TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) SANJAY SHAH MD...................................................................... CHAIR	2.00 ................. 0.00	X	X
(2) JIMMY KEEFE...................................................................... VICE CHAIR	2.00 ................. 0.00	X	X
(3) ERNEST JONES...................................................................... SECRETARY	2.00 ................. 0.00	X	X
(4) GLENN ADAMS...................................................................... TRUSTEE	2.00 ................. 0.00	X
(5) AFUA ARHIM...................................................................... TRUSTEE	2.00 ................. 0.00	X
(6) RYAN AUL...................................................................... TRUSTEE	2.00 ................. 0.00	X
(7) MICHAEL BOOSE...................................................................... TRUSTEE	2.00 ................. 0.00	X
(8) TERRILL BROWN...................................................................... TRUSTEE	2.00 ................. 0.00	X
(9) CHUCK CHIMA...................................................................... TRUSTEE	2.00 ................. 0.00	X
(10) JEANNETTE COUNCIL...................................................................... TRUSTEE	2.00 ................. 0.00	X
(11) MARSHALL FAIRCLOTH...................................................................... TRUSTEE	2.00 ................. 0.00	X
(12) KELVIN FARMER...................................................................... TRUSTEE	2.00 ................. 0.00	X
(13) GIRUM FEYISSA MD...................................................................... TRUSTEE	2.00 ................. 0.00	X
(14) CLARENCE GRIER...................................................................... TRUSTEE	2.00 ................. 0.00	X
(15) MICHAEL JONES MD...................................................................... TRUSTEE	2.00 ................. 0.00	X
(16) VERONICA JONES...................................................................... TRUSTEE	2.00 ................. 0.00	X
(17) LARRY LANCASTER...................................................................... TRUSTEE	2.00 ................. 0.00	X

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) SHANNON MATTHEWS........................................................................ TRUSTEE	2.00 .......................0.00	X				0	0
(19) TONI STEWART........................................................................ TRUSTEE	2.00 .......................0.00	X				0	0
(20) PAMELA STORY........................................................................ TRUSTEE	2.00 .......................0.00	X				0	0
(21) MYRON STRICKLAND........................................................................ TRUSTEE	2.00 .......................0.00	X				0	0
(22) MICHAEL NAGOWSKI........................................................................ CEO	54.00 .......................1.00		X			1,751,758	26,851
(23) BRET JOHNSON........................................................................ CFO	54.00 .......................1.00		X			804,547	23,349
(24) DANIEL WEATHERLY........................................................................ COO	54.00 .......................1.00			X		991,567	25,009
(25) DEBORAH MARSHBURN........................................................................ CNO	54.00 .......................1.00			X		495,612	22,526
(26) PHILIP WOOD JR........................................................................ CIO	54.00 .......................1.00			X		606,948	25,025
(27) DEREN BAGSBY........................................................................ PHYSICIAN	40.00 .......................0.00				X	1,550,874	19,491
(28) ROBERT MAUGHAN........................................................................ PHYSICIAN	40.00 .......................0.00				X	1,296,921	17,508
(29) DANIEL MCBRAYER........................................................................ PHYSICIAN	40.00 .......................0.00				X	1,118,766	16,130
(30) CHARLES HAWORTH........................................................................ PHYSICIAN	40.00 .......................0.00				X	1,097,213	23,215
(31) MICHAEL ZAPPA........................................................................ VP	40.00 .......................0.00				X	1,017,634	17,554

(A) Name and business address	(B) Description of services	(C) Compensation
RODGERS BUILDERS INC 5701 NORTH SHARON AMITY RD CHARLOTTE,NC28215	CONTRUCTION	36,129,844
AYA HEALTHCARE INC PO BOX 123519 DEPT 3519 DALLAS,TX75312	CONTRACT LABOR	28,886,763
TKC CCCXV LLC 4500 CAMERON VALLEY PKWY SUITE 400 CHARLOTTE,NC28211	CONTRUCTION	24,045,751
ARAMARK DALLAS LOCKBOX PO BOX 978839 DALLAS,TX75397	MANAGEMENT FEES	23,434,690
AMN HEALTHCARE INC 4441 COLLECTIONS CENTER DR CHICAGO,IL60693	CONTRACT LABOR	18,454,942
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 5

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Employer identification number

56-0845796

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Employer identification number

56-0845796

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization CUMBERLAND COUNTY HOSPITAL SYSTEM INC		Employer identification number 56-0845796

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization CUMBERLAND COUNTY HOSPITAL SYSTEM INC			Employer identification number 56-0845796
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Employer identification number

56-0845796

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

94,296

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

94,296

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	EMPLOYEES OF THE HEALTH SYSTEM AND NCHA MEET WITH LOCAL, STATE, AND FEDERAL LEGISLATORS AND REGULATORS REGARDING MATTERS OF INTEREST TO THE HOSPITAL.

Schedule C (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Employer identification number

56-0845796

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	28,688,090		28,688,090
b	Buildings ....	737,590,382	339,150,305	398,440,077
c	Leasehold improvements	6,130,798	3,182,364	2,948,434
d	Equipment ....	381,627,000	271,936,657	109,690,343
e	Other .....	24,345,372	7,319,716	17,025,656
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				556,792,600

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)SELF-INSURANCE TRUSTS				73,385,468
(2)BOND FUND TRUSTS				65,053,894
(3)DEFERRED OUTFLOW				21,887,962
(4)DESIGNATED FOR CAPITAL IMPROVEMENTS				169,048,948
(5)RIGHT-OF-USE LEASE ASSETS				83,191,791
(6)DUE FROM INTERCOMPANY				127,885,603
(7)RESERVE FUND				7,149,649
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				547,603,315

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
DUE TO INTERCOMPANY	64,113,315
DEFERRED PENSION LIABILITY	43,454,848
RIGHT-OF-USE LEASE LIABILITIES	77,449,791
COST REPORT SETTLEMENT	8,961,080





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	193,979,034
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

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.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right arrow

Attach to Form 990. Right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization
CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Employer identification number

56-0845796

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS	CAPTIVE INSURANCE	70,985,750
















3a	Sub-total ....	0	0			70,985,750
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			70,985,750

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) (Rev. 1-2025)

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) (Rev. 1-2025)

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART III ACCOUNTING METHOD:	THE ACCRUAL METHOD IS USED FOR INVESTMENTS.

Schedule F (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Employer identification number

56-0845796

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 50000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	8,613,650		8,613,650	2.400 %
b	Medicaid (from Worksheet 3, column a) . . . . .	62,120,355	45,110,526	17,009,829	4.740 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	9,443	6,482	2,961	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	70,743,448	45,117,008	25,626,440	7.140 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .	12,137,873	5,372,530	6,765,343	1.880 %
g	Subsidized health services (from Worksheet 6) . . . .	23,240,907	10,048,151	13,192,756	3.670 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	35,378,780	15,420,681	19,958,099	5.550 %
k	Total. Add lines 7d and 7j .	106,122,228	60,537,689	45,584,539	12.690 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building			117,840		117,840	0.030 %
7	Community health improvement advocacy
8	Workforce development			15,625		15,625	0 %
9	Other
10	Total			133,465		133,465	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

2,796,841

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

31,844,109

Enter Medicare allowable costs of care relating to payments on line 5.....

31,302,070

Subtract line 6 from line 5. This is the surplus (or shortfall)........

