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East Carolina Health Inc

2100 Stantonsburg Road
Greenville, NC 27835
EIN: 911997979
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: Halifax Regional Medical Center
250 Smith Church Road
Roanoke Rapids, NC 27870
8 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count206Medicare provider number340151Member of the Council of Teaching HospitalsYESChildren's hospitalNO

East Carolina Health IncDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
4.84%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 465,087,488
      Total amount spent on community benefits
      as % of operating expenses
      		$ 22,492,320
      4.84 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        		$ 13,702,453
        2.95 %
        Medicaid
        as % of operating expenses
        		$ 5,977,924
        1.29 %
        Costs of other means-tested government programs
        as % of operating expenses
        		$ 0
        0 %
        Health professions education
        as % of operating expenses
        		$ 1,326,780
        0.29 %
        Subsidized health services
        as % of operating expenses
        		$ 0
        0 %
        Research
        as % of operating expenses
        		$ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        		$ 502,039
        0.11 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        		$ 983,124
        0.21 %
        Community building*
        as % of operating expenses        		$ 114,199
        0.02 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)17
          Physical improvements and housing0
          Economic development1
          Community support6
          Environmental improvements0
          Leadership development and training for community members1
          Coalition building2
          Community health improvement advocacy0
          Workforce development7
          Other0
          Persons served (optional)897
          Physical improvements and housing0
          Economic development0
          Community support2
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development895
          Other0
          Community building expense
          as % of operating expenses          		$ 114,199
          0.02 %
          Physical improvements and housing
          as % of community building expenses
          		$ 0
          0 %
          Economic development
          as % of community building expenses
          		$ 12,033
          10.54 %
          Community support
          as % of community building expenses
          		$ 44,273
          38.77 %
          Environmental improvements
          as % of community building expenses
          		$ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          		$ 3,972
          3.48 %
          Coalition building
          as % of community building expenses
          		$ 20,821
          18.23 %
          Community health improvement advocacy
          as % of community building expenses
          		$ 0
          0 %
          Workforce development
          as % of community building expenses
          		$ 33,100
          28.98 %
          Other
          as % of community building expenses
          		$ 0
          0 %
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses        		$ 13,209,291
        2.84 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses        		$ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available

