REX HOSPITAL INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: REX HOSPITAL INC (EIN 56-1509260)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-08
IRS object ID: 202621289349303122
Schema version: 2024v5.1
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	2026-05-08T13:15:22+00:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135381590	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	421 FAYETTEVILLE ST STE 300	AddressLine1Txt
City	RALEIGH	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	276011776	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	561509260	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	REX HOSPITAL INC	BusinessNameLine1Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	M CHAD SETLIFF	PersonNm
Person Title	DIRECTOR/PRESIDENT	PersonTitleTxt
Signature	2026-05-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SANDRA L FEINSMITH	PreparerPersonNm
PTIN	P01064157	PTIN
Phone	9197549370	PhoneNum
Preparation	2026-05-08	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	M CHAD SETLIFF	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,918,181,243	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.REXHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1986	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	To improve the health and well-being of North Carolinians and others whom we serve. We accomplish this by providing leadership and excellence in the interrelated areas of patient care, education, and research.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	6868	TotalEmployeeCnt
Total Volunteers	340	TotalVolunteersCnt
Total Gross UBI	$835,381	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$118,990	PYContributionsGrantsAmt
CY Contributions Grants	$879,564	CYContributionsGrantsAmt
PY Program Service Revenue	$1,721,078,608	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,911,399,415	CYProgramServiceRevenueAmt
PY Investment Income	$1,943,015	PYInvestmentIncomeAmt
CY Investment Income	$2,051,611	CYInvestmentIncomeAmt
PY Other Revenue	$9,966,778	PYOtherRevenueAmt
CY Other Revenue	$2,167,693	CYOtherRevenueAmt
PY Total Revenue	$1,733,107,391	PYTotalRevenueAmt
CY Total Revenue	$1,916,498,283	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,470	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$9,880	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$742,752,991	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$761,509,016	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$979,732,347	PYOtherExpensesAmt
CY Other Expenses	$1,034,345,625	CYOtherExpensesAmt
PY Total Expenses	$1,722,487,808	PYTotalExpensesAmt
CY Total Expenses	$1,795,864,521	CYTotalExpensesAmt
PY Revenues Less Expenses	$10,619,583	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$120,633,762	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,830,481,772	TotalAssetsBOYAmt
Total Assets EOY	$1,975,332,606	TotalAssetsEOYAmt
Total Liabilities BOY	$797,880,047	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$741,943,887	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,032,601,725	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,233,388,719	NetAssetsOrFundBalancesEOYAmt
Mission	TO IMPROVE THE HEALTH AND WELL-BEING OF NORTH CAROLINIANS AND OTHERS WHOM WE SERVE. WE ACCOMPLISH THIS BY PROVIDING LEADERSHIP AND EXCELLENCE IN THE INTERRELATED AREAS OF PATIENT CARE, EDUCATION, AND RESEARCH.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,511,266,070	ExpenseAmt
Grant	$9,880	GrantAmt
Revenue	$1,904,899,572	RevenueAmt
Desc	UNC HEALTH REX IS WIDELY RECOGNIZED AS ONE OF THE TOP HOSPITALS IN NORTH CAROLINA AND THE NATION. NEWSWEEK, US NEWS, BUSINESS NORTH CAROLINA AND OTHER NATIONALLY RECOGNIZED MEDIA OUTLETS ROUTINELY INCLUDE UNC HEALTH REX ON THEIR "TOP HOSPITALS" LISTS. UNC HEALTH REX ALSO RECEIVES TOP GRADES FOR HOSPITAL SAFETY FROM THE LEAPFROG GROUP. UNC HEALTH REX WAS ALSO NAMED THE TOP HOSPITAL IN THE REGION IN WRAL VOTERS' CHOICE AWARDS FOR 2023. UNC HEALTH REX ACHIEVED A TOP FIVE-STAR RATING FOR QUALITY OF CARE FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). THAT PUTS UNC HEALTH REX AMONG THE TOP HOSPITALS NATIONWIDE. UNC HEALTH REX IS ONE OF ONLY A DOZEN HOSPITALS IN NORTH CAROLINA TO RECEIVE FIVE STARS FROM CMS. MORE THAN 10 YEARS AGO, UNC HEALTH REX BECAME THE FIRST HOSPITAL IN THE TRIANGLE TO BE AWARDED (SEE SCHEDULE O)	Desc
Total Program Service Expenses	$1,511,266,070	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	351	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6868	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BENJAMIN J MATHEW	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9197843100	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Ann Collins MD
Director/Chairman	4.0	0	Yes (X)	Yes (X)	$0	$0	$0
Catharine Arrowood
Director/Vice Chairman	4.0	0	Yes (X)	Yes (X)	$0	$0	$0
Kirsten Riggs
Director/COO	60.0	0	Yes (X)	Yes (X)	$753,680	$0	$87,198
M Chad Setliff
Director/President	60.0	0	Yes (X)	Yes (X)	$463,771	$0	$31,803
A Wesley Burks MD
Director	2.0	58.0	Yes (X)		$0	$3,118,741	$820,925
Caryn McNeill
Director	2.0	0	Yes (X)		$0	$0	$0
Courtney Crowder
Director	2.0	0	Yes (X)		$0	$0	$0
David Mills
Director	2.0	0	Yes (X)		$0	$0	$0
Dayatra Matthews
Director	2.0	0	Yes (X)		$0	$0	$0
Jason Sandner
Director	2.0	0	Yes (X)		$0	$0	$0
Jeff Lindsay
Director	2.0	58.0	Yes (X)		$0	$2,583,593	$351,426
Kevin Anderson
Director	2.0	0	Yes (X)		$0	$0	$0
Marilyn Pearson MD
Director	2.0	0	Yes (X)		$0	$0	$0
Melissa Fitzpatrick
Director	2.0	0	Yes (X)		$0	$0	$0
Rig Patel MD
Director	60.0	0	Yes (X)		$577,498	$0	$34,429
Robert Oakes
Director	2.0	0	Yes (X)		$0	$0	$0
Benjamin Mathew
VP/CFO & Treasurer	60.0	0		Yes (X)	$551,975	$0	$132,627
Chad Anderson
VP/Clinical Operations	60.0	0		Yes (X)	$355,627	$0	$81,245
Diana Massa
VP/Clinical Operations	60.0	0		Yes (X)	$379,053	$0	$54,323
Lorie Rhine
VP/Patient Care Services & CNO	60.0	0		Yes (X)	$316,729	$0	$54,164
Maire CorCoran Ragozzine
VP/General Counsel & Secretary	30.0	30.0		Yes (X)	$0	$352,161	$124,316
Matthew Evans
Asst Treasurer & Asst Secretary	60.0	0		Yes (X)	$173,314	$0	$26,849
Meera Udayakumar MD
VP/Medical Affairs & CMO	60.0	0		Yes (X)	$569,963	$0	$129,883
Megan Lumley
VP	60.0	0		Yes (X)	$293,354	$0	$37,458
Meghan Hooley
Asst Treasurer & Asst Secretary	60.0	0		Yes (X)	$85,797	$0	$15,553
Roy Tempke
VP/Care Transitions	60.0	0		Yes (X)	$397,210	$0	$92,610
Susan Moore MD
VP/UNC Rex Physicians	60.0	0		Yes (X)	$792,886	$0	$115,558
Timothy Hester
VP/Physician Services	60.0	0		Yes (X)	$354,854	$0	$59,302
Dwijesh Patel MD
Physician	60.0	0			$1,928,895	$0	$39,622	Yes (X)
Joseph Bumgarner MD
Physician	60.0	0			$2,021,781	$0	$32,480	Yes (X)
Mateen Akhtar MD
Physician	60.0	0			$2,043,158	$0	$67,132	Yes (X)
Mohammed Farooqui MD
Physician	60.0	0			$1,984,842	$0	$12,232	Yes (X)
Waheed Akhtar MD
Physician	60.0	0			$1,786,537	$0	$60,801	Yes (X)
Ernest Bovio Jr
Former President	0.0	0.0			$119,270	$0	$5,300		Yes (X)
Tate Bombard
VP/General Counsel & Secretary	0.0	60.0			$0	$415,658	$128,674		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,950,194	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,470,153	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,595,910	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1382	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
The Northern Trust Company
3282 Northside Parkway	Suite 100	Atlanta	GA	30327	Financial	$12,021,816
American Anesthesiology of North Carolina PLLC
3100 Spring Forest Road	Suite 130	Raleigh	NC	27616	Anesthesiology	$9,871,575
The Robins & Morton Group
5001 S Miami Blvd	Suite 101	Durham	NC	27703	Construction	$7,444,552
Quality Textile Services Inc
313 S Rogers Lane		Raleigh	NC	27610	Laundry	$4,047,707
K&L Gates LLP
301 Hillsborough Street	Suite 1200	Raleigh	NC	27603	Legal	$2,188,243

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	54	CntrctRcvdGreaterThan100KCnt
Related Organizations	$105,865	RelatedOrganizationsAmt
All Other Contributions	$773,699	AllOtherContributionsAmt
Total Contributions	$879,564	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICE REVENUE	625100	$1,838,938,768	$1,838,296,869	$641,899
ALL OTHER PROGRAM SERVICE REVENUE	625100	$72,460,647	$66,602,703	$193,482	$5,664,462

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,911,399,415	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,397,729	TotalRevenueColumnAmt
Exclusion	$1,397,729	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,214,298	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,063,683	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,150,615	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,150,615	TotalRevenueColumnAmt
Exclusion	$2,150,615	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,273,159	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$619,277	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$653,882	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$653,882	TotalRevenueColumnAmt
Exclusion	$653,882	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
GAIN ON FIXED ASSET DISPOSAL	900099	$13,578	$13,578
Other Revenue	900099	$3,500	$3,500

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$17,078	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,916,498,283	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,904,899,572	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$835,381	UnrelatedBusinessRevenueAmt