542,039

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?4Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Other (describe)
1	CAPE FEAR VALLEY HEALTH SYSTEM 1638 OWEN DRIVE FAYETTEVILLE,NC28304 WWW.CAPEFEARVALLEY.COM H0213	X	X		X
2	HIGHSMITH RAINEY HOSPITAL 150 ROBESON STREET FAYETTEVILLE,NC28301 WWW.CAPEFEARVALLEY.COM H0275	X				LONG TERM ACUTE CARE HOSPITAL
3	HOKE HOSPITAL 210 MEDICAL PAVILION DRIVE RAEFORD,NC28376 WWW.CAPEFEARVALLEY.COM H0288	X
4	BLADEN COUNTY HOSPITAL 501 SOUTH POPLAR STREET ELIZABETH TOWN,NC28337 WWW.CAPEFEARVALLEY.COM H0154	X		X	X

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION B, LINE 7D

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 500.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTPS://WWW.CAPEFEARVALLEY.COM/FINANCIAL-ASSISTANCE-AND-FINANCING

The FAP application form was widely available on a website (list url):

HTTPS://WWW.CAPEFEARVALLEY.COM/FINANCIAL-ASSISTANCE-AND-FINANCING

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.CAPEFEARVALLEY.COM/FINANCIAL-ASSISTANCE-AND-FINANCING

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B, LINE 5:	CAPE FEAR VALLEY HEALTH SYSTEM (CFVHS) CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022 THROUGH A REGIONAL PARTNERSHIP WITH HEALTHENC, THE CONDUENT HEALTHY COMMUNITIES INSTITUTE, 22 HOSPITALS, AND 21 HEALTH DEPARTMENTS ACROSS EASTERN NORTH CAROLINA. TO ENSURE BROAD COMMUNITY REPRESENTATION, CFVHS ESTABLISHED COMMUNITY HEALTH ASSESSMENT TEAMS (CHATS) IN BLADEN, CUMBERLAND, HOKE, AND HARNETT COUNTIES. THESE TEAMS INCLUDED COMMUNITY MEMBERS, LOCAL STAKEHOLDERS, AND PUBLIC HEALTH PROFESSIONALS.THE CHATS WERE INSTRUMENTAL IN DISTRIBUTING SURVEYS AND LEADING FOCUS GROUPS TO GATHER INPUT FROM RESIDENTS. DATA FROM THESE SURVEYS AND FOCUS GROUPS, ALONG WITH STATE AND FEDERAL SOURCES, INFORMED THE IDENTIFICATION OF KEY HEALTH PRIORITIES. CFVHS WORKED CLOSELY WITH THE HEALTH DEPARTMENTS OF BLADEN, CUMBERLAND, HOKE, AND HARNETT COUNTIES TO ADDRESS THE MOST PRESSING NEEDS: SUBSTANCE ABUSE/MENTAL HEALTH, ACCESS TO HEALTH SERVICES, AND CHRONIC DISEASE MANAGEMENT.IN ADDITION TO THE CHATS AND COUNTY HEALTH DEPARTMENTS, CFVHS CONSULTED AND PARTNERED WITH ORGANIZATIONS SUCH AS FRIENDS OF THE CANCER CENTER, NC MEDASSIST, AND THE ARTS COUNCIL OF FAYETTEVILLE/CUMBERLAND COUNTY TO FURTHER ENGAGE THE COMMUNITY AND TAILOR PROGRAMMING TO LOCAL NEEDS.PERSONS CONSULTED INCLUDED:- COMMUNITY HEALTH ASSESSMENT TEAMS (CHATS) COMPOSED OF COMMUNITY MEMBERS, STAKEHOLDERS, AND PUBLIC HEALTH WORKERS - HEALTH DEPARTMENTS OF BLADEN, CUMBERLAND, HOKE, AND HARNETT COUNTIES- REGIONAL PARTNERS: HEALTHENC, CONDUENT HEALTHY COMMUNITIES INSTITUTE, 22 HOSPITALS, AND 21 HEALTH DEPARTMENTS- FRIENDS OF THE CANCER CENTER- NC MEDASSIST- ARTS COUNCIL OF FAYETTEVILLE/CUMBERLAND COUNTYTHIS COLLABORATIVE APPROACH ENSURED THAT CFVHS'S IMPLEMENTATION STRATEGY WAS INFORMED BY A DIVERSE RANGE OF COMMUNITY PERSPECTIVES AND ADDRESSED THE MOST SIGNIFICANT HEALTH NEEDS IDENTIFIED BY LOCAL RESIDENTS.
PART V, SECTION B, LINE 6A:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED INVOLVING 22 HOSPITALS INCLUDING CAPE FEAR MEDICAL CENTER, BLADEN COUNTY HOSPITAL, HOKE HOSPITAL, AND HIGHSMITH RAINEY HOSPITAL.
PART V, SECTION B, LINE 6B:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DEVELOPED IN COLLABORATION WITH HEALTHENC AND THE CONDUENT HEALTHY COMMUNITIES INSTITUTE, AS PART OF A REGIONAL PARTNERSHIP INVOLVING 22 HOSPITALS AND 21 HEALTH DEPARTMENTS ACROSS EASTERN NORTH CAROLINA, INCLUDING THE HEALTH DEPARTMENTS OF BLADEN, CUMBERLAND, HOKE, AND HARNETT COUNTIES.
PART V, SECTION B, LINE 7D:	THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS AVAILABLE ON OUR WEBSITE AT: HTTPS://WWW.CAPEFEARVALLEY.COM/LOCATIONS/CAPE-FEAR-VALLEY-HOKE-HOSPITALDIRECT LINK:HTTPS://WWW.CAPEFEARVALLEY.COM/LOCATIONS/CAPE-FEAR-VALLEY-MEDICAL-CENTER/WHEN COPYING AND PASTING THE DIRECT LINKS, FORMAT THE URL WITH UNDERCASE LETTERS.
PART V, SECTION B, LINE 11:	CAPE FEAR VALLEY HEALTH SYSTEM (CFVHS) COMPLETED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DEVELOPED IN COLLABORATION WITH HEALTHENC AND THE CONDUENT HEALTHY COMMUNITIES INSTITUTE, AS PART OF A REGIONAL PARTNERSHIP INVOLVING 22 HOSPITALS AND 21 HEALTH DEPARTMENTS ACROSS EASTERN NORTH CAROLINA, INCLUDING THE HEALTH DEPARTMENTS OF BLADEN, CUMBERLAND, HOKE, AND HARNETT COUNTIES. COMMUNITY HEALTH ASSESSMENT TEAMS (CHAT) WERE DEVELOPED IN EACH OF THE RESPECTIVE COUNTIES. THE CHAT CONSISTED OF COMMUNITY MEMBERS, STAKEHOLDERS, AND THOSE WORKING IN PUBLIC HEALTH. THE CHATS WERE INSTRUMENTAL IN THE DISTRIBUTION OF OUR SURVEYS IN THE COMMUNITY IN ELECTRONIC AND PAPER FORMAT. UTILIZING THE SURVEYS (PRIMARY DATA) AND DATA FROM THE STATE PLUS FEDERAL SOURCES (SECONDARY DATA), AND CHAT LED FOCUSED GROUPS ASSISTED HEALTHENC IN CREATING A COMPREHENSIVE REPORT FOR EACH OF THE FOUR COUNTIES CAPE FEAR VALLEY HAS A HOSPITAL. THERE WERE A FEW CONTINUOUS THEMES DESPITE THE GEOGRAPHICAL DIFFERENCES IN THE COUNTIES. WORKING WITH THE RESPECTIVE HEALTH DEPARTMENTS IN EACH COUNTY, CAPE FEAR VALLEY HEALTH SYSTEM IDENTIFIED SUBSTANCE ABUSE/MENTAL HEALTH, ACCESS TO HEALTH SERVICES, AND CHRONIC DISEASE MANAGEMENT AS THE AREAS THAT NEEDED TO BE ADDRESSED. THESE AREAS ARE ALL AMONG THE MOST MENTIONED AREAS AMONGST OUR SURVEY RESPONDENTS AND FOCUS GROUP ATTENDEES. THE PRIORITIES AND HEALTH NEEDS IDENTIFIED WERE STRATEGICALLY ADDRESSED THROUGH TARGETED INITIATIVES AND