    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?NO

    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?YES

    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
      • 4A (Expenses $ 86538031 including grants of $ 95000) (Revenue $ 94376094)
ECU Health Edgecombe HospitalECU Health Edgecombe Hospital, formerly Heritage Hospital, is a 117-bed facility located in Tarboro, North Carolina. Services at ECU Health Edgecombe include acute care, inpatient and same day surgery, emergency, critical care, obstetrics/gynecology, and oncology services. It also operates a rural health center, which provides general, pediatric, women's and occupational health services.
      4B (Expenses $ 93078437 including grants of $ 106541) (Revenue $ 92828744)
ECU Health Roanoke-Chowan HospitalECU Health Roanoke-Chowan Hospital is an 86-bed hospital located in Ahoskie, Northe Carolina, that is also licensed for 28 inpatient psychiatric beds. Services at Roanoake-Chowan Hospital include acute care, obstetrics/gynecology, emergency, sub-acute care, speciality clinics and behavioral health. The hospital also operates a wellness center for the community.
      4C (Expenses $ 102608740 including grants of $ 96750) (Revenue $ 91695806)
ECU Health North, formerly Halifax Regional Medical Center ECU Health North, formerly Halifax Regional Medical Center is a 204-bed hospital located in Roanoke Rapids, North Carolina. Services at ECU Health North include acute care, IP behavioral health unit, obstetrics/gynecology, critial care unit, IP and same day surgercy, 24 hour emergency, oncology, cardiac cath lab, endoscopy services, rehab services, and wound care services.
      4D (Expenses $ 128799332 including grants of $ 285000) (Revenue $ 150868060)
Hospital services provided at additional facilities.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      Part V, Section B
Facility Reporting Group A
      Facility Reporting Group A consists of:
- Facility 1: East Carolina Health - Heritage, Inc., - Facility 2: East Carolina Health - Roanoke-Chowan, - Facility 3: East Carolina Health - Chowan, Inc., - Facility 4: Duplin General Hopsital, Inc., - Facility 5: East Carolina Health - Bertie
      Facility Report Group A Part V, Section B, line 5:
Each of the ECU Health Community Hospitals collaborate with local county health departments and other interestedparties in the local communities to produce the Community Health Needs Assessment. These partners include schools, health-focused not-for-profits, community health initiatives, chambers of commerce, and other agencies dedicated to promoting the well-being of their communities. The partners represent a wide range of diverse constituencies including children, seniors, and underserved populations. The information created through this collaborative effort is then used to determine areas of health needs focus for the individual entities and also for creating partnerships to address needs where possible.
      Facility Report Group A Part V, Section B, line 6a:
The Community Health Needs Assessment was conducted with the following hospitals:East Carolina Health - Heritage, Inc. DBA ECU Health Edgecombe HospitalEast Carolina Health DBA ECU Health Roanoke-Chowan HospitalEast Carolina Health - Chowan, Inc. DBA ECU Health Chowan HospitalDuplin General Hospital, Inc. DBA ECU Health Duplin HospitalEast Carolina Health - Bertie DBA ECU Health Bertie Hospital
      Facility Report Group A Part V, Section B, line 6b:
The Community Health Needs Assessment was conducted with the following organizations:Albemarle Regional Health ServicesDuplin County Health DepartmentEast Carolina UniversityEdgecombe County Health DepartmentHertford County Public Health AuthorityHyde County Health Department
      Facility Report Group A Part V, Section B, line 11:
Please refer to the attached hospital Implementation Strategy for detailed action plans. Certain community needs may not be fully documented or addressed in the Community Health Needs Assessment. These needs are generally those which other organizations share an overlap with East Carolina Health. Those other organizations are better EquipPed to address these specific needs, and therefore, function as the lead agency to address those priorities. Priorities being led by other organizations are subsequently not considered as priority issues of East Carolina Health and are noted accordingly in the Implementation Strategy.
      Part V, Section B
Facility Reporting Group B
      Facility Reporting Group B consists of:
- Facility 6: Halifax Regional Medical Center, Inc. - ECU He
      Facility Report Group B Part V, Section B, line 5:
Each of the ECU Health Community Hospitals collaborate with local county health departments and other interestedparties in the local communities to produce the Community Health Needs Assessment. These partners include schools, health-focused not-for-profits, community health initiatives, chambers of commerce, and other agencies dedicated to promoting the well-being of their communities. The partners represent a wide range of diverse constituencies including children, seniors, and underserved populations. The information created through this collaborative effort is then used to determine areas of health needs focus for the individual entities and also for creating partnerships to address needs where possible.
      Facility Report Group B Part V, Section B, line 6a:
The Community Health Needs Assessment was conducted with the following hospitals:East Carolina Health - Heritage, Inc. DBA ECU Health Edgecombe HospitalEast Carolina Health DBA ECU Health Roanoke-Chowan HospitalEast Carolina Health - Chowan, Inc. DBA ECU Health Chowan HospitalDuplin General Hospital, Inc. DBA ECU Health Duplin HospitalEast Carolina Health - Bertie DBA ECU Health Bertie Hospital
      Facility Report Group B Part V, Section B, line 6b:
The Community Health Needs Assessment was conducted with the following organizations:Albemarle Regional Health ServicesDuplin County Health DepartmentEast Carolina UniversityEdgecombe County Health DepartmentHertford County Public Health AuthorityHyde County Health Department
      Facility Report Group B Part V, Section B, line 11:
Please refer to the attached hospital Implementation Strategy for detailed action plans. Certain community needs may not be fully documented or addressed in the Community Health Needs Assessment. These needs are generally those which other organizations share an overlap with East Carolina Health. Those other organizations are better EquipPed to address these specific needs, and therefore, function as the lead agency to address those priorities. Priorities being led by other organizations are subsequently not considered as priority issues of East Carolina Health and are noted accordingly in the Implementation Strategy.
      Part V, Section B, line 7a and 10a:
The Hospital makes its Community Health Needs Assessment and most recently adopted Implementation Strategy available to the public on the Hospital's website: https://www.ecuhealth.org/about-us/community/health-needs-assessment/
      Part V, Section B, Line 16A, 16B, AND 16C:
The Hospital makes its Financial Assistance Policy, Application, and Plain Language Summary available at the following website: https://www.ecuhealth.org/patients-and-families/your-bill/financial-assistance/
      Supplemental Information
      Schedule H (Form 990) Part VI
      Part I, Line 7:
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.
      Part I, Ln 7 Col(f):
In connection with the Presumptive Eligibility consideration of the Affordable Care Act, East Carolina Health does not reflect any bad debt in connection with FAP-eligible patients. These patients are presumed to be part of the Medicaid population and afforded coverage as such.
      Part II, Community Building Activities:
See Schedule O, Part III, Line 4a in connection with https://www.ecuhealth.org/about-us/community/health-needs-assessment/
      Part III, Line 4:
The financial statements of East Carolina Health are presented on a consolidated basis; the text of the footnote from page 20 is presented below:Patient Accounts ReceivablePatient Accounts Receivable are reported net of estimated allowances for contractual adjustments and allowances for bad debts. Estimated allowances for bad debts are approximately $91.7 million and $96.1 million as of September 30, 2022 and 2021, respectively.
      Part III, Line 8:
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 ECH, 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 ECH.
      Part III, Line 9b:
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 conjuction 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.
      Part VI, Line 2:
The organization assesses community need in conjunction with the state affiliated county health departments and other local health care organizations. See also Schedule H, Part V, Section B, lines 1-7
      Part VI, Line 3:
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.
      Part VI, Line 4:
See Schedule O, Part III, Line 4a in connection with https://www.ecuhealth.org/about-us/community/health-needs-assessment/
      Part VI, Line 5:
See Schedule O, Part III, Line 4a in connection with https://www.ecuhealth.org/about-us/community/health-needs-assessment/
      Part VI, Line 6:
See Schedule O, Part III, Line 4a in connection with https://www.ecuhealth.org/about-us/community/health-needs-assessment/
      Part VI, Line 7, Reports Filed With States
NC