FURP.ORG / PUBLIC DATA EXPLORER

REX HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
REX HOSPITAL INC (EIN 56-1509260)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201331349349302323
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T10:49:32-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1101 N TRYON STREET SUITE 1000AddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN561509260EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1REX HOSPITAL INC DBA REX HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlREXHNameControl
Phone9197843100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14420 LAKE BOONE TRAILAddressLine1
CityRALEIGHCity
StateNCState
ZIP Code27607ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBERNADETTE SPONGName
TitleCFOTitle
Phone9197843100Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN NORMANName
PTINP01506766PTIN
Phone7049985200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1REX HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID STRONGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14420 LAKE BOONE TRAILAddressLine1
CityRALEIGHCity
StateNCState
ZIP Code27607ZIPCode
FieldValueIRS element (for citing)
Gross Receipts802648539GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.REXHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE THE BEST IN HEALTH SERVICES.TO PROVIDE THE BEST IN HEALTH SERVICES BY BRINGING TOGETHER COMPASSIONATE CARE AND LEADING-EDGE TECHNOLOGY.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees5769TotalNbrEmployees
Total Nbr Volunteers1383TotalNbrVolunteers
Total Gross UBI27781863TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1249901ContributionsGrantsPriorYear
Contributions Grants Current Year1299788ContributionsGrantsCurrentYear
Program Service Revenue Prior Year592507390ProgramServiceRevenuePriorYear
Program Service Revenue CY644337655ProgramServiceRevenueCY
Investment Income Prior Year8582253InvestmentIncomePriorYear
Investment Income Current Year7670039InvestmentIncomeCurrentYear
Other Revenue Prior Year557399OtherRevenuePriorYear
Other Revenue Current Year670719OtherRevenueCurrentYear
Total Revenue Prior Year602896943TotalRevenuePriorYear
Total Revenue Current Year653978201TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1263428GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1299739GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year291184054SalariesEtcPriorYear
Salaries Etc Current Year323961798SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year264094603OtherExpensePriorYear
Other Expenses Current Year287746484OtherExpensesCurrentYear
Total Expenses Prior Year556542085TotalExpensesPriorYear
Total Expenses Current Year613008021TotalExpensesCurrentYear
Revenues Less Expenses Prior Year46354858RevenuesLessExpensesPriorYear
Revenues Less Expenses CY40970180RevenuesLessExpensesCY
Total Assets BOY635551442TotalAssetsBOY
Total Assets EOY671610346TotalAssetsEOY
Total Liabilities BOY229349688TotalLiabilitiesBOY
Total Liabilities EOY220279220TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY406201754NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY451331126NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionREX 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 PATIENT SUPPORT AT FACILITIES IN APEX, CARY, GARNER, HOLLY SPRINGS, KNIGHTDALE, DOWNTOWN RALEIGH AND WAKEFIELD.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense72844462Expense
Revenue86120814Revenue
DescriptionGENERAL 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, REGARDLESS OF THEIR ABILITY TO PAY. 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 HERNIA REPAIR, GALLBLADDER REMOVAL AND ENT, EYE AND BREAST SURGERIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense56185889Expense
Revenue64519518Revenue
DescriptionORTHOPEDICS: WITH THIS REGION'S AGING POPULATION, REX HEALTHCARE'S ORTHOPEDIC SERVICES PROVIDE IMPORTANT CARE FOR AN INCREASING NUMBER OF PATIENTS. REX FACILITIES IN RALEIGH, CARY AND WAKEFIELD SAW NEARLY 9,000 ORTHOPEDIC PATIENTS DURING THE FISCAL YEAR, INCLUDING MANY MEDICARE AND MEDICAID PATIENTS. THE MOST COMMON PROCEDURES INCLUDE REPLACEMENT OF TOTAL JOINTS (HIPS, KNEES AND SHOULDERS), ARTHROSCOPIES AND REPAIRING FRACTURES OR DISLOCATIONS. REX WORKS CLOSELY WITH ITS AFFILIATED SURGEONS AND COMMUNITY PHYSICIANS TO ENSURE THAT IT PROVIDES ACCESS TO PATIENTS REQUIRING ORTHOPEDIC CARE, REGARDLESS OF THEIR ABILITY TO PAY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense54168535Expense
Revenue57883055Revenue