Exclusion	$9,883,766	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$9,880	TotalAmt
Program Services	$9,880	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,498,151	TotalAmt
Management And General	$6,498,151	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$620,222,484	TotalAmt
Program Services	$562,231,682	ProgramServicesAmt
Management And General	$57,990,802	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$28,406,493	TotalAmt
Program Services	$27,006,053	ProgramServicesAmt
Management And General	$1,400,440	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$66,110,225	TotalAmt
Program Services	$58,692,658	ProgramServicesAmt
Management And General	$7,417,567	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$40,271,663	TotalAmt
Program Services	$35,439,063	ProgramServicesAmt
Management And General	$4,832,600	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$44,168	TotalAmt
Management And General	$44,168	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$311,943	TotalAmt
Management And General	$311,943	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$49,739	TotalAmt
Management And General	$49,739	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,519,967	TotalAmt
Management And General	$1,519,967	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$68,232,323	TotalAmt
Program Services	$62,091,414	ProgramServicesAmt
Management And General	$6,140,909	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$121,573	TotalAmt
Program Services	$110,631	ProgramServicesAmt
Management And General	$10,942	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,788,271	TotalAmt
Program Services	$8,907,327	ProgramServicesAmt
Management And General	$880,944	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,618,496	TotalAmt
Program Services	$4,202,831	ProgramServicesAmt
Management And General	$415,665	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,851,268	TotalAmt
Program Services	$11,694,654	ProgramServicesAmt
Management And General	$1,156,614	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,384,029	TotalAmt
Program Services	$2,169,466	ProgramServicesAmt
Management And General	$214,563	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$56,132	TotalAmt
Management And General	$56,132	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,518,060	TotalAmt
Program Services	$15,031,435	ProgramServicesAmt
Management And General	$1,486,625	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$32,727,113	TotalAmt
Program Services	$32,727,113	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$76,021,271	TotalAmt
Program Services	$69,179,357	ProgramServicesAmt
Management And General	$6,841,914	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,784,752	TotalAmt
Program Services	$12,544,124	ProgramServicesAmt
Management And General	$1,240,628	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PATIENT CARE SUPPLIES & SERVICES	$534,868,848	$534,868,848
HOME OFFICE ALLOCATION	$184,096,710		$184,096,710
BAD DEBT EXPENSE	$54,223,983	$54,223,983
OTHERS	$11,616,914	$10,571,392	$1,045,522

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,510,065	TotalAmt
Program Services	$9,564,159	ProgramServicesAmt
Management And General	$945,906	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,795,864,521	TotalAmt
Program Services	$1,511,266,070	ProgramServicesAmt
Management And General	$284,598,451	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$31,083,701	BOYAmt
EOY	$30,896,865	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$309,743,405	BOYAmt
EOY	$395,033,508	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$32,138,131	BOYAmt
EOY	$34,269,103	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$53,804,549	BOYAmt
EOY	$43,445,821	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,325,132,473	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$707,123,228	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$630,509,311	BOYAmt
EOY	$618,009,245	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$691,241,172	BOYAmt
EOY	$770,528,409	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$33,684,205	BOYAmt
EOY	$37,840,886	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$48,277,298	BOYAmt
EOY	$45,308,769	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,830,481,772	BOYAmt
EOY	$1,975,332,606	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$179,048,479	BOYAmt
EOY	$154,081,681	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,019,168	BOYAmt
EOY	$942,832	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$417,203,305	BOYAmt
EOY	$406,891,973	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$200,609,095	BOYAmt
EOY	$180,027,401	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$797,880,047	BOYAmt
EOY	$741,943,887	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$944,293,478	BOYAmt
EOY	$1,032,601,726	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$88,308,247	BOYAmt
EOY	$200,786,993	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,032,601,725	BOYAmt
EOY	$1,233,388,719	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,830,481,772	BOYAmt
EOY	$1,975,332,606	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$120,633,762	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$80,153,232	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

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	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$49,739	OtherActivitiesAmt
Total Lobbying Expenditures	$49,739	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	ANNUAL DUES WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND NORTH CAROLINA HEALTHCARE ASSOCIATION (NCHA). A PERCENTAGE, DETERMINED BY THE AHA AND NCHA, WAS ESTIMATED TO BE EXPENDITURES USED IN LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,979,309	OtherCostOrOtherBasisAmt
Book Value	$25,979,309	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$543,552,493	OtherCostOrOtherBasisAmt
Depreciation	$195,605,364	DepreciationAmt
Book Value	$347,947,129	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,502,227	OtherCostOrOtherBasisAmt
Depreciation	$19,662,736	DepreciationAmt
Book Value	$7,839,491	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$383,352,080	OtherCostOrOtherBasisAmt
Depreciation	$298,498,503	DepreciationAmt
Book Value	$84,853,577	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$344,746,364	OtherCostOrOtherBasisAmt
Depreciation	$193,356,625	DepreciationAmt
Book Value	$151,389,739	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$618,009,245	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Federal Income Taxes
PENSION LIABILITY	$109,079,076
LEASE LIABILITY	$70,814,993
CAPITAL LEASE	$133,332

Field	Value	IRS element (for citing)
Total Liability	$180,027,401	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	THE FOLLOWING FOOTNOTE COMES FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF REX HOSPITAL, INC. D/B/A REX HEALTHCARE. THE FOOTNOTE REFERENCES OTHER MEMBERS OF THE AUDIT CONSOLIDATED GROUP THAT ARE NOT PART OF THIS TAX RETURN. REX, THE HOSPITAL, AND THE FOUNDATION ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ENTERPRISES IS A TAXABLE CORPORATION. THE HOSPITAL IS THE SOLE MEMBER OF RHV GP, RHVI, ROV, AND HOLDINGS. THESE ENTITIES ARE DISREGARDED FOR TAX PURPOSES. THE HOSPITAL IS THE SOLE SHAREHOLDER OF ENTERPRISES. ENTERPRISES IS THE SOLE MEMBER OF RWE AND RHVLLC. RWE IS THE SOLE MEMBER OF WELLNESS AND MOB. RWE, RHVLLC, WELLNESS AND MOB ARE DISREGARDED ENTITIES FOR TAX PURPOSES.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,237,905	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$59,237,905	NetCommunityBenefitExpnsAmt
Total Expense	0.03401	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$128,965,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$297,084,141	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$188,203,613	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$297,084,141	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,237,905	NetCommunityBenefitExpnsAmt
Total Expense	0.03401	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$769,388	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$769,388	NetCommunityBenefitExpnsAmt
Total Expense	0.00044	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,452,510	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,452,510	NetCommunityBenefitExpnsAmt
Total Expense	0.00256	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$386,578	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$386,578	NetCommunityBenefitExpnsAmt
Total Expense	0.00022	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,280	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,280	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$5,612,756	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,612,756	NetCommunityBenefitExpnsAmt
Total Expense	0.00322	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$193,816,369	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$297,084,141	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$64,850,661	NetCommunityBenefitExpnsAmt
