Cape Fear Valley Health
Legal name: Cumberland County Hospital System Inc
Nonprofit profile at a glance
- EIN
- 560845796
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Fayetteville, NC, USA
- Phone
- 9106154829
- Rating
- 78
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Community Health Systems
Reported finances
- Revenue
- $346,889,617
- Expenses
- $359,057,261
- Assets
- $1,827,526,190
- Liabilities
- $956,029,654
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
31 people listed
Executive titles in this filing
- MICHAEL NAGOWSKI (CEO)
Highest reported compensation
- MICHAEL NAGOWSKI (CEO): $1,778,609 total reported compensation
- DEREN BAGSBY (PHYSICIAN): $1,570,365 total reported compensation
- ROBERT MAUGHAN (PHYSICIAN): $1,314,429 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Providing exceptional healthcare for all our patients. Exceptional Healthcare for Every Patient Our goal is to improve the quality of every life we touch. To achieve that, our doctors, surgeons and staff are committed to excellence in every aspect of the healthcare process. Our values of patient-centeredness, integrity, innovation, teamwork, diversity, accountability and education help us create a better experience for every patient, every time. | | --- | --- |. At Cape Fear Valley Health, our volunteers are vital in enhancing the patient experience and supporting our mission of providing exceptional healthcare. As a volunteer, you can make a meaningful impact in various capacities throughout our health system. Volunteer Positions Cancer Center.
What it reported doing in 2024
As part of meeting the health care needs of the service area, cchs, inc. Admitted 38,129 patients, provided 222,972 patient days of care, had 191,942 emergency room visits and had over 795,000 outpatient visits for services.
Operating model
- Revenue model
- Earned-program. 99% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 73
- Transparency & Controls: 72
- Accountability: 100
- Sustainability: 40
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 81.8%; rating input score 82
- Program expense ratio: 82%; rating input score 82
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 86.7%; rating input score 87; 1st percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Scored; rating input score 0
- Grant itemization coverage: 100%; rating input score 100; 77th 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; 77th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -3.5%; rating input score 15; 15th percentile among comparable filings
- Total-asset coverage ratio: 5.09; rating input score 85; 85th percentile among comparable filings
- Liabilities to assets ratio: 0.52; rating input score 34; 34th percentile among comparable filings
- Officer compensation ratio: 3%; rating input score 37; 37th percentile among comparable filings
Growth
- Program expense growth: 0% per year; rating input score 100; 8th percentile among comparable filings
- Revenue growth: 2.3% per year; rating input score 100; 16th percentile among comparable filings
- Asset growth: 9.6% per year; rating input score 100; 68th percentile among comparable filings
Details
- What they do: 6 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 81.8% of revenue deployed · 82% of spending went to programs
- Governance: 21 of 21 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $294.3M in reported program spending
- Leadership: top reported pay $1.8M · 31 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $131M reported
- Consistency: 27 of 28 current checks pass · 1 finding to review
- Schedules: 11 filed schedules · includes major donors, foreign activity, grants, and executive pay
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 11 filed money-flow records
- Related organizations: 13 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.
- High — Transparency & Controls: Foreign activity oversight scored 0/100.
- High — Sustainability: Operating margin scored 15/100.
- Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
- Moderate — Sustainability: Liabilities to assets ratio scored 34/100.
- Moderate — Sustainability: Officer compensation ratio scored 37/100.