2019-05-15T08:09:52-05:00 2018-06-30 BDO USA LLP 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2017-07-01 561509260 Rex Hospital Inc % ANDREW ZUKOWSKI REXH 9197843100 4420 Lake Boone Trail Raleigh NC 27607 ANDREW ZUKOWSKI CFO 9197843100 2019-05-14 true Marc Berger P01871563 9192781936 2019-05-14 4.14.250.26 69472520191355000001 2019-05-15 P 5A93BC6954598A5C499FB6FCEF79B3C90A134D16 5476F9B71916CD40FDB4E1086303C323EF876FF3 2017 2019-02-21 02:37:17Z See Schedule O Stephen Burriss 4420 Lake Boone Trail Raleigh NC 27607 1217362468 false X www.rexhealth.com X 1986 NC Inspiring hope, improving health and healing communities. 13 9 7763 1395 181514 -1640999 3402553 4454519 1052634825 1138427222 18148396 4071308 1026131 1388374 1075211905 1148341423 1186134 910225 0 0 461400667 487912218 0 0 0 539284556 619962024 1001871357 1108784467 73340548 39556956 1011503690 1054404277 524676830 505392389 486826860 549011888 X 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. false false 925436848 910225 1138427222 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 925436848 true true false true false false false false true false true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 360 0 true 7763 true true true false false false false false false false false false X 13 9 false false false false true true true true true false false true true true true true true true true true true X ANDREW ZUKOWSKI 9197843100 4420 LAKE BOONE TRAIL Raleigh NC 27607 Catharine B Arrowood Director 1.0 2.0 X 0 0 0 Teresa C Artis Director 1.0 2.0 X 0 0 0 Ann S Collins MD Director 1.0 2.0 X 0 0 0 Courtney A Crowder Director 1.0 2.0 X 0 0 0 Peter D Hans Director 1.0 2.0 X 0 0 0 Steven C Lilly Director 1.0 2.0 X 0 0 0 C Howard Nye Director/Vice Chairman 2.0 4.0 X 0 0 0 Bobby T Parker Director 1.0 2.0 X 0 0 0 Rig S Patel MD Director 1.0 2.0 X 608629 0 27251 William L Roper MD Director 1.0 2.0 X 0 1653964 690645 Robert S Thomas Director/Chairman 2.0 4.0 X 0 0 0 Gary L Park Director/CEO 20.0 40.0 X X 0 1019986 549846 Stephen W Burriss Director/President 59.0 1.0 X X 619513 0 177033 Susan M Sandberg COO 59.0 1.0 X 451726 0 69518 Andrew K Zukowski CFO & Treasurer 59.0 1.0 X 379003 0 57998 Tate Bombard VP/General Counsel & Secretary 60.0 0.0 X 212478 0 25068 Linda H Butler MD VP/Medical Affairs, CMO & CMIO 60.0 0.0 X 371743 0 72926 Jayne R Byrd VP/Surgical Services 60.0 0.0 X 356388 0 222123 Donald R Esposito Jr VP/General Counsel & Secretary 60.0 0.0 X 371720 0 63865 Sylvia D Hackett VP/Rex Healthcare Foundation 1.0 59.0 X 353767 0 87084 Chad T Lefteris VP/Operations 60.0 0.0 X 326173 0 35097 Joel D Ray VP/Patient Care Services & CNO 60.0 0.0 X 285450 0 39686 Robert D Ricker VP/Physician Services 60.0 0.0 X 286622 0 102523 Kirsten Riggs VP 60.0 0.0 X 263821 0 56658 Lisa R Schiller VP/Mktg, PR, Comm Relations & 60.0 0.0 X 264309 0 52663 Tammie T Stanton VP/Post Acute Services 60.0 0.0 X 0 324127 90639 Sean T Tehrani MD VP/Regional Hospitalists Servi 60.0 0.0 X 605560 0 58455 Roy C Tempke VP/Care Transitions 60.0 0.0 X 202409 0 39426 Tom G Williams VP/Ambulatory Services 60.0 0.0 X 247987 0 56557 Jeff S LeGay Asst Treasurer & Asst Secretar 60.0 0.0 X 226260 0 17551 Benjamin J Mathew Asst Treasurer & Asst Secretar 60.0 0.0 X 137055 0 22091 Mateen Akhtar Physician 60.0 0.0 X 1659391 0 16981 Deepak Pasi Physician 60.0 0.0 X 1431572 0 14453 Ravish Sachar Physician 60.0 0.0 X 1386887 0 14407 Eric Janis Physician 60.0 0.0 X 1330146 0 14453 John Buttram Jr Physician 60.0 0.0 X 1315578 0 9328 13694187 2998077 2684325 638 false true false Skanska USA Building Inc 4309 Emperor Blvd STE 200 DURHAM NC 27703 Construction 