2026-08-10T15:16:33+00:00 2025-09-30 135381590 BDO USA 421 FAYETTEVILLE ST STE 300 RALEIGH NC 276011776 990 2024-10-01 560585243 PITT COUNTY MEMORIAL HOSPITAL INC PITT 2528477479 2100 STANTONSBURG ROAD GREENVILLE NC 28735 BRIAN DUNN CFO 2528477479 2026-08-10 true SANDRA L FEINSMITH P01064157 9197549370 2026-08-10 2024 2025-03-06 01:10:19Z ECU HEALTH MEDICAL CENTER JAY BRILEY 2100 STANTONSBURG ROAD GREENVILLE NC 28735 2223240973 false X WWW.ECUHEALTH.ORG X 1953 NC TO PROVIDE ACCESS TO QUALITY MEDICAL SERVICE TO ALL CITIZENS OF PITT COUNTY AND EASTERN NC. 19 16 16240 671 152422 0 2322433 3434793 1987784324 2052409813 35648020 17201575 93575987 150194792 2119330764 2223240973 1061888 1288388 0 0 670055452 708951441 0 0 0 1209133854 1310147958 1880251194 2020387787 239079570 202853186 1651597802 1287686372 413169010 396768202 1238428792 890918170 X TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA. false false 713007449 0 662255389 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. 464836073 0 459107154 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. 276487209 0 277991602 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. 255350315 1288388 472516241 ALL OTHER SERVICES 118565498 0 131574362 EMERGENCY SERVICES 60895472 0 48965065 REHABILITATIVE SERVICES 434811285 1288388 653055668 1889142016 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false true false false false false false true true true true false false true 23 0 true 16240 true true true false false false false false false false false false false false X 19 16 false false false false false true true true true false false false true true true true true true true true true true NC X X JENNIFER WORSLEY 2528472254 2100 STANTONSBURG ROAD GREENVILLE NC 27835 ANAND TEWARI MD BOARD MEMBER 2.0 0 X 0 0 0 ANGELA ALLEN BOARD MEMBER 2.0 2.0 X 0 0 0 BRYANT KITTRELL BOARD MEMBER (THRU 12/24) 2.0 0 X 0 0 0 CARLESTER CRUMPLER VICE CHAIR 2.0 0 X 0 0 0 CHRISTOPHER JENKINS BOARD MEMBER 2.0 0 X 0 0 0 DEBORAH DAVIS CHAIR 2.0 2.0 X 0 0 101825 DEMETRIUS CARTER BOARD MEMBER 2.0 0 X 0 0 0 DIANE TAYLOR SECRETARY 2.0 4.0 X 0 0 0 DONALD THOMPSON BOARD MEMBER 2.0 0 X 0 0 0 MICHAEL WALDRUM MD CHIEF EXECUTIVE OFFICER 2.0 52.0 X 0 1759349 393250 MIKE FITZPATRICK BOARD MEMBER 2.0 0 X 0 0 0 MIKE MCLAUGHLIN MD BOARD MEMBER 2.0 0 X 0 0 0 PHIL GIBBS BOARD MEMBER 2.0 0 X 0 0 0 PHILIP ROGERS BOARD MEMBER 2.0 2.0 X 0 0 0 PHILLIP DIXON SR TREASURER 2.0 0 X 0 0 0 ROB JONES BOARD MEMBER 2.0 0 X 0 0 0 TOM KULIKOWSKI BOARD MEMBER (AS OF 03/25) 2.0 0 X 0 0 0 TONY CANNON BOARD MEMBER 2.0 0 X 0 0 0 TONY KHOURY ASST. SECRETARY 2.0 2.0 X 0 0 0 VERN DAVENPORT ASST. TREASURER 2.0 2.0 X 0 0 0 WILLIAM MONK JR BOARD MEMBER 2.0 2.0 X 0 0 0 BRIAN DUNN SVP, FINANCE 2.0 42.0 X 0 467705 100082 JAY BRILEY PRESIDENT, ECUH MEDICAL CENTER 40.0 4.0 X 696480 0 202489 MEGHAN HOOLEY VP ECUHMC FINANICAL SERVICES 40.0 0.0 X 283699 0 45492 TRISH BAISE CHIEF NURSE EXECUTIVE 2.0 40.0 X 0 649752 144699 DEBRA HERNANDEZ SVP, SYSTEM EMERGENCY SERVICES 40.0 0.0 X 384135 0 107731 DENNIS CAMPBELL PRESIDENT - BEAUFORT