PITT COUNTY MEMORIAL HOSPITAL INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: PITT COUNTY MEMORIAL HOSPITAL INC (EIN 56-0585243)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-10
IRS object ID: 202632229349300748
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-10T15:16:33+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	560585243	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PITT COUNTY MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PITT	BusinessNameControlTxt
Phone	2528477479	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 STANTONSBURG ROAD	AddressLine1Txt
City	GREENVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28735	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRIAN DUNN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2528477479	PhoneNum
Signature	2026-08-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

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

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAY BRILEY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 STANTONSBURG ROAD	AddressLine1Txt
City	GREENVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28735	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,223,240,973	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ECUHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE ACCESS TO QUALITY MEDICAL SERVICE TO ALL CITIZENS OF PITT COUNTY AND EASTERN NC.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	16240	TotalEmployeeCnt
Total Volunteers	671	TotalVolunteersCnt
Total Gross UBI	$152,422	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,322,433	PYContributionsGrantsAmt
CY Contributions Grants	$3,434,793	CYContributionsGrantsAmt
PY Program Service Revenue	$1,987,784,324	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,052,409,813	CYProgramServiceRevenueAmt
PY Investment Income	$35,648,020	PYInvestmentIncomeAmt
CY Investment Income	$17,201,575	CYInvestmentIncomeAmt
PY Other Revenue	$93,575,987	PYOtherRevenueAmt
CY Other Revenue	$150,194,792	CYOtherRevenueAmt
PY Total Revenue	$2,119,330,764	PYTotalRevenueAmt
CY Total Revenue	$2,223,240,973	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,061,888	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,288,388	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$670,055,452	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$708,951,441	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,209,133,854	PYOtherExpensesAmt
CY Other Expenses	$1,310,147,958	CYOtherExpensesAmt
PY Total Expenses	$1,880,251,194	PYTotalExpensesAmt
CY Total Expenses	$2,020,387,787	CYTotalExpensesAmt
PY Revenues Less Expenses	$239,079,570	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$202,853,186	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,651,597,802	TotalAssetsBOYAmt
Total Assets EOY	$1,287,686,372	TotalAssetsEOYAmt
Total Liabilities BOY	$413,169,010	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$396,768,202	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,238,428,792	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$890,918,170	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$713,007,449	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$662,255,389	RevenueAmt
Desc	CANCER AND CLINICAL SERVICES: PCMH (D/B/A ECU HEALTH MEDICAL CENTER) CANCER SERVICES INCLUDE THE MOST ADVANCED TREATMENTS FOR THE PEOPLE OF EASTERN NORTH CAROLINA. WE USE THE LATEST TECHNOLOGIES, INCLUDING GAMMA KNIFE RADIOSURGERY, AVAILABLE TO OUR EXPERT MEDICAL STAFF, NURSES AND THERAPISTS. COMBINING NATIONAL TREATMENT PROTOCOLS AND THE HIGHEST STANDARDS OF CLINICAL QUALITY, OUR TEAM OF SPECIALISTS TAKE CARE OF THOUSANDS OF PATIENTS EACH YEAR. IN CANCER AND CLINICAL SERVICES DURING FISCAL YEAR 2025, ECU HEALTH MEDICAL CENTER PERFORMED 3,312,189 LAB TESTS, 154,580 RADIOLOGY CASES, 4,665 PET SCANS, 923 GAMMA KNIFE CASES, AND 210,624 RESPIRATORY TREATMENTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$464,836,073	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$459,107,154	RevenueAmt
Desc	SURGICAL SERVICES: SURGEONS AT ECU HEALTH MEDICAL CENTER ARE LEADERS IN THEIR FIELDS. OUR BARIATRIC SURGEONS WERE PIONEERS OF GASTRIC BYPASS SURGERY. OTHER AREAS OF SURGICAL EMPHASIS INCLUDE ORTHOPEDICS, CARDIOTHORACIC, GYNECOLOGY, TRAUMA AND GENERAL SURGERY. ECU HEALTH MEDICAL CENTER SURGICAL SERVICES PERFORMED 30,289 SURGERIES IN FISCAL YEAR 2025.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$276,487,209	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$277,991,602	RevenueAmt
Desc	CARDIOVASCULAR SERVICES: ECU HEALTH MEDICAL CENTER PROVIDES PATIENTS WITH THE LATEST TREATMENTS AND TECHNOLOGY AVAILABLE. WE HAVE NATIONALLY AND INTERNATIONALLY RECOGNIZED PHYSICIANS AT THE EAST CAROLINA HEART INSTITUTE, PERFORMING DELICATE HEART SURGERIES AND PROCEDURES USING THE DAVINCI ROBOT. OUR HEART AND VASCULAR SERVICES INCLUDE: STENTS, IMAGING STUDIES, PACEMAKER PLACEMENT, ABLATION, ROBOT-ASSISTED HEART SURGERY, AND HEART FAILURE PROGRAMS. THESE AND MANY MORE SERVICES ARE PROVIDED AT THE EAST CAROLINA HEART INSTITUTE AT ECU HEALTH MEDICAL CENTER, THE FIRST FACILITY IN NORTH CAROLINA DEVOTED EXCLUSIVELY TO EDUCATION, RESEARCH, TREATMENT AND PREVENTION OF CARDIOVASCULAR DISEASES. CARDIOVASCULAR SERVICES PERFORMED 102,065 EKGS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$255,350,315	$1,288,388	$472,516,241	ALL OTHER SERVICES
$118,565,498	$0	$131,574,362	EMERGENCY SERVICES
$60,895,472	$0	$48,965,065	REHABILITATIVE SERVICES

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$434,811,285	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$1,288,388	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$653,055,668	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,889,142,016	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	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	Yes (true)	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	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	23	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	16240	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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	19	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
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	27835	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANAND TEWARI MD
BOARD MEMBER	2.0	0	Yes (X)	$0	$0	$0
ANGELA ALLEN
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
BRYANT KITTRELL
BOARD MEMBER (THRU 12/24)	2.0	0	Yes (X)	$0	$0	$0
CARLESTER CRUMPLER
VICE CHAIR	2.0	0	Yes (X)	$0	$0	$0
CHRISTOPHER JENKINS
BOARD MEMBER	2.0	0	Yes (X)	$0	$0	$0
DEBORAH DAVIS
CHAIR	2.0	2.0	Yes (X)	$0	$0	$101,825
DEMETRIUS CARTER
BOARD MEMBER	2.0	0	Yes (X)	$0	$0	$0
DIANE TAYLOR
SECRETARY	2.0	4.0	Yes (X)	$0	$0	$0
DONALD THOMPSON
BOARD MEMBER	2.0	0	Yes (X)	$0	$0	$0
MICHAEL WALDRUM MD
CHIEF EXECUTIVE OFFICER	2.0	52.0	Yes (X)	$0	$1,759,349	$393,250
MIKE FITZPATRICK
BOARD MEMBER	2.0	0	Yes (X)	$0	$0	$0
MIKE MCLAUGHLIN MD
BOARD MEMBER	2.0	0	Yes (X)	$0	$0	$0
PHIL GIBBS
BOARD MEMBER	2.0	0	Yes (X)	$0	$0	$0
PHILIP ROGERS
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
PHILLIP DIXON SR
TREASURER	2.0	0	Yes (X)	$0	$0	$0
ROB JONES
BOARD MEMBER	2.0	0	Yes (X)	$0	$0	$0
TOM KULIKOWSKI
BOARD MEMBER (AS OF 03/25)	2.0	0	Yes (X)	$0	$0	$0
TONY CANNON
BOARD MEMBER	2.0	0	Yes (X)	$0	$0	$0
TONY KHOURY
ASST. SECRETARY	2.0	2.0	Yes (X)	$0	$0	$0
VERN DAVENPORT
ASST. TREASURER	2.0	2.0	Yes (X)	$0	$0	$0
WILLIAM MONK JR
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
BRIAN DUNN
SVP, FINANCE	2.0	42.0		$0	$467,705	$100,082	Yes (X)
JAY BRILEY
PRESIDENT, ECUH MEDICAL CENTER	40.0	4.0		$696,480	$0	$202,489	Yes (X)
MEGHAN HOOLEY
VP ECUHMC FINANICAL SERVICES	40.0	0.0		$283,699	$0	$45,492	Yes (X)
TRISH BAISE
CHIEF NURSE EXECUTIVE	2.0	40.0		$0	$649,752	$144,699	Yes (X)
DEBRA HERNANDEZ
SVP, SYSTEM EMERGENCY SERVICES	40.0	0.0		$384,135	$0	$107,731		Yes (X)
DENNIS CAMPBELL
PRESIDENT - BEAUFORT CAMPUS	40.0	0.0		$333,035	$0	$95,312		Yes (X)
JULI FORBES
VP, PATIENT CARE SERVICES	40.0	0		$213,280	$0	$81,049		Yes (X)
LOUIS HARLOW
SVP, ALLIED HEALTH SYSTEM	40.0	0		$405,355	$0	$64,412		Yes (X)
TARA STROUD
SVP, WOMENS & CHILDRENS SVS	40.0	0		$245,731	$0	$69,830		Yes (X)
WALTER POFAHL
SVP, MEDICAL AFFAIRS	40.0	0		$531,351	$0	$97,219		Yes (X)
WENDY LEUTGENS
SVP, PERIOPERATIVE SERVICES	40.0	0		$340,177	$0	$60,440		Yes (X)
ALI AL-KAISSI
ONCOLOGY PHYSICIST	40.0	0		$240,336	$0	$16,654			Yes (X)
CHARLES WATERS
VP, PHARMACY	40.0	0		$333,311	$0	$65,027			Yes (X)
JACOB PARRISH
VP, CAPACITY & THROUGHPUT	40.0	0		$259,327	$0	$104,589			Yes (X)
JENNIFER STYRON
PHARMACIST IV	40.0	0		$247,229	$0	$66,996			Yes (X)
KHALIL IBRAHIM
ONCOLOGY PHYSICIST	40.0	0		$267,822	$0	$34,279			Yes (X)
JEFFERY DIAL
FORMER KEY EMPLOYEE	0.0	40.0		$0	$353,128	$182,732				Yes (X)
KIMBERLY CRICKMORE OSBORNE
SVP, WOMENS & CHILDRENS SVS	40.0	0		$142,002	$0	$383,080				Yes (X)
STEPHEN TRIPP
FORMER KEY EMPLOYEE	0.0	40.0		$0	$295,246	$159,706				Yes (X)
TERESA ANDERSON
FORMER KEY EMPLOYEE	0.0	40.0		$0	$340,147	$160,294				Yes (X)
TRACY ESKRA
FORMER KEY EMPLOYEE	0.0	40.0		$0	$286,466	$53,430				Yes (X)
VAN SMITH
FORMER OFFICER	0.0	48.0		$0	$527,546	$205,074				Yes (X)
WILLIAM FLOYD
FORMER OFFICER	0.0	42.0		$0	$1,063,343	$296,412				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,923,270	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,742,682	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,292,103	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1262	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AMN HEALTHCARE INC
PO BOX 281923	ATLANTA	GA	30384	TEMPORARY STAFF SVCS	$44,637,213
EAST CAROLINA UNIV SCHOOL OF MEDICINE
PO BOX 75514	CHARLOTTE	NC	28275	MEDICAL STAFF SVCS	$28,530,254
METRO AVIATION INC
PO BOX 7008	SHREVEPORT	LA	07137	MANAGEMENT SERVICES	$15,406,934
EAST CAROLINA ANESTHESIA ASSOCIATION
2080-B W ARLINGTON BOULEVARD	GREEVILLE	NC	27834	ANESTHESIA SERVICES	$13,638,723
MEDICAL SOLUTIONS LLC
1010 N 102ND STREET	OMAHA	NE	68114	TEMPORARY STAFF SVCS	$13,439,777

