2025-11-13T08:21:55-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-10-01 561947017 CAPE FEAR VALLEY MEDICAL FOUNDATION CAPE 9106154000 PO BOX 87526 FAYETTEVILLE NC 28304 BRETT JOHNSON CFO 9106154000 2025-11-12 1 1 KURT BENNION CPA P01469618 4252506100 2025-11-12 2024 2025-03-06 01:10:19Z BRETT JOHNSON PO BOX 87526 FAYETTEVILLE NC 28304 1599480 0 X WWW.CAPEFEARVALLEY.COM/FOUNDATION X 1995 NC TO ADVANCE HEALTHCARE IN AND AROUND CUMBERLAND COUNTY NORTH CAROLINA 18 18 0 18 0 0 1146829 946249 0 0 568609 129359 -23978 -42389 1691460 1033219 1531744 414402 0 0 0 0 0 0 61501 455376 84345 1987120 498747 -295660 534472 12874275 12943254 43964 39715 12830311 12903539 X CAPE FEAR VALLEY HEALTH FOUNDATION'S MISSION 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. THIS IS ACCOMPLISHED BY PROVIDING PROGRAMS AND SERVICES WHICH HAVE A POSITIVE IMPACT ON A PATIENT'S EXPERIENCE AND ENHANCE THEIR CARE AND HEALING. 0 0 414402 414402 CAPE FEAR VALLEY MEDICAL FOUNDATION OPERATES SEVERAL PROGRAMS TO BENEFIT CAPE FEAR VALLEY MEDICAL CENTER AND ITS PATIENTS. THESE INCLUDE PROGRAMS TO ASSIST WITH THE CARE OF CHILDREN, BOTH AS OUTPATIENTS AND INPATIENTS, ASSISTANCE WITH CANCER PATIENTS BOTH AS OUTPATIENTS AND INPATIENTS, AND SUPPORT OF MEDICAL EDUCATION. THE GENERAL FUND IS USED TO IMPROVE OVERALL HOSPITAL SERVICES FOR PATIENTS AT CAPE FEAR VALLEY MEDICAL CENTER AND THEIR FAMILIES. DURING FISCAL YEAR 2024, THESE PROGRAMS SERVED A TOTAL OF 322,480 PATIENTS. 414402 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X BRETT JOHNSON 9106154000 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 DAVIS PURYEAR TREASURER 2.00 0.00 X X 0 0 0 MARCOS SOLTREN ASSOC. TREASURER 2.00 0.00 X X 0 0 0 LYNDA B CLARK SECRETARY 2.00 0.00 X X 0 0 0 DR MARION GILLS-OLION ASSOC. SECRETARY 2.00 0.00 X X 0 0 0 MARGARET ANN ALLIGOOD DIRECTOR 2.00 0.00 X 0 0 0 THOMAS BROWN DIRECTOR 2.00 0.00 X 0 0 0 TYRONE DAVIS DIRECTOR 2.00 0.00 X 0 0 0 PEGGY HOLT DIRECTOR 2.00 0.00 X 0 0 0 TONA JACOBS 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 CHARLENE WYATT DIRECTOR 2.00 0.00 X 0 0 0 DR DENISE WYATT DIRECTOR 2.00 0.00 X 0 0 0 MICHAEL NAGOWSKI CEO-CFVH 0.00 55.00 X 0 1751758 26851 BRET JOHNSON CFO - CFVH 0.00 55.00 X 0 804547 23349 SABRINA BROOKS VICE PRESIDENT, CFVMC 40.00 0.00 X 0 205814 15293 0 2762119 65493 0 0 1 0 0 124797 308713 512739 946249 114968 114968 530988 516597 14391 14391 14391 7275 124797 49664 -42389 -42389 1033219 0 0 86970 X 414402 414402 12423 12423 53400 53400 5020 1188 3832 8924 8924 DUES, BOOKS, & SUBSCRIP 4221 4221 OTHER EXPENSES 357 309 48 498747 414402 22844 61501 24808 222045 506199 506199 17832 17832 56867 56867 0 0 12325436 12197178 12874275 12943254 43964 39715 43964 39715 X 9892500 8287825 2937811 4615714 12830311 12903539 12874275 12943254 534472 -461244 0 X X 0 1 X 1 0 X 1822466 2664653 2620367 1146829 946249 9200564 1822466 2664653 2620367 1146829 946249 9200564 1014748 8185816 162106 242706 433303 321717 114968 1274800 10475364 0.78140 0.80800 X PART II, COLUMN E AMOUNTS REPORTED IN PART II, COLUMN E ARE FOR A SHORT YEAR THAT BEGAN ON OCTOBER 1, 2024, AND ENDED ON DECEMBER 31, 2024. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 56867 56867 0 0 X PART X, LINE 2: THE HEALTH SYSTEM AND THE FOUNDATIONS 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. ELEVATE HEALTHCARE, A ROOFTOP EXPER 71543 64268 7275 5860 7951 26305 9548 71543 64268 7275 5860 7951 26305 9548 49664 -42389 0 CAPE FEAR VALLEY HEALTH 1638 OWEN DR FAYETTEVILLE NC 28304 560845796 501(C)(3) 332676 0 GENERAL SUPPORT PART I, LINE 2: CAPE FEAR VALLEY MEDICAL FOUNDATION AWARDS GRANTS TO PATIENTS OF CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. FOR PURPOSES OF ASSISTING THEM IN PAYING VARIOUS BILLS AND OTHER EXPENSES THAT THE PATIENTS CANNOT PAY DUE TO THEIR EXCESSIVE MEDICAL EXPENSES INCURRED 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 TO THE ORGANIZATION TO WHICH THE PATIENT OWES THE BILL AND/OR EXPENSE. THE FOUNDATION ALSO AWARDS GRANTS TO OTHER ORGANIZATIONS THAT SUPPORT HEALTHCARE IN THE COMMUNITY. 0 0 0 0 0 0 0 0 0 MICHAEL NAGOWSKI CEO-CFVH 0 1199200 0 549946 0 2612 0 15350 0 11501 0 1778609 0 0 BRET JOHNSON CFO - CFVH 0 610684 0 175770 0 18093 0 15350 0 7999 0 827896 0 0 SABRINA BROOKS VICE PRESIDENT, CFVMC 0 170711 0 35103 0 0 0 10136 0 5157 0 221107 0 0 PART I, LINE 3 EXECUTIVE SALARIES ARE DETERMINED BY A MARKET ANALYSIS INVOLVING COMPARABILITY DATA, INDUSTRY STANDARDS, AND LOCAL ECONOMICS. THE CEO'S SALARY IS A CONDITION OF THE MANAGEMENT AGREEMENT BETWEEN THE BOARD OF DIRECTORS AND CAPE FEAR VALLEY MEDICAL CENTER. THE BOARD HAS INDIRECT APPROVAL OVER THE COMPENSATION PAID TO THE CEO THROUGH THIS AGREEMENT, AND HAS APPROVAL OVER ANY ADDITIONAL AMOUNTS AND INCREASES. CAPE FEAR PREPARES A COMPENSATION STUDY FOR OFFICERS AND KEY EMPLOYEES EXCLUDING THE CEO AND MAKES THE RECOMMENDATIONS TO THE CEO OF HARNETT HEALTH SYSTEM. THOSE RECOMMENDATIONS, INCLUDING ANY AMOUNTS ALLOCATED FOR RAISES AND INCENTIVES, ARE INCLUDED IN THE ANNUAL BUDGET PROCESS WHICH IS APPROVED BY THE FINANCE COMMITIEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B PRINTED COPIES OF THE FORM 990 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., A RELATED ORGANIZATION 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. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 53,400. TOTAL EXPENSES 53,400. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. CUMBERLAND COUNTY HOSPITAL SYSTEM INC PO BOX 2000 FAYETTEVILLE NC 28302 560845796 HEALTH SERVICES NC 501(C)(3) LINE 3 N/A 0 BLADEN COUNTY HOSPIAL FOUNDATION INC PO BOX 398 ELIZABETHTOWN NC 28337 561833893 FUNDRAISING NC 501(C)(3) LINE 7 CCHS 0 HARNETT HEALTH SYSTEM INC PO BOX 1706 DUNN NC 28335 560603898 HEALTH SERVICES NC 501(C)(3) LINE 3 CCHS 0 HARNETT HEALTH SYSTEM FOUNDATION 800 TILGMAN DRIVE DUNN NC 28334 201929953 FUNDRAISING NC 501(C)(3) LINE 7 CCHS 0 THE MED IMAGING CENTER LLC 3186 VILLAGE DRIVE STE 101 FAYETTEVILLE NC 28304 264473832 HEALTHCARE NC N/A 0 0 HIGHSMITH-RAINEY MED ARTS CENTER ASSOCIATION PO BOX 2000 FAYETTEVILLE NC 28302 561747424 RENTAL ASSOC. NC N/A C 0 CUMBERLAND HLTH PARTNERS INC (INACTIVE) PO BOX 2000 FAYETTEVILLE NC 28302 562043978 BEHAVIORAL HEALTH NC N/A C 0 CAPE FEAR INSURANCE LTD PO BOX 30600 SMB WEST BAY RD GRAND CAYMAN CJ 980449284 INSURANCE CJ N/A C 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0