CAMPUS 40.0 0.0 X 333035 0 95312 JULI FORBES VP, PATIENT CARE SERVICES 40.0 0 X 213280 0 81049 LOUIS HARLOW SVP, ALLIED HEALTH SYSTEM 40.0 0 X 405355 0 64412 TARA STROUD SVP, WOMENS & CHILDRENS SVS 40.0 0 X 245731 0 69830 WALTER POFAHL SVP, MEDICAL AFFAIRS 40.0 0 X 531351 0 97219 WENDY LEUTGENS SVP, PERIOPERATIVE SERVICES 40.0 0 X 340177 0 60440 ALI AL-KAISSI ONCOLOGY PHYSICIST 40.0 0 X 240336 0 16654 CHARLES WATERS VP, PHARMACY 40.0 0 X 333311 0 65027 JACOB PARRISH VP, CAPACITY & THROUGHPUT 40.0 0 X 259327 0 104589 JENNIFER STYRON PHARMACIST IV 40.0 0 X 247229 0 66996 KHALIL IBRAHIM ONCOLOGY PHYSICIST 40.0 0 X 267822 0 34279 JEFFERY DIAL FORMER KEY EMPLOYEE 0.0 40.0 X 0 353128 182732 KIMBERLY CRICKMORE OSBORNE SVP, WOMENS & CHILDRENS SVS 40.0 0 X 142002 0 383080 STEPHEN TRIPP FORMER KEY EMPLOYEE 0.0 40.0 X 0 295246 159706 TERESA ANDERSON FORMER KEY EMPLOYEE 0.0 40.0 X 0 340147 160294 TRACY ESKRA FORMER KEY EMPLOYEE 0.0 40.0 X 0 286466 53430 VAN SMITH FORMER OFFICER 0.0 48.0 X 0 527546 205074 WILLIAM FLOYD FORMER OFFICER 0.0 42.0 X 0 1063343 296412 4923270 5742682 3292103 1262 true true false AMN HEALTHCARE INC PO BOX 281923 ATLANTA GA 30384 TEMPORARY STAFF SVCS 44637213 EAST CAROLINA UNIV SCHOOL OF MEDICINE PO BOX 75514 CHARLOTTE NC 28275 MEDICAL STAFF SVCS 28530254 METRO AVIATION INC PO BOX 7008 SHREVEPORT LA 07137 MANAGEMENT SERVICES 15406934 EAST CAROLINA ANESTHESIA ASSOCIATION 2080-B W ARLINGTON BOULEVARD GREEVILLE NC 27834 ANESTHESIA SERVICES 13638723 MEDICAL SOLUTIONS LLC 1010 N 102ND STREET OMAHA NE 68114 TEMPORARY STAFF SVCS 13439777 105 91135 3343658 3434793 CANCER & CLINICAL SERVICES 621110 662255389 662255389 SURGICAL SERVICES 621110 459107154 459107154 CARDIOVASCULAR SERVICES 621110 277991602 277991602 EMERGENCY SERVICES 621110 131574362 131574362 ALL OTHER PROGRAM SERVICE REVENUE 621110 521481306 521328884 152422 0 0 0 0 2052409813 17030014 17030014 167076 0 167076 0 167076 167076 171561 0 171561 171561 171561 ALL OTHER REVENUE 900099 136278808 136278808 CAFETERIA MEALS 722514 7294167 7294167 REBATES 900099 6454741 6454741 0 0 0 0 150027716 2223240973 2052257391 152422 167396367 X 1288388 1288388 0 0 3859227 3859227 565939222 512845584 53093638 26087334 23493001 2594333 71410216 64851936 6558280 41655442 37525167 4130275 1158446 1042638 115808 6311 5680 631 195227 195227 51151 51151 501385337 452169350 49215987 0 340837 306753 34084 4258434 3833741 424693 5045203 5045203 19479334 17678342 1800992 2042582 1839349 203233 25907807 23318702 2589105 51123440 46241147 4882293 15004192 13507378 1496814 MEDICAL SUPPLIES 493305679 493305679 MEDICAID ASSESSMENTS 132957851 132957851 ALL OTHER EXPENSES 33057652 33057652 BAD DEBT 24828475 24828475 0 0 0 0 2020387787 1889142016 131245771 0 0 0 172163224 199485874 0 0 317187890 307144308 0 0 0 0 0 0 48233305 45507434 13134596 8950726 1404455604 949942096 452514338 454513508 0 0 370232621 16538764 0 0 0 278131828 255545758 1651597802 1287686372 288693699 185854567 0 0 0 0 0 0 0 0 0 0 0 21278730 20863001 0 103612310 189634905 413169010 396768202 X 1238428792 890918170 0 0 1238428792 890918170 1651597802 1287686372 X 202853186 -550363808 X X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 51151 51151 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 18.81% OF DUES TO NCHA ARE ALLOCATED TO LOBBYING. 