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	105	CntrctRcvdGreaterThan100KCnt
Government Grants	$91,135	GovernmentGrantsAmt
All Other Contributions	$3,343,658	AllOtherContributionsAmt
Total Contributions	$3,434,793	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CANCER & CLINICAL SERVICES	621110	$662,255,389	$662,255,389
SURGICAL SERVICES	621110	$459,107,154	$459,107,154
CARDIOVASCULAR SERVICES	621110	$277,991,602	$277,991,602
EMERGENCY SERVICES	621110	$131,574,362	$131,574,362
ALL OTHER PROGRAM SERVICE REVENUE	621110	$521,481,306	$521,328,884	$152,422

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	$2,052,409,813	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,030,014	TotalRevenueColumnAmt
Exclusion	$17,030,014	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$167,076	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$167,076	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$167,076	TotalRevenueColumnAmt
Exclusion	$167,076	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$171,561	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$171,561	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$171,561	TotalRevenueColumnAmt
Exclusion	$171,561	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
ALL OTHER REVENUE	900099	$136,278,808	$136,278,808
CAFETERIA MEALS	722514	$7,294,167	$7,294,167
REBATES	900099	$6,454,741	$6,454,741

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$150,027,716	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,223,240,973	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,052,257,391	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$152,422	UnrelatedBusinessRevenueAmt
Exclusion	$167,396,367	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	$1,288,388	TotalAmt
Program Services	$1,288,388	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	$3,859,227	TotalAmt
Management And General	$3,859,227	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$565,939,222	TotalAmt
Program Services	$512,845,584	ProgramServicesAmt
Management And General	$53,093,638	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$26,087,334	TotalAmt
Program Services	$23,493,001	ProgramServicesAmt
Management And General	$2,594,333	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$71,410,216	TotalAmt
Program Services	$64,851,936	ProgramServicesAmt
Management And General	$6,558,280	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$41,655,442	TotalAmt
Program Services	$37,525,167	ProgramServicesAmt
Management And General	$4,130,275	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,158,446	TotalAmt
Program Services	$1,042,638	ProgramServicesAmt
Management And General	$115,808	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,311	TotalAmt
Program Services	$5,680	ProgramServicesAmt
Management And General	$631	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$195,227	TotalAmt
Management And General	$195,227	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$51,151	TotalAmt
Management And General	$51,151	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$501,385,337	TotalAmt
Program Services	$452,169,350	ProgramServicesAmt
Management And General	$49,215,987	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$340,837	TotalAmt
Program Services	$306,753	ProgramServicesAmt
Management And General	$34,084	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,258,434	TotalAmt
Program Services	$3,833,741	ProgramServicesAmt
Management And General	$424,693	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,045,203	TotalAmt
Program Services	$5,045,203	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,479,334	TotalAmt
Program Services	$17,678,342	ProgramServicesAmt
Management And General	$1,800,992	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,042,582	TotalAmt
Program Services	$1,839,349	ProgramServicesAmt
Management And General	$203,233	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$25,907,807	TotalAmt
Program Services	$23,318,702	ProgramServicesAmt
Management And General	$2,589,105	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$51,123,440	TotalAmt
Program Services	$46,241,147	ProgramServicesAmt
Management And General	$4,882,293	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$15,004,192	TotalAmt
Program Services	$13,507,378	ProgramServicesAmt
Management And General	$1,496,814	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$493,305,679	$493,305,679
MEDICAID ASSESSMENTS	$132,957,851	$132,957,851
ALL OTHER EXPENSES	$33,057,652	$33,057,652
BAD DEBT	$24,828,475	$24,828,475

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	$2,020,387,787	TotalAmt
Program Services	$1,889,142,016	ProgramServicesAmt
Management And General	$131,245,771	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	$172,163,224	BOYAmt
EOY	$199,485,874	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	$317,187,890	BOYAmt
EOY	$307,144,308	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	$48,233,305	BOYAmt
EOY	$45,507,434	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$13,134,596	BOYAmt
EOY	$8,950,726	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,404,455,604	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$949,942,096	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$452,514,338	BOYAmt
EOY	$454,513,508	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$370,232,621	BOYAmt
EOY	$16,538,764	EOYAmt

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	$278,131,828	BOYAmt
EOY	$255,545,758	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,651,597,802	BOYAmt
EOY	$1,287,686,372	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$288,693,699	BOYAmt
EOY	$185,854,567	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	$21,278,730	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$20,863,001	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$103,612,310	BOYAmt
EOY	$189,634,905	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$413,169,010	BOYAmt
EOY	$396,768,202	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	$1,238,428,792	BOYAmt
EOY	$890,918,170	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	$1,238,428,792	BOYAmt
EOY	$890,918,170	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,651,597,802	BOYAmt
EOY	$1,287,686,372	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$202,853,186	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$550,363,808	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	$51,151	OtherActivitiesAmt
Total Lobbying Expenditures	$51,151	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	$18,560,198	OtherCostOrOtherBasisAmt
Book Value	$18,560,198	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$805,671,048	OtherCostOrOtherBasisAmt
Depreciation	$533,213,018	DepreciationAmt
Book Value	$272,458,030	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$505,047,703	OtherCostOrOtherBasisAmt
Depreciation	$382,441,121	DepreciationAmt
Book Value	$122,606,582	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$75,176,655	OtherCostOrOtherBasisAmt
Depreciation	$34,287,957	DepreciationAmt
Book Value	$40,888,698	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$454,513,508	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM THIRD PARTY PAYORS	$160,501,951
DEFERRED OUTFLOWS	$55,178,158
OTHER RECEIVABLES	$33,965,835
INVESTMENTS IN SUBSIDIARIES	$5,899,814

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$255,545,758	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
NET PENSION LIABILITY	$85,656,534
DUE TO THIRD PARTY PAYORS	$41,699,848
DEFERRED PENSION INFLOWS	$30,370,355
SERP PAYABLE	$13,680,718
DUE TO AFFILIATES	$3,317,284
ASSET RETIREMENT OBLIGATION	$675,000
OTHER	$14,235,166

Field	Value	IRS element (for citing)
Total Liability	$189,634,905	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

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

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	$68,816,466	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$68,816,466	NetCommunityBenefitExpnsAmt
Total Expense	0.03448	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$463,331,156	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$668,691,168	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
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	$532,147,622	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$668,691,168	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,816,466	NetCommunityBenefitExpnsAmt
Total Expense	0.03448	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	36	ActivitiesOrProgramsCnt
Persons Served	124609	PersonsServedCnt
Total Community Benefit Expns	$7,964,479	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$590,026	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,374,453	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	5017	PersonsServedCnt
Total Community Benefit Expns	$75,035,914	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,411,114	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,624,800	NetCommunityBenefitExpnsAmt
Total Expense	0.02737	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

