Cape Fear Healthnet Inc

Nonprofit profile at a glance

EIN
262469988
IRS 990 coverage
2011–2024
Forms available
Form 990 2024
Location
Wilmington, NC, USA
Phone
9103992751
Rating
77
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Support Services

Official website

Reported finances

Revenue
$594,112
Expenses
$512,008
Assets
$266,740
Liabilities
$71,180

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

19 people listed

Executive titles in this filing

  • LESLIE SMILEY (EXECUTIVE DIRECTOR)

Highest reported compensation

  • LESLIE SMILEY (EXECUTIVE DIRECTOR): $36,950 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Cape fear healthnet exists to facilitate a coordinated system of health care for residents who have low income and are uninsured in a four-county region of North Carolina.

What it reported doing in 2024

The organization coordinated 3,515 medical office visits, 99 dental office visits, and 6,574 behavioral health therapy appointments. Safety net pharmacies dispensed 18,437 prescriptions to healthnet patients. The healthnet referred patients for 1,241 lab/diagnostic appointments. It also made 682 referrals to specialty care providers who provided their services pro bono.

Operating model

Revenue model
Donor-supported. 92% of the money available for current operations came from contributions and gifts.
Distribution model
Hybrid. The nonprofit split its reported program spending across 54% for direct work, and 46% for grants.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and program spending has declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 78
  • Transparency & Controls: 94
  • Accountability: 79
  • Sustainability: 42
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 73.2%; rating input score 73
  • Program expense ratio: 84.9%; rating input score 85
  • Fundraising efficiency: $77.12 raised per $1 spent on fundraising; rating input score 84; 84th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 76th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
  • Governance controls: 4 of 8 controls in place; rating input score 50
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: Fail
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 13.8%; rating input score 68; 68th percentile among comparable filings
  • Total-asset coverage ratio: 0.52; rating input score 24; 24th percentile among comparable filings
  • Liabilities to assets ratio: 0.27; rating input score 27; 27th percentile among comparable filings
  • Officer compensation ratio: Limited

Growth

  • Program expense growth: -4.3% per year; rating input score 0; 8th percentile among comparable filings
  • Revenue growth: -6.6% per year; rating input score 0; 4th percentile among comparable filings
  • Asset growth: -6.4% per year; rating input score 0; 5th percentile among comparable filings

Details

  • Where the money goes: 73.2% of revenue deployed · 84.9% of spending went to programs
  • Governance: 18 of 18 board members independent · 4 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $435K in reported program spending
  • Leadership: top reported pay $37K · 19 people listed
  • Consistency: 30 of 30 current checks pass
  • Schedules: 5 filed schedules · includes major donors and grants
  • Filing history: 12 filing years from 2011 to 2024
  • Contacts: How to reach this organization
  • Money network: 4 filed money-flow records
  • Related organizations: 4 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Accountability: Governance controls: 4 of 8 not reported.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 24/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Liabilities to assets ratio scored 27/100.