0
GARY HUNTER
ANESTHESIOLOGIST	$564,707	$0	$0	$0	$0	$0	$0	$0	$33,732	$0	$598,439	$0	$0	$0
CHRISTOPHER MANN
PHYSICIAN	$540,351	$0	$175,532	$0	$0	$0	$0	$0	$54,467	$0	$770,350	$0	$0	$0
MATTHEW MCKENNA
PHYSICIAN	$546,091	$0	$63,391	$0	$0	$0	$0	$0	$56,231	$0	$665,713	$0	$0	$0
CHARLES SHELTON
PHYSICIAN	$539,085	$0	$34,196	$0	$0	$0	$0	$0	$52,046	$0	$625,327	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION	FormAndLineReferenceDesc
Explanation	THE TOP MANAGEMENT OFFICIAL IS THE PRESIDENT WHO IS AN EMPLOYEE OF TOBH. 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.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION	OVERVIEW OF UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA: OUR MISSION AT ECU HEALTH IS TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA. OUR MISSION, VISION AND VALUES CONTINUE TO LEAD US ON A VOYAGE TO EXCELLENCE. BECAUSE THE PEOPLE WE TAKE CARE OF ARE OUR NEIGHBORS, FRIENDS AND FAMILY THEY DESERVE THE BEST. ECU HEALTH IS A NORTH CAROLINA NON-PROFIT CORPORATION WITH HEADQUARTERS IN GREENVILLE, NORTH CAROLINA. ECU HEALTH AND ITS AFFILIATES OPERATE AN INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT SERVES A TOTAL MARKET OF APPROXIMATELY 1.4 MILLION PEOPLE IN 29 CONTIGUOUS COUNTIES IN EASTERN NORTH CAROLINA. THE HEALTH SYSTEM INCLUDES HOSPITALS, PHYSICIAN PRACTICES, OUTPATIENT SERVICES, HOME HEALTH, HOSPICE, AND WELLNESS SERVICES. THE HEALTH SYSTEM'S OWNED HOSPITALS ARE ECU HEALTH MEDICAL CENTER, WHICH IS A TERTIARY CARE HOSPITAL AND AN ACADEMIC MEDICAL CENTER, THAT INCLUDES THE ECU HEALTH BEAUFORT HOSPITAL AS A DEPARTMENT OPERATING AS A CAMPUS OF ECU HEALTH MEDICAL CENTER AND SEVEN OTHER ACUTE CARE HOSPITALS: ECU HEALTH ROANOKE-CHOWAN HOSPITAL, ECU HEALTH EDGECOMBE HOSPITAL, ECU HEALTH CHOWAN HOSPITAL, ECU HEALTH BERTIE HOSPITAL, ECU HEALTH DUPLIN HOSPITAL, ECU HEALTH NORTH HOSPITAL, AND THE OUTER BANKS HOSPITAL. ECU HEALTH MEDICAL CENTER SERVES AS THE TEACHING HOSPITAL FOR THE BRODY SCHOOL OF MEDICINE, EAST CAROLINA SCHOOLS OF NURSING AND ALLIED HEALTH, PITT COMMUNITY COLLEGE AND BEAUFORT COMMUNITY COLLEGE. THE SYSTEM ALSO SERVES AS A REGIONAL REFERRAL CENTER FOR EASTERN NORTH CAROLINA. THE SYSTEM'S NINE OWNED HOSPITALS ARE LICENSED TO OPERATE 1,708 BEDS. EACH HOSPITAL IS LICENSED BY THE DIVISION OF FACILITY SERVICES OF THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES AND APPROVED AS A PROVIDER BY THE MEDICARE AND MEDICAID PROGRAMS. ECU HEALTH AND ITS HOSPITALS AND AFFILIATE ORGANIZATIONS PROVIDE SERVICES TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. IN FISCAL YEAR 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 COALITIONS, TASK FORCES, AND PHYSICIANS IDENTIFY A QUANTIFIABLE NEED, AND COMMUNITY PARTNERS ARE ENGAGED TO WORK TOGETHER WITH THE HEALTH SYSTEM. 