REX HOSPITAL INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: REX HOSPITAL INC (EIN 56-1509260)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-14
IRS object ID: 201521349349307187
Schema version: 2013v4.0
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	2015-05-14T15:59:54-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 N TRYON STREET SUITE 1000	AddressLine1
City	CHARLOTTE	City
State	NC	State
ZIP Code	28246	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	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 DBA REX HEALTHCARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	REXH	BusinessNameControlTxt
Phone	9197843100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4420 LAKE BOONE TRAIL	AddressLine1
City	RALEIGH	City
State	NC	State
ZIP Code	27607	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BERNADETTE SPONG	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9197843100	PhoneNum
Signature	2015-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JOHN NORMAN	PreparerPersonNm
PTIN	P01506766	PTIN
Phone	7049985200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	REX HEALTHCARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Principal Officer	DAVID STRONG	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4420 LAKE BOONE TRAIL	AddressLine1
City	RALEIGH	City
State	NC	State
ZIP Code	27607	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$747,392,802	GrossReceiptsAmt
Group Return For Affiliates	0	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	TO PROVIDE THE BEST IN HEALTH SERVICES BY COMBINING COMPASSIONATE CARE AND LEADING-EDGE TECHNOLOGY.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	6298	TotalEmployeeCnt
Total Volunteers	1397	TotalVolunteersCnt
Total Gross UBI	$12,237,149	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$58,741	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$975,759	PYContributionsGrantsAmt
CY Contributions Grants	$1,196,306	CYContributionsGrantsAmt
PY Program Service Revenue	$687,457,216	PYProgramServiceRevenueAmt
CY Program Service Revenue	$713,789,381	CYProgramServiceRevenueAmt
PY Investment Income	$12,242,463	PYInvestmentIncomeAmt
CY Investment Income	$7,734,910	CYInvestmentIncomeAmt
PY Other Revenue	$380,143	PYOtherRevenueAmt
CY Other Revenue	$1,727,880	CYOtherRevenueAmt
PY Total Revenue	$701,055,581	PYTotalRevenueAmt
CY Total Revenue	$724,448,477	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,602,202	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$727,896	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$348,242,512	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$374,843,709	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$343,955,728	PYOtherExpensesAmt
CY Other Expenses	$322,952,877	CYOtherExpensesAmt
PY Total Expenses	$693,800,442	PYTotalExpensesAmt
CY Total Expenses	$698,524,482	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,255,139	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,923,995	CYRevenuesLessExpensesAmt
Total Assets BOY	$707,307,283	TotalAssetsBOYAmt
Total Assets EOY	$754,621,461	TotalAssetsEOYAmt
Total Liabilities BOY	$231,549,288	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$294,541,771	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$475,757,995	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$460,079,690	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE OREX HEALTHCARE PROVIDES THE BEST IN HEALTH SERVICES BY COMBINING COMPASSIONATE CARE AND LEADING-EDGE TECHNOLOGY. REX PROVIDES SERVICES AT FACILITIES ACROSS WAKE COUNTY TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. REX 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, REX OFFERS MUCH-NEEDED CARE AND SUPPORT AT CAMPUSES IN APEX, CARY, GARNER, HOLLY SPRINGS, KNIGHTDALE, DOWNTOWN RALEIGH AND WAKEFIELD.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$46,912,018	ExpenseAmt
Revenue	$75,333,442	RevenueAmt
Desc	CARDIOLOGY SERVICES: REX PERFORMS MORE THAN 28,000 HEART AND VASCULAR PROCEDURES A YEAR, INCLUDING CORONARY ARTERY BYPASS GRAFTING, ECHOCARDIOGRAPHY, PERIPHERAL VASCULAR ULTRASOUND, VALVE REPLACEMENT AND REPAIR, ANGIOPLASTY, CARDIAC CATHETERIZATION, ELECTROPHYSIOLOGY PROCEDURES AND STENT PLACEMENT, REGARDLESS OF PATIENTS' ABILITY TO PAY. 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. REX ALSO PROVIDES A FULL RANGE OF INVASIVE CATHETER BASED CARDIAC, VASCULAR AND ELECTROPHYSIOLOGY PROCEDURES. RECOVERY FACILITIES INCLUDE A DEDICATED EIGHT-BED CARDIO-THORACIC INTENSIVE CARE UNIT, WHICH PROVIDES INTENSIVE CARE TO OPEN-HEART SURGICAL PATIENTS, AND 91 INTERMEDIATE CARE UNIT BEDS, WHICH PROVIDE CONTINUOUS MONITORING OF HEART RHYTHMS USING A TELEMETRY SYSTEM. NON-SURGICAL HEART PATIENTS REQUIRING INTENSIVE CARE ARE TREATED IN A 12-BED CARDIAC INTENSIVE CARE UNIT. THE EXISTING HEART AND VASCULAR SERVICES AND CARE ARE PROVIDED AT MORE THAN SEVEN LOCATIONS ACROSS THE MAIN HOSPITAL IN RALEIGH. THOSE SERVICES AND MORE WILL BE CONSOLIDATED INTO A MODERN, MORE EFFICIENT AND MORE CONVENIENT FACILITY WITH THE ADDITION OF THE NORTH CAROLINA HEART AND VASCULAR HOSPITAL CURRENTLY UNDER CONSTRUCTION ON REX'S MAIN RALEIGH CAMPUS, PROVIDING EASIER AND MORE COMFORTABLE ACCESS FOR PATIENTS AND THEIR FAMILIES, PHYSICIANS AND STAFF.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$43,180,159	ExpenseAmt
Revenue	$84,336,772	RevenueAmt
Desc	GENERAL SURGERY: REX SURGERY CENTERS IN RALEIGH, CARY AND WAKEFIELD ARE USED BY MORE THAN 425 PHYSICIANS AND PROVIDE IN- AND OUTPATIENT SERVICES TO 40,000 PATIENTS A YEAR. THE THREE LOCATIONS HAVE IMPROVED ACCESS TO SPECIALIZED CARE FOR PATIENTS ACROSS THE REGION. SURGEONS MAKE SUBSTANTIAL USE OF MINIMALLY INVASIVE TECHNOLOGY FOR DIAGNOSIS AND TREATMENT, REDUCING PATIENTS RECOVERY TIME AND HOSPITAL STAY. FOR EXAMPLE, REX HAS THREE DAVINCI SURGICAL ROBOTS USED FOR UROLOGY, GYNECOLOGY AND GENERAL SURGERIES. THE CENTERS INCLUDE 34 OPERATING SUITES, EIGHT MINOR PROCEDURE ROOMS, AND VARIOUS PERIOPERATIVE AND ANCILLARY SUPPORT SPACES. 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 SURGERY, HERNIA REPAIR, GALLBLADDER REMOVAL AND BARIATRIC AND BREAST SURGERIES. SOME OUTPATIENT ORTHOPAEDIC PROCEDURES ARE PERFORMED AT RALEIGH ORTHOPAEDIC SURGERY CENTER, REX'S JOINT VENTURE WITH RALEIGH ORTHOPAEDIC CLINIC LOCATED ABOUT A MILE FROM REX'S MAIN RALEIGH CAMPUS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$36,621,722	ExpenseAmt