Total Expense	0.03724	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$54,223,983	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$689,396,771	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$895,400,115	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$206,003,344	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
REX SURGERY CENTER OF CARY LLC
AMBULATORY CENTER	0.5575	0	0.4425
REX SURGERY CENTER OF WAKEFIELD LLC
AMBULATORY CENTER	0.7564	0	0.2436
ORTHOPAEDIC CENTER OF RALEIGH LLC
SURGERY CENTER	0.51	0	0.49
ORTHOPAEDIC CENTER OF PANTHER CREEK LLC
SURGERY CENTER	0.51	0	0.49
WR IMAGING LLC
MEDICAL IMAGING	0.44	0	0.56

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	REX HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	REX HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.rexhealth.com/rh/about/community/community-health-needs-assessment	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.rexhealth.com/rh/about/community/community-health-needs-assessment	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.0	FPGFamilyIncmLmtDscntCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.rexhealth.com/rh/patients-visitors/billing	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.rexhealth.com/rh/patients-visitors/billing	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.rexhealth.com/rh/patients-visitors/billing	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - REX HOSPITAL, INC.. The 2025 Wake CHNA followed a 12-phase approach as recommended by the North Carolina Division of Public Health, guided by the County Health Rankings Model. This model highlights how policies and programs impact various health factors that lead to overall health outcomes. The process included reviewing existing data from national and state sources and collecting primary data through Community Health Opinion Survey (CHOS) and Community conversations. This process involves asking for input from diverse community members, including leaders from local government, businesses, and nonprofits. The CHNA process involves gathering community health data from both primary and secondary sources. Primary data is collected directly from the community through methods such as the CHOS, Community conversations, and the Prioritization Survey. Secondary data comes from existing sources that were not specifically collected for the CHNA, from sources like government agencies, large organizations, and academic research centers. The CHOS captured the input of 1,191 eligible participants. The Community conversations focused on six priority populations for focused conversations: Unhoused/Homeless Individuals, Veterans, Asian Americans, Older Adults, African Americans, and Hispanics/Latinx. A conversation guide was created to structure these discussions, covering topics like community health, health barriers, changes, and needed resources. The Community conversations engaged 69 diverse participants across six sessions, ranging in age from 22 to 94.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - REX HOSPITAL, INC.. The Organization's Community Health Needs Assessment (CHNA) was conducted with the following Hospital facilities: Duke Raleigh Hospital and WakeMed Health and Hospitals.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - REX HOSPITAL, INC.. The Organization's Community Health Needs Assessment (CHNA) was conducted with the following organizations other than Hospital facilities: Advance Community Health, Delta Dental of North Carolina, Neighbor Health Center, Poe Center for Health Education, RightCare, Wake County Health and Human Services.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - REX HOSPITAL, INC.. The Hospital has identified the following three health priorities to address along with actionable items: Affordable Housing & Homelessness Affordable Housing and Homelessness continues to be a challenge in Wake County. It was a priority in the previous CHNA and received the most votes as a focus area to address in the 2025 prioritization survey. Over half of respondents to the Community Health Opinion survey indicated that Wake County was doing poorly in addressing the affordable housing and homelessness crisis, with the lowest satisfaction reported by lower-income, less-educated and Black respondents. Actionable Items: Commit to support and partner with local, non-profit, community, business and government entities with a focus on addressing housing and other social determinants of health that impact affordable housing. Expand utilization of social determinants of health EPIC dashboard to connect patients with community resources and analyze data to evaluate effectiveness. Work with Wake County and other health and resource providers in the community to build medical respite support system to assist those experiencing homelessness. Access to Health Care Access to care also remains a priority in 2025. This includes all aspects that might influence whether someone is able to seek quality and timely healthcare in their community, including affordability, insurance, specialty services, elder care and provider capacity. Over half of respondents to the CHNA's Community Health Opinion survey rated Wake County's healthcare access as good or excellent, though disparities exist-especially among Black residents and those in eastern Wake County. Actionable Items: Strategic expansion of clinics and services across Wake County to increase access for unplanned, planned, and preventative care. Improve new patient scheduling rates and continue building other patient access avenues, including online and guided scheduling. Expand mobile health outreach opportunities, targeting communities and populations most in need. Mental Health Like Affordable Housing and Homelessness and Access to Healthcare, Mental Health is once again a priority for Wake County. Mental health is a critical component of protecting and promoting overall health, as prioritizing mental health helps people cope with stress, enjoy a higher quality of life and maintain productivity. Actionable Items: Expand the "I Give Birth" campaign to increase support of new mothers and increase awareness of postpartum news. Commit to support and partner with local, non-profit, community, business and government entities with a focus on addressing mental health care access and building support networks to serve those in need. Increase investment in teammate mental health resources to encourage well-being, a feeling of belonging, and limit burnout. Expand reach of Behavioral Health Emergency Response Team (BERT) to provide educational resources and training to teammates, families and patients. Priorities identified in the Community Assessment remain concerns, including Community Cohesion, Disease, Illness, and Injury, Economic Opportunity, Education, and Reproductive & Child Health. While Rex Hospital recognizes these health needs, their resources are better used in addressing the top three health priorities listed above.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - REX HOSPITAL, INC.. The Financial Assistance Policy implemented non-income based financial assistance criteria as of 1/1/2025. The non-income eligibility criteria include homelessness, mental incapacitation with no one to act on the patient's behalf, patient or child in patient's household enrolled in any Medicaid or Managed Medicaid insurance, and enrollment in another means-tested public assistance program including, but not limited to: Women, Infants and Children Nutrition Program (WIC), Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance for Needy Families (TANF).
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - REX HOSPITAL, INC.. FINANCIAL ASSISTANCE APPLICATIONS CAN BE RETURNED SEVERAL WAYS INCLUDING US POSTAL MAIL IN PROVIDED PRE-PAID ENVELOPE, IN PERSON AT THE FINANCIAL ASSISTANCE DEPARTMENT OR WITH A FINANCIAL NAVIGATOR, VIA SECURE PATIENT PORTAL, OR BY SECURE FAX.

Field	Value	IRS element (for citing)
Facility	58	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (58 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
NORTH CAROLINA HEART & VASCULAR HOSPITAL
2800 BLUE RIDGE ROAD	RALEIGH	NC	27607	HEART & VASCULAR
REX HOLLY SPRINGS HOSPITAL
850 S MAIN STREET	HOLLY SPRINGS	NC	27540	HEALTHCARE
REX HEALTHCARE OF WAKEFIELD
11200 GOVERNOR MANLY WAY	RALEIGH	NC	27614	HEALTHCARE
REX HEALTHCARE OF CARY
1505 SW CARY PARKWAY	CARY	NC	27511	HEALTHCARE
REX HEALTHCARE OF GARNER
1400 TIMBER DRIVE EAST	GARNER	NC	27529	HEALTHCARE
REX HEALTHCARE OF KNIGHTDALE
6602 KNIGHTDALE BLVD	KNIGHTDALE	NC	27545	HEALTHCARE
REX HEALTHCARE OF HOLLY SPRINGS
781 AVENT FERRY ROAD	HOLLY SPRINGS	NC	27540	HEALTHCARE
UNC REX REHABILITATION AND NURSING CARE CENTER OF RALEIGH
4210 LAKE BOONE TRAIL	RALEIGH	NC	27607	NURSING FACILITY
UNC REX REHABILITATION AND NURSING CARE CENTER OF APEX
911 S HUGHES STREET	APEX	NC	27502	NURSING FACILITY
NORTH CAROLINA SURGERY
4207 LAKE BOONE TRAIL SUITE 210	RALEIGH	NC	27607	GENERAL SURGERY
RALEIGH ORTHOPAEDIC CLINIC- EDWARDS MILL OFFICE
3001 EDWARDS MILL ROAD	RALEIGH	NC	27612	ORTHOPAEDIC
REX HEMATOLOGY ONCOLOGY ASSOCIATES- BLUE RIDGE
2605 BLUE RIDGE ROAD SUITE 190	RALEIGH	NC	27607	ONCOLOGY
NORTH CAROLINA HEART & VASCULAR (GOLDSBORO)
2615 HOSPITAL ROAD SUITE 300	GOLDSBORO	NC	27534	HEART & VASCULAR
NORTH CAROLINA HEART & VASCULAR (CLINTON)
603 BEAMAN STREET SUITE 501	CLINTON	NC	28328	HEART & VASCULAR
UNC REX REHABILITATION SERVICES- RALEIGH