20335524 Quality Textile Services Inc 313 S Rogers Lane RALEIGH NC 27610 Linen Services 3223055 DPR Construction 2000 Aerial Center Parkway STE 118 MORRISVILLE NC 27560 Construction 1750461 Mayo Medical Laboratories 200 SW 1st Street ROCHESTER MN 55095 Lab Services 1677317 Talon Medical Construction Services 212 Powell Drive Suite 130 RALEIGH NC 27606 Construction 1504907 58 4454519 4454519 PATIENT SERVICE REVENUE 625100 1088663716 1088663716 ALL OTHER PROGRAM SERVICE REVENUE 625100 49763506 43674104 181514 5907888 1138427222 1176430 1176430 0 0 0 0 1489205 385347 1103858 0 1103858 1103858 68726812 2803764 68635698 0 91114 2803764 2894878 2894878 0 0 0 0 0 0 0 0 0 GAIN ON CIP DISPOSAL 621990 284516 284516 284516 1148341423 1132337820 181514 11367570 910225 910225 0 0 0 7279861 7279861 0 400231919 362810235 37421684 23684694 22517039 1167655 30773619 27320819 3452800 25942125 22829070 3113055 0 808652 808652 67361 67361 33039 33039 0 719560 719560 40596532 36942844 3653688 4121330 3750410 370920 8452927 7722229 730698 5634010 5126949 507061 0 27872957 25364391 2508566 2270357 2066025 204332 0 289768 289768 8126096 7394747 731349 34901720 34901720 38257863 34814655 3443208 7446608 6776413 670195 PATIENT CARE SUPPLIES & SERVIC 274040163 274040163 BAD DEBT EXPENSE 27846317 27846317 MINOR EQUIPMENT AND R&M 17175105 15629346 1545759 HOME OFFICE ALLOCATION 113968416 113968416 7333243 6673251 659992 1108784467 925436848 183347619 0 26279184 69318809 30468878 64941844 0 0 141037339 129290627 0 0 0 0 0 0 19460573 21592722 43305505 52704784 967862957 554121861 422059746 413741096 278379105 253007581 24761097 27784591 0 0 0 0 25752263 22022223 1011503690 1054404277 143497078 143863853 0 0 727015 408519 247081712 241140822 18180 22441 0 0 0 0 0 0 133352845 119956754 524676830 505392389 X 403240787 485969930 83586073 63041958 0 0 486826860 549011888 1011503690 1054404277 39556956 22628072 X X false true X true false X false false false false false false false false false true 33039 33039 false Schedule C, Part-II B 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. false true X 30906290 30906290 349086791 121526527 227560264 22240854 10813172 11427682 417679729 341282169 76397560 147949293 80499993 67449300 413741096 0 CAPITAL LEASE 251703 PAYABLE TO RELATED PARTY 2782406 PENSION LIABILITY 116922645 119956754 X 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. true true X true X 250. false true true true false true true 25438002 25438002 0.02290 51319424 49305970 2013454 0.00180 76757426 49305970 27451456 0.02470 922190 922190 0.00080 678631 678631 0.00060 1197189 1197189 0.00110 2798010 2798010 0.00250 79555436 49305970 30249466 0.02720 true 27846317 1074570 393662152 524966449 -131304297 X true true Rex Surgery Center o Ambulatory Surgical Center 0.55 0.0 0.45 Orthopaedic Surgery Surgery Center 0.51 0.0 0.49 1 1 Rex Hospital INC 4420 Lake Boone Trail Raleigh NC 27607 www.rexhealth.com H0065 X X X Rex Hospital INC 1 false false true X X X X X X X X X 15 true true true true X See Part V X See Part V X true 15 true See Part V false true X 250. 