DescriptionCARDIOLOGY: THE REX HEART & VASCULAR CENTER PERFORMS MORE THAN 16,000 PROCEDURES A YEAR, INCLUDING CORONARY ARTERY BYPASS GRAFTING, ECHOCARDIOGRAPHY, VALVE REPLACEMENT AND REPAIR, ANGIOPLASTY, CARDIAC CATHETERIZATION AND STENT PLACEMENT. REX PROVIDES COMPASSIONATE CARE TO ALL PATIENTS, INCLUDING THOSE ON MEDICARE, MEDICAID AND THE UNINSURED OR UNDERINSURED. REX HAS BEEN A CHEST PAIN ACCREDITED HOSPITAL FOR EIGHT YEARS, REINFORCING THE ORGANIZATION'S DEDICATION TO COMMUNITY OUTREACH AND INNOVATION IN THE CARE OF CHEST PAIN PATIENTS. IN ADDITION, HOSPITAL COMPARE RATED REX BEST FOR HEART ATTACK SURVIVAL IN WAKE COUNTY.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense365599851Expense
Grants1299739Grants
Revenue403496358Revenue
DescriptionREX PROVIDES A FULL RANGE OF ONCOLOGY THERAPY AND SUPPORT SERVICES TO ALL PATIENTS IN WAKE COUNTY AND BEYOND, REGARDLESS OF THEIR ABILITY TO PAY. AT THE MAIN RALEIGH CANCER CENTER AND A SATELLITE FACILITY IN WAKEFIELD, REX PROVIDES MORE THAN 20,000 RADIATION ONCOLOGY TREATMENTS, 10,000 CHEMOTHERAPY TREATMENTS AND 17,000 HEMATOLOGY TREATMENTS. THE CENTERS ALSO HELP PATIENTS NAVIGATE THEIR CARE AND OFFER COUNSELING, REHABILITATION AND MORE. AT REX'S WOMEN'S AND CHILDREN'S CENTER, CAREGIVERS SEEK TO PROVIDE FAMILY-CENTERED CARE TO THE NEW MOTHER, BABY AND EXTENDED FAMILY, WITHOUT REGARD TO ABILITY TO PAY. THE WOMEN'S CENTER DELIVERED MORE THAN 5,500 BABIES AND PROVIDES 24/7 ANESTHESIOLOGY, NEONATOLOGY AND LACTATION SERVICES AND AN IN-HOUSE RETAIL CENTER FOR INFANT NUTRITION. THERE ARE PRE- AND POST-NATAL SUPPORT GROUPS, EXERCISE CLASSES AND MORE.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp365599851TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt1299739TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev403496358TotalOfOtherProgramServiceRev
Total Program Service Expense548798737TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096322NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees5769NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBERNADETTE SPONGNamePerson
Telephone Number9197843100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14420 LAKE BOONE TRAILAddressLine1
CityRALEIGHCity
StateNCState
ZIP Code27607ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
A DALE JENKINS
DIRECTOR5.00X000
VINCENT L HOELLERICH MD
DIRECTOR2.00X000
JAMES B HYLER JR
DIRECTOR2.00X000
DARLEEN M JOHNS
DIRECTOR2.00X000
JEFFREY J LYASH
DIRECTOR2.00X000
GARY L PARK
DIRECTOR5.00X0700383222525X
ORAGE QUARLES III
DIRECTOR2.00X000
WILLIAM L ROPER MD
DIRECTOR5.00X0748460159639
MARK A STRIEBEL
DIRECTOR2.00X000
ROBERT S THOMAS
DIRECTOR2.00X000
DAVID STRONG
PRESIDENT60.00X10029360243305X
TERESA C ARTIS
DIRECTOR2.00X000
HOWARD NYE
DIRECTOR2.00X000
BERNADETTE SPONG
SVP/FINANCE AND CFO, TREAS60.00388035047100X
MARY LOU POWELL
SVP/PATIENT CARE SVCS & CN60.00342455057123X
STEPHEN BURRISS
SVP/OPERATIONS & AMB CARE60.00359988043954X
NOVLET BRADSHAW
VP/INFORMATION TECHNOLOGY/60.00317817033248X
LINDA BUTLER
VP/MEDICAL AFFAIRS & CMO60.00260057032025X
DONALD ESPOSITO JR
VP/GENERAL COUNSEL60.00284745035772X
SYLVIA HACKETT
VP/HUMAN RESOURCES AND DEV60.00249884047019X
R ERICK HAWKINS
VP/FINANCE & STRATEGY60.00288085029418X
CHAD LEFTERIS
VP/SUPPORT SERVICES60.00210199017181X
LISA SCHILLER
VP/MKTG, PR, COMM & GOVT R60.00200185033375X
ROBERT B LIVERMAN JR
ASSISTANT TREASURER60.00148109033605X
JEFFREY CRANE
MD/ONCOLOGY60.00728080061280X
SHAHRAM TEHRANI
MEDICAL DIRECTOR IT & HOSP60.00542897036587X
S WAYNE SMITH
DIRECTOR/VASCULAR LAB60.005401840108576X
ROBERT WEHBIE
MD/ONCOLOGY60.00728660038927X
OLUDAMILOLA OLAJIDE
MD/ONCOLOGY60.00630047031243X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7222363TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1448843TotalReportableCompFrmRltdOrgs
Total Other Compensation1311902TotalOtherCompensation
Number Individuals GT100 K207NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SKANSKA USA BUILDING INC
4309 EMPEROR BLVD STE 200DURHAMNC27703CONSTRUCTION8816057
SRISURGICAL EXPRESS
PO BOX 405495ATLANTAGA30384MEDICAL8328600
BBH DESIGN
8208 BROWNLEIGH DRIVE STE 200RALEIGHNC27617ARCHITECTURAL DESIGN5139300
THE OUTSOURCE GROUP
39867 TREASURY CENTERCHICAGOIL60694COLLECTIONS2510464
CUSTOM CRAFT PAINTING
9329 HOLLY SPRINGS ROADAPEXNC27539REPAIRS/REMODELING2133835
FieldValueIRS element (for citing)
Number Of Contractors GT100 K68NumberOfContractorsGT100K
Related Organizations1291083RelatedOrganizations
All Other Contributions8705AllOtherContributions
Total Contributions1299788TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