10880 DURANT ROAD SUITE 300	RALEIGH	NC	27607	REHABILITATION
RALEIGH ORTHOPAEDIC (NORTH RALEIGH)
10880 DURANT ROAD SUITE 300	RALEIGH	NC	27614	ORTHOPAEDIC
REX DIGESTIVE HEALTHCARE (RALEIGH)
2417 ATRIUM DRIVE SUITE 150	RALEIGH	NC	27607	DIGESTIVE HEALTHCARE
REX DIGESTIVE HEALTHCARE (NORTH RALEIGH)
8300 HEALTH PARK SUITE 327	RALEIGH	NC	27615	DIGESTIVE HEALTHCARE
REX EAR NOSE & THROAT SPECIALISTS (CARY)
790 SE CARY PARKWAY SUITE 110	CARY	NC	27511	ENT HEALTHCARE
REX NEUROSURGERY & SPINE SPECIALISTS (RALEIGH)
4207 LAKE BOONE TRAIL SUITE 220	RALEIGH	NC	27607	NEUROSURGERY
REX HOSPITAL OUTPATIENT REHABILITATION (RALEIGH)
2709 BLUE RIDGE ROAD SUITE 200	RALEIGH	NC	27607	REHABILITATION
NORTH CAROLINA SURGERY- REX BREAST CARE SPECIALISTS (RALEIGH)
3100 DURALEIGH ROAD SUITE 205	RALEIGH	NC	27612	BREAST CARE
REX DIGESTIVE HEALTHCARE (WAKEFIELD)
11211 GALLERIA AVE SUITE 100	RALEIGH	NC	27614	DIGESTIVE HEALTHCARE
REX DIGESTIVE HEALTHCARE (KNIGHTDALE)
6905 KNIGHTDALE BLVD SUITE 103	KNIGHTDALE	NC	27545	DIGESTIVE HEALTHCARE
REX HEMATOLOGY ONCOLOGY ASSOCIATES- CARY
150 PARKWAY OFFICE COURT SUITE 200	CARY	NC	27518	ONCOLOGY
REX PULMONARY SPECIALISTS (WAKEFIELD)
11081 FOREST PINES DRIVE SUITE 104	RALEIGH	NC	27614	PULMONARY HEALTH
UNC CENTER FOR REHABILITATION CARE OF RALEIGH
2709 BLUE RIDGE ROAD SUITE 220	RALEIGH	NC	27607	REHABILITATION
UNC REX CANCER CARE OF EAST RALEIGH
117 SUNNYBROOK ROAD	RALEIGH	NC	27610	CANCER CARE
NORTH CAROLINA HEART & VASCULAR (CLAYTON)
2076 NC HIGHWAY 42 W	CLAYTON	NC	27520	HEART & VASCULAR
NORTH CAROLINA HEART & VASCULAR (BRIAR CREEK)
10208 CERNY STREET SUITE 106	RALEIGH	NC	27617	HEART & VASCULAR
NORTH CAROLINA SURGERY- REX BREAST CARE SPECIALISTS (CARY)
300 ASHVILLE AVE SUITE 240	CARY	NC	27518	BREAST CARE
RALEIGH ORTHOPAEDIC (CARY)
222 ASHVILLE AVE SUITE 20	CARY	NC	27518	ORTHOPAEDIC
REX PULMONARY SPECIALISTS (CARY)
300 ASHVILLE AVE SUITE 301	CARY	NC	27518	PULMONARY HEALTH
NORTH CAROLINA HEART & VASCULAR (LOUISBURG)
500 REDWOOD LANE	LOUISBURG	NC	27549	HEART & VASCULAR
NORTH CAROLINA SURGERY AT BRIER CREEK
10208 CERNY STREET SUITE 106	RALEIGH	NC	27617	GENERAL SURGERY
NORTH CAROLINA HEART & VASCULAR (WILSON)
2605 FOREST HILLS ROAD SW SUITE D	WILSON	NC	27893	HEART & VASCULAR
NORTH CAROLINA SURGERY AT SMITHFIELD
131 E MARKET STREET	SMITHFIELD	NC	27577	GENERAL SURGERY
REX HEART FAILURE CLINIC (GOLDSBORO)
2615 HOSPITAL ROAD SUITE 300	GOLDSBORO	NC	27534	HEART HEALTH
NORTH CAROLINA HEART & VASCULAR (ROCKY MOUNT)
2412 PROFESSIONAL DRIVE	ROCKY MOUNT	NC	27804	HEART & VASCULAR
NORTH CAROLINA SURGERY AT WILSON
130 GLENDALE DRIVE W	WILSON	NC	27893	GENERAL SURGERY
REX DIGESTIVE HEALTHCARE (CARY)
10030 GREEN LEVEL CHURCH RD SUITE	CARY	NC	27519	DIGESTIVE HEALTHCARE
NORTH CAROLINA HEART & VASCULAR (LILLINGTON)
701 S MAIN STREET	LILLINGTON	NC	27546	HEART & VASCULAR
NORTH CAROLINA HEART & VASCULAR (SMITHFIELD)
910 BERKSHIRE ROAD	SMITHFIELD	NC	27577	HEART & VASCULAR
REX NEUROSURGERY AND SPINE SPECIALISTS (CLAYTON)
34 HEALTHPARK WAY SUITE 100 C	CLAYTON	NC	27520	NEUROSURGERY
REX VASCULAR SPECIALISTS (SMITHFIELD)
910 BERKSHIRE ROAD	SMITHFIELD	NC	27577	VASCULAR HEALTH
UNC URGENT CARE AT RALEIGH
3050 DURALEIGH ROAD SUITE 111	RALEIGH	NC	27612	URGENT CARE
REX VASCULAR SPECIALISTS (CLAYTON)
2076 NC HIGHWAY 42 W SUITE 100	RALEIGH	NC	27520	VASCULAR HEALTH
UNC UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY AT REX
4325 LAKE BOONE TRAIL SUITE 315	RALEIGH	NC	27607	SURGERY
REX DIGESTIVE HEALTHCARE (SMITHFIELD)
507 N BRIGHTLEAF BLVD SUITE 100	SMITHFIELD	NC	27577	DIGESTIVE HEALTHCARE
RALEIGH ORTHOPAEDIC (GARNER)
1325 TIMBER DRIVE E	GARNER	NC	27529	ORTHOPAEDIC
REX SLEEP LAB OF RALEIGH
3050 DURALEIGH ROAD SUITE 101	RALEIGH	NC	27607	SLEEP LAB
UNC NEUROSURGERY AT NASH
45 GUARDIAN COURT	RALEIGH	NC	27607	NEUROSURGERY
REX SLEEP LAB OF CARY
790 SE CARY PARKWAY SUITE 105	RALEIGH	NC	27607	SLEEP LAB
REX WELLNESS CENTER OF RALEIGH
4200 LAKE BOONE TRAIL	RALEIGH	NC	27607	WELLNESS & REHABILITATION
REX PAIN MANAGEMENT CENTER
3050 DURALEIGH ROAD SUITE 201	RALEIGH	NC	27612	PAIN MANAGEMENT
REX HOSPITAL LAB OF DURALEIGH
3050 DURALEIGH ROAD SUITE 12	RALEIGH	NC	27612	LAB
REX MEDICAL OFFICE BUILDING
2800 BLUE RIDGE ROAD	RALEIGH	NC	27607	HEALTHCARE
REX MEDICAL PLAZA
4414 LAKE BOONE TRAIL	RALEIGH	NC	27607	HEALTHCARE

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(C), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THE COLUMN IS $54,223,983.
Schedule H, Part III, Line 2 BAD DEBT & HASP REQUIREMENTS	To comply with the Healthcare Access and Stabilization Program (HASP) requirements for FY2025, the North Carolina Department of Health and Human Services mandated all North Carolina hospitals to attest to implementing a standardized, enhanced medical debt policy. This applies to North Carolina residents who are actively enrolled in Medicaid or Managed Medicaid or fall below certain federal poverty levels. Historical debt remaining in our system was impacted. In FY2025, the filing organization implemented the North Carolina Medical Debt Relief and Mitigation policy as required by HASP. This policy reduced Bad Debt expense and increased Charity Care for the filing year.
Schedule H, Part II Community Building Activities	As a member Hospital of University of North Carolina Health Care System (UNC HCS), UNC Health Rex participates in several community building activities. UNC Health Rex collects school supplies that are donated to local county schools to be shared with students in need. Also, UNC Health Rex collects food for a UNC HCS wide food drive to be donated to the local food banks and given to families that struggle with food insecurity. UNC Health Rex has two mobile mammography vehicles (nicknamed Betty and Wilma) that provide a convenient option for patients without reliable transportation to benefit from mammography's early detection. Also, UNC Health Rex has two food pantries at both UNC Health Rex and Holly Springs Hospitals that provide a three-day supply of healthy food to discharged patients who are considered food insecure. In compliance with the Affordable Care Act, UNC Health Rex participates with other Wake County Hospitals and Organizations to prepare a Community Health Needs Assessment (CHNA) every three years. The most current CHNA was conducted in Tax year 2024 and the three top priorities for UNC Health Rex are Affordable Housing and Homelessness, Access to Healthcare, and Mental Health. By focusing on these priority items, UNC Health Rex can make an effective health impact in the community.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE ORGANIZATION'S BAD DEBT EXPENSE AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS AND FORM 990 PART IX. THE COST-TO-CHARGE RATIO FOR THE YEAR WAS APPLIED TO THE GROSS BAD DEBT CHARGES FOR THE YEAR.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE ORGANIZATION'S BAD DEBT DOES NOT INCLUDE ANY AMOUNTS ATTRIBUTABLE TO THOSE PATIENTS WHO APPLIED FOR AND RECEIVED FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	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.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE APPROVED FOR 100 PERCENT ADJUSTMENT OF ELIGIBLE CHARGES MINUS A COPAYMENT. COPAYMENTS ACCRUE AND ARE NOT ELIGIBLE FOR COLLECTIONS PROCESSES.
Schedule H, Part V, Section B, Line 16a FAP website	- REX HOSPITAL, INC.: Line 16a URL: www.rexhealth.com/rh/patients-visitors/billing;
Schedule H, Part V, Section B, Line 16b FAP Application website	- REX HOSPITAL, INC.: Line 16b URL: www.rexhealth.com/rh/patients-visitors/billing;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- REX HOSPITAL, INC.: Line 16c URL: www.rexhealth.com/rh/patients-visitors/billing;
Schedule H, Part VI, Line 2 Needs assessment	AS THE COUNTY CONTINUES TO GROW, NECESSARY STEPS MUST BE TAKEN TO ENSURE THAT THE NEEDS OF ALL OF OUR CITIZENS ARE BEING MONITORED AND EVALUATED. WAKE COUNTY HUMAN SERVICES WORKS WITH ALL LOCAL HOSPITALS, INCLUDING REX, TO CONDUCT A COMMUNITY-WIDE HEALTH ASSESSMENT. THIS ASSESSMENT, CONDUCTED EVERY THREE TO FOUR YEARS, IDENTIFIES OPPORTUNITIES AND CHALLENGES IN THE MARKET. REX COLLABORATES WITH COMMUNITY PARTNERS REGULARLY TO ENSURE OUR EFFORTS ARE PROPERLY ALIGNED BASED ON WAKE COUNTY'S SOCIO ECONOMIC 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.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Rex provides needed healthcare services to anyone regardless of that person's ability to pay. Rex's Financial Assistance Policy is designed to assist patients who are financially unable to pay for healthcare services. A link to the policy can be found on Rex's public website. Rex displays information regarding the availability of financial assistance in its emergency room, registration areas in the Hospital and Clinics, and financial counselor offices. In addition to financial assistance information displayed on Rex's property, financial assistance information is distributed at local community events and via advertisements on TV and social media platforms. A link is also provided on Rex's website to the availability of financial assistance and its Financial Assistance Policy, along with an on-line application. Inpatient case managers also provide information to the patients regarding available programs and the Organization's Financial Policy. Consultation with financial counselors is also available to all patients as needed.