0. false true X X X true X See Part V X See Part V X See Part V X X X X X X true X false X X X X true X false false 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 68 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 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. true NORTH CAROLINA SYMPHONY 4350 LASSITER RALEIGH NC 27609 560556755 501(c)(3) 81500 GENERAL SUPPORT UNITED WAY OF THE GREATER TRIANGLE 2400 PERIMETER PARK DRIVE RALEIGH NC 27560 561949103 501(c)(3) 59220 General Support GREATER RALEIGH CHAMBER PO BOX 2978 RALEIGH NC 27602 560370850 501(c)(6) 55745 General Support AMERICAN HEART ASSOCIATION NORTH CAROLINA AFFILIATE INC RALEIGH NC 27609 560529996 501(c)(3) 45000 General/Education Support FOUNDATION OF HOPE 9401 GLENWOOD AVENUE RALEIGH NC 27617 566246626 501(c)(3) 35000 General Support ALICE AYCOCK POE CENTER FOR HEALTH EDUCATION 224 SUNNYBROOK ROAD RALEIGH NC 27610 561500678 501(c)(3) 31050 General Support INTERACT 1012 OBERLIN ROAD RALEIGH NC 27605 581320613 501(c)(3) 30000 General Support KAY YOW CANCER FOUNDATION 5121 KINGDOM WAY RALEIGH NC 27607 261789695 501(c)(3) 27500 General Support LEUKEMIA & LYMPHOMA SOCIETY 401 HARRISON OAKS BLVD CARY NC 27513 135644916 501(c)(3) 25000 General Support URBAN MINISTRIES OF WAKE COUNTY 1390 CAPITAL BLVD RALEIGH NC 27603 581422700 501(c)(3) 25000 General Support WAKE TECH COMMUNITY COLLEGE FOUNDATION 9101 FAYETTEVILLE ROAD RALEIGH NC 27603 237017752 501(c)(3) 21500 General Support NC MUSEUM OF ART FOUNDATION 2110 BLUE RIDGE ROAD RALEIGH NC 27607 237071511 501(c)(3) 21000 General Support WAKE EDUCATION PARTNERSHIP 706 HILLSBOURGH STREET RALEIGH NC 27603 581518182 501(c)(3) 20000 General Support SUSAN G KOMEN NC TRIANGLE 600 AIRPORT BLVD MORRISVILLE NC 27560 752845066 501(c)(3) 15000 General Support TRIANGLE FAMILY SERVICES INC 3937 WESTERN BLVD RALEIGH NC 27606 560547491 501(c)(3) 13475 General Support USO OF NORTH CAROLINA 600 AIRPORT BLVD MORRISVILLE NC 27560 560532315 501(c)(3) 12500 General Support CARY CHAMBER OF COMMERCE 307 NORTH ACADEMY STREET CARY NC 27519 560989726 501(c)(3) 10576 General Support TOWN OF KNIGHTDALE 950 STEEPLE SQUARE COURT KNIGHTDALE NC 27545 560789285 n/a 10500 General Support WAKE FOREST AREA CHAMBER OF COMMERCE 350 S WHITE STREET WAKE FOREST NC 27587 561122169 501(c)(6) 10290 General Support ALLIANCE MEDICAL MINISTRY 101 DONALD ROSS DRIVE RALEIGH NC 27610 562168673 501(c)(3) 10000 General Support BLUE RIDGE ALLIANCE CORRIDOR 2416 HILLSBOROUGH STREET RALEIGH NC 27607 471697576 501(c)(3) 10000 General Support INNOVATE RALEIGH 310 S HARRINGTON STREET RALEIGH NC 27603 262891963 501(c)(3) 10000 General Support MARCH OF DIMES NORTH CAROLINA CHAPTER RALEIGH NC 27615 131846366 501(c)(3) 10000 General Support NAMI WAKE COUNTY PO BOX 12562 RALEIGH NC 27605 561552949 501(c)(3) 10000 General Support NC PHYSICIANS HEALTH PROGRAM 220 HORIZON DRIVE RALEIGH NC 27615 561846599 501(c)(3) 10000 General Support ZERO THE END PROSTATE CANCER 515 KING STREET NO 420 ALEXANDRIA VA 22314 593400922 501(c)(3) 10000 General Support DOWNTOWN RALEIGH ALLIANCE 120 SOUTH WILMINGTON STREET RALEIGH NC 27601 561994005 501(c)(6) 8050 General Support MAKE-A-WISH FOUNDATION 3809 COMPUTER DRIVE RALEIGH NC 27609 581792140 501(c)(3) 7000 General Support MORRISVILLE CHAMBER OF COMMERCE 260 TOWN HALL DRIVE MORRISVILLE NC 27560 561712502 501(c)(6) 6799 General Support THE FIRST TEE OF THE TRIANGLE 8800 WESTGATEPARK DRIVE RALEIGH NC 27617 562266025 501(c)(3) 6500 General Support LUNG CANCER INITIATIVE OF NC 4000 BLUE RIDGE ROAD RALEIGH NC 27612 262300885 501(c)(3) 6250 General Support HOLLY SPRINGS CHAMBER OF COMMERCE 344 RALEIGH STREET HOLLY SPRINGS NC 27540 561875144 501(c)(6) 6080 General Support 27 5 Part I, Line 2: 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. X true true X X X X X false true false false false true true false false Rig S Patel MD Director 549499 0 33528 0 25602 0 12000 0 15251 0 635880 0 0 0 William L Roper MD Director 0 775014 0 134873 0 744077 0 670460 0 20185 0 2344609 0 687156 Gary L Park Director/CEO 0 827192 0 137894 0 54900 0 529661 0 20185 0 1569832 0 0 Stephen W Burriss Director/President 478328 0 79866 0 61319 