Endowment / Foundation

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FirstHealth of the Carolinas

FirstHealth of the Carolinas was founded in 1995 as a private, not-for-profit health care network. Its flagship campus, Moore Regional Hospital in Pinehurst,...

FirstHealth of the Carolinas logo

FirstHealth of the Carolinas

FirstHealth of the Carolinas was founded in 1995 as a private, not-for-profit health care network. Its flagship campus, Moore Regional Hospital in Pinehurst, anchors a system that includes three additional hospitals — Moore Regional Hospital-Hoke, Moore Regional Hospital-Richmond, and Montgomery Memorial Hospital — plus a network of primary care and specialty clinics. The system earns revenue through patient care and deploys capital into clinical and physical infrastructure rather than a traditional investment portfolio. The organization allocates capital across hospital-based acute care, outpatient facilities, fitness centers, and a regional medical transport fleet. Its asset base includes the FirstHealth Cancer Center, six FirstHealth Fitness Centers located across Moore, Hoke, Richmond, and Montgomery counties, and the Clara McLean House hospitality facility. FirstHealth also partners with Troy Medicare to provide in-network Medicare Advantage access, blending direct service delivery with a payer relationship. Operations span central and south-central North Carolina, concentrated in Pinehurst, Raeford, Rockingham, and Troy. The network employs clinical and administrative staff whose total deployment is tied to 546 licensed beds and associated outpatient infrastructure. In March 2026, Autumn McFann was named Chief Financial Officer, joining a leadership team that includes CEO Mickey W. Foster and Foundation President Dana Casson. Adjacent structures include The Foundation of FirstHealth, a philanthropic arm that funnels community donations into programmatic mission support rather than a grantmaking endowment. FirstHealth participates in The Leapfrog Group’s national hospital safety grading program and received Program of Distinction recognition from the International Association of Healthcare Safety and Security. FirstHealth is structurally distinct from asset managers that invest in health care — it is the operating entity itself, a community-anchored nonprofit that generates and reinvests its own surpluses. The Foundation of FirstHealth sits alongside the hospital network as a fundraising vehicle, creating a two-entity architecture where clinical operations drive the mission and the foundation supports it. The board, chaired by Dr. Art Edgerton, oversees this governance structure without a disclosed investment committee or external allocation function.

General information

Firm type

Endowment / Foundation

Year founded

1995

Location

Region

North America

Country

United States

City

Pinehurst

Corporate office

Pinehurst, NC, United States

Principals

Mickey W. Foster

Chief Executive Officer

Autumn McFann

Chief Financial Officer

Dana Casson

President of The Foundation of FirstHealth

Art Edgerton, M.D.

Chair of the Foundation Board of Trustees

Sector focus

Healthcare Services

Frequently asked questions

Is FirstHealth of the Carolinas structured as an endowment or does it operate as a direct service provider?

FirstHealth is a private, not-for-profit operating company that directly delivers health care through four hospitals and numerous clinics. It does not function as an investment endowment — the entity generates revenue from patient services and reinvests surpluses into clinical facilities, equipment, and service-line expansion. The Foundation of FirstHealth exists as a separate philanthropic arm that raises funds to support the hospital network's programs.

Who runs investment and capital allocation decisions at FirstHealth?

There is no disclosed investment committee or separate allocation function. Capital deployment decisions are tied to operational leadership — CEO Mickey W. Foster and CFO Autumn McFann oversee the budgeting and capital planning processes that direct resources into physical and clinical infrastructure. The organization has not publicly disclosed an external investment portfolio or an internal investment staff.

How does FirstHealth finance its facilities and service expansion?

FirstHealth finances capital projects through a combination of operating cash flows, tax-exempt bond issuances typical of nonprofit hospital systems, and philanthropic contributions channeled through The Foundation of FirstHealth. Specific debt structures or recent bond offerings have not been publicly detailed.

What is the relationship between FirstHealth and The Foundation of FirstHealth?

The Foundation of FirstHealth is the network's charitable fundraising entity, led by President Dana Casson and governed by a board chaired by Dr. Art Edgerton. It collects community donations and directs them toward hospital programs, patient assistance, and capital campaigns, operating as a supporting organization rather than an independent grantmaking foundation.

Does FirstHealth maintain a traditional investment portfolio or endowment pool?

No publicly available information indicates that FirstHealth manages a traditional investment portfolio, endowment pool, or long-term financial asset allocation separate from its operating reserves. The organization has not disclosed relationships with external investment managers or asset allocation targets.

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