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University Health Systems of Eastern Carolina Foundation Inc

EIN 20-0777374 · Greenville, NC

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthStrong90 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

THE PURPOSE OF THE UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA FOUNDATION (DBA ECU HEALTH FOUNDATION), A NON-PROFIT CORPORATION, IS TO GIVE HOPE TO EASTERN NORTH CAROLINA AND BEYOND BY INSPIRING PHILANTHROPY TO IMPROVE HEALTH, EDUCATION, AND WELL-BEING.

Income
$8.1 million
Spending
$4.2 million
Spent on programs
96%
Reserves
41.6 months of spending
Largest source of income
donations and private grants, 53%
Employees
0
Volunteers
150
Highest pay
$328,338, president

Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Strong: 90 out of 100. Higher than 76% of charities in its peer group (health care, $1m to $10m).

  • Reserves

    35 of 35

    Spendable reserves would cover 41.6 months of spending.

  • Debt

    10 of 20

    It owes 35% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 48% of income.

  • Income trend

    15 of 15

    Income rose 33% on the year before.

  • Spending floor

    15 of 15

    96% of spending went to programs and raising each dollar of donations cost 0 cents.

Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 100 out of 100. Higher than 67% of charities in its peer group (health care, $1m to $10m).

  • Independent board

    25 of 25

    20 of 20 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (2)
  1. $4.1 million spent. ECU HEALTH FOUNDATION SUPPORTS THE GENERAL PUBLIC AND COMMUNITIES SERVED BY UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA DBA ECU HEALTH AND ITS SUBSIDIARIES, AFFILIATES, OR EQUITY PARTNERS BY ASSISTING AND SUPPORTING FINANCIALLY THE REGIONAL HOSPITALS THAT ARE PART OF THE ECU HEALTH SYSTEM, AND ANY OTHER QUALIFIED HEALTH CARE PROVIDER, GOVERNMENTAL ENTITY AND CHARITABLE ORGANIZATION FORMED FOR THE PROMOTION OF HEALTH AND WELLNESS. THIS SUPPORT IS CONDUCTED THROUGH CONTRIBUTIONS TO BE USED FOR EQUIPMENT, RESEARCH, EDUCATION, PATIENT AND FAMILY SUPPORT, COMMUNITY BENEFIT, AND DIRECT HEALTH CARE SERVICES. UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA FOUNDATION, INC. (DBA ECU HEALTH FOUNDATION) IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES OF EASTERN NORTH CAROLINA. THE MISSION IS TO SUPPORT THE ECU HEALTH MISSION TO INSPIRE GENEROSITY THROUGH PHILANTHROPY IN SUPPORT OF ECU HEALTH AND EASTERN NORTH CAROLINA. THE FOUNDATION 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 ECU HEALTH FOUNDATION HAS A GOVERNING BOARD COMPRISED OF 20 VOTING MEMBERS AS OF 9/30/25. THE NOMINATING COMMITTEE RECOMMENDS APPOINTMENTS TO THE BOARD OF TRUSTEES. THE BOARD MEMBERS HAVE DIVERSE BACKGROUNDS AND ARE SELECTED TO REPRESENT THE CITIZENS OF EASTERN NORTH CAROLINA. BOARD MEETINGS ARE HELD QUARTERLY. THE ECU HEALTH MEDICAL CENTER BOARD ANNUALLY SUPPORTS THE COMMUNITY BENEFIT INITIATIVES PROGRAM OF THE FOUNDATION. THESE FUNDS ARE AWARDED TO COMMUNITY AGENCIES THAT SUCCESSFULLY DEMONSTRATE BOTH NEED AND A WELL-DESIGNED PLAN TO ADDRESS ONE OF THE PRIORITY CATEGORIES. 1. THESE GRANTS SUPPORT HEALTH INITIATIVES THROUGH LOCAL COMMUNITY ORGANIZATIONS. GENERALLY, TWO TO THREE FOCUS AREAS HAVE BEEN SELECTED FOR EACH PROGRAM FROM THE FOLLOWING LIST INCLUDING: ACCESS TO CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, NUTRITION AND PHYSICAL ACTIVITY, DIABETES PREVENTION AND MANAGEMENT, AND MATERNAL AND CHILD HEALTH. THE GRANTS PROGRAM'S HEALTH PRIORITIES ARE DETERMINED BY INFORMATION OBTAINED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). EACH ECU HEALTH HOSPITAL COLLABORATES WITH THEIR LOCAL HEALTH DEPARTMENT TO CONDUCT THE CHNA. VOLUNTEERS FROM THEIR LOCAL HEALTHY CAROLINIANS PARTNERSHIP OR OTHER HEALTH COLLABORATIVE ASSIST IN THE PROCESS OF GATHERING INFORMATION FOR THE CHNA. 2. THE POPULATIONS SERVED ARE LARGELY THE POOR, THE UNDER-SERVED, AND MINORITIES. DETERMINATION OF SPECIFIC POPULATIONS TO ADDRESS OCCURS WHEN PARTNERS SUCH AS THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES, LOCAL HEALTH DEPARTMENTS, COUNTY HEALTHY CAROLINIAN TASK FORCES, OR PHYSICIANS IDENTIFY A QUANTIFIABLE NEED, AND COMMUNITY PARTNERS ARE ENGAGED TO WORK TOGETHER WITH THE HEALTH SYSTEM. OTHER PROGRAM SERVICES: OTHER PROGRAMS RESULTED IN DISTRIBUTION OF APPROXIMATELY $268 THOUSAND FROM DESIGNATED GIFTS AND CONTRIBUTIONS FOR CHILDREN'S SERVICES, HOSPICE SERVICES, SCHOLARSHIPS, AND OTHER DESIGNATED PROGRAMS. THE SOURCES OF THESE FUNDS INCLUDE CONTRIBUTIONS FROM DONORS ACROSS EASTERN NORTH CAROLINA, INVESTMENT EARNINGS FROM ENDOWED FUNDS AND THE ANNUAL CHILDREN'S MIRACLE NETWORK PROGRAM.
  2. DURING THE FISCAL YEAR, ECU HEALTH FOUNDATION RAISED $3,276,763 IN SUPPORT ON BEHALF OF NOT-FOR-PROFIT HOSPITALS IN THE ECU HEALTH SYSTEM. THESE CONTRIBUTIONS ARE CONSIDERED AGENCY TRANSACTIONS UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AND ARE NOT RECORDED AS REVENUE BY THE FOUNDATION.

Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending September 2025.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since November 2004.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.

  7. Could it be confused with another charity? Worth knowing.

    A much larger organization has a similar name: University Health Systems of Eastern Carolina Inc (Greenville, NC), EIN 56-2141073. If that is the one you meant, check the EIN before giving.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.