Field	Value	IRS element (for citing)
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	8	ActivitiesOrProgramsCnt
Persons Served	20651	PersonsServedCnt
Total Community Benefit Expns	$5,041,456	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,041,456	NetCommunityBenefitExpnsAmt
Total Expense	0.00253	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	51	ActivitiesOrProgramsCnt
Persons Served	150277	PersonsServedCnt
Total Community Benefit Expns	$88,041,849	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,001,140	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,040,709	NetCommunityBenefitExpnsAmt
Total Expense	0.03359	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	51	ActivitiesOrProgramsCnt
Persons Served	150277	PersonsServedCnt
Total Community Benefit Expns	$620,189,471	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$689,692,308	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$135,857,175	NetCommunityBenefitExpnsAmt
Total Expense	0.06808	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$95,114	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$95,114	NetCommunityBenefitExpnsAmt
Total Expense	0.00005	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)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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	4	ActivitiesOrProgramsCnt
Persons Served	1831	PersonsServedCnt
Total Community Benefit Expns	$1,127,335	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,127,335	NetCommunityBenefitExpnsAmt
Total Expense	0.00056	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	7	ActivitiesOrProgramsCnt
Persons Served	1831	PersonsServedCnt
Total Community Benefit Expns	$1,222,449	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,222,449	NetCommunityBenefitExpnsAmt
Total Expense	0.00061	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,141,957	BadDebtExpenseAmt
Reimbursed By Medicare	$265,088,771	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$319,847,542	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$54,758,771	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	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd
PITT COUNTY MEMORIAL HOSPITAL INC
1	2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	H0104	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	REHABILITATION, BEHAVIORAL HEALTH	A
ECU HEALTH BEAUFORT HOSPITAL - A CAMPUS OF ECU HEALTH MEDICAL CENTER
2	628 EAST TWELFTH STREET	WASHINGTON	NC	27889	H0188	Yes (X)	Yes (X)		Yes (X)	Yes (X)		A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	2	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	Yes (true)	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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY A, 1	FACILITY A, 1 - FACILITY REPORT GROUP A. INPUT WAS GATHERED FROM A BROAD RANGE OF REMARKABLE LEADERS AND STAKEHOLDERS ACROSS PITT COUNTY WHO ARE PASSIONATE ABOUT THE HEALTH AND WELLBEING OF THE RESIDENTS. THE ECU HEALTH MEDICAL CENTER DIRECTLY COLLABORATED WITH PITT COUNTY HEALTH DEPARTMENT AND PITT PARTNERS FOR HEALTH, THE STAKEHOLDER GROUP IN PITT COUNTY. ECU HEALTH MEDICAL CENTER SERVES AS THE ADMINISTRATIVE AGENCY FOR PITT PARTNERS FOR HEALTH, PROVIDING A COORDINATOR FOR THE COALITION. KEY STAKEHOLDERS INVOLVED IN THE PLANNING, DATA REVIEW AND PRIORITIZATION PROCESS FOR THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDE: ACCESS EAST, AMEXICAN, CONTENTNEA HEALTH CENTER, CATHOLIC CHARITIES, EAST CAROLINA UNIVERSITY, EASTERN AREA HEALTH EDUCATION CENTER, ECU FAMILY THERAPY CLINIC, ECU HEALTH, ECU HEALTH MEDICAL CENTER, ECU HEALTH FOUNDATION, FOOD BANK OF CENTRAL AND EASTERN NORTH CAROLINA, GREENVILLE POLICE DEPARTMENT, HEALTHY LIVES HEALTHY CHOICES, MID-EAST COMMISSION AREA AGENCY ON AGING, PITT COUNTY COOPERATIVE EXTENSION, PITT COUNTY SCHOOLS, PITT COUNTY CULTURAL ARTS AND RECREATION, PITT COUNTY EMERGENCY MANAGEMENT, PITT COUNTY HEALTH DEPARTMENT, AND PITT COUNTY PLANNING AND DEVELOPMENT. THESE ORGANIZATIONS BROUGHT PERSPECTIVES SPANNING CLINICAL CARE, BEHAVIORAL HEALTH, FOOD ACCESS, TRANSPORTATION, EDUCATION, EMERGENCY RESPONSE, AGING SERVICES, AND SOCIAL SUPPORT, ENSURING THAT CHNA REFLECTED THE BROAD INTERESTS AND LIVED EXPERIENCES OF THE COMMUNITY SERVED BY THE HOSPITAL. PRIMARY AND SECONDARY DATA WERE COLLECTED AND REVIEWED BETWEEN FEBRUARY AND JULY 2024. PRIMARY DATA WAS COLLECTED THROUGH A COMMUNITY OPINION SURVEY AND 12 FOCUS GROUPS. 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. A TOTAL OF 582 SURVEYS WERE COMPLETED BY INDIVIDUALS LIVING, WORKING OR RECEIVING HEALTHCARE IN THE PITT COUNTY COMMUNITY. THE SURVEY WAS AVAILABLE IN BOTH ENGLISH AND SPANISH. THE 12 FOCUS GROUPS CONDUCTED WITHIN PITT COUNTY WERE STRATEGICALLY PLANNED TO ENSURE AN ACCURATE REPRESENTATION OF THE OVERALL COMMUNITY WITH AN EMPHASIS ON INDIVIDUALS WHO SERVE MEMBERS, OR WHO ARE MEMBERS, OF THE MOST VULNERABLE POPULATIONS. OVER 80 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUPS. THESE INDIVIDUALS INTERACTED REGULARLY WITH THE COMMUNITY AND COULD READILY IDENTIFY HEALTH ISSUES THAT ARE MOST PREVALENT AMONG THE PEOPLE THEY SERVE. THE FOCUS GROUPS REPRESENTATION INCLUDED THE FOLLOWING: AMEXCAN (2 GROUPS HELD IN SPANISH), BETHAL ADVOCACY CENTER, GOLD PATH SENIORS (SENIOR CITIZENS), HEALTHY LIVES HEALTHY CHOICES LAY HEALTH ADVISORS, HEART 4 ENC (2 GROUPS), HOPE IS ALIVE, MARTIN PITT PARTNERSHIP FOR CHILDREN, PITT COUNTY SCHOOLS, PITT COUNTY HEALTH DEPARTMENT, AND PITT COUNTY SCHOOL HEALTH NURSES. 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 ECU HEALTH MEDICAL CENTER AND COLLABORATING PARTNERS TO CONTEXTUALIZE COMMUNITY REPORTED NEEDS WITHIN BROADER POPULATION LEVEL TRENDS. ADDITIONALLY, ECU HEALTH MEDICAL CENTER'S CHNA WAS PART OF THE HEALTH ENC COLLABORATIVE ALIGNING THE CHNA CYCLE WITH 34 ADDITIONAL COUNTIES IN EASTERN NC. THIS ALIGNMENT WILL PROMOTE COMMUNITY HEALTH IMPROVEMENT ACTIVITIES ACROSS COUNTY LINES. ECU HEALTH BEAUFORT HOSPITAL A CAMPUS OF ECU HEALTH MEDICAL CENTER: INPUT WAS GATHERED FROM A BROAD RANGE OF REMARKABLE LEADERS AND STAKEHOLDERS WHO ARE PASSIONATE ABOUT THE HEALTH AND WELLBEING OF THE RESIDENTS OF BEAUFORT AND HYDE COUNTIES. ECU HEALTH BEAUFORT HOSPITAL DIRECTLY COLLABORATED WITH BEAUFORT COUNTY HEALTH DEPARTMENT AND HYDE COUNTY HEALTH DEPARTMENT. KEY STAKEHOLDERS INVOLVED IN THE PLANNING, DATA REVIEW AND PRIORITIZATION PROCESS FOR THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN BEAUFORT COUNTY INCLUDED: AGAPE HEALTH SERVICES, BEAUFORT COUNTY BOARD OF HEALTH, BEAUFORT COUNTY GOVERNMENT, BEAUFORT COUNTY SCHOOLS, BEAUFORT COUNTY EMERGENCY SERVICES, BEAUFORT COUNTY DEPARTMENT OF SOCIAL SERVICES, BEAUFORT COUNTY UNITED WAY, BEAUFORT COUNTY 360, CITY OF WASHINGTON, CORNERSTONE COMMUNITY BASED PROGRAMS, EAGLES WINGS, HEALTHY EATING ACTIVE LIVING, HEALTHWON, MID-EAST COMMISSION AREA AGENCY ON AGING, NC WORKS, WASHINGTON BEAUFORT COUNTY CHAMBER OF COMMERCE, AND WASHINGTON PEDIATRICS. THESE ORGANIZATIONS PROVIDED INSIGHT INTO COMMUNITY HEALTH NEEDS BASED ON THEIR DIRECT SERVICE TO RESIDENTS ACROSS HEALTHCARE, BEHAVIORAL HEALTH, EDUCATION, SOCIAL SERVICES, PUBLIC SAFETY, HOUSING, FOOD ACCESS, AND WORKFORCE DEVELOPMENT. IN HYDE COUNTY, THE KEY STAKEHOLDERS INCLUDED: AGAPE HEALTH SERVICES, BEAUFORT-HYDE PARTNERSHIP FOR CHILDREN, ENGELHARD MEDICAL CENTER, HYDE COUNTY SCHOOLS, HYDE COUNTY EMERGENCY MEDICAL SERVICES, HYDE COUNTY COOPERATIVE EXTENSION, HYDE HOTLINE, HYDE TRANSIT, HYDE COUNTY BEHAVIORAL HEALTH, HYDE COUNTY SENIOR CENTER, OCRACOKE HEALTH CENTER, PROJECT DIRECT LEGACY, AND TRILLIUM HEALTH RESOURCES. THESE ORGANIZATIONS REPRESENT HEALTHCARE, BEHAVIORAL HEALTH, TRANSPORTATION, EDUCATION, SOCIAL SERVICES, OLDER ADULTS, CHILDREN AND FAMILIES, AND UNDERSERVED POPULATIONS WITHIN THE COUNTY. PRIMARY AND SECONDARY DATA WERE COLLECTED AND REVIEWED BETWEEN FEBRUARY AND JULY 2024. PRIMARY DATA WAS COLLECTED THROUGH A COMMUNITY OPINION SURVEY, TWO FOCUS GROUPS IN BEAUFORT COUNTY, AND THREE FOCUS GROUPS IN HYDE COUNTY. 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. NEARLY 480 SURVEYS WERE COMPLETED BY INDIVIDUALS LIVING, WORKING OR RECEIVING HEALTHCARE IN THE BEAUFORT COUNTY COMMUNITY AND 373 SURVEYS WERE COMPLETED IN HYDE COUNTY. THE SURVEY WAS AVAILABLE IN BOTH ENGLISH AND SPANISH. TWO FOCUS GROUPS WERE CONDUCTED WITHIN BEAUFORT COUNTY WITH 28 COMMUNITY MEMBERS PARTICIPATING AND THREE FOCUS GROUPS WERE CONDUCTED IN HYDE COUNTY WITH 15 PARTICIPANTS. 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 ECU HEALTH BEAUFORT HOSPITAL AND COLLABORATING PARTNERS TO CONTEXTUALIZE COMMUNITY REPORTED NEEDS WITHIN BROADER POPULATION LEVEL TRENDS. ADDITIONALLY, THE BEAUFORT AND HYDE COUNTY'S CHNA WAS PART OF THE HEALTH ENC COLLABORATIVE ALIGNING THE CHNA CYCLE WITH 34 ADDITIONAL COUNTIES IN EASTERN NC. THIS ALIGNMENT WILL PROMOTE COMMUNITY HEALTH IMPROVEMENT ACTIVITIES ACROSS COUNTY LINES.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY A, 1	FACILITY A, 1 - FACILITY REPORT GROUP A. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING HOSPITALS: PITT COUNTY MEMORIAL HOSPITAL, INC. DBA ECU HEALTH MEDICAL CENTER PITT COUNTY MEMORIAL HOSPITAL, INC. DBA ECU HEALTH BEAUFORT HOSPITAL - A CAMPUS OF ECU HEALTH MEDICAL CENTER