Revenue	$59,522,637	RevenueAmt
Desc	ONCOLOGY: REX PROVIDES A FULL RANGE OF SPECIALIZED, MULTI-DISCIPLINARY ONCOLOGY THERAPY AND SUPPORT SERVICES TO PATIENTS IN WAKE COUNTY AND BEYOND. DURING FISCAL YEAR 2014, REX CANCER CENTER PROVIDED 25,422 RADIATION ONCOLOGY TREATMENTS, 13,190 CHEMOTHERAPY TREATMENTS AND 21,231 HEMATOLOGY ONCOLOGY TREATMENTS AT FOUR LOCATIONS IN WAKE COUNTY. IN ADDITION TO CANCER TREATMENTS AND THERAPIES, THE CENTERS PROVIDE OUTREACH AND SUPPORT SERVICES, NUTRITIONAL SERVICES, NURSE NAVIGATION OF CARE, REHABILITATION SERVICES AND SURVIVORSHIP OR END OF LIFE CARE. REX CANCER CENTER ALSO PROVIDES SURGICAL SERVICES TO CANCER PATIENTS THROUGH ACCESS TO REX HOSPITAL. REX CANCER CENTER WORKS CLOSELY WITH THE NATIONALLY RECOGNIZED N.C. CANCER HOSPITAL AND THE UNC LINEBERGER COMPREHENSIVE CANCER CENTER IN CHAPEL HILL TO EXTEND SPECIALTY SERVICES AND CLINICAL TRIALS TO PATIENTS IN RALEIGH. SINCE 2008, REX HAS PARTNERED WITH JOHNSTON HEALTH SERVICES CORPORATION TO PROVIDE CRITICAL CARE AND SERVICES CLOSER TO HOME AT RADIATION ONCOLOGY CLINICS IN SMITHFIELD AND CLAYTON. DURING 2014, REX HEMATOLOGY ONCOLOGY ASSOCIATES OPENED NEW LOCATIONS IN CARY AND RALEIGH, OFFERING CONVENIENT OUTPATIENT SERVICES AND TREATMENT.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$512,708,129	ExpenseAmt
Grant	$727,896	GrantAmt
Revenue	$452,892,376	RevenueAmt
Desc	REX PROVIDES A FULL RANGE OF ORTHOPAEDIC TREATMENT, SURGERY AND REHABILITATION AT ITS SURGERY CENTERS IN RALEIGH, CARY AND WAKEFIELD. IN ADDITION, RALEIGH ORTHOPAEDIC SURGERY CENTER OPENED IN MARCH 2013. THE 27,700 SQUARE-FOOT SURGERY CENTER IS A JOINT VENTURE BETWEEN REX AND RALEIGH ORTHOPAEDIC CLINIC. THE OUTPATIENT FACILITY IS LOCATED ON EDWARDS MILL ROAD, LESS THAN A MILE FROM THE MAIN CAMPUS OF REX HOSPITAL AND OFFERS A WIDE RANGE OF ORTHOPEDIC CARE AND SERVICES INVOLVING KNEES, FEET, SHOULDERS, HIPS, WRISTS AND MORE, IN A CONVENIENT OUTPATIENT SETTING. AT REX'S WOMEN'S CENTER, CAREGIVERS SEEK TO PROVIDE FAMILY-CENTERED CARE TO THE NEW MOTHER, BABY AND EXTENDED FAMILY. DURING FISCAL YEAR 2014, 5,658 BABIES WERE BORN IN THE REX 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. 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 REX'S SPECIAL CARE NURSERY OFFERS 15 LEVEL III NEONATAL BEDS. THE REX WOMEN'S CENTER INCLUDES 98 PRIVATE ROOMS IN WHICH LABOR, DELIVERY, RECOVERY, AND POSTPARTUM CARE OF THE MOTHER AND CHILD NORMALLY OCCUR.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$512,708,129	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$727,896	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$452,892,376	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$639,422,028	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	309	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	6298	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	BERNADETTE SPONG CFO	PersonNm
Phone	9197843100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4420 LAKE BOONE TRAIL	AddressLine1
City	RALEIGH	City
State	NC	State
ZIP Code	27607	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (37 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
A DALE JENKINS
DIRECTOR	4.00	1.00	Yes (X)	$0	$0	$0
VINCENT L HOELLERICH MD
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
DARLEEN M JOHNS
DIRECTOR (LEFT 12/31/13)	1.00	1.00	Yes (X)	$0	$0	$0
GARY L PARK
DIRECTOR	4.00	56.00	Yes (X)	$0	$815,602	$289,529
ORAGE QUARLES III
DIRECTOR (LEFT 12/31/13)	1.00	1.00	Yes (X)	$0	$0	$0
WILLIAM L ROPER MD
DIRECTOR	4.00	56.00	Yes (X)	$0	$782,626	$157,492
MARK A STRIEBEL
DIRECTOR (LEFT 12/31/13)	1.00	1.00	Yes (X)	$0	$0	$0
ROBERT S THOMAS
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
DAVID W STRONG
DIRECTOR AND PRESIDENT	59.00	1.00	Yes (X)	$1,034,493	$0	$275,234	Yes (X)
TERESA C ARTIS
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
C HOWARD NYE
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
STEVEN C LILLY
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
RIG S PATEL MD
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
CATHARINE B ARROWOOD
DIRECTOR (AS OF 1/21/2014)	1.00	1.00	Yes (X)	$0	$0	$0
COURTNEY A CROWDER
DIRECTOR (AS OF 11/18/2013)	1.00	1.00	Yes (X)	$0	$0	$0
MARSCHALL S RUNGE MD
DIRECTOR (AS OF 11/18/2013)	1.00	1.00	Yes (X)	$0	$0	$0
BERNADETTE M SPONG
SVP/FINANCE AND CFO, TREAS & SEC	59.00	1.00		$433,382	$0	$50,020	Yes (X)
MARY LOU POWELL LEFT 382014
SVP/PATIENT CARE SVCS & CNO	59.00	1.00		$362,037	$0	$75,424	Yes (X)
STEPHEN W BURRISS
COO	59.00	1.00		$395,315	$0	$40,332	Yes (X)
LINDA H BUTLER MD
VP/MEDICAL AFFAIRS & CMO & CMIO	59.00	1.00		$300,691	$0	$32,484	Yes (X)
DONALD ESPOSITO JR
VP/GENERAL COUNSEL	59.00	1.00		$329,525	$0	$37,193	Yes (X)
SYLVIA D HACKETT
VP/HUMAN RESOURCES & FOUNDATION	59.00	1.00		$286,939	$0	$61,374	Yes (X)
R ERICK HAWKINS
VP/HEART & VASCULAR SERVIC	59.00	1.00		$309,716	$0	$33,423	Yes (X)
CHAD T LEFTERIS
VP/OPERATIONS	59.00	1.00		$234,382	$0	$22,737	Yes (X)
LISA SCHILLER
VP/COMMUNICATIONS & MARKETING	59.00	1.00		$219,683	$0	$37,799	Yes (X)
JAYNE R BYRD
VP/SURGICAL SERVICES	59.00	1.00		$234,989	$0	$163,887	Yes (X)
MICHELLE L GRAY
VP/REGIONAL CIO	59.00	1.00		$283,118	$0	$37,745	Yes (X)
ROBERT D RICKER
VP/PHYSICIAN RELATIONS	59.00	1.00		$245,243	$0	$85,291	Yes (X)
TAMMIE T STANTON
VP/POST ACUTE SERVICES	59.00	1.00		$0	$278,468	$42,160	Yes (X)
TOM G WILLIAMS
VP/AMBULATORY SERVICES	59.00	1.00		$220,416	$0	$48,318	Yes (X)
JOHN D STORMENT
ASST. TREASURER & ASST. SE	59.00	1.00		$0	$208,126	$36,331	Yes (X)
JOEL RAY AS OF 2214
VP/PATIENT CARE SVCS & CNO	59.00	1.00		$0	$165,026	$24,290	Yes (X)
JEFFREY CRANE MD
ONCOLOGY	60.00	0.00		$692,929	$0	$73,270		Yes (X)
ROBERT WEHBIE MD
ONCOLOGY	60.00	0.00		$710,829	$0	$46,356		Yes (X)
LANCE LANDVATER MD
CARDIOVASCULAR SURGEON	60.00	0.00		$1,141,034	$0	$26,443		Yes (X)
O ROBERT MENDES MD
VASCULAR SURGEON	60.00	0.00		$699,331	$0	$21,341		Yes (X)
ROBERT PEYTON MD
CARDIOVASCULAR SURGEON	60.00	0.00		$822,708	$0	$20,601		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,956,760	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,249,848	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,739,074	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	19	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