2. FUNDING FOR COMMUNITY HEALTH PROGRAMS IS OBTAINED FROM BOTH THE OPERATING FUNDS OF ECU HEALTH ENTITIES AND EXTERNAL GRANT-AWARDING ORGANIZATIONS. THE ECU HEALTH BOARD ANNUALLY PROVIDES FINANCIAL SUPPORT FOR THE COMMUNITY BENEFIT INITIATIVES PROGRAM BASED WITHIN EACH ECU HEALTH HOSPITAL. FUNDS ARE AWARDED TO COMMUNITY AGENCIES THAT SUCCESSFULLY DEMONSTRATE BOTH NEED AND A WELL-DESIGNED PLAN TO ADDRESS ONE OF THE HEALTH PRIORITIES IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT PROCESS. THESE FUNDS ARE THEN AWARDED TO COMMUNITY AGENCIES THAT SUCCESSFULLY DEMONSTRATE BOTH NEED AND A WELL-DESIGNED PLAN TO ADDRESS ONE OF THE FOUNDATION'S PRIORITY CATEGORIES. IN ADDITION, EACH ECU HEALTH HOSPITAL FINANCIALLY SUPPORTS COMMUNITY HEALTH RESOURCES WITHIN ITS OPERATING BUDGET. PROGRAMS VARY ACCORDING TO THE HOSPITAL'S FINANCIAL ABILITY AND COMMUNITY NEED, BUT ALL INCLUDE COLLABORATIVE EFFORTS WITH LOCAL HEALTH DEPARTMENTS, INCLUDING HEALTH SCREENINGS AND EDUCATION TO TARGETED POPULATIONS. ECU HEALTH ALSO HAS A SUCCESSFUL TRACK RECORD OF OBTAINING COMMUNITY HEALTH PROGRAM SUPPORT FROM EXTERNAL AGENCIES THAT AWARD GRANT FUNDING TO APPROVE PROJECTS. THE ECU HEALTH GRANTS OFFICE WAS ESTABLISHED IN 2008 AND SERVES AS THE CENTRAL POINT FOR GRANT MINING, ACQUISITION AND MANAGEMENT OF GRANTS AWARDED TO ECU HEALTH HOSPITALS FOR COMMUNITY-BASED PROGRAMS. GRANT FUNDS ARE UTILIZED TO DEMONSTRATE THE EFFECTIVENESS OF A PROPOSED COMMUNITY PROGRAM, MEASURE THE OUTCOMES ACHIEVED, AND GARNER LONG-TERM SUSTAINABILITY FROM EITHER THE HEALTH SYSTEM, OTHER COMMUNITY AGENCIES OR AS A COLLABORATIVE PROGRAM. MANY COMMUNITY HEALTH PROGRAMS ARE COLLABORATIVE IN NATURE WITH LOCAL SERVICE AGENCIES, AND OFTEN A PORTION OF THE GRANT FUNDS ARE USED TO SUPPORT RESOURCES OR SERVICES IN THESE AGENCIES 3. COMMUNITY HEALTH PRIORITIES ARE DETERMINED FOLLOWING THE COMPLETION OF A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES INPUT FROM COMMUNITY MEMBERS RECEIVED THROUGH COMMUNITY SURVEYS AND FOCUS GROUP DISCUSSIONS, AS WELL AS A REVIEW OF SECONDARY HEALTH DATA. COMMUNITY ALLIANCES, PARTNERS AND ORGANIZATIONS, INCLUDING LOCAL HEALTH DEPARTMENTS, PARTICIPATE IN THIS REVIEW. A LIST OF THE MOST PRESSING HEALTH ISSUES ARE COMPILED FOR EACH COMMUNITY AND THEN PRIORITIZED FOLLOWING AN ASSESSMENT OF CURRENT HEALTH RESOURCES TO ADDRESS THE IDENTIFIED HEALTH ISSUES. ESTABLISHED RESOURCES/COALITIONS AND NEW PARTNERSHIPS ARE FORMED TO ADDRESS THE IDENTIFIED HEALTH PRIORITIES 4. COMMUNITY HEALTH PRIORITIES ARE ALSO ESTABLISHED IN RESPONSE TO A COMPELLING NEED IDENTIFIED BY HEALTH PRACTITIONERS OR COMMUNITY GROUPS. ECU HEALTH IS FORTUNATE TO HAVE A STRONG COLLABORATIVE PARTNERSHIP WITH EAST CAROLINA UNIVERSITY AND WORKS CLOSELY WITH THE SCHOOLS WITHIN THE HEALTH SCIENCES DIVISION, ESPECIALLY