REX HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: REX HOSPITAL INC (EIN 56-1509260)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-15
IRS object ID: 201901359349301905
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-15T08:09:52-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	421 Fayetteville Street Suite 300	AddressLine1Txt
City	Raleigh	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27601	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	561509260	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Rex Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ANDREW ZUKOWSKI	InCareOfNm
Business Name Control	REXH	BusinessNameControlTxt
Phone	9197843100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4420 Lake Boone Trail	AddressLine1Txt
City	Raleigh	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27607	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ANDREW ZUKOWSKI	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9197843100	PhoneNum
Signature	2019-05-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Marc Berger	PreparerPersonNm
PTIN	P01871563	PTIN
Phone	9192781936	PhoneNum
Preparation	2019-05-14	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	4.14.250.26	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	69472520191355000001	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	5A93BC6954598A5C499FB6FCEF79B3C90A134D16	AtSubmissionCreationDeviceId
At Submission Filing Device Id	5476F9B71916CD40FDB4E1086303C323EF876FF3	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	See Schedule O	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Stephen Burriss	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4420 Lake Boone Trail	AddressLine1Txt
City	Raleigh	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27607	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,217,362,468	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.rexhealth.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1986	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	Inspiring hope, improving health and healing communities.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	7763	TotalEmployeeCnt
Total Volunteers	1395	TotalVolunteersCnt
Total Gross UBI	$181,514	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,640,999	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,402,553	PYContributionsGrantsAmt
CY Contributions Grants	$4,454,519	CYContributionsGrantsAmt
PY Program Service Revenue	$1,052,634,825	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,138,427,222	CYProgramServiceRevenueAmt
PY Investment Income	$18,148,396	PYInvestmentIncomeAmt
CY Investment Income	$4,071,308	CYInvestmentIncomeAmt
PY Other Revenue	$1,026,131	PYOtherRevenueAmt
CY Other Revenue	$1,388,374	CYOtherRevenueAmt
PY Total Revenue	$1,075,211,905	PYTotalRevenueAmt
CY Total Revenue	$1,148,341,423	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,186,134	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$910,225	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$461,400,667	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$487,912,218	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$539,284,556	PYOtherExpensesAmt
CY Other Expenses	$619,962,024	CYOtherExpensesAmt
PY Total Expenses	$1,001,871,357	PYTotalExpensesAmt
CY Total Expenses	$1,108,784,467	CYTotalExpensesAmt
PY Revenues Less Expenses	$73,340,548	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$39,556,956	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,011,503,690	TotalAssetsBOYAmt
Total Assets EOY	$1,054,404,277	TotalAssetsEOYAmt
Total Liabilities BOY	$524,676,830	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$505,392,389	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$486,826,860	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$549,011,888	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	UNC Rex Healthcare is the preferred choice for health services among patients in Wake County and beyond by inspiring hope, improving health and healing communities. UNC Rex Healthcare provides services at facilities and clinics across Wake County to all patients, regardless of the ability to pay. UNC Rex Healthcare also seeks to improve the health of the community by providing education, diagnostic and preventative care, often by joining forces with other community groups. In addition to its main Raleigh campus, UNC Rex Healthcare offers much needed care and support at campuses in Apex, Cary, Garner, Holly springs, Knightdale, Raleigh and Wakefield.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$925,436,848	ExpenseAmt
Grant	$910,225	GrantAmt
Revenue	$1,138,427,222	RevenueAmt
Desc	UNC REX is the only hospital in North Carolina to receive straight 'A' grades since the Leapfrog Group began a national hospital safety scorecard in 2012. In Dec. 2017, UNC REX received a top five-star rating from the Centers for Medicare & Medicaid Services, one of only 337 hospitals nationwide, and the only hospital in the Triangle region to earn that recognition. More than 10 years ago, UNC REX became the first hospital in the Triangle to be awarded Magnet status by the American Nurses Credentialing Center. In 2015, UNC REX was re-designated Magnet status for the third consecutive time. The Magnet Recognition Program recognizes health care organizations for excellence in nursing care. This award puts UNC REX's nurses in an elite group of the top 2 percent of nurses in the nation. UNC REX is one of the largest employers in Wake County, with more than 7,000 co-workers. UNC REX is known for its excellent benefits and is routinely recognized by local and national publications as a "best place to work." In late 2018, UNC Health Care and UNC REX announced plans to increase the living wage for its employees across the Triangle to attract and retain a talented workforce, and reinforce the organization's reputation as a great place to work. The living wage will rise to $15 per hour in July 2019 for employees at UNC Medical Center in Chapel Hill, UNC REX in Raleigh, and UNC Physicians Network in the Triangle. Also in late 2018, UNC REX opened a new Food Pantry to support patients and their families who struggle with access to healthy food. The pantry is a partnership between UNC REX, Food Lion and the Food Bank of Central & Eastern North Carolina. It's one of the first food pantries operated by a community hospital in North Carolina, and one of only a handful across the country. Patients at UNC REX who indicate that they have recently struggled with food access, or who are considered food insecure, are prescribed a visit to the Food Pantry with their hospital discharge paperwork. They will receive a three-day supply of healthy food, enough for a family of four, including fresh produce, staple items and healthy snacks. The UNC REX Food Pantry will also provide nutritional information, healthy recipes from UNC REX's award-winning chefs and dietitians, and a comprehensive list of food banks and other community resources. UNC REX's culinary team has created a chef-based program that has attracted international recognition and reinventing traditional 'hospital food.' They tend an herb and vegetable garden at UNC REX, and use local and fresh ingredients as much as possible. UNC REX was the first hospital in the Southeast to get rid of deep fryers and the chefs continue to explore new ways to cook and serve our cuisine. In March 2017, the UNC REX chefs opened a new Mediterranean-themed, heart healthy restaurant called Kardia in the new North Carolina Heart & Vascular Hospital. In addition, the chefs began offering classes on healthy cooking and eating to patients, their families and members of the community in a new demonstration kitchen. UNC REX performs thousands of heart and vascular procedures a year, including coronary artery bypass grafting, endovascular AAA repair, echocardiography, peripheral vascular ultrasound, valve replacement and repair, angioplasty, cardiac catheterization, minimally invasive structural heart procedures, invasive peripheral vascular interventions, including critical limb ischemia procedures, electrophysiology procedures and stent placement, regardless of patients' ability to pay. UNC REX has been a Chest Pain Accredited hospital for more than a decade, reinforcing the organization's dedication to community outreach and innovation in the care of chest pain patients. The service line also includes open heart surgical suites where physicians perform procedures such as coronary artery bypass grafting, mitral valve replacement and repair, and aortic valve and aortic arch replacements. UNC REX also provides a full range of invasive catheter based cardiac, vascular and electrophysiology procedures. All of the existing heart and vascular services and care, which were provided at more than seven locations across the main hospital in Raleigh, were consolidated into a modern, more efficient and more convenient facility with the March 2017 opening of the North Carolina Heart and Vascular Hospital on UNC REX's main Raleigh campus. This eight-story, 306,000-square-foot hospital provides easier and more comfortable access for patients and their families, physicians and staff, in a facility that's designed to promote healing, prevention, education, innovation and wellness. Our chefs and dietitians regularly hold community healthy cooking demonstrations in a conference space that includes a demonstration kitchen, and have hosted hundreds of participants, including patients and their families. UNC REX Surgery Centers in Raleigh, Cary and Wakefield were used by hundreds of physicians to provide thousands of in- and out-patient surgeries and procedures in FY18. The three locations have improved access to specialized care for patients across the region. Surgeons make substantial use of minimally invasive technology and innovation for diagnosis and treatment, reducing patients' recovery time and hospital stay and supporting quality care. The centers include 38 operating suites, 11 minor procedure rooms, and various perioperative and ancillary support spaces. UNC REX is increasingly performing surgeries on an outpatient basis, and continuing to look for other ways to reduce overall costs for patients. Some of the top procedures include general, orthopedic, gynecologic and ophthalmic surgeries. During the year, thousands of outpatient orthopedic procedures were performed at Raleigh Orthopaedic Surgery Center, UNC REX's joint venture with Raleigh Orthopaedic Clinic located about a mile from UNC REX's main Raleigh campus. UNC REX provides a full range of specialized, multi-disciplinary oncology therapy and support services to patients in Wake County and beyond including medical, radiation and surgical oncology. In addition to providing cancer treatments and therapies at five locations in Wake County, the centers offer outreach and support services including nutritional services, nurse navigation, social work, rehabilitation services and survivorship or end of life care. UNC REX Cancer Center also provides oncologic surgical services to cancer patients through access to UNC REX Hospital. UNC REX Cancer Center is accredited by the Commission on Cancer as a Comprehensive Community Cancer Center and works closely with the nationally recognized N.C. Cancer Hospital and the UNC Lineberger Comprehensive Cancer Center in Chapel Hill to extend specialty oncology services and clinical trials to patients in Raleigh. In early 2017, UNC REX Cancer Care began a Patient & Family Advisory Council. It's a group of survivors and other volunteers who visit with cancer patients and families going through treatment to offer support, gather feedback, develop new programs and activities, and more. The goal is to help staff understand ways they could improve the overall patient experience. In late 2018, UNC REX announced plans to build a new, $65 million Cancer Center across the street from our main Raleigh campus. That facility is expected to open in 2021. At UNC REX's Women's Center, caregivers seek to provide family-centered care to the new mother, baby and extended family. Every year, thousands of babies are born at the Women's Center. These births are supported by 24/7 anesthesiology and neonatology services, high risk obstetrics provided by UNC Maternal Fetal Medicine, lactation support services provided by a team of certified lactation consultants and an in-house retail center for infant nutrition. UNC REX also offers a wide variety of pre- and post-natal classes, screening for postpartum depression and psychological services. There are three operating suites for cesarean births and 70 private rooms in which labor, delivery, recovery, and postpartum care of the mother and child normally occur. UNC REX's Neonatal Intensive Care Unit is a Level IV designation, allowing UNC REX's team of board certified neonatologists, nurses, respiratory therapists, developmental care team and others to care for even more premature and medically fragile babies. UNC REX's NICU was previously designated Level III. In 2016, Rex also added an Obstetric Emergency Department. The OB ED is staffed 24/7 with a team of OB Hospitalists, nurses and technicians who provide obstetric emergency care in partnership with our community obstetricians. This assures our patients always receive timely obstetric care, not to mention an extra pair of hands when an obstetrician has two deliveries at one time or is managing other urgent patient care needs. UNC REX provided screening mammograms to thousands of women across a 17-county region, including many with no insurance or who are underinsured	Desc
