REX HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: REX HOSPITAL INC (EIN 56-1509260)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-10
IRS object ID: 202311309349304206
Schema version: 2021v4.2
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 G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-10T14:09:55-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	421 Fayetteville Street Suite 300	AddressLine1Txt
City	Raleigh	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27601	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	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)
In Care Of	% BENJAMIN J MATHEW	InCareOfNm
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	BENJAMIN J MATHEW	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9197843100	PhoneNum
Signature	2023-05-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	BENJAMIN J	PersonFirstNm
Person Last	MATHEW	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Sandra L Feinsmith	PreparerPersonNm
PTIN	P01064157	PTIN
Phone	9192781936	PhoneNum
Preparation	2023-05-09	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	Ernest Bovio Jr	PrincipalOfficerNm

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	$1,493,841,780	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	INSPIRING HOPE, IMPROVING HEALTH AND HEALING COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	7934	TotalEmployeeCnt
Total Volunteers	387	TotalVolunteersCnt
Total Gross UBI	$5,953,465	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$883,376	PYContributionsGrantsAmt
CY Contributions Grants	$844,234	CYContributionsGrantsAmt
PY Program Service Revenue	$1,314,403,994	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,445,923,051	CYProgramServiceRevenueAmt
PY Investment Income	-$1,082,793	PYInvestmentIncomeAmt
CY Investment Income	$1,595,651	CYInvestmentIncomeAmt
PY Other Revenue	$17,565,499	PYOtherRevenueAmt
CY Other Revenue	$43,529,105	CYOtherRevenueAmt
PY Total Revenue	$1,331,770,076	PYTotalRevenueAmt
CY Total Revenue	$1,491,892,041	CYTotalRevenueAmt
PY Grants And Similar Paid	$8,732	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,399	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$585,732,805	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$663,280,024	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$742,930,637	PYOtherExpensesAmt
CY Other Expenses	$798,479,280	CYOtherExpensesAmt
PY Total Expenses	$1,328,672,174	PYTotalExpensesAmt
CY Total Expenses	$1,461,761,703	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,097,902	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$30,130,338	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,727,377,750	TotalAssetsBOYAmt
Total Assets EOY	$1,799,963,409	TotalAssetsEOYAmt
Total Liabilities BOY	$835,640,002	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$853,409,629	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$891,737,748	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$946,553,780	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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	$1,228,414,797	ExpenseAmt
