East Carolina Health
Also known as Ecu Health Community Hospitals
East Carolina Health reported $599.6 million in revenue and $558.4 million in expenses for the fiscal year ending September 30, 2025. Of every $100 it spent, $89.83 went to program services, $10.17 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: 97.1% of the total. The highest compensation it reported for one person was $2,152,599 (CHAIRMAN). 402 people received more than $100,000 in reportable compensation. Revenue rose 12% 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 $558MFor 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 $600MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 89.8% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 10.2% | 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 | 0.3% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 97.1% | 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) | 0.39% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 402 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 6.9 | 6.6 |
| Independent voting board members Part VI 1a–1b | 4 of 7 | 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 expenseEcu 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, obstetrics/gynecology, critical care unit, ip and same day surgery, 24-hour emergency, oncology, cardiac cath lab, endoscopy services, rehab services, and wound care services
Ecu health edgecombe hospital ecu 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
Ecu health roanoke-chowan hospital ecu health roanoke-chowan hospital is an 86-bed hospital located in ahoskie, north carolina, that is also licensed for 28 inpatient psychiatric beds. Services at roanoke-chowan hospital include acute care, obstetrics/gynecology, emergency, sub acute care, specialty clinics and behavioral health. The hospital also operates a wellness center for the community
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 |
|---|---|---|---|---|
| CHAIRMAN Director/trustee, 2.0 hrs/week | $0 | $1,759,349 | $393,250 | $2,152,599 |
| SECRETARY/TREASURER Officer, 2.0 hrs/week | $0 | $902,109 | $190,261 | $1,092,370 |
| FORMER PRESIDENT, ECU HEALTH COM HOSP Former, 0 hrs/week | $0 | $696,480 | $202,489 | $898,969 |
| ECUH COMM HOSP PRESIDENT Officer, 2.0 hrs/week | $0 | $527,546 | $205,074 | $732,620 |
| ANESTHESIOLOGIST Highest compensated employee, 40.0 hrs/week | $631,374 | $0 | $61,672 | $693,046 |
| PRESIDENT, ECUH EDGECOMBE Key employee, 40.0 hrs/week | $426,186 | $0 | $196,710 | $622,896 |
| PRESIDENT, ECUH CHOWAN, ECUH BERTIE & ECUH ROANOKE-CHOWAN Key employee, 40.0 hrs/week | $453,060 | $0 | $134,554 | $587,614 |
| PRESIDENT, ECUH DUPLIN Key employee, 40.0 hrs/week | $353,128 | $0 | $182,732 | $535,860 |
402 people received more than $100,000 in reportable compensation from East Carolina Health (Part VII, line 2). Compensation of current officers, directors and key employees totaled $2.9M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance 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–1b7 · 4 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 14bNo
- Employees Part I, line 50
- Volunteers Part I, line 6180
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| AMN HEALTHCARE INC Temporary labor svcs | $16,457,862 |
| SODEXO INC & AFFILIATES Contract labor&mgmt | $8,478,628 |
| MEDICAL SOLUTIONS LLC Temporary labor svcs | $4,438,017 |
| EASTERN ANESTHESIA PLLC Contracted services | $2,758,480 |
| LIFEPOINT REHABILITATION LLC Contracted services | $2,077,790 |
Individuals listed as contractors are left out. 76 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from East Carolina Health's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for East Carolina Health, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 East Carolina Health spent in FY2025, $89.83 went to programs. The full breakdown, from its IRS Form 990:
Embed on your site
Similar-sized charities in this cause
- Lifenet HealthVirginia Beach, VA · revenue $599M · programs 85.5% · 2024
- Alegent Creighton ClinicPhoenix, AZ · revenue $600M · programs 94.9% · FY2025
- Hillcrest Baptist Medical CenterDallas, TX · revenue $597M · programs 88.1% · FY2025
- Highmark HealthPittsburgh, PA · revenue $603M · programs 75.2% · 2024
- Marshfield ClinicMarshfield, WI · revenue $597M · programs 98.7% · 2024
All health care charities · Largest charities in North Carolina
Questions people ask
How much of East Carolina Health's spending goes to programs?
In the fiscal year ending September 30, 2025, East Carolina Health reported that 89.8% of its $558.4 million in expenses went to program services, 10.2% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does East Carolina Health pay its top executive?
The largest total compensation East Carolina Health reported for one person in the fiscal year ending September 30, 2025 was $2,152,599, for the role of CHAIRMAN (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does East Carolina Health get its money?
Of $599.6 million in revenue in the fiscal year ending September 30, 2025, 0.3% came from contributions and grants and 97.1% from program service revenue (Form 990, Part VIII).
Is East Carolina Health a registered charity?
The IRS lists EIN 91-1997979 as a 501(c)(3) organization (hospital or medical research organization), 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 202622229349301557 · read the filing
- FY2024: Form 990 for the fiscal year ending September 30, 2024, object 202512049349300241 · read the filing
- FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202411919349301321 · read the filing
- FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202322229349302127 · read the filing
- FY2021: Form 990 for the fiscal year ending September 30, 2021, object 202201789349300520 · read the filing
- FY2020: Form 990 for the fiscal year ending September 30, 2020, object 202142249349300709 · read the filing
All filings for EIN 91-1997979: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.