Total Program Service Expenses	$925,436,848	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	Yes (true)	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	360	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7763	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ANDREW ZUKOWSKI	PersonNm
Phone	9197843100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4420 LAKE BOONE TRAIL	AddressLine1Txt
City	Raleigh	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27607	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Catharine B Arrowood
Director	1.0	2.0	Yes (X)	$0	$0	$0
Teresa C Artis
Director	1.0	2.0	Yes (X)	$0	$0	$0
Ann S Collins MD
Director	1.0	2.0	Yes (X)	$0	$0	$0
Courtney A Crowder
Director	1.0	2.0	Yes (X)	$0	$0	$0
Peter D Hans
Director	1.0	2.0	Yes (X)	$0	$0	$0
Steven C Lilly
Director	1.0	2.0	Yes (X)	$0	$0	$0
C Howard Nye
Director/Vice Chairman	2.0	4.0	Yes (X)	$0	$0	$0
Bobby T Parker
Director	1.0	2.0	Yes (X)	$0	$0	$0
Rig S Patel MD
Director	1.0	2.0	Yes (X)	$608,629	$0	$27,251
William L Roper MD
Director	1.0	2.0	Yes (X)	$0	$1,653,964	$690,645
Robert S Thomas
Director/Chairman	2.0	4.0	Yes (X)	$0	$0	$0
Gary L Park
Director/CEO	20.0	40.0	Yes (X)	$0	$1,019,986	$549,846	Yes (X)
Stephen W Burriss
Director/President	59.0	1.0	Yes (X)	$619,513	$0	$177,033	Yes (X)
Susan M Sandberg
COO	59.0	1.0		$451,726	$0	$69,518	Yes (X)
Andrew K Zukowski
CFO & Treasurer	59.0	1.0		$379,003	$0	$57,998	Yes (X)
Tate Bombard
VP/General Counsel & Secretary	60.0	0.0		$212,478	$0	$25,068	Yes (X)
Linda H Butler MD
VP/Medical Affairs, CMO & CMIO	60.0	0.0		$371,743	$0	$72,926	Yes (X)
Jayne R Byrd
VP/Surgical Services	60.0	0.0		$356,388	$0	$222,123	Yes (X)
Donald R Esposito Jr
VP/General Counsel & Secretary	60.0	0.0		$371,720	$0	$63,865	Yes (X)
Sylvia D Hackett
VP/Rex Healthcare Foundation	1.0	59.0		$353,767	$0	$87,084	Yes (X)
Chad T Lefteris
VP/Operations	60.0	0.0		$326,173	$0	$35,097	Yes (X)
Joel D Ray
VP/Patient Care Services & CNO	60.0	0.0		$285,450	$0	$39,686	Yes (X)
Robert D Ricker
VP/Physician Services	60.0	0.0		$286,622	$0	$102,523	Yes (X)
Kirsten Riggs
VP	60.0	0.0		$263,821	$0	$56,658	Yes (X)
Lisa R Schiller
VP/Mktg, PR, Comm Relations &	60.0	0.0		$264,309	$0	$52,663	Yes (X)
Tammie T Stanton
VP/Post Acute Services	60.0	0.0		$0	$324,127	$90,639	Yes (X)
Sean T Tehrani MD
VP/Regional Hospitalists Servi	60.0	0.0		$605,560	$0	$58,455	Yes (X)
Roy C Tempke
VP/Care Transitions	60.0	0.0		$202,409	$0	$39,426	Yes (X)
Tom G Williams
VP/Ambulatory Services	60.0	0.0		$247,987	$0	$56,557	Yes (X)
Jeff S LeGay
Asst Treasurer & Asst Secretar	60.0	0.0		$226,260	$0	$17,551	Yes (X)
Benjamin J Mathew
Asst Treasurer & Asst Secretar	60.0	0.0		$137,055	$0	$22,091	Yes (X)
Mateen Akhtar
Physician	60.0	0.0		$1,659,391	$0	$16,981		Yes (X)
Deepak Pasi
Physician	60.0	0.0		$1,431,572	$0	$14,453		Yes (X)
Ravish Sachar
Physician	60.0	0.0		$1,386,887	$0	$14,407		Yes (X)
Eric Janis
Physician	60.0	0.0		$1,330,146	$0	$14,453		Yes (X)
John Buttram Jr
Physician	60.0	0.0		$1,315,578	$0	$9,328		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,694,187	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,998,077	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,684,325	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	638	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Skanska USA Building Inc
4309 Emperor Blvd STE 200	DURHAM	NC	27703	Construction	$20,335,524
Quality Textile Services Inc
313 S Rogers Lane	RALEIGH	NC	27610	Linen Services	$3,223,055
DPR Construction
2000 Aerial Center Parkway STE 118	MORRISVILLE	NC	27560	Construction	$1,750,461
Mayo Medical Laboratories
200 SW 1st Street	ROCHESTER	MN	55095	Lab Services	$1,677,317
Talon Medical Construction Services
212 Powell Drive Suite 130	RALEIGH	NC	27606	Construction	$1,504,907

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	58	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,454,519	RelatedOrganizationsAmt
Total Contributions	$4,454,519	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICE REVENUE	625100	$1,088,663,716	$1,088,663,716
ALL OTHER PROGRAM SERVICE REVENUE	625100	$49,763,506	$43,674,104	$181,514	$5,907,888

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,138,427,222	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,176,430	TotalRevenueColumnAmt
Exclusion	$1,176,430	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,489,205	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$385,347	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,103,858	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,103,858	TotalRevenueColumnAmt
Exclusion	$1,103,858	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$68,726,812	SecuritiesAmt
Other	$2,803,764	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$68,635,698	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$91,114	SecuritiesAmt
Other	$2,803,764	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,894,878	TotalRevenueColumnAmt
Exclusion	$2,894,878	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	GAIN ON CIP DISPOSAL	Desc
Business	621990	BusinessCd
Total Revenue Column	$284,516	TotalRevenueColumnAmt
Exclusion	$284,516	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$284,516	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,148,341,423	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,132,337,820	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$181,514	UnrelatedBusinessRevenueAmt
Exclusion	$11,367,570	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$910,225	TotalAmt
Program Services	$910,225	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,279,861	TotalAmt
Management And General	$7,279,861	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$400,231,919	TotalAmt
Program Services	$362,810,235	ProgramServicesAmt
Management And General	$37,421,684	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$23,684,694	TotalAmt
Program Services	$22,517,039	ProgramServicesAmt
Management And General	$1,167,655	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$30,773,619	TotalAmt
Program Services	$27,320,819	ProgramServicesAmt
Management And General	$3,452,800	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$25,942,125	TotalAmt
Program Services	$22,829,070	ProgramServicesAmt
Management And General	$3,113,055	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$808,652	TotalAmt
Management And General	$808,652	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$67,361	TotalAmt
Management And General	$67,361	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$33,039	TotalAmt
Management And General	$33,039	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$719,560	TotalAmt
Management And General	$719,560	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$40,596,532	TotalAmt
Program Services	$36,942,844	ProgramServicesAmt
Management And General	$3,653,688	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,121,330	TotalAmt
Program Services	$3,750,410	ProgramServicesAmt
Management And General	$370,920	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,452,927	TotalAmt
Program Services	$7,722,229	ProgramServicesAmt
Management And General	$730,698	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,634,010	TotalAmt
Program Services	$5,126,949	ProgramServicesAmt
Management And General	$507,061	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$27,872,957	TotalAmt
Program Services	$25,364,391	ProgramServicesAmt
Management And General	$2,508,566	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,270,357	TotalAmt
Program Services	$2,066,025	ProgramServicesAmt
Management And General	$204,332	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$289,768	TotalAmt
Management And General	$289,768	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,126,096	TotalAmt
Program Services	$7,394,747	ProgramServicesAmt
Management And General	$731,349	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$34,901,720	TotalAmt
Program Services	$34,901,720	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,257,863	TotalAmt
Program Services	$34,814,655	ProgramServicesAmt
Management And General	$3,443,208	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,446,608	TotalAmt
Program Services	$6,776,413	ProgramServicesAmt
Management And General	$670,195	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PATIENT CARE SUPPLIES & SERVIC	$274,040,163	$274,040,163
BAD DEBT EXPENSE	$27,846,317	$27,846,317
MINOR EQUIPMENT AND R&M	$17,175,105	$15,629,346	$1,545,759
HOME OFFICE ALLOCATION	$113,968,416		$113,968,416

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,333,243	TotalAmt
Program Services	$6,673,251	ProgramServicesAmt
Management And General	$659,992	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,108,784,467	TotalAmt
Program Services	$925,436,848	ProgramServicesAmt
Management And General	$183,347,619	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$26,279,184	BOYAmt
EOY	$69,318,809	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$30,468,878	BOYAmt
EOY	$64,941,844	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$141,037,339	BOYAmt
EOY	$129,290,627	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,460,573	BOYAmt
EOY	$21,592,722	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$43,305,505	BOYAmt
EOY	$52,704,784	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$967,862,957	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$554,121,861	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$422,059,746	BOYAmt
EOY	$413,741,096	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$278,379,105	BOYAmt
EOY	$253,007,581	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$24,761,097	BOYAmt
EOY	$27,784,591	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$25,752,263	BOYAmt
EOY	$22,022,223	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,011,503,690	BOYAmt
EOY	$1,054,404,277	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$143,497,078	BOYAmt
EOY	$143,863,853	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$727,015	BOYAmt
EOY	$408,519	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$247,081,712	BOYAmt
EOY	$241,140,822	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$18,180	BOYAmt
EOY	$22,441	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$133,352,845	BOYAmt
EOY	$119,956,754	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$524,676,830	BOYAmt
EOY	$505,392,389	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$403,240,787	BOYAmt
EOY	$485,969,930	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$83,586,073	BOYAmt
EOY	$63,041,958	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$486,826,860	BOYAmt
EOY	$549,011,888	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,011,503,690	BOYAmt
EOY	$1,054,404,277	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$39,556,956	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$22,628,072	NetUnrlzdGainsLossesInvstAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form1120 POL Filed	false	Form1120POLFiledInd
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$33,039	OtherActivitiesAmt
Total Lobbying Expenditures	$33,039	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part-II B	FormAndLineReferenceDesc
Explanation	Rex Hospital believes in maintaining strong, open and effective relationships with elected officials and policy makers at the local, state and national levels. The objective is to educate these groups on healthcare issues, to serve as a resource and to communicate the Organization's position in support of its mission. As a member of the North Carolina Hospital Association and American Hospital Association, a percentage of the Organization's membership dues are attributed to lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Agent Trustee Etc	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (true)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,906,290	OtherCostOrOtherBasisAmt
Book Value	$30,906,290	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$349,086,791	OtherCostOrOtherBasisAmt
Depreciation	$121,526,527	DepreciationAmt
Book Value	$227,560,264	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,240,854	OtherCostOrOtherBasisAmt
Depreciation	$10,813,172	DepreciationAmt
Book Value	$11,427,682	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$417,679,729	OtherCostOrOtherBasisAmt
Depreciation	$341,282,169	DepreciationAmt
Book Value	$76,397,560	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$147,949,293	OtherCostOrOtherBasisAmt
Depreciation	$80,499,993	DepreciationAmt
Book Value	$67,449,300	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$413,741,096	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
CAPITAL LEASE	$251,703
PAYABLE TO RELATED PARTY	$2,782,406
PENSION LIABILITY	$116,922,645

Field	Value	IRS element (for citing)
Total Liability	$119,956,754	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part IV, Line 2b:

THE ORGANIZATION HOLDS CASH IN TRUST FOR THE RESIDENTS OF THE NURSING HOME FACILITIES.