PROGRAMMING DURING FISCAL YEAR 2024 (10/01/2023 - 09/30/2024).EARLY INTERVENTION AND CHRONIC DISEASE MANAGEMENT:CAPE FEAR VALLEY HEALTH SYSTEM (CFVHS) CONTINUED ITS COMMITMENT TO PROMOTING EARLY INTERVENTION AND SUPPORTING THE LONG-TERM MANAGEMENT OF CHRONIC CONDITIONS THROUGH ROBUST COMMUNITY OUTREACH AND EDUCATION INITIATIVES IN FY 2024. THESE EFFORTS REACHED ACROSS OUR SERVICE REGION AND IMPACTED HUNDREDS OF THOUSANDS OF LIVES.EXTENSIVE COMMUNITY ENGAGEMENTIN FISCAL YEAR 2024, MORE THAN 190 COMMUNITY EVENTS WERE HOSTED, AIMED AT EMPOWERING THE COMMUNITY WITH VITAL KNOWLEDGE ABOUT CHRONIC DISEASE MANAGEMENT, PREVENTATIVE HEALTH PRACTICES, AND GENERAL HEALTH EDUCATION. THESE EVENTS SUCCESSFULLY ENGAGED OVER 444,000 INDIVIDUALS ACROSS THE REGION. OVER 3,400 INDIVIDUALS PARTICIPATED IN SYSTEM-WIDE BLOOD DRIVES, WHICH NOT ONLY SUPPORTED THE LOCAL BLOOD SUPPLY BUT ALSO SERVED AS EDUCATIONAL TOUCHPOINTS. COMMUNITY MEMBERS WERE INFORMED ABOUT THE IMPORTANCE OF BLOOD DONATION, SAFE NEEDLE DISPOSAL, AND RECOGNIZING CRITICAL SIGNS OF BLOOD LOSS THAT REQUIRE MEDICAL INTERVENTION.CAPE FEAR VALLEY HEALTH MADE SIGNIFICANT STRIDES IN SPREADING LIFE-SAVING KNOWLEDGE THROUGH RECURRING OUTREACH PROGRAMS:- HANDS-ONLY CPR, AED TRAINING, EARLY HEART ATTACK CARE (EHAC) EDUCATION, AND BLOOD PRESSURE SCREENINGS WERE INTEGRATED INTO MANY OUTREACH EVENTS.- DURING BREAST CANCER AWARENESS EVENTS, OVER 23,200 COMMUNITY MEMBERS RECEIVED BREAST CARE EDUCATION, INCLUDING EARLY DETECTION STRATEGIES. THROUGH THE GENEROSITY OF THE FRIENDS OF THE CANCER CENTER, 144 COMMUNITY MEMBERS RECEIVED FREE MAMMOGRAMS.MORE THAN 180 COMMUNITY MEMBERS ATTENDED DEDICATED SESSIONS ON SLEEP APNEA AWARENESS, LEARNING HOW TO RECOGNIZE SYMPTOMS AND WHERE TO SEEK CARE FURTHER SUPPORTING EARLY DETECTION AND TREATMENT OF POTENTIALLY LIFE-THREATENING SLEEP DISORDERS.CAPE FEAR VALLEY HEALTH'S RADIO SHOW "MAKING ROUNDS LIVE" BROUGHT EXPERT-LED HEALTH EDUCATION DIRECTLY TO THE PUBLIC. IN FY 2024, OVER 89,500 PARTICIPANTS JOINED IN TO LISTEN OR WATCH THESE SESSIONS, COVERING VITAL TOPICS SUCH AS:- HEART HEALTH- NUTRITION AND EXERCISE- THE OPIOID CRISIS- CHRONIC DISEASE PREVENTION AND MANAGEMENT- CANCER EARLY DETECTION- STROKE AND HEART ATTACK WARNING SIGNS- PALLIATIVE CARE- SEXUAL ASSAULT AWARENESS- KIDNEY HEALTH- MATERNAL CARE AND COLORECTAL CANCER SCREENINGIN SUPPORT OF EARLY INTERVENTION, CAPE FEAR VALLEY HEALTH PROVIDED OVER 400 FREE HEALTH SCREENINGS, INCLUDING LUNG CANCER SCREENINGS AND GENERAL WELLNESS ASSESSMENTS. IN ADDITION, MORE THAN 24,400 FLU VACCINATIONS WERE ADMINISTERED THROUGHOUT THE REGION TO HELP PREVENT ILLNESS AND PROTECT THE COMMUNITY, ESPECIALLY THOSE WITH CHRONIC HEALTH CONDITIONS.OUTREACH SURROUNDING THE CUMBERLAND COUNTY MEDICATION ACCESS PROGRAM (CCMAP) REACHED MORE THAN 350,000 INDIVIDUALS IN CUMBERLAND, HOKE, HARNETT, AND SAMPSON COUNTIES. CCMAP CONTINUES TO BRIDGE THE GAP FOR UNDERSERVED POPULATIONS BY PROVIDING FREE OR LOW-COST MEDICATIONS THROUGH LICENSED NON-PROFIT PHARMACIES ENABLING IMPROVED OUTCOMES FOR THOSE MANAGING CHRONIC DISEASES.CAPE FEAR VALLEY HEALTH MAINTAINED ITS PARTNERSHIP WITH NC MEDASSIST, HELPING ELIMINATE ACCESS BARRIERS FOR HOMEBOUND PATIENTS. THROUGH THEIR OVER THE COUNTER MEDICINE PROGRAM, RESIDENTS COULD REQUEST ESSENTIAL MEDICATIONS SUCH AS ALLERGY RELIEF, COLD REMEDIES, PAIN MANAGEMENT, VITAMINS, AND CHILDREN'S MEDICINE WITHOUT NEEDING TO ATTEND MOBILE FREE PHARMACY EVENTS IN PERSON.THESE EFFORTS REFLECT CAPE FEAR VALLEY HEALTH'S ONGOING MISSION TO IMPROVE POPULATION HEALTH THROUGH ACCESSIBLE CARE, EDUCATION, AND PREVENTION. BY EMPOWERING INDIVIDUALS TO TAKE CONTROL OF THEIR HEALTH WHETHER THROUGH LEARNING CPR, UNDERSTANDING CHRONIC DISEASE WARNING SIGNS, OR ACCESSING MEDICATIONS CAPE FEAR VALLEY CONTINUES TO BUILD A HEALTHIER, MORE INFORMED COMMUNITY.ENHANCING ACCESS TO CARE & STRENGTHENING THE PROVIDER PIPELINE:CAPE FEAR VALLEY HEALTH SYSTEM (CFVHS) REMAINS STEADFAST IN ITS MISSION TO IMPROVE ACCESS TO HIGH-QUALITY, COORDINATED HEALTH SERVICES ACROSS SOUTHEASTERN NORTH CAROLINA. THROUGHOUT FY24, THE HEALTH SYSTEM ADVANCED MULTIPLE STRATEGIC INITIATIVES AIMED AT STRENGTHENING THE PROVIDER WORKFORCE, INCREASING CARE AVAILABILITY IN UNDERSERVED AREAS, ENHANCING BEHAVIORAL HEALTH CAPACITY, AND LEVERAGING TECHNOLOGY TO IMPROVE PATIENT OUTCOMES.TO MEET THE GROWING DEMAND FOR CARE, CFVHS PRIORITIZED RECRUITMENT AND WORKFORCE DEVELOPMENT. THROUGH A COMPREHENSIVE PHYSICIAN NEEDS ASSESSMENT, COMPLETED IN PARTNERSHIP WITH 3D CONSULTING IN 2022, THE SYSTEM IDENTIFIED SPECIALTY-SPECIFIC NEEDS ACROSS EACH COUNTY IN ITS SERVICE AREA. THROUGHOUT FY24, CFVHS REMAINED COMMITTED TO IMPROVING ACCESS TO HIGH-QUALITY CARE BY ACTIVELY RECRUITING AND RETAINING BOTH GENERAL AND SPECIALIZED PROVIDERS TO SERVE THE NEEDS OF OUR COMMUNITY. AS A RESULT:- 60 FULL-TIME AND 25 PART-TIME PROVIDERS WERE HIRED, INCLUDING HOSPITALISTS (21), EMERGENCY MEDICINE (16), OB/GYN (9), PEDIATRICS (8), ORTHOPEDICS (6), AND 25 OTHERS ACROSS 15+ SPECIALTIES.THIS GROWTH ENSURES TIMELY ACCESS TO BOTH PRIMARY AND SPECIALTY CARE, HELPING REDUCE WAIT TIMES AND IMPROVE CARE CONTINUITY.IN PARALLEL, CFVHS CONTINUED TO INVEST IN ITS GRADUATE MEDICAL EDUCATION PROGRAMS, WHICH NOW SUPPORT OVER 290 RESIDENTS ACROSS 14 SPECIALTIESFROM INTERNAL MEDICINE AND PSYCHIATRY TO EMERGENCY MEDICINE AND ORTHOPEDICS. THE SYSTEM ALSO HOSTS 13 FELLOWS ACROSS CARDIOLOGY, ADOLESCENT PSYCHIATRY, AND PULMONARY/CRITICAL