Form 990 for tax year 2024
Filed by BLADEN COUNTY HOSPITAL FOUNDATION.
Totals
- Total revenue
- $20,594
- Total expenses
- $4,662
- Contributions and grants received
- $6,646
- Grants paid
- $0
- Program service revenue
- not reported
- Investment income
- not reported
- Other revenue
- not reported
- Total assets, end of year
- not reported
- Total liabilities, end of year
- not reported
- Net assets or fund balances, end of year
- not reported
- Program services expenses (Part IX)
- $4,662
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $4,662
Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
CHARLES RAY PETERSON
CHAIR
- Total calculated
- $0
- Hours/week
- 0.1
-
BRIAN CAMPBELL
VICE-CHAIR
- Total calculated
- $0
- Hours/week
- 0.1
-
SHIRLEY VANN
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 0.1
-
GENA ANDERSON PEED
MEMBER
- Total calculated
- $0
- Hours/week
- 0.1
-
MARK GILLESPIE
MEMBER
- Total calculated
- $0
- Hours/week
- 0.1
-
ASHLEY GRAHAM JONES
MEMBER
- Total calculated
- $0
- Hours/week
- 0.1
-
DR ANN GREENE
MEMBER
- Total calculated
- $0
- Hours/week
- 0.1
-
DR SHAUN HINES
MEMBER
- Total calculated
- $0
- Hours/week
- 0.1
-
DR MANDI LEE
MEMBER
- Total calculated
- $0
- Hours/week
- 0.1
-
ERIC MATTHEWS
MEMBER
- Total calculated
- $0
- Hours/week
- 0.1
-
TERRY NANCE
MEMBER
- Total calculated
- $0
- Hours/week
- 0.1
-
DERRICK RICE
MEMBER
- Total calculated
- $0
- Hours/week
- 0.1
-
MAURICE WILLIAMS
MEMBER
- Total calculated
- $0
- Hours/week
- 0.1
-
MICHAEL NAGOWSKI
CEO - CFVH
- Total calculated
- $1,778,609
- From this org
- $0
- From related orgs
- $1,751,758
- Other
- $26,851
- Hours/week
- 0 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $1,199,200 related
- Bonus
- $0 + $549,946 related
- Other
- $0 + $2,612 related
- Deferred
- $0 + $15,350 related
- Nontaxable benefits
- $0 + $11,501 related
- Filer's total
- $0 + $1,778,609 related
-
BRET JOHNSON
CFO - CFVH
- Total calculated
- $827,896
- From this org
- $0
- From related orgs
- $804,547
- Other
- $23,349
- Hours/week
- 0 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $610,684 related
- Bonus
- $0 + $175,770 related
- Other
- $0 + $18,093 related
- Deferred
- $0 + $15,350 related
- Nontaxable benefits
- $0 + $7,999 related
- Filer's total
- $0 + $827,896 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
CUMBERLAND COUNTY HOSPITAL SYSTEM INC
501(C)(3) · HEALTH SERVICES · NC
-
CAPE FEAR VALLEY MEDICAL FOUNDATION INC
501(C)(3) · FUNDRAISING · NC
Directly controlled by CCHS
-
501(C)(3) · HEALTH SERVICES · NC
Directly controlled by CCHS
-
HARNETT HEALTH SYSTEM FOUNDATION
501(C)(3) · FUNDRAISING · NC
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
HEALTHCARE · NC
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
HIGHSMITH-RAINEY MED ARTS CENTER ASSOC
C · RENTAL ASSOC. · NC
-
CUMBERLAND HLTH PARTNERS INC (INACTIVE)
C · BEHAVIORAL HEALTH · NC
-
C · INSURANCE · CJ
Provenance
- Return type
- form_990
- Tax year
- 2024
- Filed
- 12 November 2025
- IRS schema version
- 2024v5.2
- Source object
- 202503179349302785
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