THE BRODY SCHOOL OF MEDICINE. PROVIDED BELOW ARE A FEW HIGHLIGHTS OF THE COMMUNITY BENEFIT AND EDUCATION ACTIVITIES: COMMUNITY HEALTH IMPROVEMENT SERVICES: COMMUNITY HEALTH IMPROVEMENT SERVICES ARE PROGRAMS AND SERVICES THAT MEET AN IDENTIFIED NEED AND ARE OFFERED TO THE COMMUNITY AT LITTLE OR NO CHARGE. ECU HEALTH HOSPITALS SPONSOR PROGRAMS THAT IMPROVE ACCESS TO HEALTH CARE FOR THE UNDERSERVED AND ENHANCE THE IDENTIFICATION AND MANAGEMENT OF CHRONIC DISEASES, SUCH AS CANCER, DIABETES AND HEART DISEASE. HERE ARE A FEW EXAMPLES OF THESE PROGRAMS: - MEDICAL ASSISTANCE PROGRAMS FOR UNINSURED PATIENTS - SUPPORT FOR COMMUNITY COALITIONS FOCUSED ON HEALTH - SUPPORT OF LOCAL FEDERALLY QUALIFIED HEALTH CENTER - SUPPORT FOR HEALTHY NEIGHBORS FAITH HEALTH PARTNERSHIP - SUPPORT FOR SCHOOL HEALTH PARTNERSHIP
FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION (CONTINUATION)	HEALTH PROFESSIONAL EDUCATION: PREPARING FUTURE HEALTH CARE PROFESSIONALS IS IMPORTANT TO US. OUR HOSPITALS PROVIDE CLINICAL SETTINGS FOR STUDENTS OF HEALTH PROFESSIONS, SUCH AS FUTURE PHYSICIANS, NURSES AND OTHER ALLIED HEALTH PROFESSIONALS. WE ALSO SUPPORT STUDENTS THROUGH DEFERRED FORGIVABLE LOANS AND INTERNSHIPS INCLUDING RESIDENT TRAINING, NURSING CLINIC SITES, ALLIED HEALTH PROFESSIONALS, AND FINANCIAL SUPPORT OF NURSING PROGRAMS. RESEARCH: EAST CAROLINA UNIVERSITY (ECU) CONDUCTS RESEARCH TO EVALUATE NEW TREATMENTS AND PROTOCOLS. THESE STUDIES HELP HEALTH PROFESSIONALS EVERYWHERE PROVIDE QUALITY CARE TO PATIENTS. ECU HEALTH SUPPORTS THIS THROUGH VARIOUS MEANS INCLUDING SUPPORTING THE INSTITUTIONAL REVIEW BOARD AT ECU AND PROVIDING STUDY SITES. FINANCIAL AND IN-KIND CONTRIBUTIONS: ECU HEALTH DONATES MONEY AND IN-KIND SERVICES TO COMMUNITY GROUPS AND ACTIVITIES THAT SHARE OUR MISSION OF IMPROVING HEALTH. THEY INCLUDE MEALS ON WHEELS, THE BLOOD CONNECTION BLOOD DRIVES, MEDICAL SUPPLIES TO EMERGENCY MEDICAL SERVICES, FREE MEDICATIONS TO QUALIFYING PATIENTS, AND LOCAL HIGH SCHOOL AND COMMUNITY COLLEGE ALLIED HEALTH PROGRAMS. ECU HEALTH HOSPITALS ARE KEY PARTNERS IN FUNDRAISING FOR ORGANIZATIONS SUCH AS THE UNITED WAY, AMERICAN HEART ASSOCIATION, AND THE AMERICAN CANCER SOCIETY. COMMUNITY BUILDING: COMMUNITY-BUILDING ACTIVITIES INCLUDE PROGRAM 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 COMPENSATION IS DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE ECU HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. THIS PROCESS IS PERFORMED EVERY YEAR. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS ALSO DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE ECU HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. THIS PROCESS IS PERFORMED EVERY YEAR. ALL COMPENSATION DISCUSSIONS AND ACTIONS ARE DOCUMENTED AND APPROVED IN THE MINUTES OF THE COMMITTEE.