Part X, Line 2:

The following footnote comes from the consolidated financial statements of Rex Hospital, INC. D/B/A Rex Healthcare. The footnote references other members of the audit consolidated group that are not part of this tax return: Rex, the Hospital, and the Foundation are exempt from federal income tax under Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code. Enterprises is a taxable corporation that previously had net operating loss carryforwards which expired in 2012. The Hospital is the sole member of RHV GP, RHVI, ROV, RSCW, Holdings and Enterprises, and Enterprises is the sole member of RWE and RHVLLC. RWE is the sole member of Wellness and MOB. As such, these entities are considered disregarded entities for tax purposes.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,438,002	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,438,002	NetCommunityBenefitExpnsAmt
Total Expense	0.02290	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,319,424	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,305,970	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,013,454	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,757,426	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,305,970	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,451,456	NetCommunityBenefitExpnsAmt
Total Expense	0.02470	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$922,190	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$922,190	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$678,631	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$678,631	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,197,189	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,197,189	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,798,010	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,798,010	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$79,555,436	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,305,970	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,249,466	NetCommunityBenefitExpnsAmt
Total Expense	0.02720	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$27,846,317	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,074,570	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$393,662,152	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$524,966,449	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$131,304,297	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Rex Surgery Center o
Ambulatory Surgical Center	0.55	0.0	0.45
Orthopaedic Surgery
Surgery Center	0.51	0.0	0.49

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Rex Hospital INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4420 Lake Boone Trail	AddressLine1Txt
City	Raleigh	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27607	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.rexhealth.com	WebsiteAddressTxt
State License	H0065	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Rex Hospital INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Part V	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	false	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section B, Line 5:	The organization took into account input from persons representing the community through participation in both a community wide health opinion survey and focus groups. The health opinion survey was internet based and telephone surveys of randomly selected households. The nine focus groups, including two in Spanish, consisted of recruited participants representing specific groups.
Part V, Section B, Line 6A:	The Organization's community health needs assessment (CHNA) was conducted with the following hospital facilities: Wakemed health and hospitals and Duke Raleigh Hospital.
Part V, Section B, Line 6B:	The organization's community health needs assessment (CHNA) was conducted with the following organizations other than hospital facilities: wake county human services, advance community health, united way of the greater triangle and wake county medical society community health foundation.
Part V, Section B, Line 7a:	www.rexhealth.com/rh/about/community/community-health-needs-assessment
Part V, Section B, Line 7b:	www.wakegov.com/humanservices/data
Part V, Section B, Line 10a:	www.rexhealth.com/rh/about/community/community-health-needs-assessment
Part V, Section B, Line 11:	THE ORGANIZATION IS ADDRESSING THE FOLLOWING TOP IDENTIFIED AREAS: HEALTH INSURANCE COVERAGE: WHILE THIS CONCERN CERTAINLY RELATES TO THOSE NOT HAVING COVERAGE AT ALL, MORE FREQUENTLY THAN EVER CONCERNS ARE BEING RAISED BY THOSE WHO HAVE INSURANCE REGARDING OTHER CRITICAL ISSUES; SUCH AS, LIMITATIONS ON WHAT INSURANCE DOES OR DOES NOT COVER, COMPLEXITY OF THE SYSTEM AND THE NEED FOR EDUCATION RELATED TO HOW INSURANCE WORKS AND HOW TO USE IT, ABILITY TO AFFORD POST-INSURANCE FINANCIAL OBLIGATIONS RELATED TO VISITS AND PRESCRIPTIONS AND REMAINING BARRIERS TO ACCESS FOR CERTAIN INSURANCE TYPES, NAMELY MEDICARE AND MEDICAID, AS SOME PHYSICIANS AND PROVIDERS HAVE LIMITED OR SUSPENDED THEIR ACCEPTANCE OF THOSE INSURANCE TYPES. UNC REX WILL FOCUS ON EDUCATION TO INTERNAL AUDIENCES, MOST SPECIFICALLY PATIENT FINANCIAL SERVICES AND NURSE NAVIGATORS, TO ALLOW FOR EXPANDED CONVERSATIONS REGARDING HEALTH INSURANCE COVERAGE, OPTIONS, AND MEANS OF OBTAINING THEM. UNC REX WILL FORM A STRONGER PARTNERSHIP WITH ENROLL AMERICA, THE NATION'S LEADING HEALTH CARE ENROLLMENT COALITION. IN ADDITION, CHANGES TO THE UNC REX CO-WORKER BENEFITS STRUCTURE WILL INCREASE THE NUMBER OF CO-WORKERS WHO CAN AFFORD COVERAGE; THIS IS KEY AS ONE OF THE LARGEST WAKE COUNTY EMPLOYERS. UNC REX WILL EVALUATE ITS SUPPORT OF THE TRIANGLE UNITED WAY ACA PROGRAM TO FUND PREMIUMS OF THOSE WHO CANNOT AFFORD THEM AND THE EXPANSION OF THE UNC REX ANGEL FUND, WHICH SUPPORTS PATIENTS UNDERGOING CANCER TREATMENT. TRANSPORTATION: ACCESS TO AND COST OF TRANSPORTATION IS AN ISSUE THAT IMPACTS EVERY RESIDENT OF WAKE COUNTY, REGARDLESS OF THEIR BACKGROUND ORSOCIAL STATUS AND CAN HAVE MULTIPLE IMPLICATIONS ON HEALTH. UNC REX HAS INITIATED A NEW INTERNAL EFFORT TO COORDINATE APPOINTMENTS FOR PATIENTS WITH CHRONIC CONDITIONS TO REDUCE TRAVEL, WHICH WILL ASSIST INEFFICIENCIES FOR BOTH PATIENTS AND PROVIDERS. EXPANSION OF MOBILE HEALTH OUTREACH, MAMMOGRAPHY AND HEART & VASCULAR SCREENINGS, INCLUDING POTENTIAL NEW OPTIONS TO REACH PEOPLE CLOSER TO WHERE THEY LIVE AND WORK, ESPECIALLY IN UNDERSERVED AREAS IS IN REVIEW. IN ADDITION, ADVANCEMENTS iN TELEMEDICINE ALTERNATIVES WILL REDUCE A PATIENT'S RELIANCE ON TRANSPORTATION TO RECEIVE CARE. ACCESS TO HEALTH SERVICES: FROM A HEALTH NEED PERSPECTIVE FOR WAKE COUNTY, ACCESS TO HEALTH SERVICES ENCOMPASSES THOSE AREAS OR ITEMS THAT PRESENT A BARRIER TO RESIDENTS RECEIVING THE CARE THEY NEED; AS SUCH, THIS NEED CAN BE FAIRLY BROAD. HOWEVER, THE KEY AREAS ARE SYSTEM COMPLEXITY, AFFORDABILITY, PROVIDER AVAILABILITY AND PRIMARY CARE ACCESS. FOCUSED EFFORTS ON POPULATION HEALTH WILL