GENERAL SURGERY6251008612081486120814
ORTHOPAEDICS6251006451951864519518
WOMEN'S & CHILDREN6251006180389461803894
CARDIOLOGY6251005788305557883055
ONCOLOGY6251005173084451730844

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column322279530TotalRevenueColumn
Related Or Exempt Function Income289961620RelatedOrExemptFunctionIncome
Unrelated Business Revenue27781863UnrelatedBusinessRevenue
Exclusion$4,536,047ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue644337655TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3755826TotalRevenueColumn
Exclusion$3,755,826ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real758626Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real87907Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real670719Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column670719TotalRevenueColumn
Exclusion$670,719ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities148223823Securities
Other4272821Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities147686530Securities
Other895901Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities537293Securities
Other3376920Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3914213TotalRevenueColumn
Exclusion$3,914,213ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column653978201TotalRevenueColumn
Related Or Exempt Function Income612019745RelatedOrExemptFunctionIncome
Unrelated Business Revenue27781863UnrelatedBusinessRevenue
Exclusion$12,876,805ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1299739Total
Program Services1299739ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4578401Total
Management And General4578401ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total257574739Total
Program Services223198772ProgramServices
Management And General34375967ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total13853727Total
Program Services12289416ProgramServices
Management And General1564311ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total30561406Total
Program Services25426672ProgramServices
Management And General5134734ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total17393525Total
Program Services15500223ProgramServices
Management And General1893302ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total831975Total
Management And General831975ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total91450Total
Management And General91450ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total125296Total
Program Services125296ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total970245Total
Management And General970245ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total35783353Total
Program Services32205017ProgramServices
Management And General3578336ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6793485Total
Program Services6114137ProgramServices
Management And General679348ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8106756Total
Program Services7296081ProgramServices
Management And General810675ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total25398155Total
Program Services22858339ProgramServices
Management And General2539816ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total15879048Total
Program Services14291143ProgramServices
Management And General1587905ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1173794Total
Program Services1056415ProgramServices
Management And General117379ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total508659Total
Program Services316144ProgramServices
Management And General192515ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5007214Total
Program Services4506492ProgramServices
Management And General500722ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total12982009Total
Program Services12982009ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total31930699Total
Program Services28737629ProgramServices
Management And General3193070ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PATIENT SUPPLIES & SERV126473011126473011
REPAIRS AND MAINTENANCE1086474697782721086474
MINOR EQUIPMENT24853202236788248532

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2341269Total
Program Services2107142ProgramServices
Management And General234127ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total613008021Total
Program Services548798737ProgramServices
Management And General64209284ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10544403BOY
EOY4580508EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY79558352BOY
