Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

North Carolina · Ranked 218 of 1033 by CEO pay.

Cumberland County Hospital System

Michael Nagowski, CEO. Fiscal year ending 2024-12.

$1.8M
CEO total compensation
Form 990 Part VII, columns D+E+F
4.17%
of expenses spent on charity care
Schedule H Part I line 7a
10.8%
CEO pay as a share of all charity care

§1The filing

Total revenue
$384,696,503
Total expenses
$393,094,658
Net assets
$892,062,728
Employees
10,251
Hospitals covered
6 facilities across 2 filings
Charity care, net
$16,399,478
Bad debt
$5,899,171
Medicare surplus (shortfall), as filed
$788,676
CEO pay from the organization (Part VII col. D)
$1,751,758
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$26,851
CEO total compensation (D+E+F)
$1,778,609 to Michael Nagowski

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Cumberland County Hospital System, EIN 56-0845796, fiscal year ending 2024-12, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$56.6M Of which charity care to patients who could not pay (line 7a)$16.4M (29%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($5.9M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Cumberland County Hospital System Inc56-08457962024-12$346.9M$8.6M2.40%990
Harnett Health System Inc56-06038982024-12$37.8M$7.8M22.87%990

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Cumberland County Hospital System: CEO pay $1.8M, charity care 4.17% of expenses