0 159793 0 17240 0 796546 0 104185 0 Susan M Sandberg COO 361490 0 62128 0 28108 0 52278 0 17240 0 521244 0 0 0 Andrew K Zukowski CFO & Treasurer 327433 0 51040 0 530 0 40758 0 17240 0 437001 0 0 0 Tate Bombard VP/General Counsel & Secretary 195572 0 15776 0 1130 0 7828 0 17240 0 237546 0 0 0 Linda H Butler MD VP/Medical Affairs, CMO & CMIO 307987 0 49780 0 13976 0 55824 0 17102 0 444669 0 0 0 Jayne R Byrd VP/Surgical Services 292683 0 41882 0 21823 0 217885 0 4238 0 578511 0 0 0 Donald R Esposito Jr VP/General Counsel & Secretary 271218 0 49527 0 50975 0 47951 0 15914 0 435585 0 0 0 Sylvia D Hackett VP/Rex Healthcare Foundation 277000 0 44918 0 31849 0 76302 0 10782 0 440851 0 0 0 Chad T Lefteris VP/Operations 213058 0 80230 0 32885 0 29831 0 5266 0 361270 0 0 0 Joel D Ray VP/Patient Care Services & CNO 245587 0 37864 0 1999 0 39437 0 249 0 325136 0 0 0 Robert D Ricker VP/Physician Services 239660 0 38893 0 8069 0 93908 0 8615 0 389145 0 0 0 Kirsten Riggs VP 221153 0 35682 0 6986 0 42205 0 14453 0 320479 0 0 0 Lisa R Schiller VP/Mktg, PR, Comm Relations & 207307 0 34697 0 22305 0 35423 0 17240 0 316972 0 0 0 Tammie T Stanton VP/Post Acute Services 0 270340 0 43575 0 10212 0 70454 0 20185 0 414766 0 0 Sean T Tehrani MD VP/Regional Hospitalists Servi 465396 0 87631 0 52533 0 44002 0 14453 0 664015 0 0 0 Roy C Tempke VP/Care Transitions 174221 0 21101 0 7087 0 23692 0 15734 0 241835 0 0 0 Tom G Williams VP/Ambulatory Services 199384 0 35123 0 13480 0 40113 0 16444 0 304544 0 0 0 Jeff S LeGay Asst Treasurer & Asst Secretar 194660 0 24513 0 7087 0 8096 0 9455 0 243811 0 0 0 Benjamin J Mathew Asst Treasurer & Asst Secretar 127397 0 9318 0 340 0 5323 0 16768 0 159146 0 0 0 Mateen Akhtar Physician 1176588 0 463843 0 18960 0 0 16981 0 1676372 0 0 0 Deepak Pasi Physician 852096 0 544808 0 34668 0 0 14453 0 1446025 0 0 0 Ravish Sachar Physician 1330381 0 37246 0 19260 0 0 14407 0 1401294 0 0 0 Eric Janis Physician 1292334 0 10200 0 27612 0 0 14453 0 1344599 0 0 0 John Buttram Jr Physician 1190974 0 105344 0 19260 0 0 9328 0 1324906 0 0 0 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. A North Carolina Medical Care Commission 521309402 65821DFJ5 2010-10-26 127456150 See Part VI false false false B North Carolina Medical Care Commission 521309402 65821DTR2 2015-05-21 150167728 See Part VI false false false A 33835000 0 127458770 0 2187480 0 1628054 0 0 47605889 76034727 0 2013 true false true true B 0 0 150170966 0 4130000 0 1051300 0 0 144986428 0 0 2017 false false true true A false false false false 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false false true A false false false true false false 0 false 0 false true B false true false false true false 0 false 0 false true A true B true 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. 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. 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 3492610 0 Rex Hospital Rex Surgery Center of Wakefield LLC 4420 Lake Boone Trail Raleigh NC 27607 465511168 ASC NC 0 0 Rex Hospital 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 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 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 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 N/A C Corp 0 0 0.00000 false UNC Physicians Network Group Practices L 1600 Perimeter Park Drive STE 225 Morrisville NC 27560 461416986 Healthcare NC N/A C Corp 0 0 0.00000 false false false true false false false false false false false false false false true true true false false false The Rex Healthcare Foundation Inc c 4334877 FMV The Rex Healthcare Foundation Inc p 744995 FMV