REDUCE COSTS AND IMPROVE MEDICAL CARE AND PREVENTION ACROSS THE COMMUNITY. UNC REX'S EDUCATION TO ADDRESS PROPER UTILIZATION OF EMERGENCY DEPARTMENTS, URGENT CARE CENTERS AND PRIMARY CARE FACILITIES IS ONGOING. FURTHER EXPANSION OF THE UNC HEALTH ALLIANCE CLINICALLY INTEGRATED NETWORK WILL ENGAGE PHYSICIANS ACROSS THE COUNTY AND BEYOND IN THE TRANSFORMATION OF PATIENT CARE. ADDING PRIMARY CARE AND SPECIALTY PROVIDERS ACROSS THE TRIANGLE AS WELL AS HEART & VASCULAR, SURGICAL AND HOSPITALIST PROGRAMS IN JOHNSTON COUNTY HAS PROVIDED RESIDENTS WITH GREATER ACCESS TO QUALITY HEALTHCARE OPTIONS. IN ADDITION, EXPANSION OF SERVICES IN HOLLY SPRINGS, INCLUDING FUTURE HOLLY SPRINGS HOSPITAL, WILL PROVIDE RESIDENTS OF SOUTHERN WAKE COUNTY GREATER ACCESS TO QUALITY HEALTHCARE AND ADDITIONAL JOB OPPORTUNITIES. UNC REX WILL EXPLORE NEW AND INTERACTIVE WAYS TO REACH PEOPLE, THROUGH COMMUNITY OUTREACH, TELEHEALTH OR OTHER ALTERNATIVES. THE FIVE REX WELLNESS CENTERS GEOGRAPHICALLY SPREAD ACROSS THE COUNTY WILL CONTINUE TO BE AN INTEGRAL PART OF IMPROVING FITNESS AND NUTRITION, SUPPORTING COMMUNITY ACTIVITIES, PROVIDING EDUCATION AND ACCESS TO MOBILE HEART AND VASCULAR SCREENINGS. OTHER ACTIVITIES THAT UNC REX HAVE IMPLEMENTED OR ARE PURSUING INCLUDE A DEMONSTRATION KITCHEN IN THE NEW HEART & VASCULAR HOSPITAL, EXPANSION OF FREE ONLINE TOOLS FOR HEALTH ASSESSMENT AND INCREASING THE NUMBER OF NAVIGATORS TO ASSIST PATIENTS FROM POINT OF DIAGNOSIS THROUGH REFERRAL VISITS AND SURGICAL PROCEDURES WILL BE REVIEWED MAKING IT EASIER FOR PATIENTS TO NAVIGATE THE HEALTHCARE LANDSCAPE. MENTAL HEALTH AND SUBSTANCE ABUSE: PATIENTS WILL HAVE MUCH-NEEDED ACCESS TO HIGHER LEVELS OF SPECIALIZED BEHAVIORAL HEALTH AND MEDICAL CARE AT UNC WAKEBROOK, WHICH RECEIVES ANNUAL FINANCIAL SUPPORT FROM UNC REX. IN ADDITION, AT UNC REX HOSPITAL EMERGENCY DEPARTMENT (ED), A NEW BEHAVIORAL HEALTH HOLDING AREA IS IN PROCESS, WHICH WILL POSITIVELY IMPACT ACCESS TO THE ED AND ALLOW FOR PATIENTS TO BE CARED FOR IN A BETTER LOCATION. MORE TRAINING FOR CORE STAFF WITH BACKGROUNDS IN MENTAL AND BEHAVIORAL HEALTH WILL EXPAND THE CAREGIVER POOL. UNC REX WILL CONTINUE COLLABORATIONS WITH OTHER COMMUNITY PROVIDERS TO BEST MEET THE NEEDS OF THIS SPECIAL PATIENT POPULATION. EFFORTS WITH THE UNC REX PAIN MANAGEMENT DEPARTMENT AND THE COMMUNITY CARE OF NORTH CAROLINA TO EXPAND ITS COLLABORATIVE, PROACTIVE APPROACH FOR ASSISTING PATIENTS WITH CHRONIC PAIN ISSUES WILL CONTINUE TO REDUCE THE INCIDENCE OF OVERDOSE AND DEATH DUE TO SUBSTANCE ABUSE. UNC REX WILL CONTINUE THROUGH PARTNERSHIPS TO BUILD AWARENESS AROUND REDUCING THE STIGMAS SURROUNDING MENTAL HEALTH. THE ORGANIZATION DID NOT ADDRESS THE FOLLOWING FOCUS AREAS IDENTIFIED IN THE CHNA: INCOME AND POVERTY, EMPLOYMENT, HEALTH PROFESSIONALS, PHYSICAL ACTIVITY, NUTRITION AND OBESITY, HOUSING AND HOMELESSNESS, COMMUNITY ENGAGEMENT, CAREGIVING, ENVIRONMENTAL HEALTH, EDUCATION AND LIFELONG LEARNING, CHILD WELFARE AND FINANCIAL ASSISTANCE, HEALTH STATUS, INJURY AND VIOLENCE, MATERNAL AND INFANT HEALTH, ORAL HEALTH, CRIME AND SAFETY, DISABILITIES AND CULTURAL AND/OR LANGUAGE BARRIERS. AS A HEALTHCARE ORGANIZATION, UNC REX'S RESOURCES ARE MORE READILY AVAILABLE TO ADDRESS THE AREAS IDENTIFIED ABOVE.
part v, section b, lines 16a, 16b and 16c:	www.uncmedicalcenter.org/uncmc/patients-visitors/billing/financial-assista nce-programs

Field	Value	IRS element (for citing)
Facility	68	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (68 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
North Carolina Heart & Vascular Hospital
2800 Blue Ridge Road	Raleigh	NC	27607	Heart & Vascular
Rex Healthcare of Wakefield
11200 Governor Manly Way	Raleigh	NC	27614	Healthcare
Rex Healthcare of Cary
1505 SW Cary Parkway	Cary	NC	27511	Healthcare
Rex Healthcare of Garner
1400 Timber Drive East	Garner	NC	27529	Healthcare
Rex Medical Office Building
2800 Blue Ridge Road	Raleigh	NC	27607	Healthcare
Rex Medical Plaza
4414 Lake Boone Trail	Raleigh	NC	27607	Healthcare
Rex Healthcare of Knightdale
6602 Knightdale Blvd	Knightdale	NC	27545	Healthcare
Rex Healthcare of Holly Springs
781 Avent Ferry Road	Holly Springs	NC	27540	Healthcare
UNC REX Rehabilitation & Nursing Care Ce
4210 Lake Boone Trail	Raleigh	NC	27607	Nursing Facility
UNC REX Rehabilitation & Nursing Care Ce
911 S Hughes Street	Apex	NC	27502	Nursing Facility
WakeBrook Primary Care Office
107 Sunnybrook Road	Raleigh	NC	27610	Healthcare
North Carolina Surgery
4207 Lake Boone Trail Suite 210	Raleigh	NC	27607	General Surgery
Raleigh Orthopaedic Clinic- Edwards Mill
3001 Edwards Mill Road	Raleigh	NC	27612	Orthopaedic
Rex Hematology Oncology Associates- Blue
2605 Blue Ridge Road Suite 190	Raleigh	NC	27607	Oncology
North Carolina Heart &Vascular Goldsbor
2615 Hospital Road Suite 300	Goldsboro	NC	27534	Heart & Vascular
North Carolina Heart & Vascular Clinton
603 Beaman Street Suite 501	Clinton	NC	28328	Heart & Vascular
UNC Hospitals at WakeBrook
111 Sunnybrook Road	Raleigh	NC	27610	Healthcare
UNC REX Rehabilitation Services- Raleigh
2709 Blue Ridge Road Suite 200	Raleigh	NC	27607	Rehabilitation
UNC Radiation Oncology at Smithfield
514 N Bright Leaf Blvd Suite 120	Smithfield	NC	27577	Oncology
UNC Radiation Oncology at Clayton
2076 NC Highway 42 W Suite 120	Clayton	NC	27520	Oncology
Raleigh Orthopaedic (North Raleigh)
10880 Durant Road Suite 300	Raleigh	NC	27614	Orthopaedic
Rex Digestive Healthcare (Raleigh)
2417 Atrium Drive Suite 150	Raleigh	NC	27607	Digestive Healthcare
Rex Digestive Healthcare (North Raleigh)
8300 Health Park Suite 327	Raleigh	NC	27615	Digestive Healthcare
Rex Ear Nose and Throat Specialists (Ca
790 SE Cary Parkway Suite 110	Cary	NC	27511	ENT Healthcare
Rex Neurosurgery & Spine Specialists (Ra
4207 Lake Boone Trail Suite 220	Raleigh	NC	27607	Neurosurgery
Rex Hospital Outpatient Rehabilitation (
2709 Blue Ridge Road Suite 200	Raleigh	NC	27607	Rehabilitation
North Carolina Surgery- Rex Breast Care
3100 Duraleigh Road Suite 205	Raleigh	NC	27612	Breast Care
Rex Digestive Healthcare (Wakefield)
11211 Galleria Ave Suite 100	Raleigh	NC	27614	Digestive Healthcare
Rex Digestive Healthcare (Knightdale)
6905 Knightdale Blvd Suite 103	Knightdale	NC	27545	Digestive Healthcare
Rex Hematology Oncology Associates- Cary
150 Parkway Office Court Suite 200	Cary	NC	27518	Oncology
Rex Pulmonary Specialists (Wakefield)
11081 Forest Pines Drive Suite 104	Raleigh	NC	27614	Pulmonary Health
UNC Center for Rehabilitation Care of Ra
2709 Blue Ridge Road Suite 220	Raleigh	NC	27607	Rehabilitation
UNC REX Cancer Care of East Raleigh
117 Sunnybrook Road	Raleigh	NC	27610	Cancer Care
North Carolina Heart & Vascular (Clayton
2076 NC Highway 42 W	Clayton	NC	27520	Heart & Vascular
North Carolina Heart & Vascular (Briar C
10208 Cerny Street Suite 106	Raleigh	NC	27617	Heart & Vascular
North Carolina Surgery- Rex Breast Care
300 Ashville Ave Suite 240	Cary	NC	27518	Breast Care
Raleigh Orthopaedic (Cary)
222 Ashville Ave Suite 20	Cary	NC	27518	Orthopaedic