WHR DESIGN PC
1111 LOUISIANA 26TH FLOOR	HOUSTON	TX	77002	ARCHITECTURAL DESIGN	$4,629,943
SKANSKA USA BUILDING INC
4309 EMPEROR BLVD STE 200	DURHAM	NC	27703	CONSTRUCTION	$2,855,981
THE OUTSOURCE GROUP
39867 TREASURY CENTER	CHICAGO	IL	60694	COLLECTIONS	$2,423,490
MSA MARKETING
5591 CAPITAL CENTER DR STE 105	RALEIGH	NC	27606	ADVERTISING & MARKETING	$2,135,666
QUALITY TEXTILE SERVICES INC
313 S ROGERS LANE	RALEIGH	NC	27610	LINEN SERVICES	$1,506,657

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	63	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,196,306	RelatedOrganizationsAmt
Total Contributions	$1,196,306	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GENERAL SURGERY	625100	$84,336,772	$84,336,772
CARDIOLOGY	625100	$75,333,442	$75,333,442
ORTHOPEDICS	625100	$63,122,740	$63,122,740
ONCOLOGY	625100	$59,522,637	$59,522,637
WOMEN'S & CHILDREN	625100	$59,050,576	$59,050,576

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$372,423,214	TotalRevenueColumnAmt
Related Or Exempt Func Income	$355,310,732	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,237,149	UnrelatedBusinessRevenueAmt
Exclusion	$4,875,333	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$713,789,381	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,488,760	TotalRevenueColumnAmt
Exclusion	$3,488,760	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,126,043	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$225,209	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$900,834	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$900,834	TotalRevenueColumnAmt
Exclusion	$900,834	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$26,965,266	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$22,719,116	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,246,150	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,246,150	TotalRevenueColumnAmt
Exclusion	$4,246,150	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$827,046	TotalRevenueColumnAmt
Exclusion	$827,046	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$827,046	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$724,448,477	TotalRevenueColumnAmt
Related Or Exempt Func Income	$696,676,899	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,237,149	UnrelatedBusinessRevenueAmt
Exclusion	$14,338,123	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$727,896	TotalAmt
Program Services	$727,896	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,505,178	TotalAmt
Management And General	$5,505,178	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$299,086,285	TotalAmt
Program Services	$271,113,121	ProgramServicesAmt
Management And General	$27,973,164	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$20,893,024	TotalAmt
Program Services	$19,863,032	ProgramServicesAmt
Management And General	$1,029,992	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$28,769,565	TotalAmt
Program Services	$25,542,182	ProgramServicesAmt
Management And General	$3,227,383	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,589,657	TotalAmt
Program Services	$18,118,898	ProgramServicesAmt
Management And General	$2,470,759	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$655,190	TotalAmt
Management And General	$655,190	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$132,428	TotalAmt
Management And General	$132,428	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$37,579	TotalAmt
Program Services	$37,579	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$952,603	TotalAmt
Management And General	$952,603	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$71,724,859	TotalAmt
Program Services	$65,269,622	ProgramServicesAmt
Management And General	$6,455,237	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$7,133,265	TotalAmt
Program Services	$6,491,271	ProgramServicesAmt
Management And General	$641,994	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,706,308	TotalAmt
Program Services	$7,012,740	ProgramServicesAmt
Management And General	$693,568	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,896,224	TotalAmt
Program Services	$14,465,564	ProgramServicesAmt
Management And General	$1,430,660	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$22,372,909	TotalAmt
Program Services	$20,359,347	ProgramServicesAmt
Management And General	$2,013,562	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,344,162	TotalAmt
Program Services	$1,223,187	ProgramServicesAmt
Management And General	$120,975	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$443,544	TotalAmt
Program Services	$403,625	ProgramServicesAmt
Management And General	$39,919	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,005,194	TotalAmt
Program Services	$4,554,727	ProgramServicesAmt
Management And General	$450,467	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$30,594,131	TotalAmt
Program Services	$27,840,659	ProgramServicesAmt
Management And General	$2,753,472	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,319,457	TotalAmt
Program Services	$5,750,706	ProgramServicesAmt
Management And General	$568,751	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PATIENT SUPPLIES & SERV	$130,555,567	$130,555,567
REPAIRS AND MAINTENANCE	$13,392,828	$12,187,473	$1,205,355
MINOR EQUIPMENT	$1,655,076	$1,506,119	$148,957

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,031,553	TotalAmt
Program Services	$6,398,713	ProgramServicesAmt
Management And General	$632,840	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$698,524,482	TotalAmt
Program Services	$639,422,028	ProgramServicesAmt
Management And General	$59,102,454	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$18,160,406	BOYAmt
EOY	$27,371,047	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$48,053,150	BOYAmt
EOY	$28,438,622	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$79,254,361	BOYAmt
EOY	$96,850,062	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$152,348	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,249,476	BOYAmt
EOY	$13,398,423	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,531,455	BOYAmt