EOY54375903EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY73484758BOY
EOY87574839EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY309490BOY
EOY257469EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY9584446BOY
EOY10102069EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5994979BOY
EOY6913094EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis634080627LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec376328112LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY228352644BOY
EOY257752515EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY155667458BOY
EOY185366410EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY49328497BOY
EOY45179714EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY22726415BOY
EOY19507825EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY635551442BOY
EOY671610346EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY95756691BOY
EOY87141044EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY73783BOY
EOY116637EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY128132589BOY
EOY124858924EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY19824BOY
EOY14683EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5366801BOY
EOY8147932EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY229349688BOY
EOY220279220EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY405191524BOY
EOY450333869EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1010230BOY
EOY997257EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY406201754BOY
EOY451331126EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY635551442BOY
EOY671610346EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses40970180ReconcilationRevenueExpenses
Reconcilation Other Changes4159192ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$125,296OtherActivitiesAmount
Total Lobbying Expenditures IIB125296TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationREX 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.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis25782584OtherCostOrOtherBasis
Book Value25782584BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis154142499OtherCostOrOtherBasis
Depreciation89364000Depreciation
Book Value64778499BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis17393360OtherCostOrOtherBasis
Depreciation3577659Depreciation
Book Value13815701BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis306293924OtherCostOrOtherBasis
Depreciation241433961Depreciation
Book Value64859963BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis130468260OtherCostOrOtherBasis
Depreciation41952492Depreciation
Book Value88515768BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings257752515TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value4300317BookValue
Method Of ValuationCMethodOfValuation

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
BOND TRUSTEE FUNDS7332770F
HEDGE FUNDS33546627F
FieldValueIRS element (for citing)
Total Of Book Value Securities45179714TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
CAPITAL LEASE$3,254,748
ESTIMATED PROFESSIONAL LIAIBLITY RESERVE$2,152,266
DEFERRED LEASE LIABILITY$2,740,760
THIRD PARTY PAYABLE$158
FieldValueIRS element (for citing)
Total Of Amounts8147932TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:THE ORGANIZATION HOLDS CASH IN TRUST FOR THE RESIDENTS OF THE NURSING HOME FACILITIES.
PART X: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. AS OF JUNE 30, 2012, ENTERPRIES EXHAUSTED THEIR NET OPERATING LOSS CARRYFORWARDS. 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 2012 AND 2011. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN REFLECTED IN THE COMBINED FINANCIAL STATEMENTS.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
PART VII, LINE 2: CLOSELY-HELD EQUITY INTERESTS ARE VALUED ACCORDING TO THE EQUITY METHOD OF ACCOUNTING UNDER US GAAP WHICH REPRESENTS INITIAL COSTS ADJUSTED FOR OUR ALLOCABLE SHARE OF THE NET EARNINGS OR LOSSES OF THE INVESTMENT.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense26317111TotalCommunityBenefitExpense
Net Community Benefit Expense26317111NetCommunityBenefitExpense
Percent Of Total Expense0.04290PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense26692979TotalCommunityBenefitExpense
Direct Offsetting Revenue19724160DirectOffsettingRevenue
Net Community Benefit Expense6968819NetCommunityBenefitExpense
Percent Of Total Expense0.01140PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense53010090TotalCommunityBenefitExpense
Direct Offsetting Revenue19724160DirectOffsettingRevenue