Rex Pulmonary Specialists (Cary)
300 Ashville Ave Suite 301	Cary	NC	27518	Pulmonary Health
North Carolina Heart & Vascular (Louisbu
500 Redwood Lane	Louisburg	NC	27549	Heart & Vascular
North Carolina Surgery at Brier Creek
10208 Cerny Street Suite 106	Raleigh	NC	27617	General Surgery
North Carolina Heart & Vascular (Wilson)
2605 Forest Hills Road SW Suite D	Wilson	NC	27893	Heart & Vascular
North Carolina Surgery at Smithfield
131 E Market Street	Smithfield	NC	27577	General Surgery
Rex Heart Failure Clinic (Goldsboro)
2615 Hospital Road Suite 300	Goldsboro	NC	27534	Heart Health
Women's Health Alliance PA- Women's Hea
11211 Galleria Ave	Raleigh	NC	27614	Women's Healthcare
North Carolina Heart & Vascular (Rocky M
2412 Professional Drive	Rocky Mount	NC	27804	Heart & Vascular
North Carolina Surgery at Wilson
130 Glendale Drive W	Wilson	NC	27893	General Surgery
Rex Digestive Healthcare (Cary)
10030 Green Level Church Road STE	Cary	NC	27519	Digestive Healthcare
North Carolina Heart & Vascular (Lilling
701 S Main Street	Lillington	NC	27546	Heart & Vascular
North Carolina Heart & Vascular (Smithfi
910 Berkshire Road	Smithfield	NC	27577	Heart & Vascular
Rex Neurosurgery and Spine Specialists (
34 Healthpark Way Suite 100 C	Clayton	NC	27520	Neurosurgery
Rex Vascular Specialists (Smithfield)
910 Berkshire Road	Smithfield	NC	27577	Vascular Health
UNC Urgent Care at Raleigh
3050 Duraleigh Road Suite 111	Raleigh	NC	27612	Vascular Health
Rex Vascular Specialists (Clayton)
2076 NC Highway 42 W Suite 100	Raleigh	NC	27520	Vascular Health
UNC Urogynecology and Reconstructive Pel
4325 Lake Boone Trail Suite 315	Raleigh	NC	27607	Surgery
Rex Digestive Healthcare (Smithfield)
507 N Brightleaf Blvd Suite 100	Smithfield	NC	27577	Digestive Healthcare
Raleigh Orthopaedic (Garner)
1325 Timber Drive E	Garner	NC	27529	Orthopaedic
Rex Sleep Lab of Raleigh
3050 Duraleigh Road Suite 101	Raleigh	NC	27612	Sleep Lab
Women's Health Alliance PA pka Capital
1110 SE Cary Parkway Suite 200	Cary	NC	27518	Women's Healthcare
UNC Neurosurgery at Nash
45 Guardian Court	Rocky Mount	NC	27804	Neurosurgery
Associates in Women's Healthcare PA
901 Ridgefield Drive	Raleigh	NC	27609	Women's Healthcare
Arbor Obstetrics and Gynecology
2615 Lake Drive Suite 201	Raleigh	NC	27607	Women's Healthcare
Rex Sleep Lab of Cary
790 SE Cary Parkway Suite 105	Cary	NC	27511	Sleep Lab
Rex Wellness Center of Raleigh
4200 Lake Boone Trail	Raleigh	NC	27607	Wellness & Rehabilitation
Rex Pain Management Center
3050 Duraleigh Road Suite 201	Raleigh	NC	27612	Pain Management
Rex Home Services
1500 Sunday Drive Suite 113	Raleigh	NC	27607	Home Healthcare
Rex Hospital Lab of Duraleigh
3050 Duraleigh Road Suite 121	Raleigh	NC	27612	Lab
Carolina Elite Women's Care
934 Vandora Springs Road	Garner	NC	27529	Women's Healthcare
Rex Child Development Center
3116 Blue Ridge Road	Raleigh	NC	27612	Child Development

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part III, Section A, Line 2:	THE COSTING METHODOLOGY USED TO DETERMINE PAYER COSTS IS THE ANDI METHODOLOGY, WHICH USES A FACILITY-WIDE RATIO OF COST TO CHARGES AS DESCRIBED IN THE NCHA COMMUNITY BENEFITS GUIDELINES. Part III, Section A, Line 3: WHILE THE COSTS OF BAD DEBTS ARE PRESENT FOR ESSENTIALLY EVERY BUSINESS ORGANIZATION, FEW OTHER THAN HOSPITALS ARE EXPECTED TO CONTINUE TO PROVIDE SERVICES TO THOSE WITH MEANS WHO HAVE PREVIOUSLY FAILED TO PAY. CONTINUATION OF SERVICE TO PATIENTS WITH THE MEANS TO PAY BUT WHO HAVE FAILED TO DO SO IS A FURTHER COMMUNITY BENEFIT RELATED TO THEORGANIZATION'S MISSION. THEREFORE, WE BELIEVE THAT THE COST OF BAD DEBTS SHOULD BE CONSIDERED A COMMUNITY BENEFIT. Part III, Section A, Line 4: Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, and others for services rendered, including estimated retroactive adjustments due to future audits, reviews, and investigations. Retroactive adjustments are accrued on an estimated basis in the period the related services are rendered, and such amounts are adjusted in future periods as adjustments become known or as years are no longer subject to such audits, reviews and investigations. Part III, Section A, Line 8: HOSPITALS TREAT PATIENTS COVERED BY MEDICARE, JUST AS THEY DO ANY PATIENT. AMOUNTS THAT HOSPITALS ARE ELIGIBLE TO RECEIVE IN PAYMENT FOR SERVICES PROVIDED TO PATIENTS COVERED BY MEDICARE ARE NOT NEGOTIABLE. AS MEDICARE REIMBURSEMENT RATES DECLINE RELATIVE TO THE COSTS OF PROVIDING CARE, HOSPITALS CONTINUE TO SERVE THE MEDICARE POPULATION. WITHOUT THE SERVICES PROVIDED BY HOSPITALS, THE GOVERNMENT WOULD BECOME OBLIGATED FOR THE SERVICES REQUIRED BY THESE PATIENTS. THEREFORE, WE BELIEVE THAT ANY UNREIMBURSED COSTS OF PROVIDING THIS CARE ARE A BENEFIT PROVIDED BY THE HOSPITAL TO THE COMMUNITY AND GOVERNMENT. Part III, Section C, Line 9B: PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE APPROVED FOR 100% ADJUSTMENT OF ELIGIBLE CHARGES MINUS A COPAYMENT. COPAYMENTS ACCRUE AND ARE NOT ELIGIBLE FOR COLLECTIONS PROCESSES.
Part VI, Line 2:	AS THE COUNTY CONTINUES TO GROW, NECESSARY STEPS MUST BE TAKEN TO ENSURE THAT THE NEEDS OF ALL OF OUR CITIZENS ARE BEING MONITORED AND EVALUATED. WAKE COUNTY HUMAN SERVICES WORKS WITH ALL LOCAL HOSPITALS, INCLUDING REX, TO CONDUCT A COMMUNITY-WIDE HEALTH ASSESSMENT. THIS ASSESSMENT, CONDUCTED EVERY THREE TO FOUR YEARS, IDENTIFIES OPPORTUNITIES AND CHALLENGES IN THE MARKET. REX COLLABORATES WITH COMMUNITY PARTNERS REGULARLY TO ENSURE OUR EFFORTS ARE PROPERLY ALIGNED BASED ON WAKE COUNTYS SOCIOECONOMIC AND DEMOGRAPHIC INFORMATION. REX ALSO RELIES ON INPUT FROM OUR PHYSICIANS AND CLINICAL STAFF, PATIENT OUTCOMES AS WELL AS QUALITATIVE AND QUANTITATIVE RESEARCH TO IDENTIFY AREAS OF OPPORTUNITY TO IMPROVE THE HEALTH OF OUR COMMUNITY.
Part VI, Line 3	REX PROVIDES A WIDE RANGE OF TOOLS AND EDUCATION TO HELP PATIENTS WHO NEED FINANCIAL ASSISTANCE. THE REX ASSIST PROGRAM IS DESIGNED TO MAKE IT EASY FOR PATIENTS TO APPLY FOR FINANCIAL ASSISTANCE, CHARITY CARE AND OTHER AID PROGRAMS. REX POSTS DETAILED INFORMATION ABOUT ITS GENEROUS CHARITY CARE POLICY, THE REX ASSIST PROGRAM AND OTHER FINANCIAL AID INFORMATION AT VARIOUS POINTS IN THE HOSPITAL AND ON ITS WEBSITE. DURING PATIENT REGISTRATION, STAFF WILL DISTRIBUTE THE "YOUR REX HOSPITAL BILL" FLYER TO ANYONE WHO DOES NOT HAVE INSURANCE OR ASKS FOR ASSISTANCE. THAT FLYER INCLUDES USEFUL INFORMATION AND HELPFUL RESOURCES. REX FINANCIAL COUNSELORS WILL BEGIN WORKING WITH PATIENTS NEEDING ASSISTANCE AT REGISTRATION OR VISIT THE ROOMS OF PATIENTS WHO ASK FOR HELP. THE COUNSELORS WILL ASSIST WITH DETERMINING MEDICAID ELIGIBILITY AND WITH FILLING OUT A REX ASSIST APPLICATION. FINALLY, REX ALSO WORKS WITH VARIOUS COMMUNITY GROUPS THAT HELP PROVIDE ASSISTANCE TO THE UNINSURED OR UNDERINSURED, INCLUDING PROJECT ACCESS, PRETTY IN PINK AND OTHERS. THE ANGEL FUND OF THE REX HEALTHCARE FOUNDATION ALSO SUPPORTS CANCER PATIENTS WITH UNIQUE FINANCIAL NEEDS, INCLUDING TRANSPORTATION, LIVING EXPENSES AND PRESCRIPTIONS.