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY A, 1	FACILITY A, 1 - FACILITY REPORT GROUP A. ECU HEALTH MEDICAL CENTER COLLABORATED WITH PITT COUNTY HEALTH DEPARTMENT. ECU HEALTH BEAUFORT COLLABORATED WITH BEAUFORT COUNTY HEALTH DEPARTMENT AND HYDE COUNTY HEALTH DEPARTMENT.
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY A, 1	FACILITY A, 1 - FACILITY REPORT GROUP A. THE LEADERSHIP AND PARTNERSHIP GROUP MENTIONED IN PART V SECTION B LINE 5 HAVE A LONG HISTORY OF WORKING TOGETHER ON THE 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 PITT COUNTY. THE PRIORITIES DETERMINED IN THE MOST CURRENT CHNA WERE HEALTHCARE ACCESS AND QUALITY; PHYSICAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND FOOD ACCESS; AND BEHAVIORAL AND MENTAL HEALTH. THE ECU HEALTH MEDICAL CENTER BOARD OF TRUSTEES APPROVED THE PRIORITIES AND AN "ON-GOING" SET OF IMPLEMENTATION STRATEGIES FOR THE HOSPITAL TO ADDRESS FOR THE THREE-YEAR CYCLE. KEY INITIATIVES INCLUDE: HEALTHCARE ACCESS AND QUALITY: EXPANDED PRIMARY, SPECIALTY, AND TELEHEALTH ACCESS: INCREASED AVAILABILITY OF PRIMARY AND SPECIALTY CARE SERVICES, INCLUDING VIRTUAL CARE OPTIONS AND EXTENDED APPOINTMENT ACCESS TO IMPROVE TIMELY CARE DELIVERY. COMMUNITY-BASED HEALTH EDUCATION AND SCREENINGS: DELIVERY OF HEALTH EDUCATION, PREVENTIVE SCREENINGS, AND OUTREACH ACTIVITIES IN UNDERSERVED AND HIGH-NEED COMMUNITIES. INSURANCE ACCESS SUPPORT: INSURANCE ENROLLMENT ASSISTANCE TO REDUCE FINANCIAL BARRIERS TO CARE. INJURY PREVENTION AND EMERGENCY PREPAREDNESS: SUPPORT FOR TRAUMA OUTREACH, INJURY PREVENTION INITIATIVES, AND EMERGENCY PREPAREDNESS EDUCATION TO ENHANCE PATIENT OUTCOMES AND COMMUNITY RESILIENCE. PHYSICAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND FOOD ACCESS: CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS: IMPLEMENTATION OF EVIDENCE-BASED PROGRAMS ADDRESSING DIABETES, HYPERTENSION, STROKE, OBESITY, AND RELATED RISK FACTORS. FOOD ACCESS AND NUTRITION SECURITY INITIATIVES: SUPPORT FOR MEDICAL FOOD PANTRY, MEAL DISTRIBUTION PROGRAMS, AND HEALTHY FOOD OUTREACH TO ADDRESS FOOD INSECURITY. PHYSICAL ACTIVITY AND HEALTHY LIFESTYLE PROMOTION: SUPPORT FOR COMMUNITY-BASED EXERCISE PROGRAMS, WALKING INITIATIVES, AND OUTDOOR ENGAGEMENT OPPORTUNITIES THAT ENCOURAGE ACTIVE LIVING. NUTRITION EDUCATION AND SKILL-BUILDING: PROVISION OF HANDS-ON NUTRITION EDUCATION, INCLUDING COOKING DEMONSTRATIONS AND HEALTHY GROCERY STORE TOURS, TO PROMOTE HEALTHIER DIETARY CHOICES. BEHAVIORAL AND MENTAL HEALTH: MENTAL HEALTH EDUCATION AND TRAINING: EXPANSION OF MENTAL HEALTH EDUCATION AND TRAINING FOR COMMUNITY MEMBERS AND PROVIDERS TO IMPROVE AWARENESS, EARLY IDENTIFICATION, AND CRISIS RESPONSE. PREVENTION AND STIGMA REDUCTION EFFORTS: SUPPORT FOR PUBLIC EDUCATION, SPEAKER SERIES, AND RESOURCE DISSEMINATION FOCUSED ON PREVENTION, EARLY INTERVENTION, AND REDUCTION OF STIGMA. SUICIDE PREVENTION AND SUBSTANCE MISUSE INITIATIVES: STRENGTHENING OF SUICIDE PREVENTION STRATEGIES AND SUBSTANCE MISUSE EDUCATION THROUGH SAFETY-FOCUSED AND EVIDENCE-BASED TRAININGS. BEHAVIORAL HEALTH ACCESS AND NAVIGATION: IMPROVED ACCESS TO BEHAVIORAL HEALTH RESOURCES AND SERVICE NAVIGATION TOOLS TO HELP INDIVIDUALS AND FAMILIES CONNECT WITH APPROPRIATE CARE. ECU HEALTH BEAUFORT HOSPITAL A CAMPUS OF ECU HEALTH MEDICAL CENTER: THE LEADERSHIP AND PARTNERSHIP GROUP MENTIONED IN PART V SECTION B LINE 5 HAVE A LONG HISTORY OF WORKING TOGETHER ON THE 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 BEAUFORT AND HYDE COUNTIES. THE PRIORITIES DETERMINED IN THE MOST CURRENT CHNA FOR BEAUFORT COUNTY WERE ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH, AND CHRONIC HEALTH CONDITIONS. THE PRIORITIES FOR HYDE COUNTY WERE ACCESS TO HEALTHCARE, HEART DISEASE & HYPERTENSION, AND BEHAVIORAL HEALTH. THE ECU HEALTH MEDICAL CENTER BOARD OF TRUSTEES APPROVED THE PRIORITIES AND AN "ON-GOING" SET OF IMPLEMENTATION STRATEGIES FOR THE HOSPITAL TO ADDRESS IN THESE COUNTIES FOR THE THREE-YEAR CYCLE. KEY INITIATIVES INCLUDE: ACCESS TO HEALTHCARE: COMMUNITY-BASED HEALTH EDUCATION AND PREVENTIVE SCREENINGS: DELIVERY OF BLOOD PRESSURE, GLUCOSE, CHOLESTEROL, AND BMI SCREENINGS THROUGH OUTREACH AND EDUCATION ACTIVITIES IN THE COMMUNITY. CANCER EDUCATION AND SCREENING ACCESS: PROVISION OF LUNG, BREAST, PROSTATE, AND SKIN CANCER EDUCATION AND SCREENINGS FOCUSED ON UNINSURED AND UNDERSERVED RESIDENTS. TELEHEALTH AND PATIENT ENGAGEMENT TOOLS: EXPANSION OF ACCESS TO CARE THROUGH TELEHEALTH SERVICES AND INCREASED UTILIZATION OF PATIENT TOOLS SUCH AS MYCHART. INSURANCE ENROLLMENT AND FINANCIAL ACCESS SUPPORT: ASSISTANCE WITH INSURANCE ENROLLMENT TO REDUCE FINANCIAL BARRIERS AND IMPROVE CONTINUITY OF CARE. HEALTHCARE WORKFORCE AWARENESS AND DEVELOPMENT: PROMOTION OF HEALTHCARE CAREER PATHWAYS AMONG STUDENTS AND COMMUNITY MEMBERS TO SUPPORT WORKFORCE DEVELOPMENT. BEHAVIORAL HEALTH: COMMUNITY BENEFIT GRANTS - BEHAVIORAL HEALTH: INVESTMENT IN LOCAL ORGANIZATIONS EXPANDING ACCESS TO MENTAL HEALTH AND SUBSTANCE USE PREVENTION, TREATMENT, AND RECOVERY SERVICES. MENTAL HEALTH FIRST AID TRAINING: DELIVERY OF MENTAL HEALTH FIRST AID EDUCATION TO INCREASE COMMUNITY AWARENESS, EARLY IDENTIFICATION, AND RESPONSE TO BEHAVIORAL HEALTH NEEDS. YOUTH PREVENTION PROGRAMMING: IMPLEMENTATION OF YOUTH-FOCUSED PROGRAMS ADDRESSING VAPING AND SUBSTANCE MISUSE PREVENTION. COALITION PARTICIPATION AND COLLABORATION: ENGAGEMENT IN LOCAL BEHAVIORAL HEALTH AND SUBSTANCE MISUSE COALITIONS TO COORDINATE COMMUNITY-WIDE PREVENTION AND RESPONSE EFFORTS. CHRONIC DISEASE PREVENTION (BEAUFORT) AND HEART DISEASE & HYPERTENSION (HYDE): COMMUNITY BENEFIT GRANTS - CHRONIC DISEASE: SUPPORT FOR LOCAL ORGANIZATIONS IMPLEMENTING CHRONIC DISEASE PREVENTION AND WELLNESS INITIATIVES. BLOOD PRESSURE EDUCATION AND SELF-MANAGEMENT: IMPLEMENTATION OF KNOW IT, CONTROL IT PROGRAMS TO HELP RESIDENTS MONITOR AND MANAGE HIGH BLOOD PRESSURE. STROKE CARE QUALITY AND CERTIFICATION: MAINTENANCE OF EVIDENCE-BASED STROKE CARE STANDARDS THROUGH CONTINUED CERTIFICATION AND QUALITY IMPROVEMENT PRACTICES.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7 FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS	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) DURING THE FISCAL YEAR, ECU HEALTH MEDICAL CENTER, INCLUDING ECU HEALTH BEAUFORT HOSPITAL AS A CAMPUS, CARRIED OUT COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS TO IMPROVE COMMUNITY HEALTH, EXTENDING BEYOND DIRECT PATIENT CARE, AND GENERALLY OFFERED AT LITTLE OR NO CHARGE IN COMMUNITY SETTINGS. AT THE ECU HEALTH MEDICAL CENTER (GREENVILLE CAMPUS), COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS REPRESENTED $7,110,517 IN TOTAL REPORTED COMMUNITY BENEFIT EXPENSE, SERVING 123,293 INDIVIDUALS, FOR THE GREENVILLE AND BEAUFORT CAMPUSES. DIRECT OFFSETTING REVENUE OF $590,026 WAS REPORTED FOR CERTAIN ACTIVITIES, RESULTING IN A NET COMMUNITY BENEFIT EXPENSE OF $6,520,491. AT THE ECU HEALTH MEDICAL CENTER (GREENVILLE CAMPUS), COMMUNITY HEALTH IMPROVEMENT SERVICES COMPRISED THE MAJORITY OF REPORTED EXPENSE AND INCLUDED PUBLIC PROGRAM ENROLLMENT ASSISTANCE TOTALING $2,964,026, SUPPORTING ENROLLMENT AND RENEWAL ASSISTANCE FOR PUBLIC COVERAGE PROGRAMS TO REDUCE FINANCIAL BARRIERS TO CARE. THIS INCLUDED CONTRACTED ENROLLMENT ASSISTANCE SERVICES THAT SUPPORTED REFERRALS FOR OVER 1,800 INDIVIDUALS SEEKING MEDICAID OR OTHER COVERAGE OPTIONS. THE MEDICAL CENTER ALSO REPORTED SCHOOL HEALTH PROGRAM ACTIVITIES WITH A NET EXPENSE OF $1,617,768, SUPPORTING SCHOOL BASED HEALTH SERVICES, CHRONIC DISEASE MANAGEMENT SUPPORT, MEDICATION MANAGEMENT ACTIVITIES, AND COORDINATED CARE SERVICES FOR STUDENTS ACROSS PITT COUNTY. ADDITIONAL ACTIVITIES REPORTED AT THE MEDICAL CENTER UNDER COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDED THE PEDIATRIC ASTHMA PROGRAM OF $710,071, DELIVERING EDUCATION, CASE MANAGEMENT, AND CLINICAL SUPPORT TO CHILDREN WITH ASTHMA AND THEIR FAMILIES; INJURY PREVENTION PROGRAM SERVICES OF $603,733 FOCUSED ON CHILD PASSENGER SAFETY, FALL PREVENTION, AND COMMUNITY SAFETY EDUCATION; AND BROADER