EOY	$5,068,277	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$696,753,601	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$434,988,912	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$253,215,132	BOYAmt
EOY	$261,764,689	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$195,088,183	BOYAmt
EOY	$287,047,851	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$50,844,894	BOYAmt
EOY	$10,573,766	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$46,757,878	BOYAmt
EOY	$24,108,724	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$707,307,283	BOYAmt
EOY	$754,621,461	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$103,509,812	BOYAmt
EOY	$138,257,660	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$686,721	BOYAmt
EOY	$779,002	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$119,988,994	BOYAmt
EOY	$113,639,855	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$10,719	BOYAmt
EOY	$13,033	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,353,042	BOYAmt
EOY	$41,852,221	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$231,549,288	BOYAmt
EOY	$294,541,771	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$474,746,039	BOYAmt
EOY	$435,989,009	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,011,956	BOYAmt
EOY	$24,090,681	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$475,757,995	BOYAmt
EOY	$460,079,690	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$707,307,283	BOYAmt
EOY	$754,621,461	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$25,923,995	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$32,177,076	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$73,779,376	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$37,579	OtherActivitiesAmt
Total Lobbying Expenditures	$37,579	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	REX HEALTHCARE 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 REX'S POSITION IN SUPPORT OF ITS MISSION. AS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND NCHA, A PERCENTAGE OF REX'S MEMBERSHIP DUES ARE ATTRIBUTED TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,788,331	OtherCostOrOtherBasisAmt
Book Value	$25,788,331	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$175,260,636	OtherCostOrOtherBasisAmt
Depreciation	$97,779,897	DepreciationAmt
Book Value	$77,480,739	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,200,178	OtherCostOrOtherBasisAmt
Depreciation	$5,817,342	DepreciationAmt
Book Value	$13,382,836	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$346,577,197	OtherCostOrOtherBasisAmt
Depreciation	$277,448,232	DepreciationAmt
Book Value	$69,128,965	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$129,927,259	OtherCostOrOtherBasisAmt
Depreciation	$53,943,441	DepreciationAmt
Book Value	$75,983,818	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$261,764,689	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
CAPITAL LEASE	$1,946,732
CONTRACT COMMITMENT	$887,699
PAYABLE TO RELATED PARY	$39,017,790

Field	Value	IRS element (for citing)
Total Liability	$41,852,221	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, THE FOUNDATION, AND HOME SERVICES 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. PHYSICIANS IS A SINGLE MEMBER LIMITED LIABILITY COMPANY THAT HAS ELECTED TO BE TAXED AS A FOR-PROFIT CORPORATION. PHYSICIANS HAD A NET OPERATING LOSS IN 2013 AND 2012. THE HOSPITAL IS THE SOLE MEMBER OF ROV AND RSCW, AND ENTERPRISES IS THE SOLE MEMBER OF RWE, AND RWE IS THE SOLE MEMBER OF WELLNESS, MOB AND RHVLLC. AS SUCH, THESE ENTITIES ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,955,900	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,955,900	NetCommunityBenefitExpnsAmt
Total Expense	0.04150	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,763,306	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,248,607	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,514,699	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,719,206	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,248,607	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,470,599	NetCommunityBenefitExpnsAmt
Total Expense	0.04510	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$522	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$522	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,656,657	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,656,657	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$379,335	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$379,335	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$682,978	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$682,978	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,719,492	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,719,492	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,438,698	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,248,607	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,190,091	NetCommunityBenefitExpnsAmt
Total Expense	0.04900	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,611,179	BadDebtExpenseAmt
Reimbursed By Medicare	$250,071,462	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$338,368,457	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$88,296,995	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 REX SURGERY CENTER OF CARY LLC
AMBULATORY SURGICAL CENTER	0.55000	0.00000	0.45000
2 ORTHOPAEDIC SURGERY CENTER OF RALEIGH LLC
SURGERY CENTER	0.51000	0.00000	0.49000

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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4420 LAKE BOONE TRAIL	AddressLine1
City	RALEIGH	City
State	NC	State
ZIP Code	27607	ZIPCode

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	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (1)	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
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	0	FPGUsedDetermEligDscntCareInd
Explained Basis	0	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	0	FAPActionsOnNonpaymentInd
Collection Activities	Yes (1)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
REX HOSPITAL, INC.	PART V, SECTION B, LINE 3: 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 CONDUCTED DOOR-TO-DOOR AT RANDOMLY SELECTED HOUSEHOLDS. THE NINE FOCUS GROUPS, INCLUDING 2 IN SPANISH, CONSISTED OF RECRUITED PARTICIPANTS REPRESENTING SPECIFIC GROUPS.