Part VI, Line 4:	THE ORGANIZATION SERVES AN AREA THAT ENCOMPASSES A FOUR-COUNTY AREA CONSISTING OF WAKE COUNTY AS THE PRIMARY SERVICE AREA WITH HARNETT, FRANKLIN AND JOHNSTON COUNTIES, COMPRISING THE SECONDARY SERVICE AREA. WAKE COUNTY AND ITS SURROUNDING COMMUNITIES ARE AMONG THE FASTEST GROWING REGIONS IN THE NATION. UNEMPLOYMENT RATES IN THE PRIMARY SERVICE AREA ARE LESS THAN THE UNEMPLOYMENT RATES FOR THE NATION AND THE STATE. AVERAGE HOUSEHOLD INCOME AND EDUCATION LEVEL ALSO COMPARE FAVORABLY WITH BOTH THE NATION AND THE STATE.
Part VI, Line 5:	THERE ARE MANY WAYS REX WORKS WITH COMMUNITY PARTNERS TO ADDRESS HEALTH ISSUES AND CONCERNS IDENTIFIED WITHIN THE COMMUNITY. THROUGH BOTH FINANCIAL, IN-KIND AND STAFF SUPPORT, REX PROVIDES ASSISTANCE IN HOSTING COMMUNITY HEALTH SCREENINGS, MOBILE MAMMOGRAPHY SCREENINGS AND ON-SITE MEDICAL CARE THROUGH THE REX EMERGENCY RESPONSE TEAM. ADDITIONALLY, COMMUNITY RELATIONS ACTIVITIES REGULARLY DEMONSTRATE PROMOTING HEALTH AND WELLNESS INITIATIVES. "ASK THE EXPERT" FORUMS ARE FREE AND OFFERED THROUGHOUT WAKE COUNTY BY PHYSICIANS AND STAFF. REX HAS BEEN DILIGENT IN AWARDING GRANTS TO COMMUNITY GROUPS TO ASSIST THEM WHERE NEEDS ARE GREATEST. TWICE A YEAR WE HOST A COLLABORATIVE BREAKFAST INVITING COMMUNITY PARTNERS, ORGANIZATIONS AND HEALTHCARE PROVIDERS WHO WORK WITH UNINSURED WOMEN TO DISCUSS AND ADDRESS CURRENT HARDSHIPS AND RESOURCES - TRULY A COMMITMENT TO THE NONPROFIT COMMUNITY.
Part VI, Line 6:	REX HEALTHCARE IS A SUBSIDIARY OF THE UNC HEALTH CARE SYSTEM IN CHAPEL HILL. THAT SYSTEM SERVES PATIENTS FROM ALL 100 COUNTIES, REGARDLESS OF THEIR ABILITY TO PAY, PROVIDING MORE THAN $300 MILLION A YEAR IN UNCOMPENSATED CARE. AS PART OF THE INTEGRATED SYSTEM, REX STRIVES TO IMPROVE ACCESS AND SERVICES IN WAKE COUNTYS GROWING AND UNDERSERVED AREAS. REX CAREGIVERS ALSO WORK CLOSELY WITH THEIR COUNTERPARTS AT UNC HEALTH CARE TO FIND MORE WAYS TO IMPROVE CARE AND QUALITY, REACH MORE UNINSURED PATIENTS AND MORE. REXS BOARD REPRESENTS A CROSS-SECTION OF THE COMMUNITY, WITH VOLUNTEERS THAT INCLUDE BUSINESS LEADERS, COMMUNITY PHYSICIANS AND OTHERS. THAT BOARD WORKS CLOSELY WITH THE BOARD AT UNC HEALTH CARE TO DETERMINE THE BEST WAYS TO PLAY A LARGER ROLE IN IMPROVING THE COMMUNITYS HEALTH, AND REXS ROLE IN THE BIGGER SYSTEMS MISSION.
Part VI Line 7:	THE ORGANIZATION SUBMITS AN ANNUAL COMMUNITY BENEFIT REPORT TO THE NORTH CAROLINA HOSPITAL ASSOCIATION AND THE NORTH CAROLINA MEDICAL CARE COMMISSION.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (32 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
NORTH CAROLINA SYMPHONY
4350 LASSITER	RALEIGH	NC	27609	560556755	501(c)(3)	$81,500	GENERAL SUPPORT
UNITED WAY OF THE GREATER TRIANGLE
2400 PERIMETER PARK DRIVE	RALEIGH	NC	27560	561949103	501(c)(3)	$59,220	General Support
GREATER RALEIGH CHAMBER
PO BOX 2978	RALEIGH	NC	27602	560370850	501(c)(6)	$55,745	General Support
AMERICAN HEART ASSOCIATION
NORTH CAROLINA AFFILIATE INC	RALEIGH	NC	27609	560529996	501(c)(3)	$45,000	General/Education Support
FOUNDATION OF HOPE
9401 GLENWOOD AVENUE	RALEIGH	NC	27617	566246626	501(c)(3)	$35,000	General Support
ALICE AYCOCK POE CENTER FOR HEALTH EDUCATION
224 SUNNYBROOK ROAD	RALEIGH	NC	27610	561500678	501(c)(3)	$31,050	General Support
INTERACT
1012 OBERLIN ROAD	RALEIGH	NC	27605	581320613	501(c)(3)	$30,000	General Support
KAY YOW CANCER FOUNDATION
5121 KINGDOM WAY	RALEIGH	NC	27607	261789695	501(c)(3)	$27,500	General Support
LEUKEMIA & LYMPHOMA SOCIETY
401 HARRISON OAKS BLVD	CARY	NC	27513	135644916	501(c)(3)	$25,000	General Support
URBAN MINISTRIES OF WAKE COUNTY
1390 CAPITAL BLVD	RALEIGH	NC	27603	581422700	501(c)(3)	$25,000	General Support
WAKE TECH COMMUNITY COLLEGE FOUNDATION
9101 FAYETTEVILLE ROAD	RALEIGH	NC	27603	237017752	501(c)(3)	$21,500	General Support
NC MUSEUM OF ART FOUNDATION
2110 BLUE RIDGE ROAD	RALEIGH	NC	27607	237071511	501(c)(3)	$21,000	General Support
WAKE EDUCATION PARTNERSHIP
706 HILLSBOURGH STREET	RALEIGH	NC	27603	581518182	501(c)(3)	$20,000	General Support
SUSAN G KOMEN NC TRIANGLE
600 AIRPORT BLVD	MORRISVILLE	NC	27560	752845066	501(c)(3)	$15,000	General Support
TRIANGLE FAMILY SERVICES INC
3937 WESTERN BLVD	RALEIGH	NC	27606	560547491	501(c)(3)	$13,475	General Support
USO OF NORTH CAROLINA
600 AIRPORT BLVD	MORRISVILLE	NC	27560	560532315	501(c)(3)	$12,500	General Support
CARY CHAMBER OF COMMERCE
307 NORTH ACADEMY STREET	CARY	NC	27519	560989726	501(c)(3)	$10,576	General Support
TOWN OF KNIGHTDALE
950 STEEPLE SQUARE COURT	KNIGHTDALE	NC	27545	560789285	n/a	$10,500	General Support
WAKE FOREST AREA CHAMBER OF COMMERCE
350 S WHITE STREET	WAKE FOREST	NC	27587	561122169	501(c)(6)	$10,290	General Support
ALLIANCE MEDICAL MINISTRY
101 DONALD ROSS DRIVE	RALEIGH	NC	27610	562168673	501(c)(3)	$10,000	General Support
BLUE RIDGE ALLIANCE CORRIDOR
2416 HILLSBOROUGH STREET	RALEIGH	NC	27607	471697576	501(c)(3)	$10,000	General Support
INNOVATE RALEIGH
310 S HARRINGTON STREET	RALEIGH	NC	27603	262891963	501(c)(3)	$10,000	General Support
MARCH OF DIMES
NORTH CAROLINA CHAPTER	RALEIGH	NC	27615	131846366	501(c)(3)	$10,000	General Support
NAMI WAKE COUNTY
PO BOX 12562	RALEIGH	NC	27605	561552949	501(c)(3)	$10,000	General Support
NC PHYSICIANS HEALTH PROGRAM
220 HORIZON DRIVE	RALEIGH	NC	27615	561846599	501(c)(3)	$10,000	General Support
ZERO THE END PROSTATE CANCER
515 KING STREET NO 420	ALEXANDRIA	VA	22314	593400922	501(c)(3)	$10,000	General Support
DOWNTOWN RALEIGH ALLIANCE
120 SOUTH WILMINGTON STREET	RALEIGH	NC	27601	561994005	501(c)(6)	$8,050	General Support
MAKE-A-WISH FOUNDATION
3809 COMPUTER DRIVE	RALEIGH	NC	27609	581792140	501(c)(3)	$7,000	General Support
MORRISVILLE CHAMBER OF COMMERCE
260 TOWN HALL DRIVE	MORRISVILLE	NC	27560	561712502	501(c)(6)	$6,799	General Support
THE FIRST TEE OF THE TRIANGLE
8800 WESTGATEPARK DRIVE	RALEIGH	NC	27617	562266025	501(c)(3)	$6,500	General Support
LUNG CANCER INITIATIVE OF NC
4000 BLUE RIDGE ROAD	RALEIGH	NC	27612	262300885	501(c)(3)	$6,250	General Support
HOLLY SPRINGS CHAMBER OF COMMERCE
344 RALEIGH STREET	HOLLY SPRINGS	NC	27540	561875144	501(c)(6)	$6,080	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	27	Total501c3OrgCnt
