University Health Systems of Eastern Carolina Inc

What it reported doing in 2024

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 far beyond caring for patients within the confines of our hospital walls. It calls us to help make eastern North Carolina a better, healthier place to live. Ecu health 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 health system includes hospitals, physician practices, outpatient services, long-term care, home health, hospice, and wellness services. The health system's owned hospitals are ecu health medical center, which is a tertiary care hospital and an academic medical center, that includes the ecu health beaufort hospital as a department operating as a campus of ecu health medical center and seven other acute care hospitals: ecu health roanoke-chowan hospital, ecu health edgecombe hospital, ecu health chowan hospital, ecu health bertie hospital, ecu health duplin hospital, ecu health north hospital, and the outer banks hospital. Ecu health medical center serves as the teaching hospital for the brody school of medicine, east carolina schools of nursing and allied health and pitt community college. The system also serves as a regional referral center for eastern North Carolina. The system's nine owned hospitals are licensed to operate 1,708 beds. Each hospital is licensed by the division of facility services of the North Carolina department of health and human services and approved as a provider by the medicare and medicaid programs. Ecu health and its hospitals and affiliate organizations provide services to patients without regard to their ability to pay. In fiscal year 2025 ecu health's combined patient care statistics were: inpatient admissions, 68,570; inpatient days of care, 385,908; surgeries, 54,577; births, 6,394; and outpatient visits, 482,146. Our system's workforce included 13,578 employees. Each of ecu health's hospitals operates an emergency room, which is open 24 hours a day. Ecu health medical center also offers a full spectrum of trauma services. Emergency and trauma services are provided to patients without regard to their ability to pay. In fiscal year 2025 ecu health provided care to 277,498 emergency room patients. Ecu health's board of directors consists of 11 voting members, six of whom must be current or former pitt county, North Carolina appointees of ecu health medical center's board of trustees and five of whom must be current or former board of governors of the university of North Carolina appointees of ecu health medical center's board of trustees. Ecu health medical center, in affiliation with the brody school of medicine, which is owned by the state of North Carolina, operates 30 resident-training programs with over 400 medical residents. This relationship enables ecu health medical center and the brody school of medicine to combine their resources for the provision of quality patient care, medical education and research for the residents of eastern North Carolina. The brody school of medicine has three important goals: educating primary care physicians, making medical care more readily available to the people of eastern North Carolina, and providing opportunities to minority and disadvantaged students. As a non-profit organization, ecu health reinvests all excess of

Financial Efficiency

• Mission deployment rate: 98.1%; rating input score 98
• Program expense ratio: 91.8%; rating input score 92
• 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: Scored; rating input score 0
• Grant itemization coverage: 92.8%; rating input score 93; 25th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 72.7%; rating input score 73; 22nd 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: -5%; rating input score 13; 13th percentile among comparable filings
• Total-asset coverage ratio: 1.92; rating input score 62; 62nd percentile among comparable filings
• Liabilities to assets ratio: 0.84; rating input score 16; 16th percentile among comparable filings
• Officer compensation ratio: 3.7%; rating input score 29; 29th percentile among comparable filings

Growth

• Program expense growth: 7.8% per year; rating input score 100; 63rd percentile among comparable filings
• Revenue growth: 10% per year; rating input score 100; 76th percentile among comparable filings
• Asset growth: -4.2% per year; rating input score 0; 2nd percentile among comparable filings