Long-Term Care Hospital

Highsmith-Rainey Specialty Hospital

Cape Fear Valley Health System · Fayetteville, NC

150 Robeson Street, Fayetteville, NC 283019106096700

Beds

260

Inpatient discharges a year

$34.5M

Net patient revenue a year

About this hospital

Highsmith-Rainey Specialty Hospital is a 66-bed hospital in Fayetteville, NC, affiliated with Cape Fear Valley Health System.

ACO participant

CCN: 342014
NPI: 1982607115
Health system: Cape Fear Valley Health System
County: Cumberland County
Metro area: Fayetteville, NC MSA
Medicare contractor: Jurisdiction M, Palmetto GBA (11501)
In Medicare since: 2003
Last CMS survey: 2018

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

More about this hospital

Doctors and services
Accredited by The Joint Commission
- 27 services
- 158 affiliated clinicians
See doctors and services
Finances
$34.5M net patient revenue
- Operating margin on patient care -23.3%
- -$8M net income
See finances
Ownership and leadership
Owned by Cumberland County Hospital System Inc
- Private (not for profit)
- Michael Nagowski, chief executive
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Highsmith-Rainey Specialty Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
56-0845796Cape Fear Valley Medical Center	49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 44 more	1639172869 Cumberland County Hospital System Inc1982607115 Cumberland County Hospital System Inc1821091851 Cumberland County Hospital System Incand 93 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

150 Robeson Street, Fayetteville, NC 28301

9106096700

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Accreditation and services

The Joint Commission (since 2024)
Accreditation
Limited
Medical school affiliation
Private (not for profit)
Ownership type
112
Medicare-certified beds
108
Registered nurses (full-time equivalent)
2003
In Medicare since

27 services at Highsmith-Rainey Specialty Hospital

Intensive care: Surgical ICU (Medical Surgical Intensive Care Unit)
Surgery: AnesthesiaInpatient SurgicalNeurosurgicalOphthalmic SurgeryOR (Operating Room)Outpatient SurgeryPostoperative Recovery RoomReconstructive Surgery
Imaging: CT ScanDiagnostic Radiology
Transplant and dialysis: Acute Renal Dialysis
Women and children: Clinical LaboratoryPediatric Care
Behavioral health: Adult Inpatient Psychiatric Care
Rehabilitation and therapy: AudiologyOT (Occupational Therapy)PT (Physical Therapy)Respiratory CareSpeech Pathology
Other services: Dietary CareESWL (Extracorporeal Shockwave Lithotripter)Gerontological SpecialtyOutpatientPharmacySocial CareUrgent Care Center

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Highsmith-Rainey Specialty Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.

260
Inpatient discharges
Medicare 30%, Medicaid 7%
13,855
Inpatient days
58% of available bed days used
224
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 837821). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Highsmith-Rainey Specialty Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	2,693	936	10,226	13,855
Discharges	79	18	163	260
Average length of stay	34.1 days	52.0 days	62.7 days	53.3 days
Average daily census	7.4	2.6	28.0	38.0

1,406
Medicare Advantage days
28 discharges
2,626
Medicaid managed care days
57 discharges

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	58	12,509	2,638	59%
Intensive care unit	8	1,346	55	46%

Source: CMS cost report (HCRIS, Form 2552-10), report 837821, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Medicare outpatient services

The comprehensive outpatient service groups (APCs) Highsmith-Rainey Specialty Hospital billed Medicare for most in 2024: 896 services in all.

Service group	Services	Patients	Average charges	Average Medicare payment	US average payment
Level 1 Intraocular ProceduresAPC 5491	698	401	$5,131	$1,591	$1,752
Level 2 Intraocular ProceduresAPC 5492	52	40	$7,857	$2,819	$3,116
Level 5 Urology and Related ServicesAPC 5375	45	41	$10,403	$3,588	$3,918
Level 4 Urology and Related ServicesAPC 5374	44	32	$8,540	$2,414	$2,629
Level 3 Urology and Related ServicesAPC 5373	23	21	$7,403	$1,410	$1,516
Level 3 Intraocular ProceduresAPC 5493	20	15	$18,223	$3,624	$4,004
Level 3 Vascular ProceduresAPC 5183	14	14	$9,602	$2,052	$2,405

Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Highsmith-Rainey Specialty Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 43 in 2020 to 14 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
28303	14	100%	763	$3.9M	1%	1%

Source: CMS Hospital Service Area file. Shares are of the 14 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units Highsmith-Rainey Specialty Hospital reported at its latest Medicare certification survey (2018). Counts are people, not full-time equivalents.

