2026-08-06T15:15:16+00:00 2025-09-30 135381590 BDO USA 421 FAYETTEVILLE ST STE 300 RALEIGH NC 276011776 990 2024-10-01 200777374 UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA FOUNDATION INC UNIV 2528475626 690 MEDICAL DRIVE GREENVILLE NC 27835 SCOTT SENATORE PRESIDENT 2528475626 2026-08-06 true SANDRA L FEINSMITH P01064157 9197549370 2026-08-06 2024 2025-03-06 01:10:19Z ECU HEALTH FOUNDATION SCOTT SENATORE 690 MEDICAL DRIVE GREENVILLE NC 27835 10687960 false X ECUHEALTHFOUNDATION.ORG X 2004 NC TO GIVE HOPE TO EASTERN NORTH CAROLINA AND BEYOND BY INSPIRING PHILANTHROPY TO IMPROVE HEALTH, EDUCATION, AND WELL-BEING. 20 20 0 150 0 4214247 5639123 0 0 1811622 2400226 22565 28933 6048434 8068282 3765869 4057062 0 0 0 0 0 0 0 141259 174586 3907128 4231648 2141306 3836634 58890975 68409895 20810448 24171420 38080527 44238475 THE PURPOSE OF THE UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA FOUNDATION (DBA ECU HEALTH FOUNDATION), A NON-PROFIT CORPORATION, IS TO GIVE HOPE TO EASTERN NORTH CAROLINA AND BEYOND BY INSPIRING PHILANTHROPY TO IMPROVE HEALTH, EDUCATION, AND WELL-BEING. false false 4057062 4057062 0 ECU HEALTH FOUNDATION SUPPORTS THE GENERAL PUBLIC AND COMMUNITIES SERVED BY UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA DBA ECU HEALTH AND ITS SUBSIDIARIES, AFFILIATES, OR EQUITY PARTNERS BY ASSISTING AND SUPPORTING FINANCIALLY THE REGIONAL HOSPITALS THAT ARE PART OF THE ECU HEALTH SYSTEM, AND ANY OTHER QUALIFIED HEALTH CARE PROVIDER, GOVERNMENTAL ENTITY AND CHARITABLE ORGANIZATION FORMED FOR THE PROMOTION OF HEALTH AND WELLNESS. THIS SUPPORT IS CONDUCTED THROUGH CONTRIBUTIONS TO BE USED FOR EQUIPMENT, RESEARCH, EDUCATION, PATIENT AND FAMILY SUPPORT, COMMUNITY BENEFIT, AND DIRECT HEALTH CARE SERVICES. 0 0 0 DURING THE FISCAL YEAR, ECU HEALTH FOUNDATION RAISED $3,276,763 IN SUPPORT ON BEHALF OF NOT-FOR-PROFIT HOSPITALS IN THE ECU HEALTH SYSTEM. THESE CONTRIBUTIONS ARE CONSIDERED AGENCY TRANSACTIONS UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AND ARE NOT RECORDED AS REVENUE BY THE FOUNDATION. 4057062 true true false false false false false false false true true true false false true true true false false false false false false false true false false true true true false false false false false false false false false false false false false false false false false false false false true 84 0 true 0 false false false false false true true false false false false false false X 20 20 false false false false false false false true true false false false true true true true true true true true false false X X X CHRIS SMITH 2528479523 690 MEDICAL DRIVE GREENVILLE NC 27835 MR J DORSON WHITE JR TREASURER 1.0 0 X X 0 0 0 MR MITCH JONES CHAIR 1.0 0 X X 0 0 0 MR SCOTT SENATORE PRESIDENT 40.0 0.0 X X 220820 0 107518 MRS ELIZABETH FLANAGAN SECRETARY 1.0 0 X X 0 0 0 MRS TESS JUDGE VICE CHAIR 1.0 0 X X 0 0 0 MR BILLY MERRITT TRUSTEE (AS OF 01/2025) 1.0 0 X 0 0 0 MR CHRISTOPHER JENKINS TRUSTEE 1.0 0 X 0 0 0 MR EXUM HARRELL TRUSTEE (AS OF 01/2025) 1.0 0 X 0 0 0 MR J FREEMAN PAYLOR TRUSTEE 1.0 0 X 0 0 0 MR JACK PILAND TRUSTEE (THRU 03/2025) 1.0 0 X 0 0 0 MR MARSHALL CHERRY TRUSTEE 1.0 0 X 0 0 0 MR MICHAEL WALDRUM MD TRUSTEE 2.0 0 X 0 0 0 MR THOMAS KULIKOWSKI TRUSTEE 1.0 0 X 0 0 0 MR TOMMY DAVIS TRUSTEE 1.0 0 X 0 0 0 MR WAIGHTSTILL SCALES IV TRUSTEE 1.0 0 X 0 0 0 MR WILLIAM M PARKER TRUSTEE (THRU 12/2024) 1.0 0 X 0 0 0 MRS BECKY NEWTON TRUSTEE (THRU 12/2024) 1.0 0 X 0 0 0 MRS BRIDGETT M MINGES TRUSTEE 1.0 0 X 0 0 0 MRS CASSIE CAUSEY TRUSTEE 1.0 0 X 0 0 0 MRS DIANE TAYLOR TRUSTEE 1.0 0 X 0 0 0 MRS LYNNE LAYTON TRUSTEE 1.0 0 X 0 0 0 MRS MARCY S SASNETT TRUSTEE 1.0 0 X 0 0 0 MRS MARIE NEILSON TRUSTEE 1.0 0 X 0 0 0 MRS MIA WILLIAMS TRUSTEE (AS OF 04/2025) 1.0 0 X 0 0 0 MRS TIFFANY VINCENT TRUSTEE 1.0 0 X 0 0 0 220820 0 107518 0 false true false 0 1382989 4256134 5639123 0 0 0 0 0 1332484 0 0 1332484 0 0 3588437 2520695 1067742 0 1067742 0 0 1067742 127916 98983 28933 0 28933 0 0 0 0 0 8068282 0 0 2429159 3711601 3711601 345461 345461 0 0 94776 0 94776 0 0 0 0 0 REPAIRS AND MAINTENANCE 44500 0 44500 0 BANK AND MERCHANT FEES 26359 0 26359 0 PROPERTY TAXES 6545 0 6545 0 OTHER MANAGEMENT & ADMIN FEES 2406 0 2406 0 0 0 0 0 4231648 4057062 174586 0 0 0 4059224 3286832 3612223 2856433 0 0 0 0 0 0 0 0 0 0 0 0 1193000 0 0 1193000 0 0 51169166 61017336 0 0 0 50362 56294 58890975 68409895 1311622 407651 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19498826 23763769 20810448 24171420 X 13829081 15874340 24251446 28364135 38080527 44238475 58890975 68409895 3836634 2321314 0 X X false true true true true X 15057400 8260808 8710871 7103946 9043802 48176827 0 0 15057400 8260808 8710871 7103946 9043802 48176827 370156 47806672 386038 458519 1076275 1251782 1332484 4505098 0 0 0 0 0 0 0 52681925 0 0.90746 0.93258 X SCHEDULE A, PART II BASIS FOR CHARACTERIZING CONTRIBUTIONS NOT REPORTED AS REVENUE ECU HEALTH FOUNDATION RAISES CONTRIBUTIONS ON BEHALF OF THE NOT-FOR-PROFIT HOSPITALS IN THE ECU HEALTH SYSTEM. THESE CONTRIBUTIONS ARE CONSIDERED AGENCY TRANSACTIONS UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. CONTRIBUTIONS RECEIVED THROUGH AGENCY TRANSACTIONS ARE NOT RECORDED AS REVENUE ON THE BOOKS OF THE AGENT. THE PRIMARY FACTOR IN DETERMINING IF A TRANSACTION IS CONSIDERED AN AGENCY TRANSACTION