Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

North Carolina · Ranked 209 of 1033 by CEO pay.

Firsthealth of the Carolinas

Mickey Foster, President & CEO. Fiscal year ending 2025-09.

$1.8M
CEO total compensation
Form 990 Part VII, columns D+E+F
4.26%
of expenses spent on charity care
Schedule H Part I line 7a
3.9%
CEO pay as a share of all charity care

§1The filing

Total revenue
$1,179,213,070
Total expenses
$1,081,645,382
Net assets
$1,426,558,474
Employees
7,487
Hospitals covered
4 facilities across 1 filing
Charity care, net
$46,081,400
Bad debt
$0
Medicare surplus (shortfall), as filed
($23,504,429)
CEO pay from the organization (Part VII col. D)
$1,614,815
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$203,003
CEO total compensation (D+E+F)
$1,817,818 to Mickey Foster

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Firsthealth of the Carolinas, EIN 56-1936354, fiscal year ending 2025-09, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$89.2M Of which charity care to patients who could not pay (line 7a)$46.1M (52%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($0) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Firsthealth of the Carolinas: CEO pay $1.8M, charity care 4.26% of expenses