COMMUNITY HEALTH IMPROVEMENT INITIATIVES TOTALING $ 271,751, REFLECTING SALARIES, OPERATING EXPENSES, UNITE US AND DIRECT PROGRAM COSTS ASSOCIATED WITH COMMUNITY BASED EDUCATION, PREVENTION, AND OUTREACH EFFORTS. THE CAMPUS ALSO REPORTED HEALTH EDUCATION - COMMUNITY ACTIVITIES TOTALING $11,742 AND OTHER COMMUNITY HEALTH PROGRAMS TOTALING $273,825, ALONG WITH TARGETED SCREENING AND PREVENTION ACTIVITIES, INCLUDING CANCER AND STROKE RELATED SCREENINGS, AS DOCUMENTED IN CBISA. AT ECU HEALTH BEAUFORT HOSPITAL, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS TOTALED APPROXIMATELY $853,962, SERVING APPROXIMATELY 1,316 INDIVIDUALS. REPORTED ACTIVITIES INCLUDED PUBLIC PROGRAM ENROLLMENT ASSISTANCE OF $165,282, SUPPORTING ON SITE AND COMMUNITY BASED COVERAGE ENROLLMENT ASSISTANCE; COMMUNITY HEALTH IMPROVEMENT PROGRAMMING OF $74,374, WHICH REFLECTED SALARIES, OPERATING EXPENSES, AND TECHNOLOGY INFRASTRUCTURE SUCH AS THE UNITE US SOCIAL CARE COORDINATION PLATFORM; AND ADVANCE CARE PLANNING OUTREACH OF $34,884, CONDUCTED THROUGH MORE THAN 330 COMMUNITY BASED ADVANCE CARE PLANNING EVENTS ACROSS THE SYSTEM. BEAUFORT ALSO REPORTED A SIGNIFICANT PORTION OF COMMUNITY HEALTH IMPROVEMENT SERVICES RELATED TO INTERNSHIPS AND PRECEPTOR EXPERIENCES FOR NURSING STUDENTS (APPROXIMATELY $322,216) AND OTHER HEALTH PROFESSIONS STUDENTS OF $135,919, REPRESENTING THE COMMUNITY BASED PORTION OF SUPERVISED CLINICAL EDUCATION PROVIDED TO STUDENTS IN RURAL SETTINGS. COMMUNITY BENEFIT OPERATIONS AT THE BEAUFORT CAMPUS TOTALED $87,611, REFLECTING DEDICATED COMMUNITY BENEFIT STAFFING AND ADMINISTRATIVE SUPPORT NECESSARY FOR PLANNING, COORDINATION, DATA COLLECTION, AND IRS COMPLIANCE. HEALTH PROFESSIONS EDUCATION (LINE 7F) AT THE MEDICAL CENTER, HEALTH PROFESSIONS EDUCATION TOTALED $76,369,690 AND INCLUDED MEDICAL STUDENTS, INTERNS, RESIDENTS, AND FELLOWS OF $64,586,323; NURSING EDUCATION OF $6,526,198; AND OTHER ALLIED HEALTH PROFESSIONS OF $5,257,169. THESE EXPENSES REFLECT FACULTY SUPERVISION, PROGRAM ADMINISTRATION, CLINICAL TRAINING INFRASTRUCTURE, AND EDUCATIONAL SUPPORT COSTS REQUIRED TO TRAIN FUTURE HEALTHCARE PROFESSIONALS. MEDICARE AND MEDICAID GRADUATE MEDICAL EDUCATION REIMBURSEMENTS ARE INCLUDED WITHIN REPORTED OFFSETTING REVENUE, WITH REMAINING UNREIMBURSED COSTS REPORTED AS COMMUNITY BENEFIT. AT ECU HEALTH BEAUFORT HOSPITAL, HEALTH PROFESSIONS EDUCATION EXPENSE TOTALED $684, CATEGORIZED UNDER OTHER HEALTH PROFESSIONS EDUCATION, AND REFLECTED WORKFORCE DEVELOPMENT AND EDUCATIONAL SUPPORT ACTIVITIES CONDUCTED WITHIN THE RURAL HOSPITAL SETTING. CASH AND IN KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT (LINE 7I) ECU HEALTH MEDICAL CENTER (INCLUDING THE BEAUFORT CAMPUS) MADE CASH AND IN KIND CONTRIBUTIONS TO NONPROFIT ORGANIZATIONS AND COMMUNITY BASED PARTNERS THAT SUPPORT COMMUNITY HEALTH IMPROVEMENT AND ADDRESS IDENTIFIED COMMUNITY NEEDS. THESE CONTRIBUTIONS CONSIST OF CASH DONATIONS AND NON CASH CONTRIBUTIONS MADE WITHOUT EXPECTATION OF SERVICES IN RETURN AND ARE REPORTED AS COMMUNITY BENEFIT FOR SCHEDULE H PURPOSES. COLLECTIVELY, CASH AND IN KIND CONTRIBUTIONS TOTALED $5,041,456, SERVING 20,651 INDIVIDUALS. AT THE MEDICAL CENTER, CASH AND IN KIND CONTRIBUTIONS TOTALED $4,923,171, CONSISTING OF $4,334,829 IN CASH CONTRIBUTIONS AND $588,342 IN IN KIND CONTRIBUTIONS, SERVING 5,851 INDIVIDUALS. CASH CONTRIBUTIONS INCLUDED A DONATION OF $845,000 TO THE ECU HEALTH FOUNDATION TO DISTRIBUTE AS COMMUNITY BENEFIT GRANTS IN THE COUNTY. IN KIND CONTRIBUTIONS INCLUDED EMERGENCY DEPARTMENT OUTREACH SUPPLIES OF $289,815, CASE MANAGEMENT - BENEVOLENT FUND SUPPORT OF $279,139 TO ADDRESS TRANSPORTATION, LODGING, MEDICATION, AND BASIC NEEDS FOR INDIVIDUALS EXPERIENCING BARRIERS TO CARE, AND ADDITIONAL IN KIND HEALTH RELATED SUPPLIES DOCUMENTED IN CBISA. AT ECU HEALTH BEAUFORT HOSPITAL, CASH AND IN KIND CONTRIBUTIONS TOTALED $118,285, SERVING 14,800 INDIVIDUALS. CASH CONTRIBUTIONS INCLUDED $95,950 IN COMMUNITY BENEFIT GRANT FUNDING, SUPPORTING 21 LOCAL NONPROFIT AND GOVERNMENTAL PROGRAMS, AND A $10,000 CASH DONATION TO BEAUFORT COUNTY COMMUNITY COLLEGE TO SUPPORT STUDENTS ENROLLED IN HEALTHCARE TRAINING PROGRAMS. IN KIND CONTRIBUTIONS TOTALED $12,335 AND INCLUDED BENEVOLENT FUND ASSISTANCE FOR TRANSPORTATION, MEDICATIONS, AND OTHER ESSENTIAL SUPPORTS COORDINATED THROUGH CASE MANAGEMENT SERVICES.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	ECONOMIC INDICATORS: HYDE COUNTY IS RANKED AS A TIER 1 COUNTY BY THE NC DEPARTMENT OF COMMERCE. THE 40 MOST DISTRESSED COUNTIES ARE DESIGNATED AS TIER 1. HYDE COUNTY'S MEDIAN HOUSEHOLD INCOME OF $47,495 WAS LOWER THAN THE MEDIAN HOUSEHOLD INCOME IN NORTH CAROLINA OF $64,316. THE OVERALL UNEMPLOYMENT RATE OF 6.4% IS HIGHER THAN THE STATE AVERAGE OF 5.1%. HYDE COUNTY HAS A POVERTY RATE COMPARABLE TO THE STATE. IN HYDE COUNTY 10.9% OF HOUSEHOLDS WERE BELOW THE FEDERAL POVERTY LEVEL (FPL) - THIS IS SLIGHTLY HIGHER THAN THE STATE (10.1%) LEVEL. APPROXIMATELY ONE IN FOUR (24.6%) HYDE COUNTY HOUSEHOLDS RECEIVED FOOD STAMPS/SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), SIGNIFICANTLY HIGHER THAN THE AVERAGE OF NORTH CAROLINA (13.4%) AND INDICATIVE OF A HIGHER 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 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	24828475
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES	AT THE ECU HEALTH MEDICAL CENTER CAMPUS, COMMUNITY BUILDING ACTIVITIES INCLUDED FOUR REPORTED ACTIVITIES, SERVING 1,740 INDIVIDUALS, WITH A TOTAL AND NET COMMUNITY BENEFIT EXPENSE OF $1,115,965 AND NO DIRECT OFFSETTING REVENUE. ACTIVITIES WERE REPORTED UNDER WORKFORCE DEVELOPMENT AND COMMUNITY SUPPORT CATEGORIES. WORKFORCE DEVELOPMENT ACTIVITIES TOTALED $234,233 AND SERVED 1,740 INDIVIDUALS, INCLUDING HEALTH SCIENCES ACADEMY PROGRAMMING OF$783,222 AND HEALTH CAREERS PROMOTION OF$10,041, WHICH COLLECTIVELY SUPPORTED HEALTHCARE CAREER PIPELINE DEVELOPMENT AND EARLY EXPOSURE TO HEALTH CAREERS FOR STUDENTS IN THE REGION. COMMUNITY SUPPORT ACTIVITIES TOTALED APPROXIMATELY $88,469, REFLECTING EXECUTIVE AND ADMINISTRATIVE LEADERSHIP PARTICIPATION IN COMMUNITY BOARDS, COALITIONS, AND COLLABORATIVE INITIATIVES THAT STRENGTHEN COMMUNITY INFRASTRUCTURE AND IMPROVE ACCESS TO HEALTH SERVICES IN PITT COUNTY AND SURROUNDING AREAS. AT ECU HEALTH BEAUFORT HOSPITAL, COMMUNITY BUILDING ACTIVITIES INCLUDED THREE REPORTED ACTIVITIES, SERVING 91 INDIVIDUALS, WITH A TOTAL AND NET EXPENSE OF $106,484 AND NO DIRECT OFFSETTING REVENUE. ACTIVITIES WERE REPORTED UNDER WORKFORCE DEVELOPMENT AND COMMUNITY SUPPORT CATEGORIES AND INCLUDED PARTICIPATION IN HEALTH SCIENCES ACADEMY PROGRAMMING SERVING 91 HIGH SCHOOL STUDENTS, AS WELL AS EXECUTIVE LEADERSHIP SERVICE ON HEALTH RELATED AND COMMUNITY COLLEGE BOARDS SUPPORTING REGIONAL WORKFORCE DEVELOPMENT AND EDUCATIONAL CAPACITY.
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, ECU HEALTH ENTITIES DO 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 ECU HEALTH ARE PRESENTED ON A CONSOLIDATED BASIS; THE TEXT OF THE FOOTNOTE FROM PAGE 30 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 $157.8 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 ECU HEALTH, 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 ECU HEALTH.
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	A - PITT COUNTY MEMORIAL HOSPITAL, INC.: LINE 16A URL: HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSISTANCE/; A - ECU HEALTH BEAUFORT HOSPITAL - A CAMPUS OF ECU HEALTH MEDICAL CENTER: LINE 16A URL: HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSIST ANCE/;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	A - PITT COUNTY MEMORIAL HOSPITAL, INC.: LINE 16B URL: HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSISTANCE/; A - ECU HEALTH BEAUFORT HOSPITAL - A CAMPUS OF ECU HEALTH MEDICAL CENTER: LINE 16B URL: HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSIST ANCE/;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	A - PITT COUNTY MEMORIAL HOSPITAL, INC.: LINE 16C URL: HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSISTANCE/; A - ECU HEALTH BEAUFORT HOSPITAL - A CAMPUS OF ECU HEALTH MEDICAL CENTER: LINE 16C URL: HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSIST ANCE/;