IS "VARIANCE POWER". IF THE DONOR STIPULATES THE FINAL RECIPIENT OF THE CONTRIBUTION, THEN THE AGENT DOES NOT HAVE VARIANCE POWER AND WOULD NOT RECOGNIZE THE CONTRIBUTION AS REVENUE OR THE DISTRIBUTION OF THOSE FUNDS AS AN EXPENSE. AGENCY FUND TRANSACTIONS FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2025 ARE AS FOLLOWS: 4,510,181 CONTRIBUTIONS RECEIVED ON BEHALF OF OTHERS 2,346,729 PROCEEDS FROM MERGER 192,512 INTEREST AND DIVIDENDS (NET OF FEES) 799,687 REALIZED AND UNREALIZED GAINS 161,036 TIMING RESTRICTION RELEASE FOR ENDOWMENT FUNDS HELD AS AGENT 202,093 CHANGE IN ALLOWANCE FOR DOUBTFUL ACCOUNTS 179,446 CHANGE IN NET PRESENT VALUE OF CONTRIBUTIONS RECEIVABLE --------- 8,391,684 TOTAL INCREASES 4,279,232 FUNDING DISTRIBUTIONS 113,013 FUNDRAISING EXPENDITURES 2,193 ADMINISTRATIVE EXPENDITURES --------- 4,394,438 TOTAL DECREASES 3,997,246 CHANGE IN AGENCY FUNDS PAYABLE AGENCY FUNDS PAYABLE: 15,848,305 BEGINNING 19,845,551 ENDING RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19085736 1802853 2129350 0 454605 22563334 15934982 263500 3123249 0 235995 19085736 12156194 2467916 1340085 29213 0 15934982 13630683 9250 -1295862 78242 109635 12156194 1449900 12004900 275467 99584 0 13630683 0.0 0.9756 0.0244 false false 1193000 1193000 1193000 CLOSELY-HELD EQUITY INTERESTS FINANCIAL DERIVATIVES INVESTMENTS 61017336 F 61017336 FEDERAL INCOME TAXES DUE TO DESIGNATED BENEFICIARIES 19845551 ENDOWMENT FUNDS HELD AS AGENT 3918218 23763769 X 13555169 2321314 3161366 98983 5581663 7973506 94776 0 94776 8068282 7397221 3161366 98983 3260349 4136872 94776 0 94776 4231648 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS THE ENDOWMENT FUNDS' INTENDED USES INCLUDE PROVIDING HEALTHCARE-RELATED SCHOLARSHIPS AND COMMUNITY BENEFIT IN THE REGION. SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE THE FOUNDATION HAS A TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE STATING THAT IT QUALIFIES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE FOUNDATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2025 AND 2024. SCHEDULE D, PART XI, LINE 2(D) OTHER REVENUES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990 SPECIAL EVENT COSTS - 98983 SCHEDULE D, PART XII, LINE 2(D) OTHER EXPENSES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990 SPECIAL EVENT COSTS - 98983 THE NUTCRACKER 127916 127916 6000 86750 6233 0 0 0 127916 127916 6000 86750 6233 98983 28933 true ECU HEALTH MED CTR FIN SVCS ADMIN GREENVILLE NC 27834 560585243 501(C)(3) 2068439 CMTY BENEFITS&HEALTH ECU HEALTH PO BOX 6028 GREENVILLE NC 27835 562141073 501(C)(3) 263478 CMTY BENEFITS&HEALTH ECU MED & HEALTH FDN 2200 S CHAS