3
Operating rooms
3
Endoscopy rooms

108
Registered nurses
6
Licensed practical nurses
6
Physicians
4
Physician assistants
6
Nurse anesthetists (CRNAs)
5
Pharmacists
19
Respiratory therapists
2
Physical therapists
1
Speech pathologists and audiologists
6
Radiology technicians
5
Medical technologists
1
Dietitians
6
Social workers
156
Other personnel

Source: CMS Provider of Services file.

Doctors and clinicians

158 clinicians who bill Medicare list Highsmith-Rainey Specialty Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Family Medicine Physician 30
Physician Assistant 28
Family Nurse Practitioner 17
Internal Medicine Physician 13
Ophthalmology Physician 8
Hematology & Oncology Physician 7
Pulmonary Disease Physician 6
Urology Physician 5
Diagnostic Radiology Physician 4
Gastroenterology Physician 4

Shilpa Sambidi, M.D.
Hematology & Oncology Physician
NPI 1821240011
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Markandu Ketheeswaran, MD
Hematology & Oncology Physician
NPI 1487608725
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Garrett Franzoni, MD
Urology Physician
NPI 1932100211
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Chukwuemeka Chima, MD
Infectious Disease Physician
NPI 1962494377
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Matthew Banks, DO
Neurology Physician
NPI 1659772069
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Sonal Arora, MD
Pulmonary Disease Physician
NPI 1477592327
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Sathyamurthy Viswanath, MD
Internal Medicine Physician
NPI 1861467581
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Michael Woodcock, MD
Ophthalmology Physician
NPI 1871521625
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Catherine Kelly, M.D.
Family Medicine Physician
NPI 1871584425
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Sidney Wolinsky, PA-C
Physician Assistant
NPI 1568552891
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Stephen Kouba, M.D.
Orthopaedic Surgery Physician
NPI 1073588620
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Solomon Ghebregziabiher, M.D
Internal Medicine Physician
NPI 1518235431
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Vipul Savaliya, M.D
Infectious Disease Physician
NPI 1528339660
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Faraaz Khan, MD
Ophthalmology Physician
NPI 1861811002
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Julia Norem, M.D.
Family Medicine Physician
NPI 1881690402
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Toni Meeks, MD
Internal Medicine Physician
NPI 1780617514
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Sheel Patel, MD
Ophthalmology Physician
NPI 1871540146
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Rajesh Khurana, M.D.
Family Medicine Physician
NPI 1114917770
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Raymond Gaskins, M.D.
Family Medicine Physician
NPI 1073519690
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Matthew Daka, M.D
Interventional Cardiology Physician
NPI 1598985715
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Jimmie Riggins, MD
Ophthalmology Physician
NPI 1285686865
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Jorge Franco, MD
Family Medicine Physician
NPI 1164556718
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Gautam Dev, MD
Pulmonary Disease Physician
NPI 1437126224
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Bruce Distell, M.D.
Diagnostic Radiology Physician
NPI 1245235001
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Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income Highsmith-Rainey Specialty Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$135.2M	392.1%
Inpatient	$67.6M	196.1%
Outpatient	$67.6M	196.0%
Contractual allowances and discounts	-$100.7M	-292.1%
Net patient revenue	$34.5M	100.0%
Operating expenses	-$42.5M	-123.3%
Operating income from patient care	-$8M	-23.3%
Other income	$365,237	1.1%
Other expenses	-$362,732	-1.1%
Net income	-$8M	-23.3%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$18.9M	15.2%
Other payers and self-pay	$105.2M	84.8%
Total charges	$124.2M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 837821, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Highsmith-Rainey Specialty Hospital's latest cost report.

