University Health Systems of Eastern Carolina

Also known as Ecu Health

Greenville, NC · EIN 56-2141073 · 501(c)(3) · Supporting organization (509(a)(3))
Latest filing: Form 990 for the fiscal year ending September 30, 2025 (tax year 2024) · View the filing · Correct or respond

University Health Systems of Eastern Carolina reported $457.9 million in revenue and $480.6 million in expenses for the fiscal year ending September 30, 2025. Of every $100 it spent, $91.79 went to program services, $8.21 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 96.4% of the total. The highest compensation it reported for one person was $2,152,599 (CHIEF EXECUTIVE OFFICER). 436 people received more than $100,000 in reportable compensation. Revenue rose 73% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending September 30, 2025 · Form 990, Part IX, line 25 · total expenses $481M

Program services$91.79 $441M
Management & general$8.21 $39M
Fundraising$0.00 $0

For context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

The fiscal year ending September 30, 2025 · Form 990, Part VIII · total revenue $458M

Contributions & grants (non-government)$0.09 $413K
Program service revenue$96.44 $442M
Investment income$3.47 $16M
Other revenue$0.00 $8,280

The 990 scorecard · same measures for every charity, no grades

FY2025 filing. Median across 5,634 covered charities in this category, from their latest filings.
Measure	FY2025	Median
Program services Part IX 25(B) ÷ 25(A)	91.8%	85.6%
Management & general Part IX 25(C) ÷ 25(A)	8.2%	13.7%
Fundraising Part IX 25(D) ÷ 25(A)	0.0%	0.0%
Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h	$0.00	$0.00
Contributions & grants share of revenue Part VIII 1h ÷ 12	0.1%	1.3%
Government grants share of revenue Part VIII 1e ÷ 12	0.0%	0.1%
Program service revenue share Part VIII 2g ÷ 12	96.4%	93.7%
Highest reported compensation Part VII-A, columns D–F	$2,152,599	$975,831
Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A)	0.45%	1.34%
People paid over $100,000 Part VII, line 2	436	27
Net assets, in months of expenses Part X 33(B) ÷ monthly expenses	3.7	6.6
Independent voting board members Part VI 1a–1b	8 of 11	88.9%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

FY2025 · Form 990, Part III · the three largest programs by expense

$441M expenses · 100.0% of program spending · grants $646K · revenue $442M

Overview of University Health Systems of Eastern Carolina d/b/a ecu health: at ecu health, we are committed to improving the health of our communities. Eastern north carolina residents look to our hospitals for quality health care. We work hard to uphold the trust that our communities place in US. Through a clear vision, disciplined leadership and committed employees, ecu health serves the needs of the region, including those who are underserved and need US the most. Our mission at ecu health to enhance the quality of life for the people and communities we serve, touch and support, drives US…

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here

Role	From this org	From related orgs	Other	Total
CHIEF EXECUTIVE OFFICER Officer, 40.0 hrs/week	$1,759,349	$0	$393,250	$2,152,599
CHIEF OPERATING OFFICER Officer, 40.0 hrs/week	$1,063,343	$0	$296,412	$1,359,755
CHIEF FINANCIAL OFFICER Officer, 40.0 hrs/week	$902,109	$0	$190,261	$1,092,370
CHIEF CLINICAL OFFICER & CHIEF QUALITY OFFICER Officer, 40.0 hrs/week	$771,115	$0	$192,402	$963,517
PRESIDENT, ECU HEALTH MEDICAL CENTER Officer, 2.0 hrs/week	$0	$696,480	$202,489	$898,969
CHIEF INFORMATION OFFICER Key employee, 40.0 hrs/week	$640,616	$0	$181,465	$822,081
CHIEF STRATEGY OFFICER Key employee, 40.0 hrs/week	$602,817	$0	$199,158	$801,975
CHIEF NURSE EXECUTIVE Key employee, 40.0 hrs/week	$649,752	$0	$144,699	$794,451

436 people received more than $100,000 in reportable compensation from University Health Systems of Eastern Carolina (Part VII, line 2). Compensation of current officers, directors and key employees totaled $15M (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked

RevenueExpenses

Filing	Revenue	Expenses	Programs	Net assets	Top pay
FY2025 ⓘ	$458M	$481M	91.8%	$148M	$2,152,599
FY2024 ⓘ	$401M	$439M	90.8%	−$252M	$1,745,901
FY2023 ⓘ	$307M	$372M	92.6%	−$460M	$1,778,216
FY2022 ⓘ	$292M	$324M	92.2%	−$497M	$1,664,789
FY2021 ⓘ	$335M	$297M	93.0%	−$463M	$1,472,713
FY2020 ⓘ	$265M	$278M	94.3%	−$459M	$1,465,307

Governance answers, as filed

FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means

Voting board members, and how many are independent Part VI, lines 1a–1b11 · 8 independent
Audited financial statements Part XII 2bYes
Conflict-of-interest policy Part VI 12aYes
Whistleblower policy Part VI 13Yes
Document retention policy Part VI 14Yes
Independent process for top executive pay Part VI 15aYes
Board given the 990 before filing Part VI 11aYes
Family or business ties among insiders Part VI 2No
Aware of a significant diversion of assets Part VI 5No
Excess benefit transaction with an insider Part IV 25aNo
Loans to or from insiders outstanding Part IV 26No
Lobbying, or a 501(h) election in effect Part IV 4Yes
Over $15,000 of professional fundraising services Part IV 18No
Over $10,000 of activity outside the U.S. Part IV 14bYes
Employees Part I, line 50
Volunteers Part I, line 68

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only

HURON CONSULTING GROUP INC Consulting	$15,675,481
GUIDEHOUSE Consulting	$9,494,408
MEDCOST Admin fees	$6,102,496
TEK SYSTEMS Consulting	$3,581,019
PRESS GANEY ASSOCIATES INC Service contracts	$2,722,447

Individuals listed as contractors are left out. 108 contractors were paid more than $100,000 in all.

Private foundation grants it received

1 private foundation reported grants to University Health Systems of Eastern Carolina totaling $20,000 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.

Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.

Correct a figure or respond

Every number above is copied from University Health Systems of Eastern Carolina's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for University Health Systems of Eastern Carolina, you can publish a response that is linked from this page.

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Similar-sized charities in this cause

Arnot Ogden Medical Center
Elmira, NY · revenue $457M · programs 73.7% · 2024
Washington Regional Medical Center
Fayetteville, AR · revenue $458M · programs 87.1% · 2024
Southeast Iowa Regional Medical Center
West Burlington, IA · revenue $457M · programs 94.7% · FY2025
Javon Bea Hospital
Rockford, IL · revenue $458M · programs 69.8% · FY2025
Baptist Hospitals of Southeast Texas
Beaumont, TX · revenue $456M · programs 64.8% · FY2025

All health care charities · Largest charities in North Carolina

Questions people ask

How much of University Health Systems of Eastern Carolina's spending goes to programs?

In the fiscal year ending September 30, 2025, University Health Systems of Eastern Carolina reported that 91.8% of its $480.6 million in expenses went to program services, 8.2% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does University Health Systems of Eastern Carolina pay its top executive?

The largest total compensation University Health Systems of Eastern Carolina reported for one person in the fiscal year ending September 30, 2025 was $2,152,599, for the role of CHIEF EXECUTIVE OFFICER (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does University Health Systems of Eastern Carolina get its money?

Of $457.9 million in revenue in the fiscal year ending September 30, 2025, 0.1% came from contributions and grants and 96.4% from program service revenue (Form 990, Part VIII).

Is University Health Systems of Eastern Carolina a registered charity?

The IRS lists EIN 56-2141073 as a 501(c)(3) organization (supporting organization (509(a)(3))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

FY2025: Form 990 for the fiscal year ending September 30, 2025, object 202622229349301532 · read the filing
FY2024: Form 990 for the fiscal year ending September 30, 2024, object 202542049349300239 · read the filing
FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202401919349301320 · read the filing
FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202302229349302125 · read the filing
FY2021: Form 990 for the fiscal year ending September 30, 2021, object 202221789349300307 · read the filing
FY2020: Form 990 for the fiscal year ending September 30, 2020, object 202132249349301208 · read the filing

All filings for EIN 56-2141073: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.