BLVD GREENVILLE NC 278584353 237138921 501(C)(3) 206250 CMTY BENEFITS&HEALTH E CAROLINA UNIV CONTR ACCTG CHARLOTTE NC 282750514 566000403 GOVERNMENTAL 188965 CMTY BENEFITS&HEALTH ECU HEALTH PHYSICIANS PO BOX 8423 GREENVILLE NC 27835 383740839 501(C)(3) 125000 CMTY BENEFITS&HEALTH ACCESS EAST INC PO BOX 6028 GREENVILLE NC 278356028 561949493 501(C)(3) 115000 CMTY BENEFITS&HEALTH PITT COUNTY HEALTH DEPARTMENT 201 GOVERNMENT CIRCLE GREENVILLE NC 27834 566000332 GOVERNMENTAL 85000 CMTY BENEFITS&HEALTH PITT COUNTY COUNCIL ON AGING 4551 COUNTY HOME RD GREENVILLE NC 27858 521042008 501(C)(3) 78000 CMTY BENEFITS&HEALTH BOYS & GIRLS CLUB OF COASTAL PLAINS 621 W FIRETOWER RD WINTERVILLE NC 28590 560927694 501(C)(3) 51750 CMTY BENEFITS&HEALTH PITT COUNTY GOVERNMENT 1717 WEST FIFTH ST GREENVILLE NC 27834 566000332 GOVERNMENTAL 50000 CMTY BENEFITS&HEALTH GREENVILLE COMMUNITY SHELTERS INC 207 MANHATTAN AVENUE GREENVILLE NC 27834 581778990 501(C)(3) 40000 CMTY BENEFITS&HEALTH FOOD BANK OF CENTRAL & EASTERN NORTH CAROLINA 1924 CAPITAL BLVD RALEIGH NC 27604 561283426 501(C)(3) 35000 CMTY BENEFITS&HEALTH CARENET COUNSELING EAST 108 OAKMONT DR GREENVILLE NC 27858 562189431 501(C)(3) 25500 CMTY BENEFITS&HEALTH SHEPHERD'S HELPERS 10 MARTINSBOROUGH RD GREENVILLE NC 27858 883440232 501(C)(3) 25000 CMTY BENEFITS&HEALTH NC COOPERATIVE EXT SVCS - PITT COUNTY 403 GOVERNMENT CIRCLE SUITE 2 GREENVILLE NC 27834 566000332 GOVERNMENTAL 21500 CMTY BENEFITS&HEALTH NC MEDASSIST 4428 TAGGART CREEK RD STE 101 CHARLOTTE NC 28208 562018957 501(C)(3) 21500 CMTY BENEFITS&HEALTH RIPE FOR REVIVAL 161 ENGLISH RD ROCKY MOUNT NC 27804 852733560 501(C)(3) 20000 CMTY BENEFITS&HEALTH SAFE COMMUNITIES COALITION OF PITT COUNTY INC PO BOX 31051 GREENVILLE NC 27833 562204444 501(C)(3) 17000 CMTY BENEFITS&HEALTH FOOD BANK OF THE ALBEMARLE PO BOX 1704 ELIZABETH CITY NC 27906 561341658 501(C)(3) 15000 CMTY BENEFITS&HEALTH PITT COUNTY COALITION ON SUBSTANCE ABUSE EAST CAROLINA UNIVERSITY GREENVILLE NC 27858 561579736 501(C)(3) 15000 CMTY BENEFITS&HEALTH PITT COUNTY SCHOOLS 1717 WEST 5TH ST GREENVILLE NC 27834 566001097 GOVERNMENTAL 15000 CMTY BENEFITS&HEALTH TRANSFORMING CHRISTIAN MINISTRIES INC 2462 STANTONSBURG RD GREENVILLE NC 27834 474812963 501(C)(3) 15000 CMTY BENEFITS&HEALTH DAUGHTERS OF WORTH PO BOX 2494 GREENVILLE NC 27836 474280419 501(C)(3) 14500 CMTY BENEFITS&HEALTH OAKMONT BAPTIST CHURCH 1100 RED BANKS RD GREENVILLE NC 27858 560817108 501(C)(3) 12000 CMTY BENEFITS&HEALTH CHURCHES OUTREACH NETWORK 1206 EVANS ST GREENVILLE NC 27834 743255184 501(C)(3) 11000 CMTY BENEFITS&HEALTH ACES FOR AUTISM 535 CEDAR RIDGE DR WINTERVILLE NC 28590 471634440 501(C)(3) 