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 ECU HEALTH MEDICAL CENTER GREENVILLE CAMPUS IS PITT COUNTY. PITT COUNTY IS COMPRISED OF TEN MUNICIPALITIES: AYDEN, BETHEL, FARMVILLE, FALKLAND, FOUNTAIN, GREENVILLE, GRIFTON, GRIMESLAND, SIMPSON, AND WINTERVILLE, WITH GREENVILLE SERVING AS THE COUNTY SEAT. JUST OVER A QUARTER (27%) OF PITT COUNTY'S POPULATION RESIDES IN RURAL AREAS. THE MOST RECENT CHNA INDICATES: PITT COUNTY'S POPULATION HAS CONTINUED TO GROW. PITT COUNTY HAS A POPULATION OF 172,847, MAKING UP APPROXIMATELY 1.6% OF NORTH CAROLINA'S TOTAL POPULATION. THE POPULATION OF PITT COUNTY IS PROJECTED TO GROW 0.33% ANNUALLY BETWEEN NOW AND 2029. AREAS IN THE CENTRAL PART OF THE COUNTY ARE EXPERIENCING GREATER GROWTH. RACE AND ETHNICITY: PITT COUNTY HAS A DIFFERENT RACIAL COMPOSITION THAN THE STATE, WITH A LOWER LEVEL OF OVERALL RACIAL DIVERSITY AND A SUBSTANTIALLY LARGER BLACK POPULATION. IN PITT COUNTY 51.3% IDENTIFY AS NON-HISPANIC WHITE, LOWER THAN THE STATE (61.2%). NON-HISPANIC BLACK RESIDENTS COMPRISE 35.5% OF THE POPULATION, NOTABLY HIGHER THAN THE STATE AVERAGE OF 20.4%. THE COUNTY HAS SMALLER PERCENTAGES OF OTHER RACIAL GROUPS COMPARED TO STATE AVERAGES: ASIAN RESIDENTS (2.0% VS. STATE'S 3.5%), AMERICAN INDIAN AND ALASKA NATIVE RESIDENTS (0.4% VS. STATE'S 1.2%). THE NATIVE HAWAIIAN AND PACIFIC ISLANDER PROPORTION IS EQUAL TO THE STATE AVERAGE. SOME OTHER RACE ALONE CONSTITUTES 4.8% OF THE POPULATION (VS. STATE'S 6.3%), WHILE RESIDENTS OF TWO OR MORE RACES REPRESENT 5.8% (VS. STATE'S 7.2%). BY ETHNICITY, 8.1% OF PITT COUNTY'S POPULATION IS HISPANIC. THIS IS LOWER THAN THE STATE PROPORTION (11.4%). AGE AND SEX: PITT COUNTY HAS A DISTINCTLY YOUNGER POPULATION PROFILE COMPARED TO STATE AVERAGES. WHILE THE PERCENTAGE OF CHILDREN UNDER 15 (17.8%) CLOSELY MIRRORS THE STATE AVERAGE (17.9%), THE COUNTY HAS A SIGNIFICANTLY HIGHER PROPORTION OF RESIDENTS AGES 15 TO 44 (46.3% VS. STATE'S 39.3%). THE COUNTY HAS LOWER PERCENTAGES OF BOTH MIDDLE-AGED ADULTS 45 TO 64 (21.5% VS. STATE'S 25.1%) AND SENIORS 65 AND OLDER (14.4% VS. STATE'S 17.7%). THE PROPORTION OF FEMALES (53.0%) IS HIGHER THAN THE STATE AVERAGE (51.0%), WITH MALES COMPRISING 47.0% OF THE POPULATION COMPARED TO THE STATE'S 49.0%. LANGUAGE: APPROXIMATELY 7.5% OF PITT COUNTY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, COMPARED TO AROUND 12.7% OF NORTH CAROLINA RESIDENTS. LESS THAN 5% OF COUNTY RESIDENTS SPEAK SPANISH AT HOME, SUGGESTING A LOWER LEVEL OF LINGUISTIC DIVERSITY AND A PREDOMINANCE OF ENGLISH SPEAKERS. DISABILITY STATUS: PITT COUNTY'S DISABILITY RATE (7.5%) IS NOTABLY LOWER THAN THE STATE AVERAGE OF 13.3%. VETERAN STATUS: THE VETERAN POPULATION IN PITT COUNTY (6.3%) IS LOWER THAN THE STATE AVERAGE OF 7.8%. ECONOMIC INDICATORS: PITT COUNTY IS RANKED AS A TIER 1 COUNTY BY THE NC DEPARTMENT OF COMMERCE. THE 40 MOST DISTRESSED COUNTIES ARE DESIGNATED AS TIER 1. PITT COUNTY'S MEDIAN HOUSEHOLD INCOME OF $47,521 WAS LOWER THAN THE MEDIAN HOUSEHOLD INCOME IN NORTH CAROLINA OF $64,316. THE OVERALL UNEMPLOYMENT RATE OF 7.5% IS HIGHER THAN THE STATE AVERAGE OF 5.1%. PITT COUNTY HAS A HIGHER RATE OF POVERTY THAN NC. 18.0% OF PITT COUNTY HOUSEHOLDS WERE BELOW THE FEDERAL POVERTY LEVEL (FPL) - HIGHER THAN THE PERCENTAGE AT THE STATE (10.1%) OR NATIONAL (9.5%) LEVEL. APPROXIMATELY ONE IN FIVE PITT COUNTY HOUSEHOLDS RECEIVED FOOD STAMPS/SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM, SIGNIFICANTLY HIGHER THAN THE AVERAGE OF NORTH CAROLINA (13.4%) AND INDICATIVE OF A HIGHER LEVEL OF FOOD INSECURITY AMONG COUNTY HOUSEHOLDS. ECU HEALTH BEAUFORT HOSPITAL A CAMPUS OF ECU HEALTH MEDICAL CENTER: THE PRIMARY SERVICE AREA FOR ECU HEALTH BEAUFORT HOSPITAL INCLUDES BEAUFORT AND MAINLAND HYDE COUNTIES IN NORTH CAROLINA. SURROUNDING CITIES AND TOWNS INCLUDE WASHINGTON, AURORA, BATH, BELHAVEN, PANTEGO, CHOCOWINITY AND WASHINGTON PARK IN BEAUFORT COUNTY AND PONZER, SWAN QUARTER, FAIRFIELD AND ENGELHARD IN HYDE COUNTY. THE MOST RECENT CHNA INDICATES: BEAUFORT COUNTY HAS A POPULATION OF 43,912, MAKING UP LESS THAN 1% OF NORTH CAROLINA'S TOTAL POPULATION. THE POPULATION OF BEAUFORT COUNTY IS PROJECTED TO GROW 0.38% ANNUALLY BETWEEN NOW AND 2029. RACE AND ETHNICITY: IN BEAUFORT COUNTY 65.9% IDENTIFY AS NON-HISPANIC WHITE, HIGHER THAN THE STATE (61.2%). NON-HISPANIC BLACK RESIDENTS COMPRISE 23.2% OF THE POPULATION, HIGHER THAN THE STATE AVERAGE OF 20.4%. THE COUNTY HAS SMALLER PERCENTAGES OF OTHER RACIAL GROUPS COMPARED TO STATE AVERAGES: ASIAN RESIDENTS (0.4% VS. STATE'S 3.5%), AMERICAN INDIAN AND ALASKA NATIVE RESIDENTS (0.4% VS. STATE'S 1.2%). THE NATIVE HAWAIIAN AND PACIFIC ISLANDER PROPORTION IS SLIGHTLY HIGHER TO THE STATE AVERAGE (0.2% VS. STATE'S 0.1%) SOME OTHER RACE ALONE CONSTITUTES 5.6% OF THE POPULATION (VS. STATE'S 6.3%), WHILE RESIDENTS OF TWO OR MORE RACES REPRESENT 4.3% (VS. STATE'S 7.2%). BY ETHNICITY, 8.2% OF THE COUNTY'S POPULATION IS HISPANIC. THIS IS LOWER THAN THE STATE PROPORTION (11.4%). AGE AND SEX: THE AGE DISTRIBUTION OF BEAUFORT COUNTY SKEWS OLDER THAN THAT OF THE STATE AND COUNTRY. THE COUNTY HAS HIGHER PERCENTAGES OF BOTH MIDDLE-AGED ADULTS 45 TO 64 (26.8% VS. STATE'S 25.1%) AND SENIORS 65 AND OLDER (25.6% VS. STATE'S 17.7%). THE PERCENTAGE OF CHILDREN UNDER 15 (15.9%) IS LOWER THAN THE STATE AVERAGE (17.9%), AND THE COUNTY HAS A LOWER PROPORTION OF RESIDENTS AGES 15 TO 44 (31.7% VS. STATE'S 39.3%). THE PROPORTION OF FEMALES (51.9%) IS SLIGHTLY HIGHER THAN THE STATE AVERAGE (51.0%), WITH MALES COMPRISING 48.1% OF THE POPULATION COMPARED TO THE STATE'S 49.0%. LANGUAGE: APPROXIMATELY 7% OF BEAUFORT COUNTY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, COMPARED TO AROUND 12.7% OF NORTH CAROLINA RESIDENTS. APPROXIMATELY 6% OF COUNTY RESIDENTS SPEAK SPANISH AT HOME, SUGGESTING A PREDOMINANCE OF ENGLISH SPEAKERS. DISABILITY STATUS: THE PERCENTAGE OF THE POPULATION IN BEAUFORT COUNTY WITH A DISABILITY (17.1%) SKEWS HIGHER THAN THAT OF THE STATE AVERAGE OF 13.3%. VETERAN STATUS: THE VETERAN POPULATION IN BEAUFORT COUNTY (8.6%) IS HIGHER THAN THE STATE AVERAGE OF 7.8%. ECONOMIC INDICATORS: BEAUFORT COUNTY IS RANKED AS A TIER 1 COUNTY BY THE NC DEPARTMENT OF COMMERCE. THE 40 MOST DISTRESSED COUNTIES ARE DESIGNATED AS TIER 1. BEAUFORT COUNTY'S MEDIAN HOUSEHOLD INCOME OF$53,044 WAS LOWER THAN THE MEDIAN HOUSEHOLD INCOME IN NORTH CAROLINA OF $64,316. THE OVERALL UNEMPLOYMENT RATE OF 5.6% IS SLIGHTLY HIGHER THAN THE STATE AVERAGE OF 5.1%. BEAUFORT COUNTY HAS A HIGHER RATE OF POVERTY THAN NC. 16.4% OF BEAUFORT COUNTY HOUSEHOLDS WERE BELOW THE FEDERAL POVERTY LEVEL (FPL) - HIGHER THAN THE PERCENTAGE AT THE STATE (10.1%) OR NATIONAL (9.5%) LEVEL. APPROXIMATELY ONE IN FOUR (24.7%) BEAUFORT COUNTY HOUSEHOLDS RECEIVED FOOD STAMPS/SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM, SIGNIFICANTLY HIGHER THAN THE AVERAGE OF NORTH CAROLINA (13.4%) AND INDICATIVE OF A HIGHER LEVEL OF FOOD INSECURITY AMONG COUNTY HOUSEHOLDS. HYDE COUNTY HAS A POPULATION OF 4,404, MAKING UP LESS THAN 1% OF NORTH CAROLINA'S TOTAL POPULATION. THE POPULATION OF THE COUNTY IS PROJECTED TO DECLINE 1.02% ANNUALLY BETWEEN NOW AND 2029. RACE AND ETHNICITY: HYDE COUNTY'S RACIAL COMPOSITION DIFFERS SOMEWHAT FROM STATE AVERAGES. NON-HISPANIC WHITE RESIDENTS MAKE UP 63.6% OF THE POPULATION, SLIGHTLY HIGHER THAN THE STATE (61.2%). JUST OVER A QUARTER (25.6%) OF THE POPULATION ARE NON-HISPANIC BLACK RESIDENTS, HIGHER THAN THE STATE AVERAGE (20.4%). HYDE COUNTY HAS LOWER PERCENTAGES OF ASIAN (0.2% VS. 3.5% STATE) AND AMERICAN INDIAN ALASKA NATIVE (0.2% VS. 1.2% STATE) POPULATIONS, AND VERY FEW NATIVE HAWAIIAN AND PACIFIC ISLANDER RESIDENTS. BY ETHNICITY, 8.1% OF THE COUNTY'S POPULATION IS HISPANIC. THIS IS LOWER THAN THE STATE PROPORTION (11.4%). AGE AND SEX: THE AGE DISTRIBUTION OF HYDE COUNTY SKEWS OLDER THAN THE STATE. HYDE COUNTY'S AGE DISTRIBUTION DIFFERS NOTABLY FROM STATE AVERAGES. THE COUNTY HAS A LOWER PERCENTAGE OF RESIDENTS BELOW 15 (14.2%) COMPARED TO NORTH CAROLINA (17.9%). THE PERCENTAGE OF RESIDENTS BETWEEN 15 AND 44 (37.4%) IS ALSO LOWER THAN THE STATE AVERAGE (39.3%), WHILE THERE IS A SLIGHTLY HIGHER PERCENTAGE OF RESIDENTS AGED 45-64 (25.9% VS. 25.1% STATE) AND A SIGNIFICANTLY HIGHER PERCENTAGE AGED 65 AND OLDER (22.5% VS. 17.7% STATE). THE PROPORTION OF FEMALES (55.1%) IS HIGHER THAN THE STATE AVERAGE (51.0%), WITH MALES COMPRISING 44.9% OF THE POPULATION COMPARED TO THE STATE'S 49.0%. LANGUAGE: APPROXIMATELY 10% OF HYDE COUNTY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, COMPARED TO AROUND 12.7% OF NORTH CAROLINA RESIDENTS. SPANISH IS THE MOST COMMON LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME IN HYDE COUNTY. DISABILITY STATUS: THE PERCENTAGE OF THE POPULATION IN HYDE COUNTY WITH A DISABILITY (19%) SKEWS HIGHER THAN THAT OF THE STATE AVERAGE OF 13.3%. VETERAN STATUS: THE VETERAN POPULATION IN HYDE COUNTY (6.9%) IS LOWER THAN THE STATE AVERAGE OF 7.8%.
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 (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
PCMH FOUNDATION