Total Other Org	5	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	REX REQUIRES ALL REQUESTS FOR GRANTS OR OTHER ASSISTANCE TO BE IN WRITING. SUCH REQUESTS ARE TYPICALLY REVIEWED ON AN ANNUAL BASIS FOLLOWING GUIDELINES RELATED TO COMMUNITY NEED AND REXS MISSION. REXS PRIORITIES INCLUDE SUPPORTING HEALTH, HUMAN SERVICES, EDUCATION AND ARTS IN COMMUNITIES IT SERVES. REX HAS VARIOUS WAYS OF TRACKING THE RESULTS OF ITS CONTRIBUTIONS. BECAUSE REX OFTEN WORKS CLOSELY WITH THE COMMUNITY GROUPS IT SUPPORTS, THE ORGANIZATION RECEIVES FREQUENT UPDATES ON THEIR WORK AND PROGRESS. FOR LARGER GRANTS, REX ALSO RECEIVES ANNUAL OR QUARTERLY REPORTS ON RESULTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (true)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Rig S Patel MD
Director	$549,499	$0	$33,528	$0	$25,602	$0	$12,000	$0	$15,251	$0	$635,880	$0	$0	$0
William L Roper MD
Director	$0	$775,014	$0	$134,873	$0	$744,077	$0	$670,460	$0	$20,185	$0	$2,344,609	$0	$687,156
Gary L Park
Director/CEO	$0	$827,192	$0	$137,894	$0	$54,900	$0	$529,661	$0	$20,185	$0	$1,569,832	$0	$0
Stephen W Burriss
Director/President	$478,328	$0	$79,866	$0	$61,319	$0	$159,793	$0	$17,240	$0	$796,546	$0	$104,185	$0
Susan M Sandberg
COO	$361,490	$0	$62,128	$0	$28,108	$0	$52,278	$0	$17,240	$0	$521,244	$0	$0	$0
Andrew K Zukowski
CFO & Treasurer	$327,433	$0	$51,040	$0	$530	$0	$40,758	$0	$17,240	$0	$437,001	$0	$0	$0
Tate Bombard
VP/General Counsel & Secretary	$195,572	$0	$15,776	$0	$1,130	$0	$7,828	$0	$17,240	$0	$237,546	$0	$0	$0
Linda H Butler MD
VP/Medical Affairs, CMO & CMIO	$307,987	$0	$49,780	$0	$13,976	$0	$55,824	$0	$17,102	$0	$444,669	$0	$0	$0
Jayne R Byrd
VP/Surgical Services	$292,683	$0	$41,882	$0	$21,823	$0	$217,885	$0	$4,238	$0	$578,511	$0	$0	$0
Donald R Esposito Jr
VP/General Counsel & Secretary	$271,218	$0	$49,527	$0	$50,975	$0	$47,951	$0	$15,914	$0	$435,585	$0	$0	$0
Sylvia D Hackett
VP/Rex Healthcare Foundation	$277,000	$0	$44,918	$0	$31,849	$0	$76,302	$0	$10,782	$0	$440,851	$0	$0	$0
Chad T Lefteris
VP/Operations	$213,058	$0	$80,230	$0	$32,885	$0	$29,831	$0	$5,266	$0	$361,270	$0	$0	$0
Joel D Ray
VP/Patient Care Services & CNO	$245,587	$0	$37,864	$0	$1,999	$0	$39,437	$0	$249	$0	$325,136	$0	$0	$0
Robert D Ricker
VP/Physician Services	$239,660	$0	$38,893	$0	$8,069	$0	$93,908	$0	$8,615	$0	$389,145	$0	$0	$0
Kirsten Riggs
VP	$221,153	$0	$35,682	$0	$6,986	$0	$42,205	$0	$14,453	$0	$320,479	$0	$0	$0
Lisa R Schiller
VP/Mktg, PR, Comm Relations &	$207,307	$0	$34,697	$0	$22,305	$0	$35,423	$0	$17,240	$0	$316,972	$0	$0	$0
Tammie T Stanton
VP/Post Acute Services	$0	$270,340	$0	$43,575	$0	$10,212	$0	$70,454	$0	$20,185	$0	$414,766	$0	$0
Sean T Tehrani MD
VP/Regional Hospitalists Servi	$465,396	$0	$87,631	$0	$52,533	$0	$44,002	$0	$14,453	$0	$664,015	$0	$0	$0
Roy C Tempke
VP/Care Transitions	$174,221	$0	$21,101	$0	$7,087	$0	$23,692	$0	$15,734	$0	$241,835	$0	$0	$0
Tom G Williams
VP/Ambulatory Services	$199,384	$0	$35,123	$0	$13,480	$0	$40,113	$0	$16,444	$0	$304,544	$0	$0	$0
Jeff S LeGay
Asst Treasurer & Asst Secretar	$194,660	$0	$24,513	$0	$7,087	$0	$8,096	$0	$9,455	$0	$243,811	$0	$0	$0
Benjamin J Mathew
Asst Treasurer & Asst Secretar	$127,397	$0	$9,318	$0	$340	$0	$5,323	$0	$16,768	$0	$159,146	$0	$0	$0
Mateen Akhtar
Physician	$1,176,588	$0	$463,843	$0	$18,960	$0		$0	$16,981	$0	$1,676,372	$0	$0	$0
Deepak Pasi
Physician	$852,096	$0	$544,808	$0	$34,668	$0		$0	$14,453	$0	$1,446,025	$0	$0	$0
Ravish Sachar
Physician	$1,330,381	$0	$37,246	$0	$19,260	$0		$0	$14,407	$0	$1,401,294	$0	$0	$0
Eric Janis
Physician	$1,292,334	$0	$10,200	$0	$27,612	$0		$0	$14,453	$0	$1,344,599	$0	$0	$0
John Buttram Jr
Physician	$1,190,974	$0	$105,344	$0	$19,260	$0		$0	$9,328	$0	$1,324,906	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1A:	THE ORGANIZATION OFFERS COMPLIMENTARY MEMBERSHIPS TO REX WELLNESS CENTERS FOR THE EXECUTIVE STAFF, BOTH ACTIVE AND RETIRED BOARD MEMBERS AND MEDICAL DIRECTORS. ALL MEMBERS RECEIVING COMPLIMENTARY MEMBERSHIPS ARE REQUIRED TO COMPLETE THE SAME APPLICATION AND TESTING PROCEDURES AS OTHER MEMBERS. CURRENTLY, THERE ARE 9 INDIVIDUALS LISTED THAT RECEIVE COMPLIMENTARY MEMBERSHIPS. THE VALUE OF THE COMPLIMENTARY MEMBERSHIP IS TREATED AS TAXABLE COMPENSATION AND IS REPORTED ON THE INDIVIDUALS W-2.
Part I, Line 4B:	William Roper received distributions totaling $687,156 from a non-qualified supplemental retirement plan funded and controlled by a related organization, UNC HCS. Stephen Burris received distributions totaling $104,185 from a non-qualified supplemental retirement plan funded and controlled by a related organization, UNC HCS.
Part I, Line 6:	EMPLOYEES IN MANAGERIAL ROLES PARTICIPATE IN AN INCENTIVE COMPENSATION PLAN APPROVED ANNUALLY BY THE UNC HCS BOARD OF DIRECTORS. THE COMPENSATION EARNED UNDER THIS PLAN IS BASED PARTLY ON THE NET EARNINGS OF THE ORGANIZATION AND THE UNC HCS. OTHER PERFORMANCE MEASURES USED TO DETERMINE INCENTIVE COMPENSATION ARE PATIENT SATISFACTION, PATIENT CARE QUALITY OUTCOMES AND INNOVATIVE INITIATIVES TO IMPROVE OPERATIONS AND CARE DELIVERY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
North Carolina Medical Care Commission
A	521309402	65821DFJ5	2010-10-26	$127,456,150	See Part VI	false	false	false
North Carolina Medical Care Commission
B	521309402	65821DTR2	2015-05-21	$150,167,728	See Part VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$33,835,000	$0	$127,458,770	$0	$2,187,480	$0	$1,628,054	$0	$0	$47,605,889	$76,034,727	$0	2013	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$150,170,966	$0	$4,130,000	$0	$1,051,300	$0	$0	$144,986,428	$0	$0	2017	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0.00000	0.00000	0.00000	false	false	false	Yes (true)
B	false	false	false	false	0.00000	0.00000	0.00000	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column F - Issue A	Construction of Central Energy Plant, purchase routine capital equipment and refund Series 1998 Bonds, originally issued on 4/21/1998.
Schedule K, Part I, Column F - Issue B	Construction of North Carolina Heart & Vascular Hospital and parking deck, purchase equipment for North Carolina Heart & Vascular Hospital and fund capitalized interest.
Schedule K, Part II, Line 3, Column A&B	The total proceeds of issue being reported is greater than filed on the Form 8038 due to investment earnings, mainly interest earned. For Issue A and Issue B, the interest earned as of 6/30/2018 is $2,620 and $3,238, respectively.
Schedule K, Part II, Line 11, Column A	The other spent proceeds were used to redeem Series 1998 Bonds, originally issued on 4/21/1998.
Schedule K, Part I, Line 2c, Column A	The rebate computation was performed for period ended September 30, 2015 and based on an Independent Accountants' Report dated November 6, 2015, no rebate payment was required.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Doing Business As:	NORTH CAROLINA SURGERY NORTH CAROLINA HEART AND VASCULAR HOSPITAL REX BLOOD PLAN REX BREAST CARE CENTER REX CANCER CENTER REX CANCER SPECIALTY CENTER REX CARDIAC SURGICAL SPECIALISTS REX COMPREHENSIVE VEIN CENTER REX CRITICAL CARE TRANSPORT REX DIGESTIVE HEALTHCARE REX EAR NOSE & THROAT SPECIALISTS REX EAR NOSE & THROAT SPECIALISTS AT WAKEFIELD REX EXPRESS CARE OF CARY REX EXPRESS CARE OF HOLLY SPRINGS REX EXPRESS CARE OF KNIGHTDALE REX EXPRESS CARE OF RALEIGH REX EXPRESS CARE OF WAKEFIELD REX FAMILY BIRTH CENTER REX FAMILY PRACTICE OF KNIGHTDALE REX FAMILY PRACTICE OF WAKEFIELD REX HEALTHCARE REX HEALTHCARE OF CARY REX HEALTHCARE OF GARNER REX HEALTHCARE OF HOLLY SPRINGS REX HEALTHCARE OF KNIGHTDALE REX HEALTHCARE OF WAKEFIELD REX HEART CENTER REX HEART FAILURE REX HEMATOLOGY ONCOLOGY ASSOCIATES REX HOME SERVICES REX HOSPITAL REX HOSPITAL PELVIC HEALTH CENTER REX HOSPITAL TRANSPORT REX INTERNAL MEDICINE OF CARY REX LABORATORY SERVICES OF CARY REX MOBILE MAMMOGRAPHY REX NEUROSURGERY & SPINE SPECIALISTS REX NUTRITION SERVICES REX OUTREACH REX PAIN CENTER REX PALLIATIVE CARE SPECIALISTS REX PEDIATRICS OF CARY REX PEDIATRICS OF HOLLY SPRINGS REX PHARMACY OF RALEIGH REX PRIMARY CARE OF CARY REX PULMONARY SPECIALISTS REX RADIOLOGY SERVICES OF CARY REX RADIOLOGY SPECIALISTS REX REHABILITATION AND NURSING CARE CENTER OF APEX REX REHABILITATION SERVICES OF CARY REX SAME DAY SURGERY REX SENIOR HEALTH CENTER REX STRATEGIC INNOVATIONS REX STRUCTURAL HEART REX SURGICAL SPECIALISTS REX THORACIC SPECIALISTS REX THORACIC SURGICAL SPECIALISTS REX UNC HEALTHCARE REX VASCULAR SPECIALISTS REX VASCULAR SURGICAL SPECIALISTS REX WELLNESS CENTER OF CARY REX WELLNESS CENTER OF GARNER REX WELLNESS CENTER OF KNIGHTDALE REX WELLNESS CENTER OF WAKEFIELD REX WOUND HEALING CENTER UNC REX CANCER CENTER UNC REX CRITICAL CARE TRANSPORT UNC REX HEALTHCARE UNC REX HOME SERVICES UNC REX HOSPITAL UNC REX HOSPITAL TRANSPORT UNC REX PHARMACY OF RALEIGH UNC REX REHABILITATION & NURSING CARE CENTER OF APEX UNC REX REHABILITATION & NURSING CARE CENTER OF RALEIGH
Form 990, Part VI, Section A, Line 6:	THE ORGANIZATIONS SOLE MEMBER IS REX HEALTHCARE, INC.
Form 990, Part VI, Section A, Line 7A:	THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM APPOINTS ALL OF THE THIRTEEN SEATS ON THE ORGANIZATIONS BOARD OF TRUSTEES.
Form 990, Part VI, Section A, Line 7B:	THE ORGANIZATIONS BOARD REQUIRES PRIOR APPROVAL OF THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM FOR CERTAIN POWERS, INCLUDING BUT NOT LIMITED TO ADDITION OR DELETION OF A HEALTH CARE SERVICE, PARTICIPATION, DIRECTLY OR INDIRECTLY, IN A JOINT VENTURE, INDEBTEDNESS AND CAPITAL BUDGETS, OPERATING BUDGETS AND NON-BUDGETED MATERIAL EXPENDITURES.
Form 990, Part VI, Section B, Line 11B:	THE ORGANIZATIONS EXECUTIVE TEAM DISCUSSES AND REVIEWS THE FORM 990 AND ALL ASSOCIATED SCHEDULES THROUGHOUT THE INFORMATION GATHERING STAGE. THE FORM 990 AND ASSOCIATED SCHEDULES ARE THEN REVIEWED AND APPROVED BY THE BOARD AS A WHOLE. A COPY OF THE APPROVED FORM 990 ALONG WITH THE ASSOCIATED SCHEDULES IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING.
Form 990, Part VI, Section B, Line 12C:	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING ALL BOARD MEMBERS TO ANNUALLY COMPLETE AND SIGN A QUESTIONNAIRE DOCUMENTING ANY AREA OF CONFLICT OF INTEREST. THE BOARD MEMBERS ARE REQUIRED TO REPORT AND DOCUMENT ANY NEW AREAS OF CONFLICT OF INTEREST AS THEY ARISE.
Form 990, Part VI, Section B, Line 15:	THE ORGANIZATION USES AN INDEPENDENT CONSULTANT TO MEASURE FAIR VALUE OF COMPENSATION FOR THE ORGANIZATIONS PRESIDENT AND OTHER TOP MANAGEMENT. THE ORGANIZATIONS BOARD REVIEWS AND APPROVES THE COMPENSATION FOR ALL OFFICERS EXCEPT THE ASSISTANT TREASURER AND ASSISTANT SECRETARY.
Form 990, Part VI, Section C, Line 19:	THE ORGANIZATIONS FORM 990 IS AVAILABLE UPON REQUEST AND ON GUIDESTARS WEBSITE AND THE FINANCIAL STATEMENTS ARE AVAILABLE ON MUNICIPAL SECURITIES RULEMAKING BOARDS WEBSITE. THE ORGANIZATION DOES NOT MAKE OTHER GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Line 1B Average Hours Per Week:	Board members and officers contribute their time and services upon request and on an as-needed basis, which, throughout the year, may differ from the average number of hours per week reported on Part VII, Line 1B.
Form 990, Part XII, Line 2c:	The process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Rex Health Ventures GP I LLC
4420 Lake Boone Trail	Raleigh	NC	27607	455070550	Venture Capit	NC	$0	$0	Rex Hospital
Rex Orthopedic Ventures LLC
4420 Lake Boone Trail	Raleigh	NC	27607	273434805	Orthopedic Pr	NC	$3,492,610	$0	Rex Hospital
Rex Surgery Center of Wakefield LLC
4420 Lake Boone Trail	Raleigh	NC	27607	465511168	ASC	NC	$0	$0	Rex Hospital

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
UNC Rockingham Health Care Inc
117 E Kings Hwy	Eden	NC	27288	823745228	Healthcare	NC	501(c)(3)	Line 3	UNC Health C	false
UNC Health Care System
101 Manning Drive	Chapel Hill	NC	27514	562206970	Healthcare	NC	Section 115		UNC Health C	false
UNC Hospitals
211 Friday Center Dr STE 2029	Chapel Hill	NC	27517	561118388	Healthcare	NC	Section 115		UNC Health C	false
Caldwell Memorial Hospital
PO Box 1890	Lenoir	NC	28645	560554202	Healthcare	NC	501(c)(3)	Line 3	UNC Health C	false
Caldwell Memorial Hospital Foundation I
PO Box 1890	Lenoir	NC	28645	581935514	Support of Ca	NC	501(c)(3)	Line 7	Caldwell Mem	false
Chatham Hospital INC
PO Box 649	Siler City	NC	27344	560611546	Healthcare	NC	501(c)(3)	Line 3	UNC Health C	false
High Point Regional Health
601 N Elm Street	High Point	NC	27261	560532309	Healthcare	NC	501(c)(3)	Line 3	UNC Health C	false
High Point Regional Health Services Inc
601 N Elm Street	High Point	NC	27261	561497163	Healthcare	NC	501(c)(3)	Line 12B,II	UNC Health C	false
High Point Regional Health Foundation
601 N Elm Street	High Point	NC	27261	272854711	Support High	NC	501(c)(3)	Line 12A, I	UNC Health C	false
Rex Healthcare Inc
4420 Lake Boone Trail	Raleigh	NC	27607	561509129	Healthcare	NC	501(c)(3)	Line 12A, I	UNC Health C	false
The Rex Healthcare Foundation Inc
4420 Lake Boone Trail	Raleigh	NC	27607	566052117	Support Rex H	NC	501(c)(3)	Line 12, II	UNC Health C	Yes (true)
UNC Physicians Network
1600 Perimeter Park Drive STE 225	Morrisville	NC	27560	271081647	Healthcare	NC	501(c)(3)	Line 10	UNC Health C	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	UBI Code VUBICodeVAmt	OwnershipOwnershipPct
High Point Surgery Center LLC
600 North Lindsay Street	High Point	NC	27260	561867005	Healthcare	NC	NONE	$0	$0	$0	0.00000
Rex Surgery Center of Cary
4420 Lake Boone Trail	Raleigh	NC	27607		ASC	NC	NONE	$0	$0	$0	0.00000
JRH Ventures LLC
4420 Lake Boone Trail	Raleigh	NC	27607	274092967	Med Campus DVLT	NC	NONE	$0	$0	$0	0.00000
Rex Health Ventures I LP
4420 Lake Boone Trail	Raleigh	NC	27607		Venture Capital I	NC	NONE	$0	$0	$0	0.00000
Orthopaedic Surgery Center of Raleigh LL
4420 Lake Boone Trail	Raleigh	NC	27607	271740526	Orthopaedic Surge	NC	NONE	$0	$0	$0	0.00000
TRO Ventures LLC
4420 Lake Boone Trail	Raleigh	NC	27607	821330195	Healthcare	NC	NONE	$0	$0	$0	0.00000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Rex Enterprises Company Inc
4420 Lake Boone Trail	Raleigh	NC	27607	561553957	Operations Suppor	NC	Rex Healthcare	C Corp	$0	$0	0.00000	false
High Point Healthcare Ventures Inc
601 N Elm Street	High Point	NC	27261	561343468	Holding Company	NC		C Corp	$0	$0	0.00000	false	N/A
UNC Physicians Network Group Practices L
1600 Perimeter Park Drive STE 225	Morrisville	NC	27560	461416986	Healthcare	NC		C Corp	$0	$0	0.00000	false	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
The Rex Healthcare Foundation Inc
c	$4,334,877	FMV
The Rex Healthcare Foundation Inc
p	$744,995	FMV