Net Community Benefit Expense33285930NetCommunityBenefitExpense
Percent Of Total Expense0.05430PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense18431TotalCommunityBenefitExpense
Net Community Benefit Expense18431NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1160201TotalCommunityBenefitExpense
Net Community Benefit Expense1160201NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense601823TotalCommunityBenefitExpense
Direct Offsetting Revenue216210DirectOffsettingRevenue
Net Community Benefit Expense385613NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense611075TotalCommunityBenefitExpense
Net Community Benefit Expense611075NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2391530TotalCommunityBenefitExpense
Direct Offsetting Revenue216210DirectOffsettingRevenue
Net Community Benefit Expense2175320NetCommunityBenefitExpense
Percent Of Total Expense0.00350PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense55401620TotalCommunityBenefitExpense
Direct Offsetting Revenue19940370DirectOffsettingRevenue
Net Community Benefit Expense35461250NetCommunityBenefitExpense
Percent Of Total Expense0.05780PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$11,555,245BadDebtExpenseAmount
Amount Reimbursed By Medicare221676588AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare271617729CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-49941141MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 REX SURGERY CENTER OF CARY LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityAMBULATORY SURGICAL CENTERDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.55000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.45000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1REX HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line14420 LAKE BOONE TRAILAddressLine1
CityRALEIGHCity
StateNCState
ZIP Code27607ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1REX HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent250.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent250.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities10NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
REX HEALTHCARE OF WAKEFIELD
11200 GOVERNOR MANLY WAYRALEIGHNC27614HEALTHCARE
REX HEALTHCARE OF CARY
1505 SW CARY PARKWAYCARYNC27511HEALTHCARE
REX HEALTHCARE OF KNIGHTDALE
6602 KNIGHTDALE BOULEVARD 102KNIGHTDALENC27545HEALTHCARE
REX REHABILITATION AND NURSING CARE CENT
4210 LAKE BOONE TRAILRALEIGHNC27607NURSING FACILITY
REX REHABILITATION AND NURSING CARE CENT
911 SOUTH HUGHES STREETAPEXNC27502NURSING FACILITY
REX WELLNESS CENTER OF WAKEFIELD
11200 GALLERIA AVENUERALEIGHNC27614WELLNESS CENTER
REX WELLNESS CENTER OF RALEIGH
4200 LAKE BOONE TRAILRALEIGHNC27607WELLNESS CENTER
REX WELLNESS CENTER OF CARY
1515 SW CARY PARKWAYCARYNC27511WELLNESS CENTER
REX WELLNESS CENTER OF GARNER
1400 TIMBER DRIVE EASTGARNERNC27529WELLNESS CENTER
REX WELLNESS CENTER OF KNIGHTDALE
6602 KNIGHTDALE BOULEVARDKNIGHTDALENC27545WELLNESS CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART III, LINE 4: NET PATIENT SERVICE REVENUE IS RECORDED AT ESTABLISHED RATES WHEN SERVICES ARE PROVIDED WITH CONTRACTUAL ADJUSTMENTS, ESTIMATED BAD DEBT EXPENSES, AND SERVICES QUALIFYING AS CHARITY CARE DEDUCTED TO ARRIVE AT NET PATIENT SERVICE REVENUE. CONTRACTUAL ADJUSTMENTS ARISE UNDER REIMBURSEMENT AGREEMENTS WITH CERTAIN INSURANCE CARRIERS, HEALTH MAINTENANCE ORGANIZATIONS AND PREFERRED PROVIDER ORGANIZATIONS, WHICH PROVIDE FOR PAYMENTS THAT ARE GENERALLY LESS THAN ESTABLISHED BILLING RATES. CONTRACTUAL ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN THE FUTURE AS FINAL SETTLEMENTS ARE DETERMINED.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.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 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 KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE APPROVED FOR FULL FORGIVENESS TO 250% OF THE FPG. THERE IS NO ASSESSMENT OF CO-PAYMENTS, THEREFORE THERE IS NO PATIENT FINANCIAL RESPONSIBILITY FOR THE APPLICATION OF COLLECTION POLICY.
PART V, SECTION B, LINE 19D: THE ORGANIZATION PROVIDES AN AUTOMATIC 15% DISCOUNT OFF OF CHARGES FOR PATIENTS WHO DO NOT HAVE INSURANCE. ADDITIONAL DISCOUNTS ARE AVAILABLE BASED ON MEANS TESTING AND PROMPT PAYMENT ARRANGEMENTS.REX HOSPITAL, INC.
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 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 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 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.
THE ORGANIZATION SUBMITS AN ANNUAL COMMUNITY BENEFIT REPORT TO THE NORTH CAROLINA HOSPITAL ASSOCIATION AND THE NORTH CAROLINA MEDICAL CARE COMMISSION.PART VI LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (29 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
WAKE COUNTY MEDICAL SOCIETY
2500 BLUE RIDGE ROAD STE 330RALEIGHNC27607562205175501(C)(6)75000GENERAL SUPPORT, MEDICAL CARE
RALEIGH SCHOOL OF NURSE ANESTH
3900 BARRETT DRIVE SUITE 200RALEIGHNC27609561684241501(C)(3)71646EDUCATION SUPPORT
NORTH CAROLINA SYMPHONY
4350 LASSITER STE 250RALEIGHNC27609560556755501(C)(3)105000GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
NORTH CAROLINA AFFILIATEINC 3901RALEIGHNC27609560529996501(C)(3)45000GENERAL SUPPORT, EDUCATION SUPPORTCOMPUTER DR STE 110
POE CENTER FOR HEALTH ED
224 SUNNYBROOK ROADRALEIGHNC27610561500678501(C)(3)21000EDUCATION SUPPORT
KOMEN FOR THE CURE NC TRIANGLE
133 FAYETTEVILLE ST 300RALEIGHNC27601751835298501(C)(3)10000GENERAL SUPPORT
BOYS & GIRLS CLUB
701 N RALEIGH BOULEVARDRALEIGHNC27610560863051501(C)(3)6250GENERAL SUPPORT
NC PREVENTION PARTNERS
88 VILCOM CIRCLE STE 110CHAPEL HILLNC27514311722051501(C)(3)12000EDUCATION SUPPORT
DEVILS RIDGE CHARITY
GOLF CLASSIC PO BOX 98 128 SOUTHHOLLY SPRINGSNC27540562265570501(C)(3)6500GENERAL SUPPORTMAIN STREET
PAY IT FORWARD FERTILITY FDNT
8311 BRIER CREEK PARKWAY STERALEIGHNC27617263906064501(C)(3)5000GENERAL SUPPORT105-111
FRIESEN 5K FUN RUN
1113 BISHOPTON WAYKNIGHTDALENC27545262908988501(C)(3)6000GENERAL SUPPORT
AMERICAN CANCER SOCIETY
RED SWORD GUILD PO BOX 10144RALEIGHNC27605580659875501(C)(3)5100GENERAL SUPPORT
BE ACTIVE NORTH CAROLINA INC
2250 PERIMETER PARK DRIVE STE 120MORRISVILLENC27560561660333501(C)(3)5000GENERAL SUPPORT
CITY OF OAKS MARATHON
7449 SIX FORKS ROADRALEIGHNC27615260232340501(C)(3)5000GENERAL SUPPORT, MEDICAL CARE
COLON CANCER COALITION-RALEIGH
8009 34TH AVENUE STE 360BLOOMINGTONMN55425300377727501(C)(3)5000GENERAL SUPPORT
ENDING HOMELESSNESS -RALWAKE
324 BLACKWELL STREET STE 1220DURHAMNC27701651267717501(C)(3)5000GENERAL SUPPORT
JIMMY V CELEBRITY GOLF CLASSIC
130 EDINBURGH SODRCARYNC27511561875773501(C)(3)10000EDUCATION SUPPORT
LEUKEMIA SOCIETY OF AMERICA
4206 SIX FORKS ROAD STE 220RALEIGHNC27609135644916501(C)(3)5000GENERAL SUPPORT
NC CHILDREN'S PROMISE
88 VILCOM CIRCLE STE L100CHAPEL HILLNE27599566057494501(C)(3)15125GENERAL SUPPORT
CED
PO BOX 13353RTPNC27709561399587501(C)(3)15000GENERAL SUPPORT
FOUNDATION FOR NURSING
PO BOX 31824RALEIGHNC27622300105241501(C)(3)15000EDUCATION SUPPORT
GREATER RALEIGH CHAMBER
PO BOX 2978RALEIGHNC27602560370850501(C)(6)12750GENERAL SUPPORT
RALEIGH CIVIC VENTURE
120 SOUTH WILMINGTON STREETRALEIGHNC27601562095185501(C)(3)10000GENERAL SUPPORT
HOSPICE OF WAKE COUNTY
25 HOSPICE CIRCLERALEIGHNC27607561228779501(C)(3)7200GENERAL SUPPORT
HOLLY SPRINGS CULTURAL
300 WEST BALLENTINE STREETHOLLY SPRINGSNC27540561143973GOVERNMENT6100GENERAL SUPPORT
DOWNTOWN RALEIGH ALLIANCE
120 SOUTH WILMINGTON STREETRALEIGHNC27601561994005501(C)(6)6000GENERAL SUPPORT
FUTURES FOR KIDS INC
800 ST MARYS STREET SUITE 104RALEIGHNC27605562276012501(C)(3)5000EDUCATION SUPPORT
NORTH CAROLINA CHAMBER
701 CORPORATE CENTER DRIVERALEIGHNC27607560340499501(C)(6)5000GENERAL SUPPORT
THE FIRST TEE OF THE
5560 MUMFORD ROAD SUITE 201RALEIGHNC27612562266025501(C)(3)5000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants25TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations4TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, 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 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 ORGANIZATIONS RECEIVES FREQUENT UPDATES ON THEIR WORK AND PROGRESS. FOR LARGER GRANTS, REX ALSO RECEIVES ANNUAL OR QUARTERLY REPORTS ON RESULTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GARY L PARK
06930510007332021559506930092290800
WILLIAM L ROPER MD