PO BOX 8469	GREENVILLE	NC	27834	581399266	501 (C) (3)	$845,000	CHARITABLE DONATION
BEAUFORT COUNTY COMMUNITY COLLEGE
PO BOX 1069	WASHINGTON	NC	27889	561698724	GOVT ENTITY	$10,000	COMMUNITY EVENTS SPONSORSHIPS
THE SERVICE LEAGUE OF GREENVILLE INC
PO BOX 30452	GREENVILLE	NC	27833	560547470	501 (C) (3)	$10,700	CHARITABLE DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	ECU HEALTH MEDICAL CENTER 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 (24 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
MICHAEL WALDRUM MD
CHIEF EXECUTIVE OFFICER	$0	$1,011,508	$0	$729,088	$0	$18,753	$0	$341,625	$0	$51,625	$0	$2,152,599	$0	$0
VAN SMITH
FORMER OFFICER	$0	$415,805	$0	$111,741	$0	$0	$7,954	$150,398	$2,764	$43,958	$10,718	$721,902	$0	$0
WILLIAM FLOYD
FORMER OFFICER	$0	$834,288	$0	$229,055	$0	$0	$14,859	$230,679	$2,636	$48,238	$17,495	$1,342,260	$0	$0
JAY BRILEY
PRESIDENT, ECUH MEDICAL CENTER	$539,950	$0	$156,530	$0	$0	$0	$147,012	$9,213	$43,597	$2,667	$887,089	$11,880	$0	$0
BRIAN DUNN
SVP, FINANCE	$0	$380,041	$0	$87,664	$0	$0	$0	$47,900	$0	$52,182	$0	$567,787	$0	$0
TRISH BAISE
CHIEF NURSE EXECUTIVE	$0	$431,297	$0	$218,455	$0	$0	$0	$102,031	$0	$42,668	$0	$794,451	$0	$0
MEGHAN HOOLEY
VP ECUHMC FINANICAL SERVICES	$232,968	$0	$35,731	$0	$15,000	$0	$12,727	$14,577	$17,615	$573	$314,041	$15,150	$0	$0
JEFFERY DIAL
FORMER KEY EMPLOYEE	$0	$266,437	$0	$83,064	$0	$3,627	$0	$132,693	$0	$50,039	$0	$535,860	$0	$0
TERESA ANDERSON
FORMER KEY EMPLOYEE	$0	$277,638	$0	$62,509	$0	$0	$0	$113,792	$0	$46,502	$0	$500,441	$0	$0
KIMBERLY CRICKMORE OSBORNE
SVP, WOMENS & CHILDRENS SVS	$142,002	$0	$0	$0	$0	$0	$376,479	$0	$6,601	$0	$525,082	$0	$0	$0
TRACY ESKRA
FORMER KEY EMPLOYEE	$0	$286,466	$0	$0	$0	$0	$0	$0	$0	$53,430	$0	$339,896	$0	$0
STEPHEN TRIPP
FORMER KEY EMPLOYEE	$0	$229,930	$0	$65,316	$0	$0	$0	$117,072	$0	$42,634	$0	$454,952	$0	$0
DENNIS CAMPBELL
PRESIDENT - BEAUFORT CAMPUS	$262,354	$0	$70,681	$0	$0	$0	$51,902	$0	$43,410	$0	$428,347	$0	$0	$0
DEBRA HERNANDEZ
SVP, SYSTEM EMERGENCY SERVICES	$312,418	$0	$71,717	$0	$0	$0	$83,620	$0	$24,111	$0	$491,866	$0	$0	$0
JULI FORBES
VP, PATIENT CARE SERVICES	$173,432	$0	$39,848	$0	$0	$0	$47,325	$0	$33,724	$0	$294,329	$0	$0	$0
LOUIS HARLOW
SVP, ALLIED HEALTH SYSTEM	$332,434	$0	$72,921	$0	$0	$0	$40,400	$0	$24,012	$0	$469,767	$0	$0	$0
WENDY LEUTGENS
SVP, PERIOPERATIVE SERVICES	$276,854	$0	$63,323	$0	$0	$0	$34,111	$0	$26,329	$0	$400,617	$0	$0	$0
WALTER POFAHL
SVP, MEDICAL AFFAIRS	$431,347	$0	$100,004	$0	$0	$0	$53,900	$0	$43,319	$0	$628,570	$0	$0	$0
TARA STROUD
SVP, WOMENS & CHILDRENS SVS	$214,203	$0	$31,528	$0	$0	$0	$39,476	$0	$30,354	$0	$315,561	$0	$0	$0
ALI AL-KAISSI
ONCOLOGY PHYSICIST	$234,336	$0	$1,000	$0	$5,000	$0	$0	$0	$16,654	$0	$256,990	$0	$0	$0
KHALIL IBRAHIM
ONCOLOGY PHYSICIST	$261,822	$0	$1,000	$0	$5,000	$0	$0	$0	$34,279	$0	$302,101	$0	$0	$0
JACOB PARRISH
VP, CAPACITY & THROUGHPUT	$209,392	$0	$49,935	$0	$0	$0	$61,783	$0	$42,806	$0	$363,916	$0	$0	$0
JENNIFER STYRON
PHARMACIST IV	$246,229	$0	$1,000	$0	$0	$0	$31,856	$0	$35,140	$0	$314,225	$0	$0	$0
CHARLES WATERS
VP, PHARMACY	$282,516	$0	$50,795	$0	$0	$0	$34,500	$0	$30,527	$0	$398,338	$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 ECU HEALTH MEDICAL CENTER. 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARIANA CRUMPLER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAMILY OF BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$37,603	TransactionAmt
Transaction	EMPL. OF ECU HEALTH MED. CENTER	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4 OVERVIEW OF UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA	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 4 OVERVIEW OF UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA 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 PROGRAMS THAT ARE NOT DIRECTLY RELATED TO HEALTH CARE BUT ADDRESS UNDERLYING ISSUES THAT IMPACT THE HEALTH OF COMMUNITIES. POVERTY, CRIME, HOMELESSNESS, WORKFORCE DEVELOPMENT AND ECONOMIC DEVELOPMENT ALL AFFECT THE OVERALL HEALTH OF COMMUNITIES. ECU HEALTH HAS PROVIDED SUPPORT FOR OUR LOCAL CHAMBERS OF COMMERCE, INVESTMENTS IN COMMUNICATION INFRASTRUCTURE VIA INFORMATION TECHNOLOGY CONNECTIONS, SUPPORT FOR THE TEEN LEADERSHIP ACADEMY, RECRUITMENT OF PHYSICIANS TO OUR RURAL COMMUNITIES, AND PROGRAMS THAT ENCOURAGE STUDENTS TO PURSUE HEALTH CAREERS.
FORM 990, PART III, LINE 4D DESCRIPTION OF OTHER PROGRAM SERVICES	(EXPENSES $ 255,350,315 INCLUDING GRANTS OF $ 1,288,388)(REVENUE $ 472,516,241) ALL OTHER SERVICES
FORM 990, PART III, LINE 4D DESCRIPTION OF OTHER PROGRAM SERVICES	(EXPENSES $ 118,565,498 INCLUDING GRANTS OF $ 0)(REVENUE $ 131,574,362) EMERGENCY SERVICES
FORM 990, PART III, LINE 4D DESCRIPTION OF OTHER PROGRAM SERVICES	(EXPENSES $ 60,895,472 INCLUDING GRANTS OF $ 0)(REVENUE $ 48,965,065) REHABILITATIVE SERVICES
FORM 990, PART VI, LINE 1A EXECUTIVE COMMITTEE	THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES SHALL CONSIST OF NINE MEMBERS INCLUDING THE CHAIRMAN, VICE CHAIRMAN, SECRETARY, AND SIX MEMBERS ELECTED BY THE BOARD OF TRUSTEES FROM THE AT LARGER MEMBERSHIP IN A MANNER SUCH THAT A TOTAL OF FIVE MEMBERS OF THE EXECUTIVE COMMITTEE ARE MEMBERS OF THE BOARD APPOINTED BY THE COUNTY COMMISSIONERS AND A TOTAL OF FOUR MEMBERS OF THE EXECUTIVE COMMITTEE ARE MEMBERS OF THE BOARD APPOINTED BY THE BOARD OF GOVERNORS OF THE UNIVERSITY OF NORTH CAROLINA. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE, IN THE INTERIM BETWEEN MEETINGS OF THE BOARD OF TRUSTEES, AND EXCEPT AS OTHER PROVIDED IN THE BYLAWS, ALL THE POWERS OF THE BOARD OF TRUSTEES OF PITT COUNTY MEMORIAL HOSPITAL, INCORPORATED. IF THE EXECUTIVE COMMITTEE DETERMINES THAT EMERGENCY CIRCUMSTANCES EXIST WHICH REQUIRE ACTION, THE COMMITTEE SHALL HAVE THE POWER TO TAKE SUCH ACTION AS IT MAY DEEM TO BE WISE AND IN THE BEST INTEREST OF THE HOSPITAL AND THE PATIENTS THEREIN AND REPORT THE ACTIONS TAKEN TOGETHER WITH THE EMERGENCY CIRCUMSTANCES TO THE NEXT MEETING OF THE FULL BOARD. MEETINGS MAY ALSO BE CALLED BY OR AT THE REQUEST OF THE CHAIRMAN OF THE EXECUTIVE COMMITTEE OR BY TWO OR MORE OF THE EXECUTIVE COMMITTEE MEMBERS.
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 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	THE BOARD OF COMMISSIONERS OF PITT COUNTY AND THE BOARD OF GOVERNORS OF THE UNIVERSITY OF NORTH CAROLINA SHALL HAVE THE POWER TO APPOINT THE TWENTY MEMBERS OF THE BOARD OF TRUSTEES OF PITT COUNTY MEMORIAL HOSPITAL.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	THE RESTATED ARTICLES OF INCORPORATION FOR PITT COUNTY MEMORIAL HOSPITAL, INC. STATE THE ARTICLES AND BYLAWS MAY NOT BE AMENDED WITHOUT THE APPROVAL OF UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. (ECU HEALTH). THE CEO OF ECU HEALTH, IN CONSULTATION WITH THE GOVERNING BOARD, SHALL SELECT AND APPOINT A QUALIFIED PRESIDENT OF THE CORPORATION, SHALL HAVE CONTROL AND AUTHORITY OVER ITS OTHER OFFICERS, AGENTS, AND EMPLOYEES, AND SHALL HAVE GENERAL CHARGE OF THE BUSINESS AFFAIRS AND PROPERTY OF THE CORPORATION.
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 WITH THE IRS.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	ALL OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A YEARLY COMPREHENSIVE CONFLICT OF INTEREST QUESTIONNAIRE. THESE ARE REVIEWED BY LEGAL COUNSEL AND ANY POTENTIAL OR ACTUAL CONFLICTS ARE BROUGHT TO THE BOARD FOR DISPOSITION. BOARD MEMBERS ARE INSTRUCTED TO REPORT ANY POTENTIAL CONFLICTS ARISING DURING THE YEAR FOR REVIEW. BOARD MEMBERS ARE REQUIRED TO RECUSE THEMSELVES FROM VOTING ON ISSUES IN WHICH THEY ARE DEEMED TO HAVE A CONFLICT.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D).
FORM 990, PART VII, SECTION A AMOUNTS PAID TO BOARD DIRECTOR	AMOUNTS PAID TO BOARD DIRECTOR ARE RELATED TO PRIOR YEAR EMPLOYMENT AGREEMENTS AND NOT THE INDIVIDUAL'S ROLE ON THE BOARD OF DIRECTORS.
FORM 990, PART IX, LINE 11G OTHER FEES	CONTRACTED SERVICES - TOTAL EXPENSE: XXX-XX-XXXX, PROGRAM SERVICE EXPENSE: XXX-XX-XXXX, MANAGEMENT AND GENERAL EXPENSES: 49215987, FUNDRAISING EXPENSES: 0; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ;
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	NET ASSET TRANSFER - -XXX-XX-XXXX; TOTAL - -XXX-XX-XXXX;
FORM 990, PART XII, LINE 2C CHANGE OF OVERSIGHT PROCESS OR SELECTION PROCESS	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MOYE MEDICAL ENDOSCOPY CENTER
521 MOYE BOULEVARD	GREENVILLE	NC	27834	261671435	HEALTHCARE	NC	$1,078,787	$507,016	PITT COUNTY MEMORIAL HOSPITAL INC DBA ECU HEALTH MEDICAL CENTER
VIDANT RADIATION ONCOLOGY
2100 STANTONSBURG ROAD	GREENVILLE	NC	27834	474828383	HEALTHCARE	NC	$20,774,779	$28,847,435	PITT COUNTY MEMORIAL HOSPITAL INC DBA ECU HEALTH MEDICAL CENTER