REX HOSPITAL, INC.	PART V, SECTION B, LINE 4: THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: WAKEMED HEALTH AND HOSPITALS AND DUKE RALEIGH HOSPITAL.
REX HOSPITAL, INC.	PART V, SECTION B, LINE 7: THE ORGANIZATION DID NOT ADDRESS THE FOLLOWING FOCUS AREAS IDENTIFIED IN THE CHNA: DISABILITY AND CARE-GIVING, EDUCATION AND LIFELONG LEARNING, HOUSING AND HOMELESSNESS, NUTRITION, PHYSICAL ACTIVITY AND OBESITY PREVENTION, POPULATION GROWTH AND RISKY YOUTH BEHAVIOR. THE COMMUNITY VOTED ON THE THREE PRIORITY AREAS TO BE ADDRESSED OVER THE NEXT THREE YEARS AND THE TOP THREE PRIORITY AREAS DID NOT INCLUDE THE NEEDS LISTED ABOVE. WHILE THE ORGANIZATION IS WORKING CLOSELY WITH ITS CHNA PARTNERS ON THE TOP THREE IDENTIFIED PRIORITY AREAS, REX ALSO PLANS TO PLACE EMPHASIS ON THE CLOSELY IDENTIFIED FOURTH ITEM WHICH IS NUTRITION, PHYSICAL ACTIVITY AND OBESITY PREVENTION. AS A HEALTHCARE ORGANIZATION, RESOURCES ARE READILY AVAILABLE TO ADDRESS THIS AREA IN GREATER SCOPE.
REX HOSPITAL, INC.	PART V, SECTION B, LINE 20D: PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE RECEIVE THE BENEFIT OF 100% ADJUSTMENT OF ELIGIBLE CHARGES, INCLUDING EMERGENCY CARE, MINUS A SMALL COPAYMENT DEPENDING ON THE TYPE OF SERVICE RECEIVED. AMOUNTS GENERALLY BILLED BASED ON MANAGED CARE CONTRACTED AMOUNTS ARE USED TO DETERMINE THE UNINSURED DISCOUNT WHICH IS AUTOMATICALLY APPLIED TO ALL SELF PAY BALANCES REGARDLESS OF ELIGIBILITY FOR FINANCIAL ASSISTANCE.

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
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 KNIGHTDALE
6602 KNIGHTDALE BOULEVARD 102	KNIGHTDALE	NC	27545	HEALTHCARE
REX REHAB AND NURSING CARE CTR - RALEIGH
4210 LAKE BOONE TRAIL	RALEIGH	NC	27607	NURSING FACILITY
REX REHAB AND NURSING CARE CTR - APEX
911 SOUTH HUGHES STREET	APEX	NC	27502	NURSING FACILITY
REX WELLNESS CENTER OF WAKEFIELD
11200 GALLERIA AVENUE	RALEIGH	NC	27614	WELLNESS CENTER
REX WELLNESS CENTER OF RALEIGH
4200 LAKE BOONE TRAIL	RALEIGH	NC	27607	WELLNESS CENTER
REX WELLNESS CENTER OF CARY
1515 SW CARY PARKWAY	CARY	NC	27511	WELLNESS CENTER
REX WELLNESS CENTER OF GARNER
1400 TIMBER DRIVE EAST	GARNER	NC	27529	WELLNESS CENTER
REX WELLNESS CENTER OF KNIGHTDALE
6602 KNIGHTDALE BOULEVARD	KNIGHTDALE	NC	27545	WELLNESS CENTER
REX HEALTHCARE OF GARNER
300 HEALTH PARK DRIVE	GARNER	NC	27529	HEALTHCARE
REX HEALTHCARE OF HOLLY SPRINGS
781 AVENT FERRY ROAD	HOLLY SPRINGS	NC	27540	HEALTHCARE

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III, LINE 2:	THE COSTING METHODOLOGY USED TO DETERMINE PAYOR COSTS IS THE ANDI METHODOLOGY, WHICH USES A FACILITY-WIDE RATIO OF COST TO CHARGES AS DESCRIBED IN THE NCHA COMMUNITY BENEFITS GUIDELINES.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 THE ORGANIZATION'S MISSION. THEREFORE, WE BELIEVE THAT THE COST OF BAD DEBTS SHOULD BE CONSIDERED A COMMUNITY BENEFIT.