10000 CMTY BENEFITS&HEALTH FEED YOUR NEIGHBOR COMMUNITY FOOD PANTRY INC 413 E 4TH ST GREENVILLE NC 27858 331610846 501(C)(3) 10000 CMTY BENEFITS&HEALTH CENTER FOR SCIENCE TECHNOLOGY AND LEADERSHIP DEVELOPMENT INC PO BOX 8623 GREENVILLE NC 27835 452813878 501(C)(3) 8000 CMTY BENEFITS&HEALTH HOPE OF GLORY MINISTRIES 103 EAST ARLINGTON BLVD GREENVILLE NC 27858 311766003 501(C)(3) 8000 CMTY BENEFITS&HEALTH REBUILDING TOGETHER PITT COUNTY NC INC 1100 WARD ST GREENVILLE NC 27834 260757622 501(C)(3) 8000 CMTY BENEFITS&HEALTH HORIZONS OF PITT COUNTY PO BOX 30065 GREENVILLE NC 27833 990765499 501(C)(3) 7500 CMTY BENEFITS&HEALTH THE NEHEMIAH INITIATIVE 2143 HARRIS RIDGE RD WINTERVILLE NC 28590 562152669 501(C)(3) 7500 CMTY BENEFITS&HEALTH BEAUFORT COUNTY DEVELOPMENTAL CENTER PO BOX 518 WASHINGTON NC 27889 561074342 501(C)(3) 7000 CMTY BENEFITS&HEALTH EXCEED INC PO BOX 8396 GREENVILLE NC 27835 562245575 501(C)(3) 7000 CMTY BENEFITS&HEALTH KOINONIA COMMUNITY SOLUTIONS 610 OLD TAR VILLAGE RD WINTERVILLE NC 28590 465737517 501(C)(3) 7000 CMTY BENEFITS&HEALTH MARTIN-PITT PARTNERSHIP FOR CHILDREN 111 EASTBROOK DR GREENVILLE NC 27858 561913394 501(C)(3) 7000 CMTY BENEFITS&HEALTH PITT COUNTY EMERGENCY MANAGEMENT SERVICES 1717 WEST FIFTH ST GREENVILLE NC 27834 566000332 GOVERNMENTAL 7000 CMTY BENEFITS&HEALTH THIRD ST COMMUNITY CENTER 600 WEST THIRD ST GREENVILLE NC 27834 263224953 501(C)(3) 7000 CMTY BENEFITS&HEALTH FARMVILLE COMMUNITY GARDEN PO BOX 463 FARMVILLE NC 27828 883327745 501(C)(3) 6000 CMTY BENEFITS&HEALTH PITT COUNTY CARE INC BRODY SCHOOL OF MEDICINE GREENVILLE NC 27834 562097183 501(C)(3) 6000 CMTY BENEFITS&HEALTH SAFE HARBOR HELPLINE 303 WEST 13TH ST WASHINGTON NC 27889 334387978 501(C)(3) 6000 CMTY BENEFITS&HEALTH ECU HEALTH EDGECOMBE HOSPITAL ATTN KIM WHITEHURST TARBORO NC 27886 562093700 501(C)(3) 5920 CMTY BENEFITS&HEALTH THE REFUGE 1380 LOWER FIELD RD AYDEN NC 28513 710885915 501(C)(3) 5500 CMTY BENEFITS&HEALTH 43 0 PATIENT ASSISTANCE 3667 345461 SCHEDULE I, PART I BASIS FOR CHARACTERIZING CONTRIBUTIONS NOT REPORTED AS REVENUE ECU HEALTH FOUNDATION RAISES CONTRIBUTIONS ON BEHALF OF THE NOT-FOR-PROFIT HOSPITALS IN THE ECU HEALTH SYSTEM. THESE CONTRIBUTIONS ARE CONSIDERED AGENCY TRANSACTIONS UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. CONTRIBUTIONS RECEIVED THROUGH AGENCY TRANSACTIONS ARE NOT RECORDED AS REVENUE ON THE BOOKS OF THE AGENT. THE PRIMARY FACTOR IN DETERMINING IF A TRANSACTION IS CONSIDERED AN AGENCY TRANSACTION IS "VARIANCE POWER". IF THE DONOR STIPULATES THE FINAL RECIPIENT OF THE CONTRIBUTION, THEN THE AGENT DOES NOT HAVE VARIANCE POWER AND WOULD NOT RECOGNIZE THE CONTRIBUTION