Schedule H, Part VI, Line 4 Community information	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. The population of Wake County according to the 2020 U.S. Census is 1,129,410. Wake County is the most populous county in North Carolina. The population of Wake County is growing rapidly, with a population increase of 633,333 in 2000 and a projected population of 1,730,067 by 2050. In Wake County, the percentage of the total population represented by the urban population is 94.8% as of 2010 Decennial Census, with only 5.2% represented by the rural population. The population density in Wake County has increased from 1,078 persons per square mile in 2010 to 1,426 persons per square mile in 2023. The county's population is slightly more female (50.9%) than male (49.1%). The majority of residents fall within the working-age range, with 29.6% between 25 and 44 years old and 25.7% between 45 and 64 years old. Children under 18 comprise 23.4% of the population, while 12.2% are 65 years or older. The senior population is expected to rise to 20.9% by 2050. Wake County has a more diverse population than North Carolina as a whole. Racial and ethnic composition includes 58.3% White (non-Hispanic), 19.2% Black or African American (non-Hispanic), 10.4% Hispanic or Latino, 7.9% Asian (non-Hispanic), 3.5% multiracial (non-Hispanic), 0.5% other race (non-Hispanic), and 0.2% American Indian or Alaska Native (non-Hispanic). Wake County's median household income is $102,918 to $105,168, among the highest in the state. Wake County's per capita income was $55,448 during the same time period.
Schedule H, Part VI, Line 5 Promotion of community health	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.
Schedule H, Part VI, Line 6 Affiliated health care system	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 $200 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 UNDER SERVED 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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NC Professionals Health Program	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	220 Horizon Drive	AddressLine1Txt
Address Line2	Suite 201	AddressLine2Txt
City	Raleigh	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	276154928	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	561846599	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$7,500	CashGrantAmt
Purpose Of Grant	Operations Support	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 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
M Chad Setliff
Director/President	$114,583	$0	$291,794	$0	$57,394	$0	$28,200	$0	$3,603	$0	$495,574	$0	$0	$0
Kirsten Riggs
Director/COO	$468,022	$0	$279,658	$0	$6,000	$0	$56,751	$0	$30,447	$0	$840,878	$0	$0	$0
Jeff Lindsay
Director	$0	$1,289,430	$0	$1,260,003	$0	$34,160	$0	$335,275	$0	$16,151	$0	$2,935,019	$0	$0
A Wesley Burks MD
Director	$0	$1,051,540	$0	$2,047,060	$0	$20,141	$0	$804,603	$0	$16,322	$0	$3,939,666	$0	$0
Rig Patel MD
Director	$554,148	$0	$22,750	$0	$600	$0	$15,250	$0	$19,179	$0	$611,927	$0	$0	$0
Ernest Bovio Jr
Former President	$48,846	$0	$0	$0	$70,424	$0	$2,886	$0	$2,414	$0	$124,570	$0	$0	$0
Tate Bombard
VP/General Counsel & Secretary	$0	$292,923	$0	$116,157	$0	$6,578	$0	$113,712	$0	$14,962	$0	$544,332	$0	$0
Benjamin Mathew
VP/CFO & Treasurer	$391,885	$0	$159,490	$0	$600	$0	$102,180	$0	$30,447	$0	$684,602	$0	$0	$0
Meera Udayakumar MD
VP/Medical Affairs & CMO	$413,497	$0	$155,866	$0	$600	$0	$101,500	$0	$28,383	$0	$699,846	$0	$0	$0
Lorie Rhine
VP/Patient Care Services & CNO	$306,183	$0	$0	$0	$10,546	$0	$30,866	$0	$23,298	$0	$370,893	$0	$0	$0
Chad Anderson
VP/Clinical Operations	$263,516	$0	$91,511	$0	$600	$0	$50,958	$0	$30,287	$0	$436,872	$0	$0	$0
Timothy Hester
VP/Physician Services	$262,923	$0	$91,931	$0	$0	$0	$28,079	$0	$31,223	$0	$414,156	$0	$0	$0
Megan Lumley
VP	$233,249	$0	$59,505	$0	$600	$0	$37,458	$0	$0	$0	$330,812	$0	$0	$0
Diana Massa
VP/Clinical Operations	$279,288	$0	$97,240	$0	$2,525	$0	$35,285	$0	$19,038	$0	$433,376	$0	$0	$0
Susan Moore MD
VP/UNC Rex Physicians	$563,912	$0	$222,952	$0	$6,022	$0	$87,175	$0	$28,383	$0	$908,444	$0	$0	$0
Roy Tempke
VP/Care Transitions	$291,697	$0	$100,789	$0	$4,724	$0	$65,164	$0	$27,446	$0	$489,820	$0	$0	$0
Matthew Evans
Asst Treasurer & Asst Secretary	$159,082	$0	$14,232	$0	$0	$0	$4,933	$0	$21,916	$0	$200,163	$0	$0	$0
Maire CorCoran Ragozzine
VP/General Counsel & Secretary	$0	$262,364	$0	$62,977	$0	$26,820	$0	$109,354	$0	$14,962	$0	$476,477	$0	$0
Mateen Akhtar MD
Physician	$1,674,970	$0	$367,613	$0	$575	$0	$45,375	$0	$21,757	$0	$2,110,290	$0	$0	$0
Joseph Bumgarner MD
Physician	$1,552,275	$0	$468,906	$0	$600	$0	$11,500	$0	$20,980	$0	$2,054,261	$0	$0	$0
Mohammed Farooqui MD
Physician	$880,198	$0	$1,104,644	$0	$0	$0	$0	$0	$12,232	$0	$1,997,074	$0	$0	$0
Dwijesh Patel MD
Physician	$1,442,513	$0	$485,782	$0	$600	$0	$11,500	$0	$28,122	$0	$1,968,517	$0	$0	$0
Waheed Akhtar MD
Physician	$1,304,481	$0	$481,481	$0	$575	$0	$45,375	$0	$15,426	$0	$1,847,338	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I LINE 6 -COMP. CONTINGENT ON NET EARNINGS OF ORGANIZATION & RELATED ORGANIZATIONS	FormAndLineReferenceDesc
Explanation	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 PERFORMANCE MEASURES USED TO DETERMINE INCENTIVE COMPENSATION ARE PHYSICIAN SATISFACTION, PATIENT CARE QUALITY OUTCOMES, EFFECTIVE USE OF TECHNOLOGY AND INDIVIDUAL GOALS.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A	521309402	CT1594736	2020-07-22	$70,535,000	(SEE STATEMENT)	false	false	false
NORTH CAROLINA MEDICAL CARE COMMISSION
B	521309402	65821DTR2	2015-05-21	$150,167,728	(SEE STATEMENT)	false	false	false
NORTH CAROLINA MEDICAL CARE COMMISSION
C	521309402	65821DXK2	2020-02-19	$227,541,104	(SEE STATEMENT)	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	UnspentUnspentAmt
A	$70,535,000	$232,984	$70,302,016	Yes (true)	false	Yes (true)	Yes (true)
B	$150,171,157	$1,051,300		false	false	Yes (true)	Yes (true)	$4,130,000	$144,986,428	2017
C	$217,716,706	$1,387,730		false	false	false	Yes (true)		$217,454,313	2022	$8,961,904

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	Yes (true)	Yes (true)	false	false	false	false	false	false	Yes (true)
C	false	false	false	Yes (true)	false	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE	ISSUE A: REFUND SERIES 2010 BONDS, ORIGINALLY ISSUED ON 10/26/2010.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE	ISSUE B: CONSTRUCTION OF NORTH CAROLINA HEART & VASCULAR HOSPITAL AND PARKING DECK, PURCHASE EQUIPMENT FOR NORTH CAROLINA HEART & VASCULAR HOSPITAL AND FUND CAPITALIZED INTEREST.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE	ISSUE C: CONSTRUCTION OF REX HOLLY SPRINGS HOSPITAL AND REX CANCER CENTER.
Schedule K, Part II, Line 3 COLUMNS B & C	THE TOTAL PROCEEDS OF ISSUE BEING REPORTED IS GREATER THAN FILED ON THE FORM 8038 DUE TO INVESTMENT EARNINGS, MAINLY INTEREST EARNED. FOR ISSUE BAND C, THE INTEREST AS OF JUNE 30, 2025 IS $3,429 AND $264,080 RESPECTIVELY.
Schedule K, Part II, Line 11 COLUMN A	THE OTHER SPENT PROCEEDS FOR ISSUE A WERE SPENT ON REFUNDING SERIES 2010 BONDS, ORIGINALLY ISSUED ON 10/26/2010.
Schedule K, Part IV, Line 2c COLUMN B	THE REBATE COMPUTATION WAS PERFORMED FOR PERIOD ENDED MAY 21, 2020 AND BASED ON AN INDEPENDENT INVESTMENT BANKING FIRM'S REPORT DATED JULY 9, 2020, NO REBATE PAYMENT WAS REQUIRED. A 2025 REBATE CALCULATION WAS NOT REQUIRED BECAUSE ALL AMOUNTS HAVE BEEN EXPENSED.