PART III, 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, 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, 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 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 COUNTY'S 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 COUNTY'S 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. REX'S 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 COMMUNITY'S HEALTH, AND REX'S ROLE IN THE BIGGER SYSTEM'S 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 (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2
WAKE COUNTY MEDICAL SOCIETY
2500 BLUE RIDGE ROAD STE 330	RALEIGH	NC	27607	562205175	501(C)(6)	$175,000	GENERAL SUPPORT, MEDICAL CARE
NORTH CAROLINA SYMPHONY
4350 LASSITER STE 250	RALEIGH	NC	27609	560556755	501(C)(3)	$60,000	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
NORTH CAROLINA AFFILIATEINC 3901	RALEIGH	NC	27609	560529996	501(C)(3)	$40,000	GENERAL SUPPORT, EDUCATION SUPPORT	COMPUTER DR STE 110
GREATER RALEIGH CHAMBER
PO BOX 2978	RALEIGH	NC	27602	560370850	501(C)(6)	$11,515	GENERAL SUPPORT
NORTH CAROLINA CHAMBER
701 CORPORATE CENTER DRIVE STE 400	RALEIGH	NC	27607	560340499	501(C)(6)	$5,400	GENERAL SUPPORT
WAKE TECH FOUNDATION
9101 FAYETTEVILLE ROAD	RALEIGH	NC	27511	237017752	501(C)(3)	$15,000	GENERAL SUPPORT
NC MUSEUM OF ART
4630 MAIL SERVICE CENTER	RALEIGH	NC	27699	237071511	501(C)(3)	$22,500	GENERAL SUPPORT
RONALD MCDONALD HOUSE OF CHAPEL HILL
101 OLD MASON FARM ROAD	CHAPEL HILL	NC	27517	561413188	501(C)(3)	$15,000	GENERAL SUPPORT
DOWNTOWN RALEIGH ALLIANCE
120 SOUTH WILMINGTON STREET STE 103	RALEIGH	NC	27601	561994005	501(C)(6)	$60,000	GENERAL SUPPORT	103
WAKE EDUCATION PARTERNSHIP
706 HILLSBOURGH STREET STE A	RALEIGH	NC	27603	281518182	501(C)(3)	$10,300	GENERAL SUPPORT
AFRICAN AMERICAN CULTURAL FESTIVAL
PO BOX 46595	RALEIGH	NC	27620	900636941	501(C)(3)	$10,000	GENERAL SUPPORT
HOLT BROTHERS FOUNDATION
8801 FAST PARK DRIVE STE 105 107	RALEIGH	NC	27617	566570426	501(C)(3)	$7,500	GENERAL SUPPORT
NASH HEALTH CARE FOUNDATION
2416 PROFESSIONAL DRIVE	ROCKY MOUNT	NC	27804	311802814	501(C)(3)	$5,200	GENERAL SUPPORT
ALLIANCE MEDICAL MINISTRY
101 DONALD ROSS DRIVE	RALEIGH	NC	27610	562168673	501(C)(3)	$5,000	GENERAL SUPPORT
CARY CHAMBER OF COMMERCE
307 NORTH ACADEMY STREET	CARY	NC	27519	560989726	501(C)(3)	$5,000	GENERAL SUPPORT
NC PREVENTION PARTNERS
88 VILCOM CENTER DRIVE ST 110	CHAPEL HILL	NC	27514	311722051	501(C)(3)	$5,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt
Total Other Org	4	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 REX'S MISSION. REX'S PRIORITIES INCLUDE SUPPORTING HEALTH, HUMAN SERVICES, EDUCATION AND ARTS IN THE 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 (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	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	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 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
GARY L PARK
DIRECTOR	$0	$758,970	$0	$49,534	$0	$7,098	$0	$281,821	$0	$7,708	$0	$1,105,131	$0	$0
WILLIAM L ROPER MD
DIRECTOR	$0	$770,164	$0	$0	$0	$12,462	$0	$152,285	$0	$5,207	$0	$940,118	$0	$0
DAVID W STRONG
DIRECTOR AND PRESIDENT	$626,252	$0	$157,199	$0	$251,042	$0	$263,723	$0	$11,511	$0	$1,309,727	$0	$229,994	$0
BERNADETTE M SPONG
SVP/FINANCE AND CFO, TREAS & SEC	$328,338	$0	$86,923	$0	$18,121	$0	$34,437	$0	$15,583	$0	$483,402	$0	$0	$0
MARY LOU POWELL LEFT 382014
SVP/PATIENT CARE SVCS & CNO	$257,661	$0	$72,445	$0	$31,931	$0	$68,823	$0	$6,601	$0	$437,461	$0	$0	$0
STEPHEN W BURRISS
COO	$288,357	$0	$79,263	$0	$27,695	$0	$25,241	$0	$15,091	$0	$435,647	$0	$0	$0
LINDA H BUTLER MD
VP/MEDICAL AFFAIRS & CMO & CMIO	$217,942	$0	$60,381	$0	$22,368	$0	$19,893	$0	$12,591	$0	$333,175	$0	$0	$0
DONALD ESPOSITO JR
VP/GENERAL COUNSEL	$239,259	$0	$66,399	$0	$23,867	$0	$22,102	$0	$15,091	$0	$366,718	$0	$0	$0
SYLVIA D HACKETT
VP/HUMAN RESOURCES & FOUNDATION	$208,135	$0	$58,985	$0	$19,819	$0	$52,272	$0	$9,102	$0	$348,313	$0	$0	$0
R ERICK HAWKINS
