ECU Health’s operating margin rises to 4.5% in fiscal 2026: 6 things to know 

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Greenville, N.C.-based ECU Health recorded operating income of $151.2 million (4.5% operating margin) in fiscal 2026, up from $125.4 million (4.1% margin) during the same period last year, according to its Nov. 11 financial report. 

Six things to know: 

1. Total operating revenue was $3.4 billion for the 12 months ended Sept. 30, up from $3.1 billion during the same period last year. Net patient revenue totaled $3.1 billion, up from $2.8 billion, and other operating revenue totaled $284.4 million, up from $251 million.

2. Total operating expenses were $3.2 billion, up from $3 billion. Salaries, wages and benefits totaled $1.7 billion, up from $1.6 billion. Supplies totaled $776.3 million, up from $706.3 million.

3. Patient days totaled 368,470, down from 377,339, and average daily census was 1,010, down from 1,034. Average length of stay was 5.7 days, down from 5.9 days, while admissions totaled 64,587, up from 64,240.

4. Emergency room visits totaled 253,177, down from 256,772, and surgical cases totaled 38,872, down from 39,404. Outpatient visits totaled 432,113, down from 445,964, while adjusted admissions totaled 146,499, up from 136,895.

5. Bad debt expense totaled $56 million, up from $31.3 million. Charity care also rose, to $263.4 million from $223 million. 

6. ECU Health reported net income of $152.2 million in fiscal 2026, up from $130.6 million during the same period last year.

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