Schedule K, Part IV, Line 2c COLUMN C	THE REBATE COMPUTATION WAS PERFORMED FOR PERIOD ENDED JULY 1, 2025, AND BASED ON AN INDEPENDENT INVESTMENT BANKING FIRM'S REPORT DATED SEPTEMBER 4, 2025, NO REBATE PAYMENT WAS REQUIRED.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 1	NORTH CAROLINA SURGERY NORTH CAROLINA HEART AND VASCULAR HOSPITAL REX CARDIAC SURGICAL SPECIALISTS REX COMPREHENSIVE VEIN CENTER REX EAR NOSE & THROAT SPECIALISTS REX EAR NOSE & THROAT SPECIALISTS AT PANTHER CREEK REX EAR NOSE & THROAT SPECIALISTS AT WAKEFIELD REX FAMILY PRACTICE OF KNIGHTDALE REX FAMILY PRACTICE OF WAKEFIELD REX HEALTHCARE REX HEALTHCARE OF CARY REX HEALTHCARE OF GARNER REX HEALTHCARE OF HOLLY SPRINGS REX HEALTHCARE OF KNIGHTDALE REX HEALTHCARE OF WAKEFIELD REX HEART FAILURE REX HEMATOLOGY ONCOLOGY ASSOCIATES REX HOME SERVICES REX HOSPITAL INFUSION REX HOSPITAL LABORATORY REX HOSPITAL PELVIC HEALTH CENTER REX HOSPITAL PULMONOLOGY REX HOSPITAL OUTPATIENT SPEECH THERAPY OF CARY REX HOSPITAL OUTPATIENT SPEECH THERAPY REX HOSPITAL RADIATION ONCOLOGY OF WAKEFIELD REX HOSPITAL TRANSPORT REX INTERNAL MEDICINE OF CARY REX LABORATORY SERVICES OF CARY REX MOBILE MAMMOGRAPHY REX NEUROSURGERY & SPINE SPECIALISTS REX NUTRITION SERVICES REX PAIN CENTER REX PALLIATIVE CARE SPECIALISTS REX PEDIATRICS OF CARY REX PEDIATRICS OF HOLLY SPRINGS REX PRIMARY CARE OF CARY REX PULMONARY SPECIALISTS REX RADIOLOGY SERVICES OF CARY REX RADIOLOGY SPECIALISTS REX SAME DAY SURGERY REX SENIOR HEALTH CENTER REX STRATEGIC INNOVATIONS REX STRUCTURAL HEART REX SURGICAL SPECIALISTS REX THORACIC SPECIALISTS REX THORACIC SURGICAL SPECIALISTS REX UNC HEALTHCARE REX VASCULAR SPECIALISTS REX VASCULAR SURGICAL SPECIALISTS REX WELLNESS CENTER OF CARY REX WELLNESS CENTER OF GARNER REX WELLNESS CENTER OF KNIGHTDALE REX WELLNESS CENTER OF WAKEFIELD REX WOUND HEALING CENTER UNC REX CANCER CENTER UNC REX CRITICAL CARE TRANSPORT UNC REX GYNECOLOGIC ONCOLOGY UNC REX HEALTHCARE UNC REX HOME SERVICES UNC REX HOSPITAL UNC REX HOSPITAL TRANSPORT UNC REX MATERNAL FETAL MEDICINE UNC REX PHARMACY OF RALEIGH UNC REX REHABILITATION & NURSING CARE CENTER OF APEX UNC REX REHABILITATION & NURSING CARE CENTER OF RALEIGH UNC URGENT CARE AT BEAVER CREEK COMMONS UNC URGENT CARE AT CARY UNC URGENT CARE AT FUQUAY VARINA UNC URGENT CARE AT GARNER UNC URGENT CARE AT HOLLY SPRINGS UNC URGENT CARE AT KNIGHTDALE UNC URGENT CARE AT MIDTOWN RALEIGH UNC URGENT CARE AT PANTHER CREEK UNC URGENT CARE AT PARK WEST VILLAGE MARKET UNC URGENT CARE AT RALEIGH UNC URGENT CARE AT WAKEFIELD
Form 990, Part III, Line 4a	MAGNET STATUS BY THE AMERICAN NURSES CREDENTIALING CENTER. IN 2020, UNC HEALTH REX WAS RE-DESIGNATED MAGNET STATUS FOR THE FOURTH CONSECUTIVE TIME. THE MAGNET RECOGNITION PROGRAM RECOGNIZES HEALTH CARE ORGANIZATIONS FOR EXCELLENCE IN NURSING CARE. THIS AWARD PUTS UNC HEALTH REX'S NURSES IN AN ELITE GROUP OF THE TOP 2 PERCENT OF NURSES IN THE NATION. UNC HEALTH REX IS ONE OF THE LARGEST EMPLOYERS IN WAKE COUNTY, WITH MORE THAN 6,500 TEAMMATES. UNC HEALTH REX IS KNOWN FOR ITS EXCELLENT BENEFITS AND IS ROUTINELY RECOGNIZED BY LOCAL AND NATIONAL PUBLICATIONS AS A "BEST PLACE TO WORK." IN LATE 2021, UNC HEALTH REX OPENED A NEW, 50-BED COMMUNITY HOSPITAL IN HOLLY SPRINGS. THE UNC HEALTH REX HOLLY SPRINGS HOSPITAL OFFERS MUCH-NEEDED MEDICAL CARE AND SERVICES TO ALL RESIDENTS OF ONE OF THE TRIANGLE'S FASTEST-GROWING REGIONS, CLOSER TO HOME. UNC HEALTH REX BEGAN EFFORTS MORE THAN A DECADE AGO TO EXPAND MEDICAL CARE IN THAT AREA, WHICH CONTINUES TO ATTRACT NEW RESIDENTS, FROM YOUNG FAMILIES TO RETIREES. THE 242,000 SQUARE-FOOT, EIGHT-STORY COMMUNITY HOSPITAL INCLUDES 50 INPATIENT BEDS, OPERATING ROOMS FOR A WIDE RANGE OF SURGERIES, A FULL-SERVICE EMERGENCY DEPARTMENT, MRI, RADIOLOGY, LABORATORY, PHARMACY AND MUCH MORE. THE HOSPITAL DELIVERS HUNDREDS OF BABIES EACH YEAR WITH SEVEN LABOR AND DELIVERY ROOMS, A C-SECTION OPERATING SUITE AND OB EMERGENCY BAYS. THE HOSPITAL EMPLOYS MORE THAN 400 PEOPLE. UNC HEALTH REX FILED PLANS IN EARLY 2025 TO EXPAND THE HOLLY SPRINGS HOSPITAL AND ADD ADDITIONAL BEDS TO KEEP UP WITH GROWING DEMAND IN THAT REGION. UNC HEALTH REX RUNS A FOOD PANTRY TO SUPPORT PATIENTS AND THEIR FAMILIES WHO STRUGGLE WITH ACCESS TO HEALTHY FOOD. THE PANTRY IS A PARTNERSHIP BETWEEN UNC HEALTH REX, FOOD LION AND THE FOOD BANK OF CENTRAL & EASTERN NORTH CAROLINA. IT'S ONE OF THE FIRST FOOD PANTRIES OPERATED BY A COMMUNITY HOSPITAL IN NORTH CAROLINA, AND ONE OF ONLY A HANDFUL ACROSS THE COUNTRY. PATIENTS AT UNC HEALTH REX WHO INDICATE THAT THEY HAVE RECENTLY STRUGGLED WITH FOOD ACCESS, OR WHO ARE CONSIDERED FOOD INSECURE, ARE PRESCRIBED A VISIT TO THE FOOD PANTRY WITH THEIR HOSPITAL DISCHARGE PAPERWORK. THEY WILL RECEIVE A THREE-DAY SUPPLY OF HEALTHY FOOD, ENOUGH FOR A FAMILY OF FOUR, INCLUDING FRESH PRODUCE, STAPLE ITEMS AND HEALTHY SNACKS. THE UNC HEALTH REX FOOD PANTRY WILL ALSO PROVIDE NUTRITIONAL INFORMATION, HEALTHY RECIPES FROM UNC HEALTH REX'S AWARD-WINNING CHEFS AND DIETITIANS, AND A COMPREHENSIVE LIST OF FOOD BANKS AND OTHER COMMUNITY RESOURCES. THE UNC HEALTH REX HOLLY SPRINGS HOSPITAL RUNS A SECOND FOOD PANTRY. UNC HEALTH REX'S CULINARY TEAM HAS CREATED A CHEF-BASED PROGRAM THAT HAS ATTRACTED INTERNATIONAL RECOGNITION AND REINVENTING TRADITIONAL "HOSPITAL FOOD." THEY TEND AN HERB AND VEGETABLE GARDEN AT UNC HEALTH REX AND USE LOCAL AND FRESH INGREDIENTS AS MUCH AS POSSIBLE. UNC HEALTH REX WAS THE FIRST HOSPITAL IN THE SOUTHEAST TO GET RID OF DEEP FRYERS AND THE CHEFS CONTINUE TO EXPLORE NEW WAYS TO COOK AND SERVE OUR CUISINE. THE UNC HEALTH REX CHEFS RUN A NEW MEDITERRANEAN-THEMED, HEART HEALTHY RESTAURANT CALLED KARDIA IN THE NEW NORTH CAROLINA HEART & VASCULAR HOSPITAL. IN ADDITION, THE CHEFS AND REGISTERED DIETITIANS OFFER FREE CLASSES ON HEALTHY COOKING AND EATING TO PATIENTS, THEIR FAMILIES, AND MEMBERS OF THE COMMUNITY IN A DEMONSTRATION KITCHEN. UNC HEALTH REX PERFORMS THOUSANDS OF HEART AND VASCULAR PROCEDURES A YEAR, INCLUDING CORONARY ARTERY BYPASS GRAFTING, ENDOVASCULAR AAA REPAIR, ECHOCARDIOGRAPHY, PERIPHERAL VASCULAR ULTRASOUND, VALVE REPLACEMENT AND REPAIR, ANGIOPLASTY, CARDIAC CATHETERIZATION, MINIMALLY INVASIVE STRUCTURAL HEART PROCEDURES, INVASIVE PERIPHERAL VASCULAR INTERVENTIONS, INCLUDING CRITICAL LIMB ISCHEMIA PROCEDURES, ELECTROPHYSIOLOGY PROCEDURES AND STENT PLACEMENT, REGARDLESS OF PATIENTS' ABILITY TO PAY. UNC HEALTH REX HAS BEEN A CHEST PAIN ACCREDITED HOSPITAL FOR MORE THAN A DECADE, REINFORCING THE ORGANIZATION'S DEDICATION TO COMMUNITY OUTREACH AND INNOVATION IN THE CARE OF CHEST PAIN PATIENTS. THE SERVICE LINE ALSO INCLUDES OPEN HEART SURGICAL SUITES WHERE PHYSICIANS PERFORM PROCEDURES SUCH AS CORONARY ARTERY BYPASS GRAFTING, MITRAL VALVE REPLACEMENT AND REPAIR, AND AORTIC VALVE AND AORTIC ARCH REPLACEMENTS. UNC HEALTH REX ALSO PROVIDES A FULL RANGE OF INVASIVE CATHETER BASED CARDIAC, VASCULAR AND ELECTROPHYSIOLOGY PROCEDURES. ALL OF THE EXISTING HEART AND VASCULAR SERVICES AND CARE, WHICH WERE PROVIDED AT MORE THAN SEVEN LOCATIONS ACROSS THE MAIN HOSPITAL IN RALEIGH, WERE CONSOLIDATED INTO A MODERN, MORE EFFICIENT AND MORE CONVENIENT FACILITY WITH THE MARCH 2017 OPENING OF THE NORTH CAROLINA HEART AND VASCULAR HOSPITAL ON UNC HEALTH REX'S MAIN RALEIGH CAMPUS. THIS EIGHT-STORY, 306,000-SQUARE-FOOT HOSPITAL PROVIDES EASIER AND MORE COMFORTABLE ACCESS FOR PATIENTS AND THEIR FAMILIES, PHYSICIANS AND STAFF, IN A FACILITY THAT'S DESIGNED TO PROMOTE HEALING, PREVENTION, EDUCATION, INNOVATION AND WELLNESS. OUR CHEFS AND DIETITIANS REGULARLY HOLD COMMUNITY HEALTHY COOKING DEMONSTRATIONS IN A CONFERENCE SPACE THAT INCLUDES A DEMONSTRATION KITCHEN, AND HAVE HOSTED HUNDREDS OF PARTICIPANTS, INCLUDING PATIENTS AND THEIR FAMILIES.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE ORGANIZATION'S SOLE MEMBER IS REX HEALTHCARE, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	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, Line 7b Decisions requiring approval by members or stockholders	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, Line 11b Review of form 990 by governing body	THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE ORGANIZATION'S CFO REVIEWED THE FORM 990 AND THE FULL BOARD RECEIVED A COPY OF THE FORM 990 PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	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, Line 15a Process to establish compensation of top management official	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, Line 19 Required documents available to the public	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 VII, Section A, Line 1b	BOARD MEMBERS AND OFFICERS CONTRIBUTE THEIR TIME AND SERVICES UPON REQUEST AND ON AN AS-NEEDED BASIS, WHICH, THROUGHOUT THE YEAR, MAY DIFFER FROM THE AVERAGE NUMBER OF HOURS PER WEEK REPORTED ON PART VII, LINE 1B.
Form 990, Part XII, Line 2c Change of oversight process or selection process	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
Form 990, Part III, Line 4a (continued)	UNC HEALTH REX SURGERY CENTERS IN RALEIGH, CARY AND WAKEFIELD ARE USED BY HUNDREDS OF PHYSICIANS TO PROVIDE THOUSANDS OF IN- AND OUT-PATIENT SURGERIES AND PROCEDURES EVERY YEAR. THE THREE LOCATIONS HAVE IMPROVED ACCESS TO SPECIALIZED CARE FOR PATIENTS ACROSS THE REGION. SURGEONS MAKE SUBSTANTIAL USE OF MINIMALLY INVASIVE TECHNOLOGY AND INNOVATION FOR DIAGNOSIS AND TREATMENT, REDUCING PATIENTS' RECOVERY TIME AND HOSPITAL STAY AND SUPPORTING QUALITY CARE. THE CENTERS INCLUDE 38 OPERATING SUITES, 11 MINOR PROCEDURE ROOMS, AND VARIOUS PERIOPERATIVE AND ANCILLARY SUPPORT SPACES. UNC HEALTH REX IS INCREASINGLY PERFORMING SURGERIES ON AN OUTPATIENT BASIS AND CONTINUING TO LOOK FOR OTHER WAYS TO REDUCE OVERALL COSTS FOR PATIENTS. SOME OF THE TOP PROCEDURES INCLUDE GENERAL, ORTHOPEDIC, GYNECOLOGIC, AND OPHTHALMIC SURGERIES. DURING THE YEAR, THOUSANDS OF OUTPATIENT ORTHOPEDIC PROCEDURES WERE PERFORMED AT RALEIGH ORTHOPAEDIC SURGERY CENTER IN RALEIGH AND CARY, UNC HEALTH REX'S JOINT VENTURE WITH RALEIGH ORTHOPAEDIC CLINIC. UNC HEALTH REX PROVIDES A FULL RANGE OF SPECIALIZED, MULTI-DISCIPLINARY ONCOLOGY THERAPY AND SUPPORT SERVICES TO THOUSANDS OF PATIENTS IN WAKE COUNTY AND BEYOND INCLUDING MEDICAL, RADIATION AND SURGICAL ONCOLOGY. IN ADDITION TO PROVIDING CANCER TREATMENTS AND THERAPIES AT MULTIPLE LOCATIONS IN WAKE COUNTY, THE CENTERS OFFER OUTREACH AND SUPPORT SERVICES INCLUDING NUTRITIONAL SERVICES, NURSE NAVIGATION, SOCIAL WORK, REHABILITATION SERVICES AND SURVIVORSHIP OR END OF LIFE CARE. UNC HEALTH REX CANCER CENTER ALSO PROVIDES ONCOLOGIC SURGICAL SERVICES TO CANCER PATIENTS THROUGH ACCESS TO UNC HEALTH REX HOSPITAL. UNC HEALTH REX CANCER CENTER IS ACCREDITED BY THE COMMISSION ON CANCER AS A COMPREHENSIVE COMMUNITY CANCER CENTER AND WORKS CLOSELY WITH THE NATIONALLY RECOGNIZED N.C. CANCER HOSPITAL AND THE UNC LINEBERGER COMPREHENSIVE CANCER CENTER IN CHAPEL HILL TO EXTEND SPECIALTY ONCOLOGY SERVICES AND CLINICAL TRIALS TO PATIENTS IN RALEIGH. IN EARLY 2017, UNC HEALTH REX CANCER CARE BEGAN A PATIENT & FAMILY ADVISORY COUNCIL. IT'S A GROUP OF SURVIVORS AND OTHER VOLUNTEERS WHO VISIT WITH CANCER PATIENTS AND FAMILIES GOING THROUGH TREATMENT TO OFFER SUPPORT, GATHER FEEDBACK, DEVELOP NEW PROGRAMS AND ACTIVITIES, AND MORE. THE GOAL IS TO HELP STAFF UNDERSTAND WAYS THEY COULD IMPROVE THE OVERALL PATIENT EXPERIENCE. IN MARCH 2022, UNC HEALTH REX OPENED A NEW UNC HEALTH REX CANCER CENTER ACROSS THE STREET FROM THE MAIN RALEIGH HOSPITAL CAMPUS. THAT FACILITY IS NOW HOME TO MUCH OF UNC HEALTH REX'S ONCOLOGY CARE AND SERVICES, INCLUDING SUPPORT GROUPS, COMMUNITY EDUCATION AND MORE. AT UNC HEALTH REX'S WOMEN'S CENTER, CAREGIVERS SEEK TO PROVIDE FAMILY-CENTERED CARE TO THE NEW MOTHER, BABY AND EXTENDED FAMILY. EVERY YEAR, THOUSANDS OF BABIES ARE BORN AT THE WOMEN'S CENTER. THESE BIRTHS ARE SUPPORTED BY 24/7 ANESTHESIOLOGY AND NEONATOLOGY SERVICES, HIGH RISK OBSTETRICS PROVIDED BY UNC MATERNAL FETAL MEDICINE, LACTATION SUPPORT SERVICES PROVIDED BY A TEAM OF CERTIFIED LACTATION CONSULTANTS AND AN IN-HOUSE RETAIL CENTER FOR INFANT NUTRITION. UNC HEALTH REX ALSO OFFERS A WIDE VARIETY OF PRE- AND POST-NATAL CLASSES, SCREENING FOR POSTPARTUM DEPRESSION AND PSYCHOLOGICAL SERVICES. THERE ARE THREE OPERATING SUITES FOR CESAREAN BIRTHS AND 70 PRIVATE ROOMS IN WHICH LABOR, DELIVERY, RECOVERY, AND POSTPARTUM CARE OF THE MOTHER AND CHILD NORMALLY OCCUR. UNC HEALTH REX'S NEONATAL INTENSIVE CARE UNIT IS A LEVEL IV DESIGNATION, ALLOWING