AS REVENUE OR THE DISTRIBUTION OF THOSE FUNDS AS AN EXPENSE. AGENCY FUND TRANSACTIONS FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2025 ARE AS FOLLOWS: 4,510,181 CONTRIBUTIONS RECEIVED ON BEHALF OF OTHERS 2,346,729 PROCEEDS FROM MERGER 192,512 INTEREST AND DIVIDENDS (NET OF FEES) 799,687 REALIZED AND UNREALIZED GAINS 161,036 TIMING RESTRICTION RELEASE FOR ENDOWMENT FUNDS HELD AS AGENT 202,093 CHANGE IN ALLOWANCE FOR DOUBTFUL ACCOUNTS 179,446 CHANGE IN NET PRESENT VALUE OF CONTRIBUTIONS RECEIVABLE --------- 8,391,684 TOTAL INCREASES 4,279,232 FUNDING DISTRIBUTIONS 113,013 FUNDRAISING EXPENDITURES 2,193 ADMINISTRATIVE EXPENDITURES --------- 4,394,438 TOTAL DECREASES 3,997,246 CHANGE IN AGENCY FUNDS PAYABLE AGENCY FUNDS PAYABLE: 15,848,305 BEGINNING 19,845,551 ENDING SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS GRANTS PROVIDED BY THE UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA FOUNDATION (D/B/A ECU HEALTH FOUNDATION) REQUIRE THE APPLICANT TO BE A 501(C)(3) OR GOVERNMENT ENTITY AND RECIPIENTS ARE REQUIRED TO PROVIDE PROOF OF THEIR STATUS BY SUBMITTING A COPY OF THEIR IRS LETTER OF DETERMINATION. REQUESTS MUST BE RELATED TO THE MISSION OF THE FOUNDATION OR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ONCE THE GRANT HAS BEEN AWARDED, THE FOUNDATION GETS A MID-TERM UPDATE REPORT FROM THE GRANTEES OF THE PROGRESSION STATUS TOWARDS THE ACHIEVEMENT OF THE SPECIFIED GOALS. ANY REVISIONS TO THE ORIGINAL GRANT SPECIFICATION HAS TO BE REQUESTED FORMALLY AND APPROVED BY THE FOUNDATION. THE MID-TERM REPORT ALSO INDICATES THE CORRESPONDING GRANT FUNDS USED AND AT THE END OF THE PERIOD, ALL UNUSED FUNDS ARE RETURNED TO THE FOUNDATION. false false false false false false false false false MR SCOTT SENATORE PRESIDENT 135440 0 85380 0 0 0 62743 0 44775 0 328338 0 0 0 SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION THE FOUNDATION IS NOT RELATED TO ECU HEALTH PER THE FORM 990 INSTRUCTIONS. HOWEVER THE FOUNDATION IS AFFILIATED WITH ECU HEALTH AND WORKS CLOSELY WITH THE HOSPITAL SYSTEM. ECU HEALTH PROVIDES COMPENSATION FOR THE FOUNDATION'S PRESIDENT. FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA FOUNDATION, INC. (DBA ECU HEALTH FOUNDATION) IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES OF EASTERN NORTH CAROLINA. THE MISSION IS TO SUPPORT THE ECU HEALTH MISSION TO INSPIRE GENEROSITY THROUGH PHILANTHROPY IN SUPPORT OF ECU HEALTH AND EASTERN NORTH CAROLINA. THE FOUNDATION 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 ECU HEALTH FOUNDATION HAS A GOVERNING BOARD COMPRISED OF 20 VOTING MEMBERS AS OF 9/30/25. THE NOMINATING COMMITTEE RECOMMENDS APPOINTMENTS TO