Skip to content

North Carolina · Nonprofit

UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC

UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC (North Carolina) receives grants from 3 organizations whose IRS filings report $1,184,573 to it, the largest being UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA FOUNDATION INC ($1,155,374). 3 of them have funded it in more than one year.

Revenue FY2025
$458M
Funders on record
3
Grants received
$1.2M
Net assets
$148M
3/3 repeat funderspeak grant-dependency 0%
01What it does

What University Health Systems of Eastern Carolina Inc does

Mission

To improve the health and well-being of eastern north carolina.

As stated on its FY2025 Form 990.

Program

  1. 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…

    $441,171,728 spentof which $645,800 as grants$441,598,451 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $441,171,728.

02The organization over time

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.

100 = 20172017 Revenue 100 ($204M) Expenses 100 ($249M) Net assets -322 ($-475094431)2018 Revenue 112 ($228M) Expenses 101 ($251M) Net assets -306 ($-452109506)2019 Revenue 123 ($251M) Expenses 109 ($271M) Net assets -337 ($-498257007)2020 Revenue 130 ($265M) Expenses 112 ($278M) Net assets -311 ($-458996613)2021 Revenue 164 ($335M) Expenses 119 ($297M) Net assets -313 ($-462566681)2022 Revenue 143 ($292M) Expenses 130 ($324M) Net assets -336 ($-496649151)2023 Revenue 151 ($307M) Expenses 150 ($372M) Net assets -311 ($-459744447)2024 Revenue 197 ($401M) Expenses 176 ($439M) Net assets -171 ($-252446538)2025 Revenue 225 ($458M) Expenses 193 ($481M) Net assets 100 ($148M)
'17'18'19'20'21'22'23'24'25
Revenue (225)Expenses (193)Net assets (100)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2024 to 2025, from $508M to $924M (+82%).

$294M
$283M
$216M
$314M
$305M
$235M
$303M
$508M
$924M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

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.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

0% of UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC’s revenue is contributions — more earned-revenue than three-quarters of its peers (1% for the typical peer).

This organization
Typical peer · 2,211 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 8 of the last 9 reported years ran a deficit.

−$45M
’17
−$23M
’18
−$20M
’19
−$13M
’20
$38M
’21
−$32M
’22
−$65M
’23
−$37M
’24
−$23M
’25
0.0
months of
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

Michael Waldrum Md

Chief executive officer

As listed on its FY2025 Form 990.

The chief executive listed changed between the FY2019 and FY2020 filings.

'17'18'19'20'21'22'23'24'25
Listed363935323437373938
Joined·+10+6+9+7+5+12+12+10
No longer listed·7101252121011
03Who funds it

Who funds it, year by year

2019 → 2023: the base held at 1 funder, grant income rose $18k → $239k.

Funder
'19
'20
'21
'22
'23
'24*
'25*
total
funders
1
2
3
3
1
1
1

From the IRS filings of UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA 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

UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC leans on a few funders — its largest provides 98% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

100% 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 UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC.

98%
largest funder
100%
top three
~1
effective funders

Largest funder’s share by year: 2019 100% · 2020 96% · 2021 83% · 2022 95% · 2023 100% — broadly stable.

“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.

Where its funders are

98% of UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC's grant income comes from North Carolina funders.

NC
TX

In-state vs out-of-state, by year

’19
’20
’21
’22
’23
North Carolina out of state home

Funder states come from each funder’s own filing. 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.

04Its place in the field

Against its field

UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC has grown faster than three-quarters of the 1,241 health nonprofits its size.

Operating margin−5% · bottom quartile
Months of reserve0.0mo · bottom quartile
Revenue growth (annualized)11% · top quartile

this organization peer median middle 50% of peers· 1,241 health nonprofits over $100M, FY2025

Organizations like UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA 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

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

92% of spending goes to programs.

Program 92%Management 8%Fundraising 0%

Governance

11
board members
73%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Part of a family of 19 related entities

  • Vidant Integrated Care LLC Dba Ecu Health Alliance LLC · disregarded
  • Coastal Plains Network LLC · disregarded
  • Access East Inc · exempt
  • Duplin General Hospital Dba Ecu Health Duplin Hospital · exempt
  • East Carolina Health - Beaufort Dba Ecu Health Beaufort Hospital · exempt

Screen this organization

A dated, signed PDF of the compliance screen for UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA 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.

A paid feature, included from the $75 plan up. Sign in to download.

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 UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC?
UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC (North Carolina) receives grants from 3 organizations whose IRS filings report $1,184,573 to it, the largest being UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA FOUNDATION INC ($1,155,374). 3 of them have funded it in more than one year.
How many funders does UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC have?
IRS filings report 3 organizations giving $1,184,573 in grants to UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC, 3 of which have funded it in more than one year.
Who is the largest funder of UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC?
UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA FOUNDATION INC is the largest funder on record, with $1,155,374 in grants. The full list of funders is on this page.
How can an organization like UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA 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 3 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