Grant	$2,399	GrantAmt
Revenue	$1,475,918,334	RevenueAmt
Desc	UNC REX IS FREQUENTLY RECOGNIZED AS ONE OF THE TOP HOSPITALS IN NORTH CAROLINA AND THE NATION. UNC REX IS THE ONLY HOSPITAL IN NORTH CAROLINA TO RECEIVE STRAIGHT "A" GRADES SINCE THE LEAPFROG GROUP BEGAN A NATIONAL HOSPITAL SAFETY SCORECARD IN 2012 - AND ONE OF ONLY 23 NATIONWIDE. BUSINESS NORTH CAROLINA MAGAZINE NAMED UNC REX AS THE STATE'S TOP HOSPITAL IN ITS 2021 LIST. NEWSWEEK MAGAZINE INCLUDED UNC REX ON ITS RANKING OF THE "WORLD'S BEST HOSPITALS". FOR 2021. UNC REX WAS ONE OF ONLY 330 HOSPITALS NATIONWIDE TO MAKE THE LIST. NEWSWEEK ALSO INCLUDED UNC REX ON ITS 2021 LIST OF THE "BEST MATERNITY CARE HOSPITALS." UNC REX ACHIEVED A FIVE-STAR RATING FOR QUALITY OF CARE FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). THAT PUTS UNC REX IN THE TOP NINE PERCENT OF HOSPITALS NATIONWIDE. UNC REX IS ONE OF 13 HOSPITALS IN NORTH CAROLINA TO RECEIVE FIVE STARS FROM CMS. MORE THAN 10 YEARS AGO, UNC REX BECAME THE FIRST HOSPITAL IN THE TRIANGLE TO BE AWARDED MAGNET STATUS BY THE AMERICAN NURSES CREDENTIALING CENTER. IN 2020, UNC 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 REX'S NURSES IN AN ELITE GROUP OF THE TOP 2 PERCENT OF NURSES IN THE NATION. UNC REX IS ONE OF THE LARGEST EMPLOYERS IN WAKE COUNTY, WITH MORE THAN 8,000 CO-WORKERS. UNC REX IS KNOWN FOR ITS EXCELLENT BENEFITS AND IS ROUTINELY RECOGNIZED BY LOCAL AND NATIONAL PUBLICATIONS AS A "BEST PLACE TO WORK." DURING THE PANDEMIC, UNC REX TEAMMATES HAVE WORKED TIRELESSLY TO CARE FOR THOUSANDS OF COVID PATIENTS. IN EARLY 2020, UNC REX OPENED A SPECIAL RESPIRATORY ISOLATION UNIT TO TREAT SEVERE COVID, AND HAS CONTINUED TO ADAPT OPERATIONS AS NECESSARY. UNC REX ALSO ORCHESTRATED A MASSIVE VACCINATION EFFORT TO HELP INOCULATE OUR TEAMMATES AND MEMBERS OF OUR COMMUNITY, AS WELL AS AN ONGOING COVID TESTING PROCESS. IN LATE 2021, UNC REX OPENED A NEW, 50-BED COMMUNITY HOSPITAL IN HOLLY SPRINGS. THE UNC 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 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 WILL DELIVER BABIES WITH SEVEN LABOR AND DELIVERY ROOMS, A C-SECTION OPERATING SUITE AND OB EMERGENCY BAYS. EVENTUALLY, THE HOSPITAL WILL EMPLOY MORE THAN 400 PEOPLE. ALSO IN LATE 2018, UNC REX OPENED A NEW FOOD PANTRY TO SUPPORT PATIENTS AND THEIR FAMILIES WHO STRUGGLE WITH ACCESS TO HEALTHY FOOD. THE PANTRY IS A PARTNERSHIP BETWEEN UNC REX, FOOD LION AND THE FOOD BANK OF CENTRAL & EASTERN NORTH CAROLINA. IT'S ONE OF THE FIRST FOOD PANTRIES OPERATED BY A COMMUNITY HOSPITAL IN NORTH CAROLINA, AND ONE OF ONLY A HANDFUL ACROSS THE COUNTRY. PATIENTS AT UNC REX WHO INDICATE THAT THEY HAVE RECENTLY STRUGGLED WITH FOOD ACCESS, OR WHO ARE CONSIDERED FOOD INSECURE, ARE PRESCRIBED A VISIT TO THE FOOD PANTRY WITH THEIR HOSPITAL DISCHARGE PAPERWORK. THEY WILL RECEIVE A THREE-DAY SUPPLY OF HEALTHY FOOD, ENOUGH FOR A FAMILY OF FOUR, INCLUDING FRESH PRODUCE, STAPLE ITEMS AND HEALTHY SNACKS. THE UNC REX FOOD PANTRY WILL ALSO PROVIDE NUTRITIONAL INFORMATION, HEALTHY RECIPES FROM UNC REX'S AWARD-WINNING CHEFS AND DIETITIANS, AND A COMPREHENSIVE LIST OF FOOD BANKS AND OTHER COMMUNITY RESOURCES. A SECOND FOOD PANTRY OPENED MARCH 1, 2022, AT THE UNC REX HOLLY SPRINGS HOSPITAL. UNC REX'S CULINARY TEAM HAS CREATED A CHEF-BASED PROGRAM THAT HAS ATTRACTED INTERNATIONAL RECOGNITION AND REINVENTING TRADITIONAL "HOSPITAL FOOD." THEY TEND AN HERB AND VEGETABLE GARDEN AT UNC REX, AND USE LOCAL AND FRESH INGREDIENTS AS MUCH AS POSSIBLE. UNC REX WAS THE FIRST HOSPITAL IN THE SOUTHEAST TO GET RID OF DEEP FRYERS AND THE CHEFS CONTINUE TO EXPLORE NEW WAYS TO COOK AND SERVE OUR CUISINE. IN MARCH 2017, THE UNC REX CHEFS OPENED A NEW MEDITERREAN-THEMED, HEART HEALTHY RESTAURANT CALLED KARDIA IN THE NEW NORTH CAROLINA HEART & VASCULAR HOSPITAL. IN ADDITION, THE CHEFS BEGAN OFFERING CLASSES ON HEALTHY COOKING AND EATING TO PATIENTS, THEIR FAMILIES AND MEMBERS OF THE COMMUNITY IN A NEW DEMONSTRATION KITCHEN. UNC REX PERFORMS THOUSANDS OF HEART AND VASCULAR PROCEDURES A YEAR, INCLUDING CORONARY ARTERY BYPASS GRAFTING, ENDOVASCULAR AAA REPAIR, ECHOCARDIOGRAPHY, PERIPHERAL VASCULAR ULTRASOUND, VALVE REPLACEMENT AND REPAIR, ANGIOPLASTY, CARDIAC CATHETERIZATION, MINIMALLY INVASIVE STRUCTURAL HEART PROCEDURES, INVASIVE PERIPHERAL VASCULAR INTERVENTIONS, INCLUDING CRITICAL LIMB ISCHEMIA PROCEDURES, ELECTROPHYSIOLOGY PROCEDURES AND STENT PLACEMENT, REGARDLESS OF PATIENTS' ABILITY TO PAY. UNC REX HAS BEEN A CHEST PAIN ACCREDITED HOSPITAL FOR MORE THAN A DECADE, REINFORCING THE ORGANIZATION'S DEDICATION TO COMMUNITY OUTREACH AND INNOVATION IN THE CARE OF CHEST PAIN PATIENTS. THE SERVICE LINE ALSO INCLUDES OPEN HEART SURGICAL SUITES WHERE PHYSICIANS PERFORM PROCEDURES SUCH AS CORONARY ARTERY BYPASS GRAFTING, MITRAL VALVE REPLACEMENT AND REPAIR, AND AORTIC VALVE AND AORTIC ARCH REPLACEMENTS. UNC REX ALSO PROVIDES A FULL RANGE OF INVASIVE CATHETER BASED CARDIAC, VASCULAR AND ELECTROPHYSIOLOGY PROCEDURES. ALL OF THE EXISTING HEART AND VASCULAR SERVICES AND CARE, WHICH WERE PROVIDED AT MORE THAN SEVEN LOCATIONS ACROSS THE MAIN HOSPITAL IN RALEIGH, WERE CONSOLIDATED INTO A MODERN, MORE EFFICIENT AND MORE CONVENIENT FACILITY WITH THE MARCH 2017 OPENING OF THE NORTH CAROLINA HEART AND VASCULAR HOSPITAL ON UNC REX'S MAIN RALEIGH CAMPUS. THIS EIGHT-STORY, 306,000-SQUARE-FOOT HOSPITAL PROVIDES EASIER AND MORE COMFORTABLE ACCESS FOR PATIENTS AND THEIR FAMILIES, PHYSICIANS AND STAFF, IN A FACILITY THAT'S DESIGNED TO PROMOTE HEALING, PREVENTION, EDUCATION, INNOVATION AND WELLNESS. OUR CHEFS AND DIETITIANS REGULARLY HOLD COMMUNITY HEALTHY COOKING DEMONSTRATIONS IN A CONFERENCE SPACE THAT INCLUDES A DEMONSTRATION KITCHEN, AND HAVE HOSTED HUNDREDS OF PARTICIPANTS, INCLUDING PATIENTS AND THEIR FAMILIES. UNC REX SURGERY CENTERS IN RALEIGH, CARY AND WAKEFIELD WERE USED BY HUNDREDS OF PHYSICIANS TO PROVIDE THOUSANDS OF IN- AND OUT-PATIENT SURGERIES AND PROCEDURES IN FY21. THE THREE LOCATIONS HAVE IMPROVED ACCESS TO SPECIALIZED CARE FOR PATIENTS ACROSS THE REGION. SURGEONS MAKE SUBSTANTIAL USE OF MINIMALLY INVASIVE TECHNOLOGY AND INNOVATION FOR DIAGNOSIS AND TREATMENT, REDUCING PATIENTS' RECOVERY TIME AND HOSPITAL STAY AND SUPPORTING QUALITY CARE. THE CENTERS INCLUDE 38 OPERATING SUITES, 11 MINOR PROCEDURE ROOMS, AND VARIOUS PERIOPERATIVE AND ANCILLARY SUPPORT SPACES. UNC REX IS INCREASINGLY PERFORMING SURGERIES ON AN OUTPATIENT BASIS, AND CONTINUING TO LOOK FOR OTHER WAYS TO REDUCE OVERALL COSTS FOR PATIENTS. SOME OF THE TOP PROCEDURES INCLUDE GENERAL, ORTHOPEDIC, GYNECOLOGIC AND OPHTHALMIC SURGERIES. DURING THE YEAR, THOUSANDS OF OUTPATIENT ORTHOPEDIC PROCEDURES WERE PERFORMED AT RALEIGH ORTHOPAEDIC SURGERY CENTER, UNC REX'S JOINT VENTURE WITH RALEIGH ORTHOPAEDIC CLINIC LOCATED ABOUT A MILE FROM UNC REX'S MAIN RALEIGH CAMPUS. UNC REX PROVIDES A FULL RANGE OF SPECIALIZED, MULTI-DISCIPLINARY ONCOLOGY THERAPY AND SUPPORT SERVICES TO PATIENTS IN WAKE COUNTY AND BEYOND INCLUDING MEDICAL, RADIATION AND SURGICAL ONCOLOGY. IN ADDITION TO PROVIDING CANCER TREATMENTS AND THERAPIES AT FIVE LOCATIONS IN WAKE COUNTY, THE CENTERS OFFER OUTREACH AND SUPPORT SERVICES INCLUDING NUTRITIONAL SERVICES, NURSE NAVIGATION, SOCIAL WORK, REHABILITATION SERVICES AND SURVIVORSHIP OR END OF LIFE CARE. UNC REX CANCER CENTER ALSO PROVIDES ONCOLOGIC SURGICAL SERVICES TO CANCER PATIENTS THROUGH ACCESS TO UNC REX HOSPITAL. UNC REX CANCER CENTER IS ACCREDITED BY THE COMMISSION ON CANCER AS A COMPREHENSIVE COMMUNITY CANCER CENTER AND WORKS CLOSELY WITH THE NATIONALLY RECOGNIZED N.C. CANCER HOSPITAL AND THE UNC LINEBERGER COMPREHENSIVE CANCER CENTER IN CHAPEL HILL TO EXTEND SPECIALTY ONCOLOGY SERVICES AND CLINICAL TRIALS TO PATIENTS IN RALEIGH. IN EARLY 2017, UNC REX CANCER CARE BEGAN A PATIENT & FAMILY ADVISORY COUNCIL. IT'S A GROUP OF SURVIVORS AND OTHER VOLUNTEERS WHO VISIT WITH CANCER PATIENTS AND FAMILIES GOING THROUGH TREATMENT TO OFFER SUPPORT, GATHER FEEDBACK, AND DEVELOP NEW PROGRAMS AND ACTIVITIES, AND MORE. THE GOAL IS TO HELP STAFF UNDERSTAND WAYS THEY COULD IMPROVE THE OVERALL PATIENT EXPERIENCE. IN LATE 2018, UNC REX ANNOUNCED PLANS TO BUILD A NEW, $65 MILLION CANCER CENTER ACROSS THE STREET FROM OUR MAIN RALEIGH CAMPUS. THAT FACILITY OPENED FOR PATIENTS IN EARLY MARCH, 2022. AT UNC REX'S WOMEN'S CENTER, CAREGIVERS SEEK TO PROVIDE FAMILY-CENTERED CARE TO THE NEW MOTHER, BABY AND EXTENDED FAMILY. EVERY YEAR, THOUSANDS OF BABIES ARE BORN AT THE WOMEN'S CENTER. THESE BIRTHS ARE SUPPORTED BY 24/7 A	Desc
Total Program Service Expenses	$1,228,414,797	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	Yes (true)	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	Yes (true)	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	Yes (true)	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	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	Yes (true)	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	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	408	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7934	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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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
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

Field	Value	IRS element (for citing)
Person	BENJAMIN J MATHEW	PersonNm
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 (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
A Wesley Burks MD
Director	2.0	2.0	Yes (X)	$0	$1,887,163	$575,059
Joseph M Bumgarner
Physician	60.0	0.0		$2,001,683	$0	$32,142	Yes (X)
Joseph M Falsone
Physician	60.0	0.0		$1,879,547	$0	$21,561	Yes (X)
Benjamin G Atkeson
Physician	60.0	0.0		$1,854,431	$0	$14,972	Yes (X)
Mohit Pasi
Physician	60.0	0.0		$1,749,011	$0	$21,561	Yes (X)
Deepak Pasi
Physician	60.0	0.0		$1,696,486	$0	$21,561	Yes (X)
Stephen W Burriss
Director	2.0	2.0	Yes (X)	$0	$1,235,156	$242,300
Ernest L Bovio Jr
President	59.0	1.0	Yes (X)	$793,911	$0	$125,392		Yes (X)
Rig S Patel MD
Director	2.0	2.0	Yes (X)	$844,318	$0	$37,646
Susan G Moore
VP/UNC Rex Physicians	59.0	1.0		$658,361	$0	$99,560		Yes (X)
Linda H Butler MD
VP/Medical Affairs, CMO & CMIO	59.0	1.0		$599,202	$0	$103,799		Yes (X)
Andrew K Zukowski
CFO & Treasurer	59.0	1.0		$469,022	$0	$76,311		Yes (X)
Kirsten Riggs
COO	59.0	1.0		$441,640	$0	$80,783		Yes (X)
Gary L Park
Former CEO	0.0	0.0		$0	$353,249	$163,235			Yes (X)
Sylvia D Hackett
VP/Rex Healthcare Foundation	1.0	59.0		$426,446	$0	$83,468		Yes (X)
Robert D Ricker
VP/Physician Services	59.0	1.0		$371,669	$0	$110,716		Yes (X)
Joel D Ray
VP/Patient Care Svcs & CNO	59.0	1.0		$411,424	$0	$49,798		Yes (X)
Tate Bombard
VP/General Counsel & Secretary	59.0	1.0		$0	$343,177	$61,988		Yes (X)
Roy C Tempke
VP	59.0	1.0		$338,915	$0	$59,569		Yes (X)
Timothy M Hester
VP/Physician Services	59.0	1.0		$287,350	$0	$49,243		Yes (X)
Benjamin J Mathew
Asst Teasury & Asst Secretary	59.0	1.0		$0	$299,493	$31,910		Yes (X)
Diana G Massa
VP	59.0	1.0		$259,212	$0	$31,434		Yes (X)
Chad N Anderson
VP/Clinical Operations	59.0	1.0		$250,158	$0	$34,828		Yes (X)
Meghan E Hooley
Asst Teasury & Asst Secretary	59.0	1.0		$170,671	$0	$19,973		Yes (X)
Ann S Collins MD
Director/Chairman	4.0	4.0	Yes (X)	$0	$0	$0		Yes (X)
Catharine B Arrowood
Director/Vice Chairman	4.0	4.0	Yes (X)	$0	$0	$0		Yes (X)
Kevin T Anderson
Director	2.0	2.0	Yes (X)	$0	$0	$0
Teresa C Artis
Director	2.0	2.0	Yes (X)	$0	$0	$0
Courtney A Crowder
Director	2.0	2.0	Yes (X)	$0	$0	$0
Melissa A Fitzpatrick
Director	2.0	2.0	Yes (X)	$0	$0	$0
Kevin D Howell
Director	2.0	2.0	Yes (X)	$0	$0	$0
David F Mills
Director	2.0	2.0	Yes (X)	$0	$0	$0
Robert B Oakes
Director	2.0	2.0	Yes (X)	$0	$0	$0
Bobby T Parker
Director	2.0	2.0	Yes (X)	$0	$0	$0
Marilyn Pearson MD
Director	2.0	2.0	Yes (X)	$0	$0	$0
Jason Sandner
Director	2.0	2.0	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,503,457	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,118,238	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,148,809	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	834	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	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Brasfield Gorrie LLC
3800 Glenwood Avenue Suite 300	RALEIGH	NC	27612	Construction	$70,714,321
Brookwood Construction LLC
5400 Etta Burke Crescent Suite 201	RALEIGH	NC	27606	Construction	$2,465,076
Raleigh Emergency Medicine Associat
2500 Blue Ridge Road Suite 417	RALEIGH	NC	27607	Emergency Medical	$1,488,955
Talon Medical Construction Services
212 Powell Drive Suite 130	RALEIGH	NC	27606	Construction	$1,474,860
MedSpeed LLC