CARE (STARTING JULY 2025). THESE PROGRAMS SERVE AS A LONG-TERM PIPELINE TO ADDRESS REGIONAL PHYSICIAN SHORTAGES.THE METHODIST UNIVERSITY CAPE FEAR VALLEY HEALTH SCHOOL OF MEDICINE MARKED A HISTORIC MILESTONE IN SEPTEMBER 2024 WITH A GROUNDBREAKING CEREMONY FOR ITS NEW MEDICAL SCHOOL BUILDING, FUNDED IN PART BY AN $8 MILLION GRANT FROM THE GOLDEN LEAF FOUNDATION. ONCE OPERATIONAL, THE SCHOOL WILL GRADUATE OVER 100 PHYSICIANS ANNUALLY HELPING ADDRESS CRITICAL PROVIDER SHORTAGES ACROSS RURAL AND UNDERSERVED COMMUNITIES.WITH THE FULL IMPLEMENTATION OF EPIC AT HARNETT HEALTH, CFVHS NOW OPERATES ON A UNIFIED ELECTRONIC HEALTH RECORD PLATFORM. THIS SEAMLESS INTEGRATION:- ENHANCES REAL-TIME DATA SHARING ACROSS FACILITIES- REDUCES DUPLICATIVE DOCUMENTATION- IMPROVES CARE TRANSITIONS- SUPPORTS INFORMED CLINICAL DECISION-MAKINGTHE RESULT IS SAFER, FASTER, AND MORE COORDINATED CARE, REGARDLESS OF LOCATION. CFVHS INVESTED SIGNIFICANTLY IN EXPANDING ITS PHYSICAL FOOTPRINT TO ACCOMMODATE RISING DEMAND:- THE VALLEY PAVILION EXPANSION ADDED TWO ROOFTOP HELIPADS, ENABLING CRITICALLY ILL PATIENTS TO BE TRANSPORTED DIRECTLY TO THE ED, HEART CENTER, ICU, OR OPERATING ROOM IMPROVING CARE TIMELINES AND SUPPORTING INTER-HOSPITAL TRANSFERS.- 10 NEW AMBULATORY CLINICS OPENED ACROSS THE REGION, THREE OF WHICH ARE IN RURAL AREAS. THESE CLINICS EXPANDED SERVICES IN ORTHOPEDICS, OB/GYN, PEDIATRICS, INTERVENTIONAL PAIN, AND PODIATRY, DRIVING A 19% INCREASE IN PHYSICIAN VISITS SYSTEM-WIDE.INCREASED UTILIZATION DEMONSTRATED ENHANCED ACCESS TO SERVICES THROUGHOUT THE COMMUNITIES WE SERVE.- 3% INCREASE IN INPATIENT DISCHARGES
PART V, SECTION B, LINE 11 (CONTINUED):	CFV HOKE HOSPITAL WAS HONORED WITH THE LEAPFROG TOP HOSPITAL AWARD, AND CFVMC EARNED U.S. NEWS & WORLD REPORT HIGH PERFORMING RATINGS IN SIX CARE AREAS (COPD, COLON CANCER SURGERY, DIABETES, HEART ATTACK, HEART FAILURE, AND STROKE) , REINFORCING THE SYSTEM'S QUALITY AND COMMITMENT TO CLINICAL EXCELLENCE. HOKE HOSPITAL ALSO RECEIVED A HIGH PERFORMING DESIGNATION FOR PNEUMONIA.CAPE FEAR VALLEY HEALTH'S SIMULATION CENTER, LOCATED WITHIN THE CENTER FOR MEDICAL EDUCATION AND NEUROSCIENCE INSTITUTE AT CFVMC, IS A STATE-OF-THE-ART FACILITY ADVANCING HEALTHCARE EDUCATION THROUGH CUTTING-EDGE SIMULATION TECHNOLOGIES AND MULTIDISCIPLINARY TRAINING. THIS FACILITY WAS HONORED BY BECKER'S HOSPITAL REVIEW AS ONE OF THE TOP 64 IN THE COUNTRY. THIS DISTINCTION UNDERSCORES OUR UNWAVERING COMMITMENT TO EXCELLENCE IN MEDICAL TRAINING AND PATIENT CARE.CFVHS AND METHODIST UNIVERSITY DEEPENED THEIR PARTNERSHIP THROUGH:- THE STEP UP 4 HEALTH & WELLNESS EXPO, WHICH RAISED OVER $70,000 FOR CANCER CARE, HEART SERVICES, PEDIATRIC PROGRAMS, AND MORE.- A NEW "DEDICATED EDUCATION UNIT" PROJECT SUPPORTED BY NC-AHEC, WHERE CFVH NURSES ARE TRAINED AS CLINICAL INSTRUCTORS TO MENTOR NURSING STUDENTSINTEGRATING EDUCATION WITH PRACTICE TO GROW THE LOCAL NURSING WORKFORCE.ADDITIONALLY, CFVHS WAS AWARDED $22,000 BY THE ARTS COUNCIL OF FAYETTEVILLE/CUMBERLAND COUNTY TO EXPAND ART THERAPY PROGRAMS FOR BEHAVIORAL HEALTH AND CANCER PATIENTS, SUPPORTING HOLISTIC CARE MODELS.MENTAL HEALTH & SUBSTANCE ABUSE:TO ADDRESS THE URGENT MENTAL HEALTH NEEDS OF ADOLESCENTS, CFVHS IS BUILDING A 12-BED INPATIENT PSYCHIATRIC FACILITY AT CENTRAL HARNETT HOSPITAL. THE ADOLESCENT INPATIENT PSYCHIATRIC FACILITY IN LILLINGTON, NC WILL BE A STATE LICENSED PROGRAM DESIGNED TO TREAT PSYCHIATRIC ILLNESS IN ADOLESCENTS THAT ARE NOT SAFE TO BE MANAGED ON AN OUTPATIENT BASIS AND TO PROVIDE STABILIZATION SERVICES TO ALLOW FOR ONGOING TREATMENT UPON DISCHARGE ONCE STABILIZATION HAS OCCURRED. CAPE FEAR VALLEY HEALTH SYSTEM HAS PURCHASED APPROXIMATELY SIX ACRES TO EXPAND THE SIZE OF THE OVERALL CAMPUS WHICH WILL PROVIDE THE SITE FOR THE CONSTRUCTION OF THE ADOLESCENT PSYCHIATRIC UNIT, RECREATIONAL AREAS FOR THE UNIT, APPROPRIATE PARKING, AND EASY CONNECTIONS TO THE MAIN HOSPITAL FACILITY. IN ADDITION, THE FACILITY AT CENTRAL HARNETT HOSPITAL ALLOWS FOR FUTURE EXPANSION SHOULD THE NEED ARISE. FUNDED BY $8 MILLION IN GRANTS FROM DOROTHEA DIX AND THE STATE CAPITAL AND INFRASTRUCTURE FUND (SCIF), THIS NEW FACILITY WILL PROVIDE STABILIZATION AND INPATIENT TREATMENT FOR YOUTH AGED 1317. GROUNDBREAKING IS SCHEDULED FOR JANUARY 2025, WITH THE FACILITY EXPECTED TO OPEN BY SPRING 2026.MEANWHILE, INPATIENT PSYCHIATRIC SERVICES AT CAPE FEAR VALLEY MEDICAL CENTER EXPERIENCED CONTINUED DEMAND:- ADULT UNIT AVERAGE DAILY CENSUS: 19.31- ADOLESCENT UNIT AVERAGE DAILY CENSUS: 9.01- OUTPATIENT THERAPY VISITS AT THE COMMUNITY MENTAL HEALTH CENTER ROSE BY 5%, SUPPORTED BY THE HIRING OF FOUR ADDITIONAL PSYCHOTHERAPISTS.THE HEALTH SYSTEM'S OPIOID STEWARDSHIP PROGRAM ADVANCED ITS GOALS THROUGH: - PROACTIVE INPATIENT AND OUTPATIENT MONITORING - PEER SUPPORT SPECIALISTS CONNECTING PATIENTS WITH RECOVERY RESOURCES- DEVELOPMENT OF CLINICAL TRAINING MODULES BASED ON CDC PRESCRIBING GUIDELINESTHESE EFFORTS AIM TO REDUCE OPIOID MISUSE, SUPPORT THOSE WITH OPIOID USE DISORDER, AND PROMOTE SAFE PRESCRIBING PRACTICES SYSTEM-WIDE.IN FISCAL YEAR 2024, CAPE FEAR VALLEY HEALTH SYSTEM TOOK BOLD, COORDINATED STEPS TO EXPAND ACCESS TO CARE ACROSS EVERY CORNER OF ITS SERVICE AREA. THROUGH WORKFORCE EXPANSION, FACILITY INVESTMENTS, BEHAVIORAL HEALTH INNOVATION, AND COMMUNITY PARTNERSHIPS, CFVHS CONTINUES TO TRANSFORM HOW CARE IS DELIVEREDENSURING PATIENTS RECEIVE THE RIGHT CARE, AT THE RIGHT TIME, IN THE RIGHT PLACE.