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 ROAD	GREENVILLE	NC	27835	562141073	HEALTHCARE	NC	501(C)(3)	TYPE III-FI	NA	false
EAST CAROLINA HEALTH DBA ECU HEALTH COMMUNITY HOSPITALS
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	562003393	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false
PCMH MANAGEMENT INC DBA ECU HEALTH PROPERTIES
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	561690740	MED PROP MGMT	NC	501(C)(2)		ECU HEALTH	false
VIDANT MEDICAL GROUP LLC DBA ECU HEALTH PHYSICIANS
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	383740839	HEALTHCARE	NC	501(C)(3)	10	ECU HEALTH	false
THE OUTER BANKS HOSPITAL INC DBA OUTER BANKS HEALTH
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	562112733	HOSPITAL	NC	501(C)(3)	3	EC HEALTH	false
HEALTHACCESS INC
2100 STANTONSBURG ROAD	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 ROAD	GREENVILLE	NC	27835	562072002	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false
EAST CAROLINA HEALTH - CHOWAN DBA ECU HEALTH CHOWAN HOSPITAL
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	562101090	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false
EAST CAROLINA HEALTH - HERITAGE DBA ECU HEALTH EDGECOMBE HOSPITAL
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	562093700	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false
EAST CAROLINA HEALTH - BEAUFORT DBA ECU HEALTH BEAUFORT HOSPITAL
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	452436270	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false
DUPLIN GENERAL HOSPITAL DBA ECU HEALTH DUPLIN HOSPITAL
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	566011594	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false
ACCESS EAST INC
2410 STANTONSBURG RD	GREENVILLE	NC	27835	561949493	HEALTHCARE	NC	501(C)(3)	10	ECU HEALTH	false	STANTON SQUARE
HALIFAX REGIONAL MEDICAL CENTER INC DBA ECU HEALTH NORTH HOSPITAL
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	560989789	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false
ROANOKE VALLEY HEALTH SERVICES INC
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	561925492	HEALTHCARE	NC	501(C)(3)	3	ECU HEALTH	false
EAST CAROLINA HEALTH DBA ECU HEALTH COMMUNITY HOSPITALS
2100 STANTONSBURG ROAD	GREENVILLE	NC	27835	911997979	HOSPITAL	NC	501(C)(3)	3	ECU HEALTH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SURGICENTER CENTER OF EASTERN CAROLINA	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)
EIN	262558314	EIN
Primary Activities	AMBULATORY SURGICAL SERVICES	PrimaryActivitiesTxt
Legal Domicile State	NC	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$11,087,175	ShareOfTotalIncomeAmt
Share Of EOY Assets	$11,305,046	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.55	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	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	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

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

Field	Value	IRS element (for citing)
Transaction Type	A	TransactionTypeTxt
Involved	$208,064	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt