2026-05-08T13:15:22+00:00 2025-06-30 135381590 BDO USA 421 FAYETTEVILLE ST STE 300 RALEIGH NC 276011776 990 2024-07-01 561509260 REX HOSPITAL INC REXH 9197843100 4420 LAKE BOONE TRAIL RALEIGH NC 27607 M CHAD SETLIFF DIRECTOR/PRESIDENT 2026-05-08 true SANDRA L FEINSMITH P01064157 9197549370 2026-05-08 2024 2025-03-06 01:10:19Z SEE SCHEDULE O M CHAD SETLIFF 4420 LAKE BOONE TRAIL RALEIGH NC 27607 1918181243 false X WWW.REXHEALTH.COM X 1986 NC 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. 13 10 6868 340 835381 0 118990 879564 1721078608 1911399415 1943015 2051611 9966778 2167693 1733107391 1916498283 2470 9880 0 0 742752991 761509016 0 0 0 979732347 1034345625 1722487808 1795864521 10619583 120633762 1830481772 1975332606 797880047 741943887 1032601725 1233388719 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. false false 1511266070 9880 1904899572 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) 1511266070 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true false false false false true 351 0 true 6868 true true true false false false false false false false false false false false X 13 10 false false false false true true true true true false false false true true true true true true true true true true X BENJAMIN J MATHEW 9197843100 4420 LAKE BOONE TRAIL RALEIGH NC 27607 Ann Collins MD Director/Chairman 4.0 0 X X 0 0 0 Catharine Arrowood Director/Vice Chairman 4.0 0 X X 0 0 0 Kirsten Riggs Director/COO 60.0 0 X X 753680 0 87198 M Chad Setliff Director/President 60.0 0 X X 463771 0 31803 A Wesley Burks MD Director 2.0 58.0 X 0 3118741 820925 Caryn McNeill Director 2.0 0 X 0 0 0 Courtney Crowder Director 2.0 0 X 0 0 0 David Mills Director 2.0 0 X 0 0 0 Dayatra Matthews Director 2.0 0 X 0 0 0 Jason Sandner Director 2.0 0 X 0 0 0 Jeff Lindsay Director 2.0 58.0 X 0 2583593 351426 Kevin Anderson Director 2.0 0 X 0 0 0 Marilyn Pearson MD Director 2.0 0 X 0 0 0 Melissa Fitzpatrick Director 2.0 0 X 0 0 0 Rig Patel MD Director 60.0 0 X 577498 0 34429 Robert Oakes Director 2.0 0 X 0 0 0 Benjamin Mathew VP/CFO & Treasurer 60.0 0 X 551975 0 132627 Chad Anderson VP/Clinical Operations 60.0 0 X 355627 0 81245 Diana Massa VP/Clinical Operations 60.0 0 X 379053 0 54323 Lorie Rhine VP/Patient Care Services & CNO 60.0 0 X 316729 0 54164 Maire CorCoran Ragozzine VP/General Counsel & Secretary 30.0 30.0 X 0 352161 124316 Matthew Evans Asst Treasurer & Asst Secretary 60.0 0 X 173314 0 26849 Meera Udayakumar MD VP/Medical Affairs & CMO 60.0 0 X 569963 0 129883 Megan Lumley VP 60.0 0 X 293354 0 37458 Meghan Hooley Asst Treasurer & Asst Secretary 60.0 0 X 85797 0 15553 Roy Tempke VP/Care Transitions 60.0 0 X 397210 0 92610 Susan Moore MD VP/UNC Rex Physicians 60.0 0 X 792886 0 115558 Timothy Hester VP/Physician Services 60.0 0 X 354854 0 59302 Dwijesh Patel MD Physician 60.0 0 X 1928895 0 39622 Joseph Bumgarner MD Physician 60.0 0 X 2021781 0 32480 Mateen Akhtar MD Physician 60.0 0 X 2043158 0 67132 Mohammed Farooqui MD Physician 60.0 0 X 1984842 0 12232 Waheed Akhtar MD Physician 60.0 0 X 1786537 0 60801 Ernest Bovio Jr Former President 0.0 0.0 X 119270 0 5300 Tate Bombard VP/General Counsel & Secretary 0.0 60.0 X 0 415658 128674 15950194 6470153 2595910 1382 true true false The Northern Trust Company 3282 Northside Parkway Suite 100 Atlanta GA 30327 Financial 12021816 American Anesthesiology of North Carolina PLLC 3100 Spring Forest Road Suite 130 Raleigh NC 27616 Anesthesiology 9871575 The Robins & Morton Group 5001 S Miami Blvd Suite 101 Durham NC 27703 Construction 7444552 Quality Textile Services Inc 313 S Rogers Lane Raleigh NC 27610 Laundry 4047707 K&L Gates LLP 301 Hillsborough Street Suite 1200 Raleigh NC 27603 Legal 2188243 54 105865 773699 879564 PATIENT SERVICE REVENUE 625100 1838938768 1838296869 641899 ALL OTHER PROGRAM SERVICE REVENUE 625100 72460647 66602703 193482 5664462 0 0 0 0 1911399415 1397729 1397729 3214298 1063683 2150615 0 2150615 2150615 1273159 619277 653882 0 653882 653882 GAIN ON FIXED ASSET DISPOSAL 900099 13578 13578 Other Revenue 900099 3500 3500 0 0 0 0 17078 1916498283 1904899572 835381 9883766 9880 9880 0 0 6498151 6498151 620222484 562231682 57990802 28406493 27006053 1400440 66110225 58692658 7417567 40271663 35439063 4832600 44168 44168 311943 311943 49739 49739 1519967 1519967 68232323 62091414 6140909 0 121573 110631 10942 9788271 8907327 880944 4618496 4202831 415665 12851268 11694654 1156614 2384029 2169466 214563 56132 56132 16518060 15031435 1486625 32727113 32727113 76021271 69179357 6841914 13784752 12544124 1240628 PATIENT CARE SUPPLIES & SERVICES 534868848 534868848 HOME OFFICE ALLOCATION 184096710 184096710 BAD DEBT EXPENSE 54223983 54223983 OTHERS 11616914 10571392 1045522 10510065 9564159 945906 0 1795864521 1511266070 284598451 0 31083701 30896865 0 0 0 0 309743405 395033508 0 0 0 0 0 0 32138131 34269103 53804549 43445821 1325132473 707123228 630509311 618009245 691241172 770528409 33684205 37840886 0 0 0 48277298 45308769 1830481772 1975332606 179048479 154081681 0 0 1019168 942832 417203305 406891973 0 0 0 0 0 0 0 0 200609095 180027401 797880047 741943887 X 944293478 1032601726 88308247 200786993 1032601725 1233388719 1830481772 1975332606 120633762 80153232 0 X X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 49739 49739 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 25979309 25979309 543552493 195605364 347947129 27502227 19662736 7839491 383352080 298498503 84853577 344746364 193356625 151389739 618009245 Federal Income Taxes PENSION LIABILITY 109079076 LEASE LIABILITY 70814993 CAPITAL LEASE 133332 180027401 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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. true true X true X 300 false 59237905 59237905 0.03401 128965708 297084141 0 0.0 0 0.0 0 0 188203613 297084141 59237905 0.03401 769388 769388 0.00044 4452510 4452510 0.00256 0 0.0 386578 386578 0.00022 4280 4280 0.00000 0 0 5612756 0 5612756 0.00322 0 0 193816369 297084141 64850661 0.03724 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 54223983 0 689396771 895400115 -206003344 X true true 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 1 1 REX HOSPITAL INC 4420 LAKE BOONE TRAIL RALEIGH NC 27607 WWW.REXHEALTH.COM H0065 X X X REX HOSPITAL INC 1 false false true X X X X X X X X X 24 true true true true X www.rexhealth.com/rh/about/community/community-health-needs-assessment X true 24 true www.rexhealth.com/rh/about/community/community-health-needs-assessment false true X 300.0 0.0 X X true true X X X X true X www.rexhealth.com/rh/patients-visitors/billing X www.rexhealth.com/rh/patients-visitors/billing X www.rexhealth.com/rh/patients-visitors/billing X X X X X X true X false X X X X true X false false 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. 