THE BOARD OF TRUSTEES. THE BOARD MEMBERS HAVE DIVERSE BACKGROUNDS AND ARE SELECTED TO REPRESENT THE CITIZENS OF EASTERN NORTH CAROLINA. BOARD MEETINGS ARE HELD QUARTERLY. THE ECU HEALTH MEDICAL CENTER BOARD ANNUALLY SUPPORTS THE COMMUNITY BENEFIT INITIATIVES PROGRAM OF THE FOUNDATION. THESE FUNDS ARE AWARDED TO COMMUNITY AGENCIES THAT SUCCESSFULLY DEMONSTRATE BOTH NEED AND A WELL-DESIGNED PLAN TO ADDRESS ONE OF THE PRIORITY CATEGORIES. 1. THESE GRANTS SUPPORT HEALTH INITIATIVES THROUGH LOCAL COMMUNITY ORGANIZATIONS. GENERALLY, TWO TO THREE FOCUS AREAS HAVE BEEN SELECTED FOR EACH PROGRAM FROM THE FOLLOWING LIST INCLUDING: ACCESS TO CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, NUTRITION AND PHYSICAL ACTIVITY, DIABETES PREVENTION AND MANAGEMENT, AND MATERNAL AND CHILD HEALTH. THE GRANTS PROGRAM'S HEALTH PRIORITIES ARE DETERMINED BY INFORMATION OBTAINED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). EACH ECU HEALTH HOSPITAL COLLABORATES WITH THEIR LOCAL HEALTH DEPARTMENT TO CONDUCT THE CHNA. VOLUNTEERS FROM THEIR LOCAL HEALTHY CAROLINIANS PARTNERSHIP OR OTHER HEALTH COLLABORATIVE ASSIST IN THE PROCESS OF GATHERING INFORMATION FOR THE CHNA. 2. THE POPULATIONS SERVED ARE LARGELY THE POOR, THE UNDER-SERVED, AND MINORITIES. DETERMINATION OF SPECIFIC POPULATIONS TO ADDRESS OCCURS WHEN PARTNERS SUCH AS THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES, LOCAL HEALTH DEPARTMENTS, COUNTY HEALTHY CAROLINIAN TASK FORCES, OR PHYSICIANS IDENTIFY A QUANTIFIABLE NEED, AND COMMUNITY PARTNERS ARE ENGAGED TO WORK TOGETHER WITH THE HEALTH SYSTEM. OTHER PROGRAM SERVICES: OTHER PROGRAMS RESULTED IN DISTRIBUTION OF APPROXIMATELY $268 THOUSAND FROM DESIGNATED GIFTS AND CONTRIBUTIONS FOR CHILDREN'S SERVICES, HOSPICE SERVICES, SCHOLARSHIPS, AND OTHER DESIGNATED PROGRAMS. THE SOURCES OF THESE FUNDS INCLUDE CONTRIBUTIONS FROM DONORS ACROSS EASTERN NORTH CAROLINA, INVESTMENT EARNINGS FROM ENDOWED FUNDS AND THE ANNUAL CHILDREN'S MIRACLE NETWORK PROGRAM. 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 11B REVIEW OF FORM 990 BY GOVERNING BODY THE FORM 990 IS REVIEWED BY LEGAL COUNSEL, THE CHIEF COMPLIANCE OFFICER, AND FOUNDATION OFFICERS. FOLLOWING THIS REVIEW, IT IS MADE AVAILABLE TO BOARD MEMBERS BY EMAIL PRIOR TO FILING. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY ALL OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A YEARLY COMPREHENSIVE CONFLICT OF INTEREST QUESTIONNAIRE. THESE 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, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C CHANGE OF OVERSIGHT PROCESS OR SELECTION PROCESS THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.