UNC HEALTH REX'S TEAM OF BOARD-CERTIFIED NEONATOLOGISTS, NURSES, RESPIRATORY THERAPISTS, DEVELOPMENTAL CARE TEAM AND OTHERS TO CARE FOR EVEN MORE PREMATURE AND MEDICALLY FRAGILE BABIES. UNC HEALTH REX'S NICU WAS PREVIOUSLY DESIGNATED LEVEL III. IN 2016, REX ALSO ADDED AN OBSTETRIC EMERGENCY DEPARTMENT. THE OB ED IS STAFFED 24/7 WITH A TEAM OF OB HOSPITALISTS, NURSES AND TECHNICIANS WHO PROVIDE OBSTETRIC EMERGENCY CARE IN PARTNERSHIP WITH OUR COMMUNITY OBSTETRICIANS. UNC HEALTH REX PROVIDES SCREENING MAMMOGRAMS TO THOUSANDS OF WOMEN ACROSS A 17-COUNTY REGION, INCLUDING MANY WITH NO INSURANCE OR WHO ARE UNDERINSURED. UNC HEALTH REX'S TWO MOBILE MAMMOGRAPHY VEHICLES (NICKNAMED BETTY AND WILMA) PROVIDE A CONVENIENT OPTION FOR BUSINESS AND OTHER ORGANIZATIONS SO THAT ALL WOMEN MAY BENEFIT FROM MAMMOGRAPHY'S EARLY DETECTION CAPABILITIES. MOBILE MAMMOGRAPHY IS MADE POSSIBLE THROUGH GENEROUS FUNDING FROM REVLON INC., THE KAY YOW CANCER FUND AND THE UNC HEALTH FOUNDATION. MAMMOGRAPHY SERVICES FUNDING IS AVAILABLE FOR QUALIFIED WOMEN UTILIZING THE MOBILE MAMMOGRAPHY UNIT THROUGH GENEROUS FUNDING FROM SUSAN G. KOMEN FOR THE CURE, NC TRIANGLE AFFILIATE. UNC HEALTH REX IS A LEADER IN WELLNESS, PREVENTION, AND EDUCATION IN OUR COMMUNITY. WE WORK WITH VARIOUS COMMUNITY PARTNERS TO IMPROVE THE OVERALL HEALTH OF RESIDENTS OF ALL AGES. UNC HEALTH REX WELLNESS CENTERS IN RALEIGH, CARY AND KNIGHTDALE PROVIDE A WIDE RANGE OF FITNESS, DIET, REHAB, EDUCATION AND OTHER SERVICES FOR THOUSANDS OF MEMBERS. UNC HEALTH REX SUPPORTS MANY COMMUNITY PARTNERS THAT COMPLEMENT OUR MISSION TO IMPROVE THE HEALTH AND WELLBEING OF ALL NORTH CAROLINIANS, INCLUDING THE AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, FOOD BANK, HABITAT FOR HUMANITY, KAY YOW CANCER FUND, AND MANY OTHERS. UNC URGENT CARE, PREVIOUSLY KNOWN AS REX EXPRESS CARE, CLINICS (10+ LOCATIONS ACROSS WAKE COUNTY) PROVIDE A CONVENIENT, LOWER-COST ALTERNATIVE TO THE HOSPITAL EMERGENCY DEPARTMENT FOR PATIENTS WHO NEED URGENT MEDICAL TREATMENT BECAUSE OF AN ACCIDENT OR ILLNESS. THE CLINICS USE AN ONLINE RESERVATION SYSTEM AT ALL LOCATIONS ACROSS WAKE COUNTY, MAKE IT EASIER FOR PATIENTS TO SCHEDULE THEIR URGENT CARE VISITS.
FORM 990, PARTS VIII & IX AND SCHEDULE H BAD DEBT & HASP REQUIREMENTS	To comply with the Healthcare Access and Stabilization Program (HASP) requirements for FY2025, the North Carolina Department of Health and Human Services mandated all North Carolina hospitals to attest to implementing a standardized, enhanced medical debt policy. This applies to North Carolina residents who are actively enrolled in Medicaid or Managed Medicaid or fall below certain federal poverty levels. Historical debt remaining in our system was impacted. In FY2025, the filing organization implemented the North Carolina Medical Debt Relief and Mitigation policy as required by HASP. This policy reduced Bad Debt expense and increased Charity Care for the filing year.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
REX HEALTH VENTURES GP I LLC
4420 LAKE BOONE TRAIL	RALEIGH	NC	27607	455070550	VENTURE CAPIT	NC	$0	$0	REX HOSPITAL
REX ORTHOPEDIC VENTURES LLC
4420 LAKE BOONE TRAIL	RALEIGH	NC	27607	273434805	ORTHOPEDIC PR	NC	$6,106,945	$0	REX HOSPITAL

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Public Charity StatusPublicCharityStatusTxt
UNC HEALTH CARE SYSTEM
101 MANNING DRIVE	CHAPEL HILL	NC	27514	562206970	HEALTHCARE	NC	115	UNC HEALTH C	false
UNC HOSPITALS
101 Manning Drive	Chapel Hill	NC	27514	561118388	HEALTHCARE	NC	115	UNC HEALTH C	false
CALDWELL MEMORIAL HOSPITAL
321 MULBERRY STREET SW	LENOIR	NC	28645	560554202	HEALTHCARE	NC	501(c)(3)	UNC HEALTH C	false	3
CALDWELL MEMORIAL HOSPITAL FNDN INC
PO Box 1890	Lenoir	NC	28645	581935514	SUPPORT OF CA	NC	501(c)(3)	CALDWELL MEM	false	7
CHATHAM HOSPITAL INC
PO Box 649	Siler City	NC	27344	560611546	HEALTHCARE	NC	501(c)(3)	UNC HEALTH C	false	3
PIEDMONT TRIAD HEALTH SERVICES
101 Manning Drive Medical Wing	Chapel Hill	NC	27514	561497163	SUPPORT OF UN	NC	501(c)(3)	UNC HEALTH C	false	Type II
REX HEALTHCARE INC
4420 Lake Boone Trail	Raleigh	NC	27607	561509129	HEALTHCARE	NC	501(c)(3)	UNC HEALTH C	false	Type I
UNCPN
5221 PARAMOUNT PKWY SUITE 220	Morrisville	NC	27560	271081647	HEALTHCARE	NC	501(c)(3)	UNC HEALTH C	false	10
UNC ROCKINGHAM HEALTH CARE INC
117 EAST KINGS HIGHWAY	EDEN	NC	27288	823745228	HEALTHCARE	NC	501(c)(3)	UNC HEALTH C	false	3

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	OwnershipOwnershipPct
Rex Surgery Center of Cary
4420 Lake Boone Trail	Raleigh	NC	27607	273684056	ASC	NC	NA	Related	$1,583,903	$4,942,895	false	0.5575
JRH Ventures LLC
4420 Lake Boone Trail	Raleigh	NC	27607	274092967	Med Campus De	NC	NA	Related	$2,622,068	$5,031,386	false	0.50
Rex Health Ventures I LP
4420 Lake Boone Trail	Raleigh	NC	27607	371690478	Venture Capit	NC	NA	Related	-$152,356	$21,125,850	false	1.00
Orthopaedic Surgery Center of Raleigh LLC
4420 Lake Boone Trail	Raleigh	NC	27607	271740526	Orthopaedic S	NC	NA	Related	$6,589,832	$6,484,160	false	0.51
TRO Ventures LLC
4420 Lake Boone Trail	Raleigh	NC	27607	821330195	Healthcare	NC	NA	Related	$434,872	$5,734,445	false	0.586
Rex Surgery Center of Wakefield
4420 Lake Boone Trail	Raleigh	NC	27607	465511168	ASC	NC	NA	Related	$716,986	$102,058	false	0.75645
NORTH CHAPEL HILL SURGERY CENTER LLC
101 MANNING DR	CHAPEL HILL	NC	27514	463242402	HEALTHCARE	NC	NA	Related	-$66,020	$2,469,430	false	0.50
ORTHOPAEDIC SURGERY CENTER OF PANTHER CR
4420 LAKE BOONE TRAIL	Raleigh	NC	27607	843730735	Orthopaedic S	NC	NA	Related	$341,814	-$1,633,128	false	0.51

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
REX ENTERPRISES COMPANY INC
4420 LAKE BOONE TRAIL	RALEIGH	NC	27607	561553957	OPERATION SUP	NC	REX HEALTHCARE	C Corporation	$0	$0	0	false
UNC PHYSICIANS NETWORK GRP PRACTICES LLC
5221 PARAMOUNT PKWY SUITE 220	MORRISVILLE	NC	27560	461416986	HEALTHCARE	NC	UNC HEALTHCARE	C Corporation	$0	$0	0	false
UNC PHYSICIANS GRP PRACTICES II LLC
4420 LAKE BOONE TRAIL	RALEIGH	NC	27607	852823886	HEALTHCARE	NC	REX HEALTHCARE	C Corporation	$0	$0	0	false
UNC HEALTH INNOVATIONS INC
4420 LAKE BOONE TRAIL	RALEIGH	NC	27607	871233049	OPERATION SUP	NC	REX HEALTHCARE	C Corporation	$0	$0	0	false

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