073646000012000015470904930090809900
DAVID STRONG
4738280189238033987002309600123450124624103089400
BERNADETTE SPONG
2880820781130218400316200154800435135000
MARY LOU POWELL
2372500711750340300454800116430399578000
STEPHEN BURRISS
2433340711750454790265590173950403942000
NOVLET BRADSHAW
2260640629630287900213030119450351065000
LINDA BUTLER
1860500547500192570181300138950292082000
DONALD ESPOSITO JR
2063060615940168450173270184450320517000
SYLVIA HACKETT
19038305201307488037376096430296903000
R ERICK HAWKINS
197030057488033567020150092680317503000
CHAD LEFTERIS
154875042979012345012004051770227380000
LISA SCHILLER
150497041884078040149850183900233560000
ROBERT B LIVERMAN JR
125027011735011347025852077530181714000
JEFFREY CRANE
6390160615200275440482680130120789360000
SHAHRAM TEHRANI
4780820250000398150233170132700579484000
S WAYNE SMITH
4341890621500438450984230101530648760000
ROBERT WEHBIE
5692240644730949630259820129450767587000
OLUDAMILOLA OLAJIDE
4374420185367072380158480153950661290000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATHE 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 6 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 4BDURING THE CALENDAR YEAR 2011, DAVID STRONG PARTICIPATED IN A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN AND RECEIVED DISTRIBUTIONS TOTALING $308,940. HE ALSO EARNED COMPENSATION UNDER THIS PLAN TOTALING $207,533. THE CURRENT YEAR EARNINGS ARE PAYABLE IN THE FUTURE.
PART I, LINE 6EMPLOYEES 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

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NORTH CAROLINA MEDICAL CARE COMMISSIONSBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521309402IssuerEIN
CUSIP Number65821DFJ5CUSIPNumber
Date Issued2010-10-26DateIssued
Issue Price127456150IssuePrice
Description Of PurposeCONSTRUCTIONDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired3120000AmountRetired
Total Proceeds127456150TotalProceeds
Capitalized Interest572819CapitalizedInterest
Issuance Costs From Proceeds1499411IssuanceCostsFromProceeds
Capital Expenditures49264482CapitalExpenditures
Other Spent Proceeds76034727OtherSpentProceeds
Amount Unspent7332770AmountUnspent
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonNOVLET BRADSHAW RELOCATION LOANNamePerson
Loan From OrganizationXLoanFromOrganization
Original Principal$190,000OriginalPrincipalAmount
Balance Due142000BalanceDue
Default0Default
Approved By Board0ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due142000TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 6THE ORGANIZATION'S VOLUNTEER SERVICES DEPARTMENT MAINTAINS A LARGE STAFF OF COMPETENT AND COMPASSIONATE VOLUNTEERS WHO ENHANCE AND EXTEND SERVICES PROVIDED TO PATIENTS, FAMILY MEMBERS, CLIENTS AND RESIDENTS. THE 1,383 VOLUNTEERS PROVIDED A TOTAL OF 137,305 QUALITY SERVICE HOURS TO THE ORGANIZATION. THIS YEAR MARKED THE BEGINNING OF OUR ANIMAL ASSISTED THERAPY PROGRAM INSIDE REX HOSPITAL. THE PROGRAM HAS 9 CANINE VOLUNTEERS AND VISITED NUMEROUS PATIENTS. VOLUNTEERS ALSO VISITED PATIENTS, CONDUCTED HEARING TESTS FOR NEWBORN BABIES, GREETED GUESTS AND DELIVERED FLOWER ARRANGEMENTS AND CARDS. THEY MANNED WAITING ROOMS, ESCORTED PATIENTS, MADE BEDS, DISCHARGED PATIENTS AND SO MUCH MORE TO PROVIDE COMFORT TO OUR COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S SOLE MEMBER IS REX HEALTHCARE, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 7BTHE 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 11THE 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 12CREX 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 15THE ORGANIZATION USES AN INDEPENDENT CONSULTANT TO MEASURE FAIR VALUE OF COMPENSATION FOR THE ORGANIZATION'S PRESIDENT AND OTHER TOP MANAGEMENT. REX'S BOARD REVIEWS AND APPROVES THE COMPENSATION FOR ALL OFFICERS EXCEPT THE ASSISTANT TREASURER AND ASSISTANT SECRETARY.