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?40
Name and address		Type of Facility (describe)
1	1 - CFV - REHABILITATION CENTER 1638 OWEN DRIVE FAYETTEVILLE,NC28304	REHABILITATION CENTER
2	2 - CUMBERLAND CITY EMS OF CFV 610 GILLESPIE STREET FAYETTEVILLE,NC28306	EMERGENCY MEDICAL SERVICES
3	3 - CFV BEHAVIOR HEALTH CENTER 3425 MELROSE ROAD FAYETTEVILLE,NC28304	BEHAVIOR HEALTH CENTER
4	4 - CFV DETOX CENTER 1724 ROXIE AVENUE FAYETTEVILLE,NC28304	DETOXICATION CENTER
5	5 - HEALTHPLEX WELLNESS CENTER 1930 SKIBO ROAD FAYETTEVILLE,NC28304	REHABILITATION CENTER
6	6 - HEALTH PAVILION NORTH 6387 RAMSEY STREET FAYETTEVILLE,NC28311	OUTPATIENT SERVICES
7	7 - HIGHSMITH-RAINEY EXPRESS CARE 150 ROBESON STREET FAYETTEVILLE,NC28311	EXPRESS CARE
8	8 - CAPE FEAR VALLEY EXPRESS CARE 1638 OWEN DRIVE FAYETTEVILLE,NC28304	EXPRESS CARE
9	9 - CAPE FEAR VALLEY OBGYN 1341 WALTHER REED ROAD FAYETTEVILLE,NC28304	OB/GYN SERVICES
10	10 - HEALTH PAVILION NORTH EXPRESS CARE 6387 RAMSEY STREET FAYETTEVILLE,NC28301	EXPRESS CARE
11	11 - CAPE FEAR VALLEY SLEEP MEDICINE 1213 WALTER REED ROAD FAYETTEVILLE,NC28304	SLEEP CENTER
12	12 - HEALTH PAVILION NORTH FAMILY CARE 6387 RAMSEY STREET FAYETTEVILLE,NC28311	FAMILY CENTER
13	13 - HOPE MILLS FAMILY CARE 4092 PROFESSIONAL DRIVE HOPE MILLS,NC28348	FAMILY PRACTICE
14	14 - CAPE FEAR VALLEY PERINATOLOGY 2109 VALLEYGATE DRIVE FAYETTEVILLE,NC28304	PERINATOLOGY
15	15 - BEHAVIORAL HEALTH CENTER 3425 MELROSE ROAD FAYETTEVILLE,NC28304	MENTAL HEALTH CLINIC INPATIENT
16	16 - VALLEY MEDICAL ASSOCIATES - HIGHSMITH 101 ROBESON STREET FAYETTEVILLE,NC28301	FAMILY PRACTICE
17	17 - CAPE FEAR VALLEY UROLOGY 2301 ROBESON STREET SUITE 203 FAYETTEVILLE,NC28305	UROLOGY
18	18 - HOKE FAMILY MEDICAL CENTER 405 SOUTH MAIN STREET RAFFORD,NC28376	FAMILY PRACTICE
19	19 - SENIOR HEALTH SERVICES 101 ROBESON STREET SUITE 202 FAYETTEVILLE,NC28310	GERIATRICS
20	20 - BLADEN MEDICAL ASSOCIATION - ELIZABETHTOWN 300 A EAST MCKAY STREET ELIZABETHTOWN,NC28337	FAMILY PRACTICE
21	21 - STEDMAN MEDICAL CARE 114 FORTE ROAD STEDMAN,NC28391	FAMILY PRACTICE
22	22 - CAPE FEAR VALLEY NEUROSURGERY 3308 MELROSE ROAD FAYETTEVILLE,NC28304	NEUROSURGERY OUTPATIENT
23	23 - CAPE FEAR VALLEY WOUND CARE CENTER 101 ROBESON STREET SUITE 210 FAYETTEVILLE,NC28301	WOUND CENTER
24	24 - CAPE FEAR VALLEY PEDIATRIC CARE 1262 OLIVER STREET FAYETTEVILLE,NC28304	PEDIATRIC CARE
25	25 - WESTSIDE MEDICAL CARE 1463 PAMALEE DRIVE FAYETTEVILLE,NC28303	FAMILY PRACTICE
26	26 - CAPE FEAR VALLEY INTERNAL MEDICINE 101 ROBESON STREET SUITE 100 FAYETTEVILLE,NC28301	INTERNAL MEDICINE
27	27 - WOMEN'S HEALTH SPECIALISTS 300 EAST MCKAY STREET SUITE F ELIZABETHTOWN,NC28337	OB/GYN SERVICES
28	28 - THREE RIVERS MEDICAL CENTER 580 WEST MCLEAN STREET ST PAULS,NC28384	FAMILY PRACTICE
29	29 - BLADEN MEDICAL ASSOCIATES - BLADENBORO 1106 W SEABOARD STREET BLADENBORO,NC28320	FAMILY PRACTICE
30	30 - BLADEN MEDICAL ASSOCIATES-DUBLIN 16 THIRD STREET DUBLIN,NC28332	FAMILY PRACTICE
31	31 - DIABETES & ENDOCRINE CENTER 101 ROBESON STREET SUITE 405 FAYETTEVILLE,NC28301	DIABETES & ENDOCRINOLOGY OUTPATIENT
32	32 - CFV PEDIATRIC ENDOCRINOLOGY 101 ROBESON STREET SUITE 410 FAYETTEVILLE,NC28301	DIABETES & ENDOCRINOLOGY OUTPATIENT
33	33 - BEHAVIORAL HEALTH CLINIC 3425 MELROSE ROAD FAYETTEVILLE,NC28304	MENTAL HEALTH CLINIC OUTPATIENT CARE
34	34 - BLADEN SURGICAL SPECIALIST 107 EAST DUNHAM STREET ELIZABETHTOWN,NC28377	SURGICAL SPECIALIST
35	35 - HEALTH PAVILION HOKE NORTH PEDIATRIC 6387 RAMSEY STREET FAYETTEVILLE,NC28311	PEDIATRIC CARE
36	36 - HEALTH PAVILION HOKE PRIMARY CARE 300 MEDICAL PAVILION DRIVE SUITE 102 RAEFORD,NC28376	FAMILY PRACTICE
37	37 - HOKE OBGYN 300 MEDICAL PAVILION DRIVE SUITE 250 RAEFORD,NC28376	FAMILY PRACTICE
38	38 - HOKE EXPRESS CARE 300 MEDICAL PAVILION DRIVE SUITE 102 RAEFORD,NC28376	EXPRESS CARE
39	39 - CFV INFECTIOUS DISEASE CARE 101 ROBESON STREET SUITE 300 FAYETTEVILLE,NC28301	INFECTIOUS DISEASE
40	40 - CAPE FEAR VALLEY NEUROLOGY 3308 MELROSE ROAD FAYETTEVILLE,NC28304	NEUROLOGY