FORM 990, PART VI, LINE 1A DELEGATE BROAD AUTHORITY TO A COMMITTEE	THE BOARD OF DIRECTORS MAY CREATE AN EXECUTIVE COMMITTEE CONSISTING OF TWO OR MORE VOTING MEMBERS. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE, IN THE INTERIM BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, AND EXCEPT AS OTHER PROVIDED IN SECTION 8 OF THE BYLAWS, ALL THE POWERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS	ACCORDING TO THE ORGANIZATION'S AMENDED AND RESTATED BYLAWS, ARTICLE II, THE ORGANIZATION HAS TWO MEMBERS, EAST CAROLINA HEALTH AND CHESAPEAKE HOSPITAL AUTHORITY.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	EACH MEMBER HAS THE RIGHT TO APPOINT BOARD MEMBERS. EAST CAROLINA HEALTH APPOINTS 6 BOARD MEMBERS AND CHESAPEAKE HOSPITAL AUTHORITY APPOINTS 4 BOARD MEMBERS.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	THE FOLLOWING ACTIONS SHALL NOT BE TAKEN WITHOUT UNANIMOUS CONSENT OF THE MEMBERS: (A) POSSESS PROPERTY. POSSESS CORPORATION PROPERTY FOR OTHER THAN A PURPOSE OF THE CORPORATION; OR ASSIGN, TRANSFER, OR PLEDGE THE RIGHTS OF THE CORPORATION IN SPECIFIC PROPERTY, FOR OTHER THAN THE EXCLUSIVE BENEFIT OF THE CORPORATION. (B) INVEST FUNDS. EMPLOY, OR PERMIT TO BE EMPLOYED, THE FUNDS OR ASSETS OF THE CORPORATION IN ANY MANNER EXCEPT FOR THE EXCLUSIVE BENEFIT OF THE CORPORATION; OR COMMINGLE THE CORPORATION'S FUNDS WITH ITS OWN OR ANY OTHER PERSON'S FUNDS; (C) ADDITIONAL CAPITAL CONTRIBUTIONS. CAUSE THE CORPORATION TO REQUIRE ADDITIONAL CAPITAL CONTRIBUTIONS BEYOND THE AMOUNTS NECESSARY TO COVER THE COST OF THE CORPORATION'S CERTIFICATE OF NEED PROJECT FOR THE DEVELOPMENT OF AN ACUTE CARE HOSPITAL IN DARE COUNTY, INCLUDING THE ACQUISITION OF REAL PROPERTY AND WORKING CAPITAL, WHICH THE MEMBERS HAVE ALREADY SPECIFICALLY COMMITTED; (D) ADMIT MEMBERS. CAUSE THE CORPORATION TO ADMIT NEW MEMBERS; (E) MERGE OR DISSOLUTION. CAUSE THE CORPORATION TO MERGE WITH OR INTO ANY OTHER ENTITY OR ANY ENTITY TO MERGE WITH OR INTO THE CORPORATION OR CAUSE THE CORPORATION TO DISSOLVE; (F) AMENDMENT. AMEND THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS. (G) CON LITIGATION. COMMENCE OR SETTLE ANY LITIGATION ASSOCIATED WITH THE ISSUANCE OF A CERTIFICATE OF NEED FOR AN ACUTE CARE HOSPITAL IN DARE COUNTY; (H) SALE OF ASSETS. SELL ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; OR (I) BUSINESS OF CORPORATION. CHANGE THE TYPE OF BUSINESS IN WHICH THE CORPORATION IS ENGAGED FROM THE OPERATION OF AN ACUTE CARE HOSPITAL AND THE PROVISION OF RELATED MEDICAL SERVICES IN DARE COUNTY, NORTH CAROLINA.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	FORM 990 IS MADE AVAILABLE TO BOARD MEMBERS BY POSTING TO A BOARD MEMBER'S WEBSITE. ANY BOARD MEMBER WHO DOES NOT HAVE THE ABILITY TO ACCESS THE RETURN IN THIS MANNER WILL RECEIVE A COPY VIA ELECTRONIC OR REGULAR MAIL. THE RETURN IS ALSO REVIEWED BY THE CHIEF FINANCIAL OFFICER, CHIEF GENERAL COUNSEL AND THE CHIEF AUDIT AND COMPLIANCE OFFICER OF ECU HEALTH PRIOR TO FILING.
