2025-09-23T13:44:51-05:00 2024-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-10-01 561947017 CAPE FEAR VALLEY MEDICAL FOUNDATION CAPE 9106154829 P O BOX 87526 FAYETTEVILLE NC 28304 BRET JOHNSON CFO 9106154000 2025-09-19 1 1 KURT BENNION CPA P01469618 4252506100 2025-09-11 2023 2025-03-06 01:10:19Z BRET JOHNSON P O BOX 2000 FAYETTEVILLE NC 28304 3592499 0 X WWW.CAPEFEARVALLEY.COM/FOUNDATION X 1995 NC TO ADVANCE HEALTHCARE IN AND AROUND CUMBERLAND COUNTY NORTH CAROLINA 18 18 0 87 0 0 2620367 1146829 0 0 475984 568609 -66897 -23978 3029454 1691460 282185 1531744 0 0 0 0 0 0 345519 4093743 455376 4375928 1987120 -1346474 -295660 11479058 12874275 15461 43964 11463597 12830311 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. 1 0 1531744 1531744 0 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. 1531744 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 2 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 BRET JOHNSON 9106154829 P O 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 SABRINA BROOKS VICE PRESIDENT, CFVMC 40.00 0.00 X 0 190620 9509 MICHAEL NAGOWSKI CEO-CFVH 0.00 55.00 X 0 1541010 20660 BRET JOHNSON CFO - CFVH 0.00 55.00 X 0 721558 20014 0 2453188 50183 0 0 1 0 0 89531 73744 983554 96158 1146829 321717 321717 2123953 1877061 246892 246892 246892 0 89531 23978 -23978 -23978 1691460 0 0 544631 1078056 1078056 453688 453688 54822 54822 108900 108900 12438 2943 9495 31165 31165 2398 2398 DUES, BOOKS, & SUBSCRIP 131038 131038 FUNDRAISING 93069 93069 OTHER EXPENSES 21546 18529 3017 1987120 1531744 109857 345519 487603 24808 865540 506199 17832 17832 56867 56867 0 0 10108083 12325436 11479058 12874275 15461 43964 15461 43964 X 4286323 9892500 7177274 2937811 11463597 12830311 11479058 12874275 -295660 1650374 12000 0 X 0 1 X 1 0 X 2495008 1822466 2664653 2620367 1146829 10749323 2495008 1822466 2664653 2620367 1146829 10749323 982504 9766819 178382 162106 242706 433303 321717 1338214 12087537 0.80800 0.81610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 56867 56867 0 0 STEP UP FOR HEALTH 73222 73222 9316 73222 73222 9316 9316 -9316 1 STANTON HOSPITALITY HOUSE INC 1617 ROXIE AVENUE FAYETTEVILLE NC 28304 463444289 501(C)(3) 39800 0 GENERAL SUPPORT CAPE FEAR VALLEY MEDICAL CENTER 1638 OWEN DR FAYETTEVILLE NC 28304 560845796 501(C)(3) 990731 0 GENERAL SUPPORT HEALTHPLEX OF CAPE FEAR VALLEY HEALTH SYSTEM 1638 OWEN DR FAYETTEVILLE NC 28304 560845796 501(C)(3) 17097 0 GENERAL SUPPORT SAINT THOMAS HEALTH FOUNDATION PO BOX 45998 ST LOUIS MO 631455998 581663055 501(C)(3) 12500 0 GENERAL SUPPORT HOKE COUNTY NORTH CAROLINA 227 N MAIN STREET RAEFORD NC 28376 HOKE COUNTY GOV'T 10000 0 GENERAL SUPPORT NC UNITED METHODIST CAMP & RETREAT MINISTRIES 700 WATERFIELD RIDGE PLACE GARNER NC 27529 562138935 501(C)(3) 7928 0 DIABETES CAMP 6 0 PATIENT ASSISTANCE 322480 453688 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 1104910 0 433195 0 2905 0 9386 0 11274 0 1561670 0 0 BRET JOHNSON CFO - CFVH 0 577574 0 129687 0 14297 0 9900 0 10114 0 741572 0 0 SABRINA BROOKS VICE PRESIDENT, CFVMC 0 155220 0 35400 0 0 0 4687 0 4822 0 200129 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. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022. X 14217 FMV X CANCER CARE PACKAGES 1 60000 FMV X HONDA SHOGO 1 21250 FMV X GIFT CARDS 3 691 FMV 0 0 0 0 SCHEDULE M, PART I, COLUMN B THE NUMBER REPORTED IN THIS COLUMN IS THE NUMBER OF SEPARATE CONTRIBUTIONS RECEIVED. FORM 990, PART III, LINE 2 DURING FY2024, CAPE FEAR VALLEY HEALTH FOUNDATION BEGAN FUNDRAISING FOR THE METHODIST UNIVERSITY CAPE FEAR VALLEY HEALTH SCHOOL OF MEDICINE. THIS UNDERTAKING IS A JOINT EFFORT BETWEEN THE FOUNDATION AND THE METHODIST UNIVERSITY INSTITUTIONAL ADVANCEMENT TEAM. 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 ORGANIZATIONTO 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) 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