-23.3%
Operating margin
Operating income from patient care / net patient revenue
-23.0%
Total margin
Net income / net patient revenue plus other income
-16.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
51% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
-66.7%
Return on assets
Net income for a year / total assets
0.02
Current ratio
Current assets / current liabilities
0.01
Quick ratio
Cash, temporary investments and net receivables / current liabilities
5 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
3 days
Days in patient receivables
Net patient receivables / daily net patient revenue
1089 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.90
Asset turnover
Total revenue for a year / total assets
20.0 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 837821, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Highsmith-Rainey Specialty Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $12M in total assets and a -$109.7M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$540,442	4.5%
Patient receivables, net	$307,446	2.6%
Inventory	$1.3M	11.1%
Total current assets	$2.6M	21.6%
Property and equipment, net of depreciation	$9M	74.5%
Investments and other assets	$459,995	3.8%
Total assets	$12M	100.0%
Current liabilities	$121.4M	1010.8%
Total liabilities	$121.7M	1013.1%
Fund balance (net assets)	-$109.7M	-913.1%

Source: CMS cost report (HCRIS, Form 2552-10), report 837821, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Highsmith-Rainey Specialty Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Sep 2020	Sep 2021	Sep 2022	Sep 2023	Sep 2024	Dec 2025
Net patient revenue	$21.8M	$30.8M	$32.1M	$30.9M	$27.5M	$34.5M
Operating expenses	$38.7M	$40.5M	$43M	$37.4M	$38.9M	$42.5M
Operating margin	-77.3%	-31.5%	-33.9%	-20.7%	-41.5%	-23.3%
Net income	-$16.6M	-$9.5M	-$10.7M	-$6.2M	-$11.5M	-$8M
Total assets	$16.6M	$13.6M	$16.3M	$84.1M	$371.4M	$12M
Discharges	307	269	216	246	286	260
Inpatient days	22,658	20,202	19,189	14,880	13,525	13,855
Medicare Advantage days		2,692	2,179	1,674	1,144	1,406
Beds	66	66	66	66	66	66
Employees (FTE)	280	266	266	230	247	224

Source: CMS cost report (HCRIS, Form 2552-10), report 837821, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Highsmith-Rainey Specialty Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 29 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Operating room	$2.6M	$10.7M	$26.2M	0.41	29,051
Drugs charged to patients		$4.2M	$23.8M	0.18
Respiratory therapy	$1.7M	$3M	$13.7M	0.22	637
Radiology-diagnostic	$879,587	$2.2M	$6.2M	0.36	14,840
Express care	$1.6M	$2M	$3.3M	0.60	4,689
Impl. dev. charged to patients		$2M	$6.4M	0.31
Medical supplies charged to patient		$900,494	$1.9M	0.47
Physical therapy	$232,841	$814,379	$2.3M	0.36	8,809
Laboratory	$304,603	$663,819	$9.5M	0.07	4,065
Renal dialysis		$652,808	$1.3M	0.52
Ct scan	$188,135	$465,797	$9.1M	0.05
Electrocardiology	$36,970	$90,782	$155,726	0.58	804
Anesthesiology	$591,142	$57,789	$869,021	0.07

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$8.8M	$16.5M	$16.8M	0.98	34,635
Intensive care unit	$1.1M	$2.7M	$2.7M	0.99	5,124

Overhead (general service) departments

Department	Salaries	Direct cost	Square feet
Administrative & general	$503,576	$6.1M	21,993
Employee benefits department		$4.2M	4,627
Operation of plant	$328,648	$2.7M	17,573
Housekeeping	$27,484	$1.7M	1,669
Nursing administration	$1.6M	$1.7M	1,075
Cap rel costs-mvble equip		$1.3M
Cafeteria		$1M	2,765
Cap rel costs-bldg & fixt		$1M	162,713
Pharmacy	$871,347	$914,577	1,461
Dietary	$361	$414,752	3,978
Central services & supply	$100,453	$186,500	2,405
Laundry & linen service	$200	$153,865
Social service	$9,000	$9,820	100
Medical records & library	$661	$2,806	2,021

Source: CMS cost report (HCRIS, Form 2552-10), report 837821, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Ownership

Organizations Highsmith-Rainey Specialty Hospital reports to Medicare as owners or with operational control.

Cumberland County Hospital System Inc
5% or greater direct ownership interest, 100%, since 1966

Sources: CMS Hospital All Owners.

Leadership

The officers and board members on Highsmith-Rainey Specialty Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.