VP/HEART & VASCULAR SERVIC	$220,562	$0	$60,811	$0	$28,343	$0	$25,001	$0	$8,422	$0	$343,139	$0	$0	$0
CHAD T LEFTERIS
VP/OPERATIONS	$168,636	$0	$46,053	$0	$19,693	$0	$16,135	$0	$6,602	$0	$257,119	$0	$0	$0
LISA SCHILLER
VP/COMMUNICATIONS & MARKETING	$169,198	$0	$43,672	$0	$6,813	$0	$23,708	$0	$14,091	$0	$257,482	$0	$0	$0
JAYNE R BYRD
VP/SURGICAL SERVICES	$184,076	$0	$48,399	$0	$2,514	$0	$155,901	$0	$7,986	$0	$398,876	$0	$0	$0
MICHELLE L GRAY
VP/REGIONAL CIO	$207,364	$0	$67,132	$0	$8,622	$0	$32,982	$0	$4,763	$0	$320,863	$0	$0	$0
ROBERT D RICKER
VP/PHYSICIAN RELATIONS	$202,401	$0	$34,192	$0	$8,650	$0	$78,689	$0	$6,602	$0	$330,534	$0	$0	$0
TAMMIE T STANTON
VP/POST ACUTE SERVICES	$0	$232,584	$0	$40,691	$0	$5,193	$0	$36,952	$0	$5,208	$0	$320,628	$0	$0
TOM G WILLIAMS
VP/AMBULATORY SERVICES	$169,169	$0	$43,495	$0	$7,752	$0	$35,727	$0	$12,591	$0	$268,734	$0	$0	$0
JOHN D STORMENT
ASST. TREASURER & ASST. SE	$0	$179,775	$0	$16,679	$0	$11,672	$0	$31,123	$0	$5,208	$0	$244,457	$0	$0
JOEL RAY AS OF 2214
VP/PATIENT CARE SVCS & CNO	$0	$144,794	$0	$12,980	$0	$7,252	$0	$24,290	$0	$0	$0	$189,316	$0	$0
JEFFREY CRANE MD
ONCOLOGY	$634,647	$0	$17,363	$0	$40,919	$0	$61,107	$0	$12,163	$0	$766,199	$0	$0	$0
ROBERT WEHBIE MD
ONCOLOGY	$513,535	$0	$18,000	$0	$179,294	$0	$33,825	$0	$12,531	$0	$757,185	$0	$0	$0
LANCE LANDVATER MD
CARDIOVASCULAR SURGEON	$661,935	$0	$473,555	$0	$5,544	$0	$11,500	$0	$14,943	$0	$1,167,477	$0	$0	$0
O ROBERT MENDES MD
VASCULAR SURGEON	$624,733	$0	$27,238	$0	$47,360	$0	$8,750	$0	$12,591	$0	$720,672	$0	$0	$0
ROBERT PEYTON MD
CARDIOVASCULAR SURGEON	$662,334	$0	$154,830	$0	$5,544	$0	$11,500	$0	$9,101	$0	$843,309	$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 10 INDIVIDUALS LISTED THAT RECEIVE COMPLIMENTARY MEMBERSHIPS. THE VALUE OF THE COMPLIMENTARY MEMBERSHIP IS TREATED AS TAXABLE COMPENSATION AND IS REPORTED ON THE INDIVIDUAL'S W-2.
PART I, LINE 4B	DURING THE CALENDAR YEAR 2013, DAVID STRONG PARTICIPATED IN A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN AND RECEIVED DISTRIBUTIONS TOTALING $229,994. HE ALSO EARNED COMPENSATION UNDER THIS PLAN TOTALING $235,196. THE CURRENT YEAR EARNINGS ARE PAYABLE IN THE FUTURE.
PART I, LINE 6	EMPLOYEES IN MANAGERIAL ROLES PARTICIPATE IN AN ANNUAL INCENTIVE COMPENSATION PLAN. THE COMPENSATION EARNED UNDER THIS PLAN IS BASED PARTLY ON THE COMBINED EARNINGS OF REX HEALTHCARE, INC. AND ITS SUBSIDIARIES. ADDITIONALLY, THE INCENTIVE COMPENSATION OF THE PRESIDENT AND CFO IS BASED PARTLY ON THE EARNINGS OF THE UNC HEALTH CARE SYSTEM. OTHER PERFOMANCE MEASURES USED TO DETERMINE INCENTIVE COMPENSATION ARE PHYSICIAN SATISFACTION, PATIENT CARE QUALITY OUTCOMES, EFFECTIVE USE OF TECHNOLOGY AND INDIVIDUAL GOALS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA MEDICAL CARE COMMISSIONS	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	521309402	BondIssuerEIN
CUSIP	65821DFJ5	CUSIPNum
Bond Issued	2010-10-26	BondIssuedDt
Issue Price	$127,456,150	IssuePriceAmt
Purpose	CONSTRUCTION	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$13,606,475	RetiredAmt
Total Proceeds	$127,456,150	TotalProceedsAmt
Capitalized Interest	$2,184,840	CapitalizedInterestAmt
Issuance Costs From Proceeds	$1,499,411	IssuanceCostsFromProceedsAmt
Capital Expenditures	$47,737,172	CapitalExpendituresAmt
Other Spent Proceeds	$76,034,727	OtherSpentProceedsAmt
Substantial Completion	2013	SubstantialCompletionYr
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION'S 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 ORGANIZATION'S BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION'S 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 11	THE ORGANIZATION'S 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 ORGANIZATION'S PRESIDENT AND OTHER TOP MANAGEMENT. THE ORGANIZATION'S 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 ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST AND ON GUIDESTAR'S WEBSITE AND THE FINANCIAL STATEMENTS ARE AVAILABLE ON MUNICIPAL SECURITIES RULEMAKING BOARD'S WEBSITE. THE ORGANIZATION DOES NOT MAKE OTHER GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART XII, LINE 2C:	NO CHANGE FROM PY.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1
REX HEALTH VENTURES GP I LLC
4420 LAKE BOONE TRAIL	RALEIGH	NC	27607	455070550	VENTURE CAPITAL INVESTMENT	NC	REX HOSPITAL INC
REX ORTHOPEDIC VENTURES LLC
4420 LAKE BOONE TRAIL	RALEIGH	NC	27607	273434805	ORTHOPEDIC PRACTICE VENTU	NC	REX HOSPITAL INC
REX SURGERY CENTER OF WAKEFIELD LLC
4420 LAKE BOONE TRAIL	RALEIGH	NC	27607	465511168	ASC	NC	REX HOSPITAL INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	Public Charity StatusPublicCharityStatusTxt
UNC HEALTH CARE SYSTEM
101 MANNING DRIVE	CHAPEL HILL	NC	27514	562206970	HEALTHCARE	NC	SECTION 115	UNC HEALTHCARE	0
UNC HOSPITALS AT CHAPEL HILL
211 FRIDAY CENTER DR SUITE 2029	CHAPEL HILL	NC	27517	561118388	HEALTHCARE	NC	SECTION 115	UNC HEALTHCARE	0
CALDWELL MEMORIAL HOSPITAL
PO BOX 1890	LENIOR	NC	28645	560554204	HEALTHCARE	NC	501(C)(3)	UNC HEALTHCARE	0	LINE 3
CALDWELL MEMORIAL HOSPITAL FOUNDATION INC
PO BOX 1890	LENIOR	NC	28645	581935514	SUPPORT OF CALDWELL	NC	501(C)(3)	CALDWELL MEMORIAL HOSPITAL	0	LINE 7
CHATHAM HOSPITAL INC
PO BOX 649	SILVER CITY	NC	27344	560611546	HEALTHCARE	NC	501(C)(3)	UNC HEALTHCARE	0	LINE 3
HIGH POINT REGIONAL HEALTH
601 N ELM STREET	HIGH POINT	NC	27261	560532309	HEALTHCARE	NC	501(C)(3)	UNC HEALTHCARE	0	LINE 3
HIGH POINT REGIONAL HEALTH SERVICES INC
601 N ELM STREET	HIGH POINT	NC	27261	561497163	HEALTHCARE	NC	501(C)(3)	UNC HEALTHCARE	0	509(A)(3) TYPE 2
HIGH POINT REGIONAL HEALTH SYSTEM FOUNDATION INC
601 N ELM STREET	HIGH POINT	NC	27261	272854711	SUPPORT OF HIGH POINT	NC	501(C)(3)	HIGH POINT REGIONAL HEALTH	0	509(A)(3) TYPE 1
REX HEALTHCARE INC
4420 LAKE BOONE TRAIL	RALEIGH	NC	27607	561509129	HEALTHCARE	NC	501(C)(3)	UNC HEALTHCARE	0	509(A)(3) TYPE 2
THE REX HEALTHCARE FOUNDATION INC
4420 LAKE BOONE TRAIL	RALEIGH	NC	27607	566052117	SUPPORT OF REX HOSPITAL	NC	501(C)(3)	REX HEALTHCARE	0	509(A)(3) TYPE 2
UNCPN
1600 PERIMETER PARK DRIVE SUITE 225	MORRISVILLE	NC	27560	271081647	HEALTHCARE	NC	501(C)(3)	UNC HEALTHCARE	0	LINE 9

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
REX SURGERY CENTER OF CARY LLC
4420 LAKE BOONE TRAIL	RALEIGH	NC	27607	273684056	ASC	NC	REX HOSPITAL INC	RELATED	$5,040,453	$4,853,514	0	0	0.55000
JRH VENTURES LLC
4420 LAKE BOONE TRAIL	RALEIGH	NC	27607	274092967	MED CAMPUS DVLT	NC	REX HOSPITAL INC	RELATED	$256,577	$3,013,078	0	0	0.50000
REX HEALTH VENTURES I LP
4420 LAKE BOONE TRAIL	RALEIGH	NC	27607	371690478	VENTURE CAPITAL INVESTMENT	NC	REX HEALTH VENTURES	RELATED	-$504,029	$1,704,940	0	0	1.00000
ORTHOPAEDIC SURGERY CENTER OF RALEIGH LLC
4420 LAKE BOONE TRAIL	RALEIGH	NC	27607	271740526	ORTHOPAEDIC SURGERY	NC	REX HOSPITAL INC	RELATED	$338,791	$1,407,961	0	0	0.51000
HIGH POINT SURGERY CENTER
600 NORTH LINDSAY STREET	HIGH POINT	NC	27260	561867005	HEALTHCARE	NC								N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
REX ENTERPRISES COMPANY INC
4420 LAKE BOONE TRAIL	RALEIGH	NC	27607	561553957	OPERATIONS SUPPORT	NC	REX HEALTHCARE	C	0
HIGH POINT HEALTHCARE VENTURES INC
601 N ELM STREET	HIGH POINT	NC	27261	561343468	HOLDING COMPANY	NC		C	0	N/A
UNC PHYSICIANS NETWORK GROUP PRACTICES LLC
1600 PERIMETER PARK DRIVE SUITE 225	MORRISVILLE	NC	27560	461416986	HEALTHCARE	NC		C	0	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
REX HEALTHCARE FOUNDATION INC
Q	$801,817	FMV
REX HEALTHCARE FOUNDATION INC
C	$965,197	FMV
JRH VENTURES LLC
L	$1,059,149	FMV
UNC HEALTH CARE SYSTEM
B	$34,964,840	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 1 N&O	FormAndLineReferenceDesc
Explanation	PART V, LINE 1 N&O: ADMINISTRATIVE SUPPORT; SUCH AS EXECUTIVE MANAGEMENT, LEGAL, ACCOUNTING, HUMAN RESOURCES, PURCHASING AND IT, FOR EACH OF THESE ENTITIES IS PROVIDED BY REX HOSPITAL, INC. PERSONNEL UTILIZING REX HOSPITAL FACILITIES AND OTHER ASSETS. ESTIMATING THE VALUE OF THESES SHARED PERSONNEL AND ASSETS CANNOT BE READILY DETERMINED.	ExplanationTxt