58 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 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. false NC Professionals Health Program 220 Horizon Drive Suite 201 Raleigh NC 276154928 561846599 501(c)(3) 7500 Operations Support 1 0 X X X X X false false false false false true true false false M Chad Setliff Director/President 114583 0 291794 0 57394 0 28200 0 3603 0 495574 0 0 0 Kirsten Riggs Director/COO 468022 0 279658 0 6000 0 56751 0 30447 0 840878 0 0 0 Jeff Lindsay Director 0 1289430 0 1260003 0 34160 0 335275 0 16151 0 2935019 0 0 A Wesley Burks MD Director 0 1051540 0 2047060 0 20141 0 804603 0 16322 0 3939666 0 0 Rig Patel MD Director 554148 0 22750 0 600 0 15250 0 19179 0 611927 0 0 0 Ernest Bovio Jr Former President 48846 0 0 0 70424 0 2886 0 2414 0 124570 0 0 0 Tate Bombard VP/General Counsel & Secretary 0 292923 0 116157 0 6578 0 113712 0 14962 0 544332 0 0 Benjamin Mathew VP/CFO & Treasurer 391885 0 159490 0 600 0 102180 0 30447 0 684602 0 0 0 Meera Udayakumar MD VP/Medical Affairs & CMO 413497 0 155866 0 600 0 101500 0 28383 0 699846 0 0 0 Lorie Rhine VP/Patient Care Services & CNO 306183 0 0 0 10546 0 30866 0 23298 0 370893 0 0 0 Chad Anderson VP/Clinical Operations 263516 0 91511 0 600 0 50958 0 30287 0 436872 0 0 0 Timothy Hester VP/Physician Services 262923 0 91931 0 0 0 28079 0 31223 0 414156 0 0 0 Megan Lumley VP 233249 0 59505 0 600 0 37458 0 0 0 330812 0 0 0 Diana Massa VP/Clinical Operations 279288 0 97240 0 2525 0 35285 0 19038 0 433376 0 0 0 Susan Moore MD VP/UNC Rex Physicians 563912 0 222952 0 6022 0 87175 0 28383 0 908444 0 0 0 Roy Tempke VP/Care Transitions 291697 0 100789 0 4724 0 65164 0 27446 0 489820 0 0 0 Matthew Evans Asst Treasurer & Asst Secretary 159082 0 14232 0 0 0 4933 0 21916 0 200163 0 0 0 Maire CorCoran Ragozzine VP/General Counsel & Secretary 0 262364 0 62977 0 26820 0 109354 0 14962 0 476477 0 0 Mateen Akhtar MD Physician 1674970 0 367613 0 575 0 45375 0 21757 0 2110290 0 0 0 Joseph Bumgarner MD Physician 1552275 0 468906 0 600 0 11500 0 20980 0 2054261 0 0 0 Mohammed Farooqui MD Physician 880198 0 1104644 0 0 0 0 0 12232 0 1997074 0 0 0 Dwijesh Patel MD Physician 1442513 0 485782 0 600 0 11500 0 28122 0 1968517 0 0 0 Waheed Akhtar MD Physician 1304481 0 481481 0 575 0 45375 0 15426 0 1847338 0 0 0 Schedule J, Part I LINE 6 -COMP. CONTINGENT ON NET EARNINGS OF ORGANIZATION & RELATED ORGANIZATIONS 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. A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 CT1594736 2020-07-22 70535000 (SEE STATEMENT) false false false B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DTR2 2015-05-21 150167728 (SEE STATEMENT) false false false C NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DXK2 2020-02-19 227541104 (SEE STATEMENT) false false false A 70535000 232984 70302016 true false true true B 150171157 4130000 1051300 144986428 2017 false false true true C 217716706 1387730 217454313 8961904 2022 false false false true A false false false false false false 0.0 0.0 0.0 false false 0 false true B false false false false false false 0.0 0.0 0.0 false false 0 false true C false false false false false false 0.0 0.0 0.0 false false 0 false true A false true false false false false 0 false false false 0 false false true B false false false true true false 0 false false false 0 false false true C false false false true false false 0 false false false 0 false false true A true B true C true 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. 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. 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