18560198 18560198 805671048 533213018 272458030 505047703 382441121 122606582 75176655 34287957 40888698 454513508 DUE FROM THIRD PARTY PAYORS 160501951 DEFERRED OUTFLOWS 55178158 OTHER RECEIVABLES 33965835 INVESTMENTS IN SUBSIDIARIES 5899814 255545758 FEDERAL INCOME TAXES NET PENSION LIABILITY 85656534 DUE TO THIRD PARTY PAYORS 41699848 DEFERRED PENSION INFLOWS 30370355 SERP PAYABLE 13680718 DUE TO AFFILIATES 3317284 ASSET RETIREMENT OBLIGATION 675000 OTHER 14235166 189634905 X 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE 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. true true X true X true X true true true false true true 68816466 68816466 0.03448 463331156 668691168 0 0.0 0 0.0 0 0 532147622 668691168 68816466 0.03448 36 124609 7964479 590026 7374453 0.00370 7 5017 75035914 20411114 54624800 0.02737 0 0.0 0 0.0 8 20651 5041456 5041456 0.00253 51 150277 88041849 21001140 67040709 0.03359 51 150277 620189471 689692308 135857175 0.06808 0 0.0 0 0.0 3 95114 95114 0.00005 0 0.0 0 0.0 0 0.0 0 0.0 4 1831 1127335 1127335 0.00056 0 0.0 7 1831 1222449 0 1222449 0.00061 true 3141957 265088771 319847542 -54758771 X true true 2 1 PITT COUNTY MEMORIAL HOSPITAL INC 2100 STANTONSBURG ROAD GREENVILLE NC 27835 H0104 X X X X X REHABILITATION, BEHAVIORAL HEALTH A 2 ECU HEALTH BEAUFORT HOSPITAL - A CAMPUS OF ECU HEALTH MEDICAL CENTER 628 EAST TWELFTH STREET WASHINGTON NC 27889 H0188 X X X X A A 2 false false true X X X X X X X X X 24 true true true true X THE HOSPITAL MAKES ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND MOST RECENTLY ADOPTED IMPLEMENTATION ST X true 24 true THE HOSPITAL MAKES ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND MOST RECENTLY ADOPTED IMPLEMENTATION ST false true X 200.0 300.0 X X true true X X X true X HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.ECUHEALTH.ORG/PATIENTS-AND-FAMILIES/YOUR-BILL/FINANCIAL-ASSISTANCE/ X X X X X true X false X X X X true X false false 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. 0 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 true PCMH FOUNDATION PO BOX 8469 GREENVILLE NC 27834 581399266 501 (C) (3) 845000 CHARITABLE DONATION BEAUFORT COUNTY COMMUNITY COLLEGE PO BOX 1069 WASHINGTON NC 27889 561698724 GOVT ENTITY 10000 COMMUNITY EVENTS SPONSORSHIPS THE SERVICE LEAGUE OF GREENVILLE INC PO BOX 30452 GREENVILLE NC 27833 560547470 501 (C) (3) 10700 CHARITABLE DONATION 3 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS 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. X X X X false false false false false false false false false MICHAEL WALDRUM MD CHIEF EXECUTIVE OFFICER 0 1011508 0 729088 0 18753 0 341625 0 51625 0 2152599 0 0 VAN SMITH FORMER OFFICER 0 415805 0 111741 0 0 7954 150398 2764 43958 10718 721902 0 0 WILLIAM FLOYD FORMER OFFICER 0 834288 0 229055 0 0 14859 