North Carolina · Nonprofit
FIRSTHEALTH OF THE CAROLINAS INC
FIRSTHEALTH OF THE CAROLINAS INC (North Carolina) receives grants from 24 organizations whose IRS filings report $5,725,583 to it, the largest being THE DUKE ENDOWMENT ($1,250,000). 15 of them have funded it in more than one year.
- Revenue FY2025
- $1.2B
- Funders on record
- 24
- Grants received
- $5.7M
- Net assets
- $1.4B
What Firsthealth of the Carolinas Inc does
Mission
To service the community's total health care needs.
As stated on its FY2025 Form 990.
Program
Firsthealth of the carolinas, inc. ("firsthealth") provides a comprehensive community benefits program in its primary and secondary service areas. Firsthealth plays a pivotal role in delivering health care in the mid-carolinas and is both the infrastructure and safety net for health care in its communities. Firsthealth operates two hospitals: firsthealth moore regional hospital and firsthealth montgomery memorial hospital. Firsthealth moore regional hospital has licensed beds in three locations: the main campus in pinehurst, north carolina and remote locations in rockingham and raeford, north carolina. Hospital care is the cornerstone of health care in most communities, but firsthealth goes beyond the walls of these facilities to enhance the health and wellness of the residents of its service areas. Firsthealth provides low-cost and, in many cases, free programs to our most vulnerable patient populations. One of firsthealth's most important financial contributions is bridging the gap created by underpayments from medicare and medicaid and other government programs, while continuing to provide access to free or low-cost health screenings and diagnostic services, as well as…
$891,583,522 spentof which $2,367,715 as grants$1,098,601,549 earned by the program100% of program spending
The program described on its FY2024 Form 990. Program spending in total: $891,583,522.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $1.1B to $1.4B (+26%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2017 0% · 2018 0% · 2019 0% · 2020 3% · 2021 0% · 2022 2% · 2023 1% · 2024 0% · 2025 0%. Grants only. Government contracts and fees sit inside program revenue.
1% of FIRSTHEALTH OF THE CAROLINAS INC’s revenue is contributions — more donation-reliant than the typical peer (1% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 9 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Mickey Foster
President & CEO
Board chair
Cindy Goodman
Chair
As listed on its FY2025 Form 990.
Who funds it, year by year
2017 → 2023: the base broadened from 5 funders to 6 funders, grant income rose $225k → $274k.
9 of 24 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 38% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
Left out of every figure on this page: $54M from one payer (the payer shares this organization's board, largest The Foundation of Firsthealth Inc). These are real filings, and they are not money FIRSTHEALTH OF THE CAROLINAS INC raised.
From the IRS filings of FIRSTHEALTH OF THE CAROLINAS INC’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
FIRSTHEALTH OF THE CAROLINAS INC has a broad base — no single funder exceeds 22% of grant income, and it takes 3 funders to reach half.
the vertical line marks half of all grant income — 3 funders to its left
56% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund FIRSTHEALTH OF THE CAROLINAS INC.
Largest funder’s share by year: 2017 42% · 2018 67% · 2019 47% · 2020 31% · 2021 22% · 2022 27% · 2023 36% — diversifying over time.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How long its funders stay
31% of FIRSTHEALTH OF THE CAROLINAS INC's funders are still giving 3 years after their first grant; 63% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
73% of FIRSTHEALTH OF THE CAROLINAS INC's grant income comes from North Carolina funders.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $2.1M arriving through sponsors registered in 7 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
FIRSTHEALTH OF THE CAROLINAS INC runs a healthier operating margin than half of the 1,241 health nonprofits its size.
this organization peer median middle 50% of peers· 1,241 health nonprofits over $100M, FY2025
Government funding FIRSTHEALTH OF THE CAROLINAS INC receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $2.9M on record — $2.9M federal, $97 state.
- Department of Health and Human Services$2.4M
- Department of Agriculture$542k
- OR$45
- DE$38
- FL$14
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like FIRSTHEALTH OF THE CAROLINAS INC
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In North Carolina
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
82% of spending goes to programs.
Governance
Footprint & structure
Files a return copy in 1 state
Part of a family of 11 related entities
- Firsthealth Physicians Group LLC · disregarded
- Starfirst LLC · disregarded
- Foundation of Firsthealth Inc · exempt
- Firstimaging of the Carolinas LLC · partnership
- Surgery Center of Pinehurst LLC · partnership
Screen this organization
A dated, signed PDF of the compliance screen for FIRSTHEALTH OF THE CAROLINAS INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds FIRSTHEALTH OF THE CAROLINAS INC?
- FIRSTHEALTH OF THE CAROLINAS INC (North Carolina) receives grants from 24 organizations whose IRS filings report $5,725,583 to it, the largest being THE DUKE ENDOWMENT ($1,250,000). 15 of them have funded it in more than one year.
- How many funders does FIRSTHEALTH OF THE CAROLINAS INC have?
- IRS filings report 24 organizations giving $5,725,583 in grants to FIRSTHEALTH OF THE CAROLINAS INC, 15 of which have funded it in more than one year.
- Who is the largest funder of FIRSTHEALTH OF THE CAROLINAS INC?
- THE DUKE ENDOWMENT is the largest funder on record, with $1,250,000 in grants. The full list of funders is on this page.
- How can an organization like FIRSTHEALTH OF THE CAROLINAS INC find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in North Carolina. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 24 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing