ECU Health Medical Center

Nonprofit profile at a glance

EIN
560585243
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Greenville, NC, US
Phone
1-855-698-4326
Rating
81
Verdict
STRONG
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$2,223,240,973
Expenses
$2,020,387,787
Assets
$1,287,686,372
Liabilities
$396,768,202

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

44 people listed

Executive titles in this filing

  • MICHAEL WALDRUM MD (CHIEF EXECUTIVE OFFICER)
  • JAY BRILEY (PRESIDENT, ECUH MEDICAL CENTER)
  • DENNIS CAMPBELL (PRESIDENT - BEAUFORT CAMPUS)

Highest reported compensation

  • MICHAEL WALDRUM MD (CHIEF EXECUTIVE OFFICER): $2,152,599 total reported compensation
  • WILLIAM FLOYD (FORMER OFFICER): $1,359,755 total reported compensation
  • JAY BRILEY (PRESIDENT, ECUH MEDICAL CENTER): $898,969 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To enhance the health and well-being of eastern North Carolina through compassionate care, education, and innovation.

What it reported doing in 2024

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.

Operating model

Revenue model
Other-operating. 99% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Some related-organization disclosures are missing and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 79
  • Transparency & Controls: 78
  • Accountability: 91
  • Sustainability: 57
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 85.1%; rating input score 85
  • Program expense ratio: 93.5%; rating input score 94
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 67.2%; rating input score 67; 14th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Scored; rating input score 0

Accountability

  • Independent voting board: 84.2%; rating input score 84; 31st percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 9.1%; rating input score 70; 70th percentile among comparable filings
  • Total-asset coverage ratio: 0.64; rating input score 25; 25th percentile among comparable filings
  • Liabilities to assets ratio: 0.31; rating input score 55; 55th percentile among comparable filings
  • Officer compensation ratio: 0.4%; rating input score 86; 86th percentile among comparable filings

Growth

  • Program expense growth: 6.7% per year; rating input score 100; 54th percentile among comparable filings
  • Revenue growth: 5.3% per year; rating input score 100; 46th percentile among comparable filings
  • Asset growth: 3.6% per year; rating input score 100; 25th percentile among comparable filings

Details

  • What they do: 5 programs and campaigns described on the official site · 2 operating locations identified
  • Where the money goes: 85.1% of revenue deployed · 93.5% of spending went to programs
  • Governance: 16 of 19 board members independent · 9 of 9 filing controls reported
  • Programs: 6 filed program accomplishments · $1.9B in reported program spending
  • Leadership: top reported pay $2.2M · 44 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $115.7M reported
  • Consistency: 34 of 35 current checks pass · 1 finding to review
  • Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 18 filed money-flow records
  • Related organizations: 21 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Related-party transparency scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 25/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Sustainability: Liabilities to assets ratio scored 55/100.