230679 2636 48238 17495 1342260 0 0 JAY BRILEY PRESIDENT, ECUH MEDICAL CENTER 539950 0 156530 0 0 0 147012 9213 43597 2667 887089 11880 0 0 BRIAN DUNN SVP, FINANCE 0 380041 0 87664 0 0 0 47900 0 52182 0 567787 0 0 TRISH BAISE CHIEF NURSE EXECUTIVE 0 431297 0 218455 0 0 0 102031 0 42668 0 794451 0 0 MEGHAN HOOLEY VP ECUHMC FINANICAL SERVICES 232968 0 35731 0 15000 0 12727 14577 17615 573 314041 15150 0 0 JEFFERY DIAL FORMER KEY EMPLOYEE 0 266437 0 83064 0 3627 0 132693 0 50039 0 535860 0 0 TERESA ANDERSON FORMER KEY EMPLOYEE 0 277638 0 62509 0 0 0 113792 0 46502 0 500441 0 0 KIMBERLY CRICKMORE OSBORNE SVP, WOMENS & CHILDRENS SVS 142002 0 0 0 0 0 376479 0 6601 0 525082 0 0 0 TRACY ESKRA FORMER KEY EMPLOYEE 0 286466 0 0 0 0 0 0 0 53430 0 339896 0 0 STEPHEN TRIPP FORMER KEY EMPLOYEE 0 229930 0 65316 0 0 0 117072 0 42634 0 454952 0 0 DENNIS CAMPBELL PRESIDENT - BEAUFORT CAMPUS 262354 0 70681 0 0 0 51902 0 43410 0 428347 0 0 0 DEBRA HERNANDEZ SVP, SYSTEM EMERGENCY SERVICES 312418 0 71717 0 0 0 83620 0 24111 0 491866 0 0 0 JULI FORBES VP, PATIENT CARE SERVICES 173432 0 39848 0 0 0 47325 0 33724 0 294329 0 0 0 LOUIS HARLOW SVP, ALLIED HEALTH SYSTEM 332434 0 72921 0 0 0 40400 0 24012 0 469767 0 0 0 WENDY LEUTGENS SVP, PERIOPERATIVE SERVICES 276854 0 63323 0 0 0 34111 0 26329 0 400617 0 0 0 WALTER POFAHL SVP, MEDICAL AFFAIRS 431347 0 100004 0 0 0 53900 0 43319 0 628570 0 0 0 TARA STROUD SVP, WOMENS & CHILDRENS SVS 214203 0 31528 0 0 0 39476 0 30354 0 315561 0 0 0 ALI AL-KAISSI ONCOLOGY PHYSICIST 234336 0 1000 0 5000 0 0 0 16654 0 256990 0 0 0 KHALIL IBRAHIM ONCOLOGY PHYSICIST 261822 0 1000 0 5000 0 0 0 34279 0 302101 0 0 0 JACOB PARRISH VP, CAPACITY & THROUGHPUT 209392 0 49935 0 0 0 61783 0 42806 0 363916 0 0 0 JENNIFER STYRON PHARMACIST IV 246229 0 1000 0 0 0 31856 0 35140 0 314225 0 0 0 CHARLES WATERS VP, PHARMACY 282516 0 50795 0 0 0 34500 0 30527 0 398338 0 0 0 SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION 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. ARIANA CRUMPLER FAMILY OF BOARD MEMBER 37603 EMPL. OF ECU HEALTH MED. CENTER false 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. MOYE MEDICAL ENDOSCOPY CENTER 521 MOYE BOULEVARD GREENVILLE NC 27834 261671435 HEALTHCARE NC 1078787 507016 PITT COUNTY MEMORIAL HOSPITAL INC DBA ECU HEALTH MEDICAL CENTER VIDANT RADIATION ONCOLOGY 2100 STANTONSBURG ROAD GREENVILLE NC 27834 474828383 HEALTHCARE NC 20774779 28847435 PITT COUNTY MEMORIAL HOSPITAL INC DBA ECU HEALTH MEDICAL CENTER 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 STANTON SQUARE GREENVILLE NC 27835 561949493 HEALTHCARE NC 501(C)(3) 10 ECU HEALTH false 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 SURGICENTER CENTER OF EASTERN CAROLINA 2100 STANTONSBURG ROAD GREENVILLE NC 27835 262558314 AMBULATORY SURGICAL SERVICES NC PITT COUNTY MEMORIAL HOSPITAL INC DBA ECU HEALTH MEDICAL CENTER RELATED 11087175 11305046 false false 0.55 true true false false false false false false true true true true true false true true true false false SURGICENTER CENTER OF EASTERN CAROLINA LLC A 208064 FMV