Officers and directors on the Medicare enrollment

Michael Nagowski Officer, Chief Executive Officer, since 2008
Bradley J Broussard Officer, Board Memeber, Chief Of Staff, since 2012
Christopher Aul Officer, Chief Medical Officer, since 2013
Joseph Fiser Officer, VP Rev Cycle/managed Care Planning, since 2022
Billy King Director, since 1990
Jeannette Council Director, Board Member, since 2000
Kenneth Edge Director, Board Member, since 2000
James Keefe Director, Board Member, since 2008
William Faircloth Director, Board Member, since 2008
Ayub Ibrahim Director, since 2009
Charles Evans Director, Board Member, since 2010
Deborah Marshburn Managing employee, Vice President Of Nursing, since 1982

Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 12 of 18 are shown.

Officers and key employees of Cumberland County Hospital System Inc (IRS Form 990, tax year 2024)

Cumberland County Hospital System Inc files the Form 990 for the tax ID insurers list for Highsmith-Rainey Specialty Hospital, so these people may lead the wider organization rather than Highsmith-Rainey Specialty Hospital alone.

Name	Title
Michael Nagowski	CEO
Daniel Weatherly	COO
Bret Johnson	CFO
Philip Wood Jr	CIO
Deborah Marshburn	CNO
Sanjay Shah MD	Chair
Jimmy Keefe	Vice Chair
Ernest Jones	Secretary

Board members: Glenn Adams, Afua Arhim, Ryan Aul, Michael Boose, Terrill Brown, Chuck Chima, Jeannette Council, Marshall Faircloth, Kelvin Farmer, Girum Feyissa MD, Clarence Grier, Michael Jones MD, Veronica Jones, Larry Lancaster, Shannon Matthews, Toni Stewart, Pamela Story, Myron Strickland.

Source: IRS Form 990 Part VII filed by Cumberland County Hospital System Inc (EIN 56-0845796), via the IRS e-file data. A health system's return can cover several hospitals.

Programs and facilities

Accountable care organization (Medicare Shared Savings Program)
Caravan Health ACO 50 LLC
ACO A5160, current agreement since 2023. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Highsmith-Rainey Specialty Hospital's legal name.

Frequently asked questions

About Highsmith-Rainey Specialty Hospital's rates and hospital price transparency.

How many patients does Highsmith-Rainey Specialty Hospital admit?

Highsmith-Rainey Specialty Hospital reported 260 inpatient discharges and 13,855 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Highsmith-Rainey Specialty Hospital have?

Highsmith-Rainey Specialty Hospital reported 224 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Highsmith-Rainey Specialty Hospital make?

Highsmith-Rainey Specialty Hospital reported $34.5M in net patient revenue on $135.2M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -23.3%, and net income of -$8M.

Who is the CEO of Highsmith-Rainey Specialty Hospital?

Highsmith-Rainey Specialty Hospital's Medicare enrollment lists Michael Nagowski as Chief Executive Officer since 2008.

What is Highsmith-Rainey Specialty Hospital's tax ID (EIN)?

Insurers' price transparency files list Highsmith-Rainey Specialty Hospital under employer identification number 56-0845796 (Cape Fear Valley Medical Center). 49 health plans and networks list 56-0845796 for it.

How many doctors are affiliated with Highsmith-Rainey Specialty Hospital?

158 clinicians who bill Medicare list Highsmith-Rainey Specialty Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (30), physician assistant (28), family nurse practitioner (17).

Is Highsmith-Rainey Specialty Hospital accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Highsmith-Rainey Specialty Hospital, effective 2024.

Who owns Highsmith-Rainey Specialty Hospital?

In its Medicare enrollment, Highsmith-Rainey Specialty Hospital reports Cumberland County Hospital System Inc as 5% or greater direct ownership interest (100%).

What services does Highsmith-Rainey Specialty Hospital offer?

CMS lists 27 services at Highsmith-Rainey Specialty Hospital, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, Audiology, Clinical Laboratory, CT Scan.

Where do Highsmith-Rainey Specialty Hospital's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Highsmith-Rainey Specialty Hospital came from ZIP codes 28303 (14).

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
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        "payer_name": "Platform Health Insurance",
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      }
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About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Accreditation and services

27 services at Highsmith-Rainey Specialty Hospital

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare outpatient services

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

Officers and key employees of Cumberland County Hospital System Inc (IRS Form 990, tax year 2024)

Programs and facilities

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts