Civic Intelligence

Cumberland County Hospital System Inc

EIN 56-0845796 • 501(c)3 • Fayetteville, NC

Profile

Cumberland County Hospital System, Inc. exists to meet the Health Care needs of the residents of Cumberland, Bladen, and Hoke counties, and the surrounding area in North Carolina.

PO Box 2000Fayetteville, NC 28302-2000

www.capefearvalley.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

90th percentile

0.85x

Higher debt load relative to assets than 90% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

91st percentile

3.56x

Higher debt load relative to revenue than 91% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

42nd percentile

4.7%

Higher net margin than 42% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

41st percentile

$1,561,670

Higher top officer pay than 41% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

99th percentile

254%

Faster asset growth than 99% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

75th percentile

19%

Faster revenue growth than 75% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets90th percentile

Assets

Up

$5,847,504,726

Up $4,196,836,006 (+254%) from 2023

Liabilities

Up

$4,959,369,167

Up $4,072,953,553 (+459%) from 2023

Net Assets

Up

$888,135,559

Up $123,882,453 (+16%) from 2023

Operations
Liabilities / Revenue91st percentileNet Margin42nd percentile

Revenue

Up

$1,394,987,240

Up $218,300,333 (+19%) from 2023

Expenses

Up

$1,328,952,911

Up $232,407,931 (+21%) from 2023

Net Income

Down

$66,034,329

Down $14,107,598 (-18%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth99th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0B$4.0B$2.0B$0Assets 2010: $846,966,837Liabilities 2010: $512,905,652Net Assets 2010: $334,061,1852010Assets 2011: $865,155,354Liabilities 2011: $520,277,668Net Assets 2011: $344,877,6862011Assets 2012: $929,405,691Liabilities 2012: $524,539,582Net Assets 2012: $404,866,1092012Assets 2013: $935,749,959Liabilities 2013: $501,306,750Net Assets 2013: $434,443,2092013Assets 2014: $1,024,920,170Liabilities 2014: $562,215,051Net Assets 2014: $462,705,1192014Assets 2015: $1,059,832,850Liabilities 2015: $650,370,300Net Assets 2015: $409,462,5502015Assets 2016: $1,079,268,000Liabilities 2016: $631,737,550Net Assets 2016: $447,530,4502016Assets 2017: $1,116,370,000Liabilities 2017: $617,207,964Net Assets 2017: $499,162,0362017Assets 2018: $1,103,430,000Liabilities 2018: $572,988,337Net Assets 2018: $530,441,6632018Assets 2019: $1,159,079,000Liabilities 2019: $602,061,431Net Assets 2019: $557,017,5692019Assets 2020: $1,384,134,000Liabilities 2020: $769,734,123Net Assets 2020: $614,399,8772020Assets 2021: $1,474,757,677Liabilities 2021: $732,954,971Net Assets 2021: $741,802,7062021Assets 2022: $1,447,981,523Liabilities 2022: $760,660,924Net Assets 2022: $687,320,5992022Assets 2023: $1,650,668,720Liabilities 2023: $886,415,614Net Assets 2023: $764,253,1062023Assets 2024: $5,847,504,726Liabilities 2024: $4,959,369,167Net Assets 2024: $888,135,5592024

Highlighted filing

2024

Assets$5,847,504,726
Liabilities$4,959,369,167
Net Assets$888,135,559
Open 2024 Filing

Operations Trend

Revenue Growth75th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.5B$1.0B$500M$0Expenses 2010: $685,389,6172010Expenses 2011: $741,727,9482011Expenses 2012: $801,555,7072012Expenses 2013: $831,997,2512013Revenue 2014: $865,361,496Expenses 2014: $837,282,605Net Income 2014: $28,078,8912014Revenue 2015: $881,297,860Expenses 2015: $852,728,567Net Income 2015: $28,569,2932015Revenue 2016: $933,584,011Expenses 2016: $900,790,016Net Income 2016: $32,793,9952016Revenue 2017: $1,014,945,140Expenses 2017: $977,312,145Net Income 2017: $37,632,9952017Revenue 2018: $1,101,115,376Expenses 2018: $1,049,428,082Net Income 2018: $51,687,2942018Revenue 2019: $1,149,399,604Expenses 2019: $1,118,905,731Net Income 2019: $30,493,8732019Revenue 2020: $1,166,523,233Expenses 2020: $1,115,330,182Net Income 2020: $51,193,0512020Revenue 2021: $1,213,841,835Expenses 2021: $1,141,872,968Net Income 2021: $71,968,8672021Revenue 2022: $1,261,363,285Expenses 2022: $1,210,920,764Net Income 2022: $50,442,5212022Revenue 2023: $1,176,686,907Expenses 2023: $1,096,544,980Net Income 2023: $80,141,9272023Revenue 2024: $1,394,987,240Expenses 2024: $1,328,952,911Net Income 2024: $66,034,3292024

Highlighted filing

2024

Revenue$1,394,987,240
Expenses$1,328,952,911
Net Income$66,034,329
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$5,847,504,726
Liabilities
$4,959,369,167
Net assets
$888,135,559
Revenue
$1,394,987,240
Expenses
$1,328,952,911
Net income
$66,034,329
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$5,848$4,959$888$1,395$1,329$66.0
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,651$886$764$1,177$1,097$80.1
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,448$761$687$1,261$1,211$50.4
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,475$733$742$1,214$1,142$72.0
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,384$770$614$1,167$1,115$51.2
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,159$602$557$1,149$1,119$30.5
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,103$573$530$1,101$1,049$51.7
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,116$617$499$1,015$977$37.6
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,079$632$448$934$901$32.8
2015Detailed filing. Detailed filing data is available for this year.$1,060$650$409$881$853$28.6
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,025$562$463$865$837$28.1
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$936$501$434$832
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$929$525$405$802
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$865$520$345$742
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$847$513$334$685
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Sep 24, 2025
Return Version
2023v6.0
Gross Receipts
$1,451,345,046
Mission and Program Overview

Mission

Cumberland county hospital system, inc. Exists to meet the health care needs of the residents of cumberland, bladen, and hoke counties, and the surrounding area in north carolina.

Providing exceptional healthcare for all our patients

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$764,253,106$888,135,559▲ $123,882,453
Land, Buildings, and Equipment, Net$582,565,236$540,140,061▼ $42,425,175
Investments in Publicly Traded Securities$247,425,205$301,773,009▲ $54,347,804
Accounts Receivable$154,306,822$212,729,630▲ $58,422,808
Cash and Non-Interest-Bearing Accounts$35,434,415$108,224,344▲ $72,789,929
Savings and Temporary Cash Investments$74,280,334$63,802,525▼ $10,477,809
Inventories for Sale or Use$16,087,576$17,833,096▲ $1,745,520
Prepaid Expenses and Deferred Charges$12,107,833$15,786,911▲ $3,679,078
Investments Program Related$0$4,705,434▲ $4,705,434
Intangible Assets$0$2,763,520▲ $2,763,520
Other Notes and Loans Receivable, Net$0$1,274,420▲ $1,274,420
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$1,650,668,720$5,847,504,726▲ $4,196,836,006
Other Assets Total$528,461,299$4,578,471,776▲ $4,050,010,477
Liabilities
Other Liabilities$250,866,747$4,280,719,417▲ $4,029,852,670
Mortgage Notes Payable Secured by Investment Property$254,047,442$493,377,575▲ $239,330,133
Tax Exempt Bond Liabilities$281,080,000$0▼ $281,080,000
Accounts Payable and Accrued Expenses$100,371,433$177,314,429▲ $76,942,996
Deferred Revenue$49,992$7,957,746▲ $7,907,754
Total Liabilities$886,415,614$4,959,369,167▲ $4,072,953,553
Net Assets / Fund Balance
Total Net Assets Fund Balance$764,253,106$888,135,559▲ $123,882,453
Total Liabilities and Net Assets / Fund Balance$1,650,668,720$5,847,504,726▲ $4,196,836,006

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$337,059,498$337,783,932$674,843,430
Equipment$70,990,430$266,156,259$337,146,689
Other Land Buildings$98,040,274$6,873,304$104,913,578
Land$28,688,090-$28,688,090
Leasehold Improvements$5,361,769$769,029$6,130,798
Other Assets Org$7,127,984--
Compensation and Service Providers
Top Officer Pay41st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Michael NagowskiCEOFT$1,104,910$456,760$1,561,670
Robert MaughanPhysicianFT$1,385,898$12,058$1,397,956
Charles HaworthPhysicianFT$896,534$355,979$1,252,513
Irlene LocklearPhysicianFT$499,999$563,595$1,063,594
Hughey CarterPhysicianFT$275,000$700,576$975,576
Kenneth ManningPhysicianFT$500,011$389,923$889,934
Daniel WeatherlyCOOFT$647,040$152,946$799,986
Bret JohnsonCFOFT$577,574$163,998$741,572
Philip Wood JrCIOFT$433,699$150,627$584,326
Deborah MarshburnCNOFT$366,492$74,311$440,803
Chuck ChimaTrustee-$62,500-$62,500
Myron StricklandTrustee-$49,440-$49,440

Board Members and Trustees

NameTitle
Sanjay Shah MdChair
Jimmy KeefeVice Chair
Afua ArhimTrustee
Clarence GrierTrustee
Girum Feyissa MdTrustee
Glenn AdamsTrustee
Jeannette CouncilTrustee
Kelvin FarmerTrustee
Larry LancasterTrustee
Marshall FairclothTrustee
Michael BooseTrustee
Michael Jones MdTrustee
Pamela StoryTrustee
Ryan AulTrustee
Shannon MatthewsTrustee
Terrill BrownTrustee
Toni StewartTrustee
Veronica JonesTrustee
Ernest JonesSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Rodgers Builders INCConstruction5701 N SHARON AMITY ROAD, Charlotte, NC 28215$39,665,775
Aya Healthcaare INCContract LaborPO BOX 123519 DEPT 3519, Dallas, TX 75312$28,995,400
Amn Healthcare INCContract Labor4441 COLLECTIONS CENTER DRIVE, Chicago, IL 60693$26,420,363
Aramark Dallas LockboxManagement ServicesPO BOX 978839, Dallas, TX 75397$16,055,108
Chg CompaniesContract LaborPO BOX 972651, Dallas, TX 75397$6,161,234
Revenue and Support

Revenue Composition

Contributions and Grants
$17,109,196
Program Service Revenue
$1,314,709,617
Investment Income
$39,977,543
Other Revenue
$23,190,884
All Other Contributions
$713,380
Change in Net Assets
$66,034,329
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$785,585,972
Salaries, Compensation, and Employee Benefits$542,470,930
Grants and Similar Amounts Paid$896,009
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$392,301,522$43,564,347-$435,865,869
Fees for Services Other$83,534,227$15,377,685-$98,911,912
Fees for Services Management$66,771,527$4,126,091-$70,897,618
Depreciation Depletion$52,056,558$6,632,356-$58,688,914
Other Expenses$53,790,472$24,715,389-$53,790,472
Other Employee Benefits-$40,911,434-$40,911,434
Payroll Taxes$31,541,544$9,138,739-$40,680,283
Office Expenses$2,701,694$28,517,780-$31,219,474
Pension Plan Contributions-$20,884,987-$20,884,987
Interest$17,709,914--$17,709,914
Insurance$1,053,695$9,918,148-$10,971,843
Occupancy$7,768,790$1,308,864-$9,077,654
Fees for Services Legal$5,962,585$575,658-$6,538,243
Information Technology$2,257,680$2,799,713-$5,057,393
Current Officers, Directors, Trustees, and Key Employees-$4,128,357-$4,128,357
Conferences and Meetings$787,069$366,274-$1,153,343
Grants to Domestic Orgs$896,009--$896,009
Advertising$35,693$817,624-$853,317
Fees for Services Accounting$23,333$268,606-$291,939
Total Functional Expenses$1,084,926,323$244,026,588$0$1,328,952,911
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Fayetteville State UniversityFayetteville, NCNorth CarolinaGeneral Support$148,263
Fayetteville Technical Community College Foundation IncFayetteville, NC501(c)(3)General Support$142,111
Bladen Community CollegeDublin, NCNorth CarolinaGeneral Support$110,739
Fayetteville Technical Community College Foundation IncFayetteville, NC501(c)(3)General Support$100,000
Cape Fear Valley Medical FoundationFayetteville, NC501(c)(3)General Support$73,744
Central Carolina Community College Foundation IncSanford, NC501(c)(3)General Support$52,400
Methodist UniversityFayetteville, NC501(c)(3)General Support$20,246
Cumberland Community Foundation IncFayetteville, NC501(c)(3)General Support$10,000
University of North Carolina at Pembroke Foundation IncPembroke, NC501(c)(3)General Support$10,000
Cumberland County SchoolsFayetteville, NCCumberland CountyGeneral Support$6,000

International Summary

Offices
0
Employees
0
Spending
$69,871,105

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central American and the Caribbean - Antigua & Barbuda, Aruba, BahamasInvestmentsCaptive Insurance00$69,871,105
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Intercompany$4,141,830,746
Right-of-use Lease Liabilities$81,051,257
Deferred Pension Liability$53,187,457
Cost Report Settlement$4,649,957

Bond Issues

BondIssuerIssuedIssue PricePurpose
APublic Finance Authority2020-12-10$152,000,000SEE PART VI
CPublic Finance Authority2022-07-01$93,400,000SEE PART VI
BPublic Finance Authority2022-06-09$87,500,000SEE PART VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$152,000,000$152,000,000$50,000,000$440,000
C$93,400,000-$1,200,000-
B$87,500,000$50,000,000$1,820,000$290,000

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 7A

“The cumberland county board of commissioners, which is a governmental unit, appoints the majority of the cumberland county hospital system. The board of trustees of cumberland county hospital system is comprised of seven trustees who are the seven members of the board of commissioners. The board of trustees will also have eight at-large trustees who are appointed by the board of commissioners. The remaining five at large members are appointed by the board of trustees.”

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

“Cumberland county hospital system, inc. 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 delegate 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 conficts 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

“Executive salaries are determined by a market analysis involving comparability data, industry standards, and local economics. The ceo's salary is reviewed and approved indpendently by the board.”

Form 990, Part VI, Section C, Line 19

“The organizataion's 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 adderesses issues of governance such as the organization's conflict of interest policy and governance documents.”

Filing and Contact Details

Filer

Filer Name
Cumberland County Hospital System Inc
EIN
56-0845796
Phone
9106154829
Address
PO BOX 2000, FAYETTEVILLE, NC 28302-2000

Signing Officer

Name
Bret Johnson
Title
CFO
Phone
9106154829
Signed
2025-09-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Bret Johnson
Formed
1956
Legal Domicile
Nc
Voting Board Members
21
Independent Board Members
19
Employees
9,664
Volunteers
87

Preparer

Firm
Cliftonlarsonallen Llp
Address
10700 NORTHUP WAY SUITE 200, BELLEVUE, WA 98004
Preparer
Kurt Bennion CPA
Phone
4252506100
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Purchase of fayetteville ambulatory surgery center. 3,911,040.”

Financial Statement Notes

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 the 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 materal to the financial statements. Accordingly, no provision for income taxes is required in the accompanying financial statements.”

Raw XML AppendixShowing 400 of 1,791 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt0100371433
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt0177314429
IRS990/AccountsReceivableGrp/BOYAmt0154306822
IRS990/AccountsReceivableGrp/EOYAmt0212729630
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0PROVIDING EXCEPTIONAL HEALTHCARE FOR ALL OUR PATIENTS
IRS990/AdvertisingGrp/ManagementAndGeneralAmt0817624
IRS990/AdvertisingGrp/ProgramServicesAmt035693
IRS990/AdvertisingGrp/TotalAmt0853317
IRS990/AllOtherContributionsAmt0713380
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IRS990/BooksInCareOfDetail/PersonNm0BRET JOHNSON
IRS990/BooksInCareOfDetail/PhoneNum09106154829
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0PO BOX 2000
IRS990/BooksInCareOfDetail/USAddress/CityNm0FAYETTEVILLE
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NC
IRS990/BooksInCareOfDetail/USAddress/ZIPCd0283022000
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IRS990/ChangeToOrgDocumentsInd00
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt4PO BOX 972651
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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1AYA HEALTHCAARE INC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2AMN HEALTHCARE INC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3ARAMARK DALLAS LOCKBOX
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4CHG COMPANIES
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IRS990/ContractorCompensationGrp/ServicesDesc3MANAGEMENT SERVICES
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IRS990/Desc0AS 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.
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