FORM 990, PART VI, SECTION C, LINE 19THE 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
PART VII, SECTION A, COLUMN BDUE TO THE TREMENDOUS OVERLAP OF DIRECTORS BETWEEN THE ORAGANIZATION AND ALL RELATED ORGANIZATIONS, THE RELATED ORGANIZATIONS' HOURS ARE INCLUDED IN THE HOURS LISTED.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 4,159,192.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
REX HEALTH VENTURES GP I LLC
4420 LAKE BOONE TRAILRALEIGHNC27607455070550VENTURE CAPITAL INVESTMENTNCREX HOSPITAL INC
REX HEALTH VENTURES I LP
4420 LAKE BOONE TRAILRALEIGHNC27607371690478MANAGING INVESTMENTSNCREX HEALTH VENTURES I LP

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
REX HEALTHCARE INC
4420 LAKE BOONE TRAILRALEIGHNC27607561509129HEALTHCARENC501(C)(3)509(A)(3)UNC HEALTHCARE0
THE REX HEALTHCARE FOUNDATION INC
4420 LAKE BOONE TRAILRALEIGHNC27607566052117SUPPORT OF REX HOSPITALNC501(C)(3)509(A)(3)REX HEALTHCARE0
REX HOME SERVICES INC
4420 LAKE BOONE TRAILRALEIGHNC27607561636242HEALTHCARENC501(C)(3)LINE 3REX HOSPITAL0
UNC HEALTH CARE SYSTEM
101 MANNING DRIVECHAPEL HILLNC27514562206970HEALTHCARENC501(C)(3)LINE 3UNC HEALTHCARE0

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
REX SURGERY CENTER OF CARY LLC
4420 LAKE BOONE TRAILRALEIGHNC27607273684056ASCNCREX HOSPITAL INCRELATED50257074321975000.55000
JRH VENTURES LLC
4420 LAKE BOONE TRAILRALEIGHNC27607274092967MED CAMPUS DVLTNCREX HOSPITAL INCRELATED1160163531886000.50000
REX HEALTH VENTURES
4420 LAKE BOONE TRAILRALEIGHNC27607VENTURE CAPITAL INVESTMENTNCREX HEALTH VENTURESRELATED500000001.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
REX ENTERPRISES COMPANY INC
4420 LAKE BOONE TRAILRALEIGHNC27607561553957OPERATIONS SUPPORTNCREX HEALTHCAREC
REX PHYSICIANS LLC
4420 LAKE BOONE TRAILRALEIGHNC27607264594963HEALTHCARENCREX HOLDINGSC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
REX HEALTHCARE FOUNDATION INC
B678659FMV
REX HEALTHCARE FOUNDATION INC
C1291083FMV
REX PHYSICIANS LLC
D11899031FMV
REX PHYSICIANS LLC
I2324115FMV
REX PHYSICIANS LLC
K2392256FMV
JRH VENTURES LLC
K997992FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
Return ReferencePART V, LINE 1 M & NReturnReference
ExplanationADMINISTRATIVE SUPPORT; SUCH AS EXECUTIVE MANAGEMENT, LEGAL ACCOUNTING, HUMAN RESOURCES, PURCHASING AND IT FUNCTIONS, FOR EACH OF THESE ENTITIES IS PROVIDED BY REX HOSPITAL, INC. PERSONNEL UTILIZING REX HOSPITAL FACILITIES AND OTHER ASSETS. ESTIMATING THE VALUE OF THESE SHARES PERSONNEL AND ASSETS CANNOT BE READILY DETERMINED.Explanation