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 6A:	CUMBERLAND COUNTY HOSPITAL SYSTEM FILES A COMMUNITY BENEFIT REPORT ANNUALLY IN THE STATE OF NORTH CAROLINA TO THE NORTH CAROLINA HOSPITAL ASSOCIATION.
PART I, LINE 7:	LINE 7A - CHARITY CARE COSTS WERE CALCULATED USING A MEDICAID SPECIFIC COST-TO-CHARGE RATIO (CCR) FROM THE MEDICARE COST REPORT. A MEDICAID CCR WAS USED BECAUSE THE MEDICAID POPULATION BETTER REPRESENTS THE UTILIZATION AND ACUITY OF THE CHARITY POPULATION THAN THE USE OF AN OVERALL CCR AS CALCULATED IN WORKSHEET 2. A CCR WAS USED INSTEAD OF A COST ACCOUNTING SYSTEM BECAUSE CHARITY, AS WELL AS BAD DEBTS, REPRESENT ONLY A PORTION OF A PATIENT ACCOUNT THAT IS BEING WRITTEN OFF.
PART II, COMMUNITY BUILDING ACTIVITIES:	CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. ("CCHS") CONTINUES TO ENGAGE IN COALITION BUILDING AND WORKFORCE DEVELOPMENT ACTIVITIES IN THE COMMUNITY. COALITION BUILDING PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES BY NETWORKING WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND SAFETY ISSUES OF THE COMMUNITY. THE EMPLOYEES OF CCHS UTILIZE THEIR CLINICAL EXPERTISE TO COLLABORATE WITH OTHER COMMUNITY AGENCIES AND COUNTY AND STATE HEALTH DEPARTMENTS TO PROVIDE EDUCATION AND OTHER INITIATIVES THAT BENEFIT THE HEALTH OF PEOPLE IN THE COMMUNITY. WORKFORCE DEVELOPMENT ACTIVITIES INCLUDE THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO MEDICAL SHORTAGE AREAS .
PART III, LINE 2:	IN THE CURRENT YEAR, BAD DEBTS ARE REPORTED AT CHARGES WRITTEN OFF IN THE PERIOD PLUS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS. SEE THE LINE 4 NOTEBELOW FOR A MORE DETAILED DESCRIPTION OF THE METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 PER THE FINANCIAL STATEMENT FOOTNOTE RELATED TO "PROVISION FOR UNCOLLECTIBLE ACCOUNTS". DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE REFLECTED IN THE PATIENT BALANCE PRIOR TO ACCOUNTS BEING WRITTEN OFF TO BAD DEBT.
PART III, LINE 4:	SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE" PARAGRAPHS ON PAGE 8 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR INFORMATION ABOUT OUR BAD DEBT EXPENSE CALCULATION.
PART III, LINE 8:	THE COST REPORTED ON LINE 6 WAS CALCULATED USING THE SEPTEMBER 30, 2024 MEDICARE COST REPORT AND WAS CALCULATED BASED ON COST-TO-CHARGE RATIOS. SINCE THE AMOUNTS REPORTED ON LINES 5 AND 6 ONLY INCLUDE MEDICARE PART A COSTS AND PAYMENTS, THE OTHER MEDICARE COSTS (I.E. - MEDICARE PART C, PHYSICIAN SERVICES, FEE SCHEDULE, NON-ALLOWABLE) AND PAYMENTS ARE INCLUDED IN THE ATTACHED MEDICARE RECONCILIATION. $0 OF THE MEDICARE SHORTFALL, IF APPLICABLE, REPORTED ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT SINCE THAT PORTION OF THE SHORTFALL WAS RELATED TO THOSE PATIENTS THAT HAD MEDICAID AS A SECONDARY PAYOR AND THEREFORE DEEMED INDIGENT FOR MEDICARE BAD DEBT PURPOSES.
PART III, LINE 9B:	IF PATIENTS ARE DETERMINED TO QUALIFY FOR CHARITY, THEN THE ACCOUNT IS TREATED AS CHARITY RATHER THAN BAD DEBT.
PART VI, LINE 2:	THE MISSION OF CAPE FEAR VALLEY HEALTH SYSTEM IS TO STRENGTHEN THE HEALTH AND WELLBEING OF THE GREATER CAPE FEAR VALLEY REGION THROUGH HIGHQUALITY, COMPASSIONATE CARE PROVIDED TO ALL WHO NEED IT. AS A COMMUNITY NOTFOR PROFIT ORGANIZATION, WE TAKE SERIOUSLY OUR RESPONSIBILITY TO INVEST OUR RESOURCES AND ENERGIES INTO UNDERSTANDING AND MEETING THE DIVERSE HEALTH CARE NEEDS OF ALL, AND ENSURE THAT EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY, RECEIVES THE CARE THEY NEED. THE SENIOR ADMINISTRATIVE TEAM SERVES IN VARIOUS CAPACITIES ON SEVERAL LOCAL COMMUNITY BOARDS AND GROUPS. AS MEMBERS OF THESE VARIOUS GROUPS, THEY ARE ABLE TO GAIN INSIGHT TO NEEDS OF THE COMMUNITY. OUR COMMUNITY PARTNERS ARE CRITICAL TO HELPING US IMPROVE THE HEALTH AND WELLBEING OF THE CAPE FEAR VALLEY REGION. TOGETHER, WE CAN COMBINE RESOURCES AND STRENGTHS, POSITIVELY IMPACTING THE GREATEST NUMBER OF PEOPLE. BY WORKING CLOSELY WITH THE COMMUNITY LEADERS, WE ALSO BUILD A GREATER SENSE OF COMMUNITY AND A SHARED COMMITMENT TOWARD OUR COMMON GOAL OF IMPROVING THE COMMUNITY'S HEALTH. THE RESULTS HELP US TO DETERMINE OUR SHORT AND LONG TERM PRIORITIES AS WELL AS STRATEGIES FOR IMPROVING COMMUNITY HEALTH. THOSE COMMUNITY GROUPS AND PARTNERS CCCC, SRAHEC, CCMAP, CHAMBER OF COMMERCE, FAYETTEVILLE AREA PR ALLIANCE, CUMBERLAND COUNTY EDUCATION FOUNDATION, COMMUNITIES IN SCHOOLS OF NC, FORT BRAGG REGIONAL ALLIANCE, CARE CLINIC, AND THE METHODIST UNIVERSITY PHYSICIAN ASSISTANT PROGRAM.
PART VI, LINE 3:	UNINSURED PATIENTS ARE SCREENED AT THE TIME OF REGISTRATION FOR THEIR ABILITY TO PAY FOR THEIR HEALTH CARE SERVICES. IF THE PATIENT HAS NO ABILITY TO PAY AND IS DEEMED INELIGIBLE FOR GOVERNMENT PROGRAMS (MEDICARE, MEDICAID, ETC.) THEN THEY ARE INFORMED OF THE HOSPITAL CHARITY PROGRAM. THEY ARE PROVIDED WITH AN APPLICATION AND A LISTING OF THE APPROPRIATE DOCUMENTS NECESSARY TO ESTABLISH ELIGIBILITY FOR THE HOSPITAL CHARITY PROGRAM. ALL PATIENTS RECEIVE A COPY OF OUR CHARITY CARE APPLICATION ACCOMPANYING THE FIRST BILLING STATEMENT.
PART VI, LINE 4:	CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. ("CCHS") DOING BUSINESS AS CAPE FEAR VALLEY MEDICAL CENTER ("CFVMC") IS THE FLAGSHIP OF CAPE FEAR VALLEY HEALTH SYSTEM ("CFVHS"). CFVHS OPERATES A VARIETY OF THE HEALTHCARE FACILITIES FROM ITS HEADQUARTERS IN FAYETTEVILLE, NORTH CAROLINA INCLUDING A TERTIARY ACUTE CARE HOSPITAL, A LONGTERM ACUTE CARE HOSPITAL, A CRITICAL ACCESS HOSPITAL, AN INPATIENT REHABILITATION FACILITY, COUNTY EMERGENCY MEDICAL SERVICES, AN OUTPATIENT PSYCHIATRIC FACILITY, A DETOXIFICATION FACILITY, A WELLNESS CENTER, 14 PRIMARY CARE CLINICS, 16 SPECIALTY CARE CLINICS, 4 WALKIN CLINICS, AND HEALTH PAVILION NORTH, AN OUTPATIENT COMPLEX. CAPE FEAR VALLEY HEALTH SYSTEM SERVES A SIXCOUNTY SERVICE AREA MADE UP OF THE FIVE COUNTIES CONTIGUOUS TO CUMBERLAND COUNTY, NC, WHICH IS ITS PRIMARY SERVICE AREA. PER INFORMATION FROM THE 2012 ESTIMATED CENSUS DATA, CUMBERLAND HAS A POPULATION OF OVER 326,000 RESIDENTS THIS WAS A GROWTH OF 6.9% FROM THE 2000 CENSUS DATA. APPROXIMATELY 54.2% OF THE 326,000 RESIDENTS IN OUR PRIMARY SERVICE AREA ARE MINORITIES, COMPARED TO 35.6% FOR THE STATE.
PART VI, LINE 5:	CHRONIC DISEASES LIKE DIABETES AND OBESITY ARE INCREASING WITHIN OUR COMMUNITY. OUR FACILITY HAS OPENED A DIABETES AND ENDOCRINE CLINIC TO HELP THOSE PATIENTS DIAGNOSED WITH DIABETES. OUR HEALTHPLEX PROVIDES BOTH NUTRITIONAL AND EXERCISE PROGRAMS TO HELP THOSE IN THE COMMUNITY ADDRESS THE PROBLEM OF OBESITY. THE GOAL IS TO HELP ALL RESIDENTS LEARN TO MANAGE THEIR CONDITIONS AND LIVE HEALTHIER LIVES BY ADDRESSING THE CHALLENGES ASSOCIATED WITH THESE CONDITIONS. EXAMPLE OF PROGRAM AT CAPE FEAR VALLEY: CAPE FEAR VALLEY HEALTH SYSTEM'S "TAKE CHARGE OF YOUR HEALTH" PROGRAM BEGAN AS AN INITIATIVE TO CLOSE THE HEALTHCARE GAP BETWEEN AFRICAN AMERICANS AND NON-HISPANIC WHITES IN CUMBERLAND COUNTY THROUGH PUBLIC SERVICE ANNOUNCEMENTS, HEALTH FAIRS, SCREENINGS AND SPEAKING ENGAGEMENTS. IT HAS SINCE BROADENED ITS FOCUS TO ALL OF CUMBERLAND COUNTY. DARVIN JONES IS THE COORDINATOR OF THE "TAKE CHARGE OF YOUR HEALTH" PROGRAM. HE SERVES ON THE BOARD OF DIRECTORS OF COMMUNITY HEALTH INTERVENTIONS & SICKLE CELL AGENCY, A NONPROFIT THAT WORKS WITH INDIVIDUALS WITH SICKLE CELL DISEASE, HYPERTENSION AND DIABETES. DARVIN IS ALSO A MEMBER OF THE CUMBERLAND COUNTY COUNCIL FOR HEALTHY LIVING, A GROUP ASSEMBLED BY THE HEALTH DEPARTMENT, AND THE CUMBERLAND COUNTY SCHOOLS SCHOOL HEALTH ADVISORY COUNCIL. TAKE CHARGE OF YOUR HEALTH IS AFFILIATED WITH EAT SMART, MOVE MORE NORTH CAROLINA, A STATEWIDE INITIATIVE. AT CAPE FEAR VALLEY HEALTH SYSTEM, IT IS IMPORTANT TO US TO GIVE BACK TO OUR COMMUNITY. IN ADDITION TO EMPLOYEE UNITED WAY DONATIONS AND VOLUNTEER TIME, OUR EMPLOYEES PARTICIPATE IN A VARIETY OF COMMUNITY SERVICE INITIATIVES, TO INCLUDE THE HABITAT FOR HUMANITY AND THE FRIENDS OF CANCER RIVER WALK. LAST YEAR OUR EMPLOYEES GAVE OVER $250,000 IN DONATIONS TO VARIOUS COMMUNITY ORGANIZATIONS.
PART VI, LINE 6:	CUMBERLAND COUNTY HOSPITAL SYSTEM IS A STAND-ALONE HEALTH CARE ORGANIZATION AND IS NOT A PART OF AN AFFILIATED HEALTH CARE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATES	NC

Schedule H (Form 990) 2024

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Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Employer identification number
56-0845796

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) CAPE FEAR VALLEY MEDICAL FOUNDATION PO BOX 87526 FAYETTEVILLE,NC28304	56-1947017	501(C)(3)	308,713	0			GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

CUMBERLAND COUNTY HOSPITAL SYSTEM AWARDS GRANTS TO THE CAPE FEAR VALLEY MEDICAL FOUNDATION FOR THE PURPOSE OF ASSISTING PATIENTS IN PAYING VARIOUS BILLS AND OTHER EXPENSES WHICH PATIENTS CANNOT PAY DUE TO THEIR EXCESSIVE MEDICAL EXPENSES REQUIRED FOR TREATING ILLNESS. PATIENTS APPLY AND APPLICATIONS ARE REVIEWED BY HOSPITAL SOCIAL WORKERS. ANY FUNDS GRANTED ARE PAID DIRECTLY TO THE ORGANIZATION FOR WHICH PATIENT OWES THE BILL AND/OR EXPENSE. ALL GRANT FUNDING REQUESTS MUST BE MADE IN WRITING. MEETINGS ARE HELD TO ENSURE THE GOALS OF THE HEALTH SYSTEM ARE MAINTAINED.

Schedule I (Form 990) Rev. 1-2025

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Employer identification number

56-0845796

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MICHAEL NAGOWSKI CEO	(i) (ii)	1,199,200 ------------- 0	549,946 ------------- 0	2,612 ------------- 0	15,350 ------------- 0	11,501 ------------- 0	1,778,609 ------------- 0	0 ------------- 0
2DEREN BAGSBY PHYSICIAN	(i) (ii)	675,000 ------------- 0	875,874 ------------- 0	0 ------------- 0	15,350 ------------- 0	4,141 ------------- 0	1,570,365 ------------- 0	0 ------------- 0
3ROBERT MAUGHAN PHYSICIAN	(i) (ii)	1,296,000 ------------- 0	0 ------------- 0	921 ------------- 0	15,350 ------------- 0	2,158 ------------- 0	1,314,429 ------------- 0	0 ------------- 0
4DANIEL MCBRAYER PHYSICIAN	(i) (ii)	700,000 ------------- 0	399,608 ------------- 0	19,158 ------------- 0	10,350 ------------- 0	5,780 ------------- 0	1,134,896 ------------- 0	0 ------------- 0
5CHARLES HAWORTH PHYSICIAN	(i) (ii)	896,534 ------------- 0	0 ------------- 0	200,679 ------------- 0	15,350 ------------- 0	7,865 ------------- 0	1,120,428 ------------- 0	0 ------------- 0
6MICHAEL ZAPPA VP	(i) (ii)	740,485 ------------- 0	157,149 ------------- 0	120,000 ------------- 0	15,350 ------------- 0	2,204 ------------- 0	1,035,188 ------------- 0	0 ------------- 0
7DANIEL WEATHERLY COO	(i) (ii)	684,441 ------------- 0	306,501 ------------- 0	625 ------------- 0	15,350 ------------- 0	9,659 ------------- 0	1,016,576 ------------- 0	0 ------------- 0
8BRET JOHNSON CFO	(i) (ii)	610,684 ------------- 0	175,770 ------------- 0	18,093 ------------- 0	15,350 ------------- 0	7,999 ------------- 0	827,896 ------------- 0	0 ------------- 0
9PHILIP WOOD JR CIO	(i) (ii)	455,481 ------------- 0	141,980 ------------- 0	9,487 ------------- 0	15,350 ------------- 0	9,675 ------------- 0	631,973 ------------- 0	0 ------------- 0
10DEBORAH MARSHBURN CNO	(i) (ii)	386,789 ------------- 0	105,247 ------------- 0	3,576 ------------- 0	15,350 ------------- 0	7,176 ------------- 0	518,138 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 7	THE HOSPITAL PROVIDES INCENTIVE COMPENSATION TO ITS EXECUTIVES, WHICH IS BASED ON THE QUANTITATIVE AND QUALITATIVE PERFORMANCES OF THE HOSPITAL. THE DETERMINATION OF INCENTIVE COMPENSATION FOLLOWS THE HOSITAL'S COMPENSATION PROCEDURES AS OUTLINED IN FORM 990, PART VI, SECTION B, LINE 15.

Schedule J (Form 990) (Rev. 1-2025)

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Employer identification number
56-0845796

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	PUBLIC FINANCE AUTHORITY	27-3866124		12-10-2020	152,000,000	SEE PART VI		X		X		X
B	PUBLIC FINANCE AUTHORITY	27-3866124		06-09-2022	87,500,000	SEE PART VI		X		X		X
C	PUBLIC FINANCE AUTHORITY	27-3866124		07-01-2022	93,400,000	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	50,000,000		1,820,000		1,200,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	152,000,000		87,500,000		93,400,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............			440,000		290,000
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............			4,111,290		965,650
10 Capital expenditures from proceeds .............			82,948,710		42,144,350
11 Other spent proceeds .............	152,000,000				50,000,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2017				2020
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X			X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X
b Exception to rebate? ........		X		X		X
c No rebate due? .........		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X		X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K, PART I, COLUMN F - DESCRIPTION OF PURPOSE:	BOND A ISSUED 12/10/2020 - $50,000,000 ISSUED TO REFUND A PORTION OF THE $152,000,000 BONDS ISSUED IN 2017 TO PARTIALLY REFUND BONDS ISSUED 9/23/2008, AND $102,000,000 DEEMED TO CURRENTLY REFUND A PORTION OF THOSE 2017 BONDS UPON CONVERSION TO A NEW MODE AND REISSUED, BECOMING ONE ISSUE FOR FEDERAL INCOME TAX PURPOSES. BOND B ISSUED 6/9/2022 - TO FUND A PORTION OF (1) THE ACQUISTION, CONSTRUCTION, EQUIPPING AND FURNISHING OF (A) A 100-BED EXPANSION OF THE VALLEY PAVILION TOWER AT CAPE FEAR VALLEY MEDICAL CENTER AND (B) A NEW MEDICAL OFFICE CANCER CENTER BUILDING LOCATED AT CENTRAL HARNETT HOSPITAL AND (2) ACQUIRING AND INSTALLING MEDICAL, COMPUTER, OFFICE, AND CAPITAL EQUIPMENT FOR USE AT BOTH LOCATIONS (COLLECTIVELY, THE PROJECT). BOND C ISSUED 7/1/2022 - $43,400,000 TO FUND A PORTION OF THE PROJECT AND $50,000,000 TO REFUND THE SERIES 2020 BONDS.
SCHEDULE K, PART IV, LINE 6, COLUMN A:	THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.
SCHEDULE K, PART IV, ARBITRAGE, LINE 7:	INVESTMENT OF BOND PROCEEDS ARE BEING MONITORED THROUGH THE WRITTEN PROCEDURE REQUIREMENTS OF SECTION 148.

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Employer identification number

56-0845796

Return Reference	Explanation
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 INDEPENDENTLY 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.
FORM 990, PART IX, LINE 11G	OTHER SERVICES: PROGRAM SERVICE EXPENSES 14,278,127. MANAGEMENT AND GENERAL EXPENSES 347,154. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,625,281. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 13,738,882. MANAGEMENT AND GENERAL EXPENSES 10,434,538. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,173,420. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,051,088. MANAGEMENT AND GENERAL EXPENSES 202,371. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,253,459.
FORM 990, PART XII, LINE 2C:	THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Employer identification number

56-0845796

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) BLADEN COUNTY HEALTHCARE LLC PO BOX 2000 FAYETTEVILLE,NC28302 80-0164702	HEALTH SERVICES	NC	14,627,142	65,491,652	CCHS
(2) CUMBERLAND HEALTH AFF LLC PO BOX 2000 FAYETTEVILLE,NC28302 56-2275588	INACTIVE	NC	0	0	CCHS
(3) VALLEY HEALTH FACILITIES LLC PO BOX 2000 FAYETTEVILLE,NC28302 20-4268819	INACTIVE	NC	0	0	CCHS
(4) HOKE HEALTHCARE LLC PO BOX 2000 FAYETTEVILLE,NC28302 27-2763125	HEALTH SERVICES	NC	23,850,397	194,829,964	CCHS
(5) FAYETTEVILLE AMB SURGERY CENTER 1781 METROMEDICAL DRIVE FAYETTEVILLE,NC28304 56-1754482	HEALTH SERVICES	NC	7,243,625	8,203,097	CCHS

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CAPE FEAR VALLEY MEDICAL FOUNDATION PO BOX 87526 FAYETTEVILLE,NC28304 56-1947017	FUNDRAISING	NC	501(C)(3)	LINE 7	CCHS	Yes
(2)BLADEN COUNTY HOSPITAL FOUNDATION INC PO BOX 398 ELIZABETHTOWN,NC28337 56-1833893	FUNDRAISING	NC	501(C)(3)	LINE 7	CCHS	Yes
(3)HARNETT HEALTH SYSTEM INC PO BOX 1796 DUNN,NC28335 56-0603898	HEALTH SERVICES	NC	501(C)(3)	LINE 3	CCHS	Yes
(4)HARNETT HEALTH SYSTEM FOUNDATION 800 TILGMAN DRIVE DUNN,NC28334 20-1929953	FUNDRAISING	NC	501(C)(3)	LINE 7	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) HIGHSMITH-RAINEY MED ARTS CENTER ASSOC PO BOX 2000 FAYETTEVILLE,NC28302 56-1747424	RENTAL ASSOC.	NC	CCHS	C	-48,848	1,380,258	100.000 %	Yes
(2) CUMBERLAND HEALTH PARTNER INC PO BOX 2000 FAYETTEVILLE,NC28302 56-2043978	INACTIVE	NC	CCHS	C			100.000 %	Yes
(3) CAPE FEAR INSURANCE LTD PO BOX 30600 SMB WEST BAY ROAD GRAND CAYMAN CJ 98-0449284	INSURANCE	CJ	CCHS	C		89,192,806	100.000 %	Yes

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDING EXCEPTIONAL HEALTHCARE FOR ALL OUR PATIENTS
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	21
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	21
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	10,251
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,085,995
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	17,109,196	495,556
9	Program service revenue (Part VIII, line 2g) .........	1,314,709,617	356,572,744
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	39,977,543	-12,385,743
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	23,190,884	2,207,060
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,394,987,240	346,889,617
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	896,009	308,713
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	542,470,930	203,639,216
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	785,585,972	155,109,332
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,328,952,911	359,057,261
19	Revenue less expenses. Subtract line 18 from line 12.......	66,034,329	-12,167,644
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	5,847,504,726	1,827,526,190
21	Total liabilities (Part X, line 26).............	4,959,369,167	956,029,654
22	Net assets or fund balances. Subtract line 21 from line 20.....	888,135,559	871,496,536

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 294,250,724 including grants of $ 308,713 ) (Revenue $ 355,486,749 )
	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.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses294,250,724

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	10,731,840	0	216,658

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	332,676
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	162,880

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		495,556

		Business Code
2a	PATIENT SERVICE REV	621400	334,487,501	334,487,501
b	PHARMACY REVENUE	621990	22,085,243	20,999,248	1,085,995
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		356,572,744

3 Investment income (including dividends, interest, and othersimilar amounts) ......			254,001			254,001
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	89,337
b	Less: rental expenses	6b	26,747
c	Rental income or (loss)	6c	62,590
d	Net rental income or (loss).......			62,590			62,590
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	36,402,263
b	Less: cost or other basis and sales expenses	7b	49,042,007
c	Gain or (loss)	7c	-12,639,744
d	Net gain or (loss).........			-12,639,744			-12,639,744
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	MISCELLANEOUS REVENUE		900099	1,390,413			1,390,413
b	INSURANCE INCOME		900099	678,155			678,155
c	INVESTMENT IN JV		900001	75,902			75,902
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,144,470
12	Total revenue. See instructions.....			346,889,617	355,486,749	1,085,995	-10,178,683

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	308,713	308,713
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,667,278		1,667,278
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	167,598,063	152,321,651	15,276,412
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,452,389		2,452,389
9	Other employee benefits .......	22,054,113	5,476,032	16,578,081
10	Payroll taxes ...........	9,867,373	2,200,445	7,666,928
11	Fees for services (non-employees):
a	Management ......	6,126,834	5,967,426	159,408
b	Legal .........	269,135	7,300	261,835
c	Accounting ...........	35,358	3,358	32,000
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	44,052,160	33,068,097	10,984,063
12	Advertising and promotion ....
13	Office expenses .......	5,152,538	4,907,384	245,154
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............	354,029	159,463	194,566
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	5,114,833	5,114,833
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	18,508,181	16,914,973	1,593,208
23	Insurance ...
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	65,774,494	61,456,490	4,318,004
b	REPAIRS AND MAINTENANCE	4,942,755	4,191,980	750,775
c	BAD DEBT EXPENSE	2,796,841	1,259,762	1,537,079
d	MISCELLANEOUS EXPENSE	1,982,174	892,817	1,089,357
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	359,057,261	294,250,724	64,806,537	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			108,224,344	1	41,130,883
2	Savings and temporary cash investments .........			63,802,525	2	119,100,889
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			212,729,630	4	260,237,150
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			1,274,420	7	1,320,314
8	Inventories for sale or use ............			17,833,096	8	20,828,632
9	Prepaid expenses and deferred charges ......			15,786,911	9	14,540,871
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,178,381,642
b	Less: accumulated depreciation	10b	621,589,042	540,140,061	10c	556,792,600
11	Investments—publicly traded securities .			301,773,009	11	260,872,675
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			4,705,434	13	440,899
14	Intangible assets ...............			2,763,520	14	4,657,962
15	Other assets. See Part IV, line 11 ...........			4,578,471,776	15	547,603,315
16	Total assets. Add lines 1 through 15 (must equal line 33)...			5,847,504,726	16	1,827,526,190

17	Accounts payable and accrued expenses .....	177,314,429	17	227,977,888
18	Grants payable ...		18
19	Deferred revenue .........	7,957,746	19	7,121,706
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	493,377,575	23	526,951,026
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	4,280,719,417	25	193,979,034
26	Total liabilities. Add lines 17 through 25..	4,959,369,167	26	956,029,654

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....	0	29	0
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30	0
31	Retained earnings, endowment, accumulated income, or other funds	888,135,559	31	871,496,536
32	Total net assets or fund balances ...........	888,135,559	32	871,496,536
33	Total liabilities and net assets/fund balances ........	5,847,504,726	33	1,827,526,190

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No