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 RESPONSES 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 VIII, LINE 11D OTHER MISCELLANEOUS REVENUE	ALL OTHER REVENUE - TOTAL REVENUE: 32027, RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 32027;
FORM 990, PART IX, LINE 11G OTHER FEES	CONTRACTED SERVICES - TOTAL EXPENSE: 33323712, PROGRAM SERVICE EXPENSE: 26658969, MANAGEMENT AND GENERAL EXPENSES: 6664743, FUNDRAISING EXPENSES: 0;
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	NET ASSET TRANSFER - -11000000; TOTAL - -11000000;
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
OUTER BANKS PROFESSIONAL SERVICES LLC
604 AMANDA STREET	MANTEO	NC	27954	270484506	FAMILY PRACTICE	NC	$24,900,765	$11,609,025	THE OUTER BANKS HOSPITAL INC
OUTER BANKS MEDICAL OFFICE BUILDING LLC
4810 SOUTH CROATAN HWY	NAGS HEAD	NC	37959	161740979	MEDICAL OFFICE BUILDING	NC	$992,297	$12,492,726	THE OUTER BANKS HOSPITAL INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	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	Address Line2USAddress/AddressLine2Txt
UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA DBA ECU HEALTH
2100 STANTONSBURG RD	GREENVILLE	NC	27835	562141073	HEALTHCARE	NC	501(C)(3)	TYPE III-FI	NA	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
PCMH MANAGEMENT INC DBA ECU HEALTH PROPERTIES
2100 STANTONSBURG RD	GREENVILLE	NC	27835	561690740	MED PROP MGMT	NC	501(C)(2)		ECU 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	562003393	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
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-BEAUFORT DBA ECU HEALTH BEAUFORT HOSPITAL
2100 STANTONSBURG RD	GREENVILLE	NC	27835	452436270	HOSPITAL	NC	501(C)(3)	3	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
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
ROANOKE VALLEY HEALTH SERVICES INC
2100 STANTONSBURG RD	GREENVILLE	NC	27835	561925492	HEALTHCARE	NC	501(C)(3)	3	ECU HEALTH	false
ACCESS EAST INC
2410 STANTONSBURG RD	GREENVILLE	NC	27834	561949493	HEALTHCARE	NC	501(C)(3)	10	ECU HEALTH	false	STANTON SQUARE
EAST CAROLINA HEALTH DBA ECU HEALTH COMMUNITY HOSPITALS
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	911997979	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	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	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd