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North Carolina · Nonprofit

HARNETT HEALTH SYSTEM INC

HARNETT HEALTH SYSTEM INC (North Carolina) receives grants from 4 organizations whose IRS filings report $578,880 to it, the largest being THE DUKE ENDOWMENT ($418,000). 2 of them have funded it in more than one year.

Revenue FY2024
$38M
Funders on record
4
Grants received
$579k
Net assets
$21M
2/4 repeat funderspeak grant-dependency 0%
01What it does

What Harnett Health System Inc does

Mission

Harnett health is dedicated to providing quality and personalized care with respect and compassion and are committed to making a difference throughout our communities with service excellence.

As stated on its FY2024 Form 990.

Program

  1. As part of meeting health care needs of the service area, hhs, inc. Admitted 4,518 patients, providing 19,905 patient days of care, had 49,183 emergency room visits and had over 111,684 outpatient visits for other services.

    $123,966,338 spent$140,212,749 earned by the program
    100% of program spending

The program described on its FY2023 Form 990. Program spending in total: $123,966,338.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($106M) Expenses 100 ($97M) Net assets -8124 ($-10340404)2018 Revenue 91 ($96M) Expenses 98 ($95M) Net assets -6979 ($-8883489)2019 Revenue 96 ($101M) Expenses 104 ($100M) Net assets -5772 ($-7347389)2020 Revenue 99 ($105M) Expenses 108 ($105M) Net assets 100 ($127k)2021 Revenue 130 ($138M) Expenses 125 ($121M) Net assets 13076 ($17M)2022 Revenue 119 ($126M) Expenses 136 ($132M) Net assets 8984 ($11M)2023 Revenue 123 ($131M) Expenses 134 ($130M) Net assets 9773 ($12M)2024 Revenue 36 ($38M) Expenses 35 ($34M) Net assets 16157 ($21M)
'17'18'19'20'21'22'23'24
Revenue (36)Expenses (35)Net assets (16157)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2022 to 2023, from $108M to $157M (+45%).

$101M
$98M
$96M
$122M
$120M
$108M
$157M
$178M
'17'18'19'20'21'22'23'24
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2019 0% · 2020 2% · 2021 13% · 2022 2% · 2023 5%. Grants only. Government contracts and fees sit inside program revenue.

0% of HARNETT HEALTH SYSTEM INC’s revenue is contributions — more earned-revenue than three-quarters of its peers (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 1 of the last 8 reported years ran a deficit.

$9.3M
’17
$1.5M
’18
$1.1M
’19
$630k
’20
$17M
’21
−$5.2M
’22
$1.0M
’23
$3.8M
’24
7.1
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Michael Nagowski

CEO

Board chair

Sanjay Shah Md

Chair

As listed on its FY2024 Form 990.

'17'18'19'20'21'22'23'24
Listed2124222121191532
Joined·+6+2+4+1+1+5+27
No longer listed·34513910
03Who funds it

Who funds it, year by year

2019 → 2022: the base held at 2 funders, grant income fell $265k → $125k.

Left out of every figure on this page: $75k from one payer (the payer shares this organization's board, largest Harnett Health System Foundation). These are real filings, and they are not money HARNETT HEALTH SYSTEM INC raised.

From the IRS filings of HARNETT HEALTH SYSTEM INC’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

HARNETT HEALTH SYSTEM INC leans on a few funders — its largest provides 72% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

72%
largest funder
100%
top three
~2
effective funders

Largest funder’s share by year: 2019 57% · 2020 100% · 2021 99% · 2022 100% — growing more concentrated.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

100% of HARNETT HEALTH SYSTEM INC's grant income comes from North Carolina funders.

NC

In-state vs out-of-state, by year

’19
’20
’21
’22
North Carolina out of state home

Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

HARNETT HEALTH SYSTEM INC holds deeper cash reserves than three-quarters of the 4,580 health nonprofits its size.

Operating margin10% · above the median
Months of reserve7.1mo · top quartile
Revenue growth (annualized)−14% · bottom quartile

this organization peer median middle 50% of peers· 4,580 health nonprofits $10M–$100M, FY2024

Organizations like HARNETT HEALTH SYSTEM INC

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In North Carolina

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

92% of spending goes to programs.

Program 92%Management 8%Fundraising 0%

Governance

21
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Files a return copy in 1 state

NC

Part of a family of 12 related entities

  • Angier Medical Services LLC · disregarded
  • Coats Medical Services LLC · disregarded
  • Dunn Medical Services LLC · disregarded
  • Harnett Obgyn LLC · disregarded
  • Lillington Medical Services LLC · disregarded

Screen this organization

A dated, signed PDF of the compliance screen for HARNETT HEALTH SYSTEM INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds HARNETT HEALTH SYSTEM INC?
HARNETT HEALTH SYSTEM INC (North Carolina) receives grants from 4 organizations whose IRS filings report $578,880 to it, the largest being THE DUKE ENDOWMENT ($418,000). 2 of them have funded it in more than one year.
How many funders does HARNETT HEALTH SYSTEM INC have?
IRS filings report 4 organizations giving $578,880 in grants to HARNETT HEALTH SYSTEM INC, 2 of which have funded it in more than one year.
Who is the largest funder of HARNETT HEALTH SYSTEM INC?
THE DUKE ENDOWMENT is the largest funder on record, with $418,000 in grants. The full list of funders is on this page.
How can an organization like HARNETT HEALTH SYSTEM INC find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in North Carolina. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

Play a game about who funds Harnett Health System →

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 4 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing