2025-02-03T14:02:35-06:00 2023-09-30 135565207 KPMG LLP 500 W 5TH ST STE 800 WINSTONSALEM NC 27101 990 2022-10-01 561947017 CAPE FEAR VALLEY MEDICAL FOUNDATION INC CAPE 9106154829 PO BOX 87526 FAYETTEVILLE NC 28304 BRET JOHNSON CFO 9106154829 2025-02-03 1 0 WHITNEY B HEBRON P01226647 3362753394 2022 2025-03-06 01:10:19Z BRET JOHNSON PO BOX 2000 FAYETTEVILLE NC 283022000 9537227 0 X HTTP://WWW.CAPEFEARVALLEY.COM/FOUNDATION/ X 1995 NC TO ADVANCE HEALTHCARE IN AND AROUND CUMBERLAND COUNTY, NC. 16 16 0 112 0 0 2664653 2620367 0 0 698973 475984 -22510 -66897 3341116 3029454 506109 282185 0 0 0 0 0 0 336802 575660 4093743 1081769 4375928 2259347 -1346474 12218606 11479058 15753 15461 12202853 11463597 THE MISSION OF THE CAPE FEAR VALLEY HEALTH FOUNDATION IS TO SERVE THE COMMUNITY BY BUILDING AWARENESS AND PHILANTHROPIC SUPPORT FOR CAPE FEAR VALLEY HEALTH AS IT PROVIDES COMPASSIONATE, QUALITY HEALTHCARE FOR ALL ITS PATIENTS. 0 0 3898151 282184 FRIENDS OF CHILDREN - ASSISTS WITH THE CARE OF CHILDREN BOTH AS OUTPATIENTS AND INPATIENTS. FRIENDS OF CANCER CENTER - ASSISTS CANCER PATIENTS BOTH AS OUTPATIENTS AND INPATIENTS. GENERAL FUND - IMPROVEMENT OF HOSPITAL SERVICES TO PATIENTS AT CAPE FEAR VALLEY MEDICAL CENTER AND THEIR FAMILIES. PROGRAMS SERVED A TOTAL OF 311,538 PATIENTS. 3898151 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 4 0 1 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X BRET JOHNSON 9106154829 PO BOX 87526 FAYETTEVILLE NC 28304 RYAN AUL PRESIDENT 2.00 0.00 X X 0 0 0 DR RAKESH GUPTA VICE PRESIDENT 2.00 0.00 X X 0 0 0 LYNDA B CLARK SECRETARY 2.00 0.00 X X 0 0 0 DR MARION GILLIS-OLION ASSOC. SECRETARY 2.00 0.00 X X 0 0 0 CHRIS DIXON TREASURER 2.00 0.00 X X 0 0 0 DAVIS PURYEAR ASSOC. SECRETARY 2.00 0.00 X X 0 0 0 THOMAS BROWN DIRECTOR 2.00 0.00 X 0 0 0 MARY FLAGG HAUGH DIRECTOR 2.00 0.00 X 0 0 0 PEGGY HOLT DIRECTOR 2.00 0.00 X 0 0 0 DR KAREN JONES DIRECTOR 2.00 0.00 X 0 0 0 JESSICA KOUBA DIRECTOR 2.00 0.00 X 0 0 0 DR WALSON METZGER DIRECTOR 2.00 0.00 X 0 0 0 CHRIS NEAL DIRECTOR 2.00 0.00 X 0 0 0 PAIGE ROSS DIRECTOR 2.00 0.00 X 0 0 0 MARCOS SOLTREN DIRECTOR 2.00 0.00 X 0 0 0 CHARLENE WYATT DIRECTOR 2.00 0.00 X 0 0 0 SABRINA BROOKS VICE PRESIDENT 40.00 0.00 X 0 129821 8517 0 129821 8517 0 0 0 0 0 157379 483877 1979111 188781 2620367 433303 433303 6483557 6440876 42681 42681 42681 0 157379 66897 -66897 -66897 3029454 0 0 409087 161894 161894 120291 120291 54636 54636 167397 167397 22166 20529 1637 24426 24426 2943 2943 OTHER COSTS 3615966 3615966 DUES, BOOKS, & SUBSCRIP 149191 149191 RECOGNITION & PROMOTION 34886 30178 4708 PRINTING 12580 12580 9552 8263 1289 4375928 3898151 140975 336802 2614991 487603 336699 865540 17832 17832 56867 56867 0 0 9249084 10108083 12218606 11479058 15753 15461 15753 15461 X 3625550 4286323 8577303 7177274 12202853 11463597 12218606 11479058 -1346474 607218 0 X 0 1 X 1 0 X 1719752 2495008 1822466 2664653 2620367 11322246 1719752 2495008 1822466 2664653 2620367 11322246 970575 10351671 345270 178382 162106 242706 433303 1361767 12684013 0.81610 0.83010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 56867 56867 0 0 X 3703569 607218 607218 3096351 -66897 -66897 3029454 4442825 66897 66897 4375928 0 4375928 PART X, LINE 2: THE HEALTH SYSTEM AND THE FOUNDATION ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3). THE UNRELATED BUSINESS INCOME GENERATED BY THE HEALTH SYSTEM AND THE INCOME GENERATED BY THE HEALTH SYSTEM'S TAXABLE COMPONENT ARE NOT MATERIAL TO THE FINANCIAL STATEMENTS. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REQUIRED IN THE ACCOMPANYING FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE RECLASS -66,897. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE RECLASS 66,897. STEP UP 4 HEALTH 54304 54304 5876 900 7816 GRAND OPENING GALA 65425 65425 24236 1695 10084 1 37650 37650 11735 0 4555 157379 157379 41847 2595 22455 66897 -66897 1 STANTON HOSPITALITY HOUSE INC 1617 ROXIE AVENUE FAYETTEVILLE NC 28304 463444289 501(C)(3) 98010 0 GENERAL SUPPORT CUMBERLAND COUNTY HOSPITAL SYSTEM INC 1638 OWEN DRIVE FAYETTEVILLE NC 28304 560845796 501(C)(3) 58484 0 GENERAL SUPPORT EMPLOYMENT SOURCE INC 60 AMES ST FAYETTEVILLE NC 28301 562253814 501(C)(3) 5400 0 FUND SCHOLARSHIPS 3 PATIENT ASSISTANCE 311538 120290 0 PART I, LINE 2: CAPE FEAR VALLEY MEDICAL FOUNDATION, INC. AWARDS GRANTS TO PATIENTS OF CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. FOR PURPOSES OF ASSISTING THEM IN PAYING VARIOUS BILLS AND OTHER EXPENSES WHICH THE PATIENTS CANNOT PAY DUE TO THEIR EXCESSIVE MEDICAL EXPENSES REQUIRED FOR TREATING ILLNESS. PATIENTS APPLY AND APPLICATIONS ARE REVIEWED BY HOSPITAL SOCIAL WORKERS. ANY FUNDS GRANTED ARE NOT PAID DIRECTLY TO THE PATIENTS, INSTEAD THE FUNDS ARE PAID DIRECTLY TO THE ORGANIZATION FOR WHICH PATIENT OWES THE BILL AND/OR EXPENSE. THE FOUNDATION ALSO AWARDS GRANTS TO OTHER ORGANIZATIONS THAT SUPPORT HEALTHCARE IN THE COMMUNITY. X 141 FMV X 31056 FMV X 1 30000 FMV X GIFT CARDS, GIFT CERTIFICATES, AND GIFT BASKETS 21 81139 FMV X TOYS 24 35669 FMV X SUPPLIES 24 10474 FMV X OTHER 4 302 FMV 0 1 0 SCHEDULE M, PART I, COLUMN (B): THE NUMBER OF CONTRIBUTIONS IS BASED ON THE NUMBER OF INDIVIDUAL CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION B, LINE 11B PRINTED COPIES ARE MADE AVAILABLE TO THE BOARD OF TRUSTEES AT THE ADMINISTRATIVE OFFICE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CAPE FEAR VALLEY MEDICAL FOUNDATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE MEETING WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE. FORM 990, PART VI, SECTION B, LINE 15 A HUMAN RESOURCES CONSULTING FIRM IS RETAINED BY CUMBERLAND COUNTY HOSPITAL SYSTEMS, INC. TO REVIEW THE COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AND OTHER TOP MANAGEMENT PERSONNEL. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC UPON REQUEST. ORGANIZATION'S FORM 990 IS OPEN FOR PUBLIC INSPECTION, PROVIDES FINANCIAL INFORMATION, AND ADDRESSES ISSUES OF GOVERNANCE SUCH AS THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNANCE DOCUMENTS. CUMBERLAND COUNTY HOSPITAL SYSTEM INC PO BOX 2000 FAYETTEVILLE NC 28302 560845796 HEALTH SERVICES NC 501(C)(3) 3 N/A 0 BLADEN COUNTY HOSPITAL FOUNDATION INC PO BOX 398 ELIZABETHTOWN NC 28337 561833893 FUNDRAISING NC 501(C)(3) 7 CCHS 0 HARNETT HEALTH SYSTEM INC PO BOX 1706 DUNN NC 28335 560603898 HEALTH SERVICES NC 501(C)(3) 3 CCHS 0 HARNETT HEALTH SYSTEM FOUNDATION 800 TILGMAN DRIVE DUNN NC 28334 201929953 FUNDRAISING NC 501(C)(3) 7 N/A 0 FAYETTEVILLE AMB SURGERY CENTER 1781 METROMEDICAL DRIVE FAYETTEVILLE NC 28304 561754482 HEALTHCARE NC CCHS RELATED 0 0 THE MED IMAGING CENTER LLC 3186 VILLAGE DRIVE STE 101 FAYETTEVILLE NC 28304 264473832 HEALTHCARE NC CCHS RELATED 0 0 HIGHSMITH-RAINEY MED ARTS CENTER ASSOC PO BOX 2000 FAYETTEVILLE NC 28302 561747424 RENTAL ASSOC. NC CCHS C 0 CUMBERLAND HLTH PARTNERS INC (INACTIVE) PO BOX 2000 FAYETTEVILLE NC 28302 562043978 BEHAVIORAL HEALTH NC CCHS C 0 CAPE FEAR INSURANCE LTD PO BOX 30600 SMB WEST BAY RD GRAND CAYMAN CJ 980449284 INSURANCE CJ CCHS C 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0