140 Industrial Drive	ELMHURST	IL	60126	Courier	$1,025,127

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	48	CntrctRcvdGreaterThan100KCnt
Related Organizations	$844,234	RelatedOrganizationsAmt
Total Contributions	$844,234	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	$1,384,088,840	$1,378,195,186	$5,893,654
ALL OTHER PROGRAM SERVICE REVENUE	625100	$61,834,211	$56,110,884	$59,811	$5,663,516

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,445,923,051	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,061,058	TotalRevenueColumnAmt
Exclusion	$1,061,058	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,826,573	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$967,307	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,859,266	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,859,266	TotalRevenueColumnAmt
Exclusion	$1,859,266	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,517,025	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$982,432	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$534,593	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$534,593	TotalRevenueColumnAmt
Exclusion	$534,593	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$19,700	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,700	TotalRevenueColumnAmt
Exclusion	$19,700	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
CARES ACT STIMULUS	900099	$41,612,264	$41,612,264
GAIN ON FIXED ASSET DISPOSAL	900099	$37,875		$37,875

Field	Value	IRS element (for citing)
Other Revenue Total	$41,650,139	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,491,892,041	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,475,918,334	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,953,465	UnrelatedBusinessRevenueAmt
Exclusion	$9,176,008	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,399	TotalAmt
Program Services	$2,399	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,676,622	TotalAmt
Management And General	$6,676,622	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$552,434,914	TotalAmt
Program Services	$500,782,250	ProgramServicesAmt
Management And General	$51,652,664	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$20,379,688	TotalAmt
Program Services	$19,374,969	ProgramServicesAmt
Management And General	$1,004,719	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$49,225,424	TotalAmt
Program Services	$43,702,331	ProgramServicesAmt
Management And General	$5,523,093	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$34,563,376	TotalAmt
Program Services	$30,415,771	ProgramServicesAmt
Management And General	$4,147,605	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$194,536	TotalAmt
Management And General	$194,536	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$53,640	TotalAmt
Management And General	$53,640	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,620,106	TotalAmt
Management And General	$1,620,106	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$54,289,707	TotalAmt
Program Services	$49,458,674	ProgramServicesAmt
Management And General	$4,831,033	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,178,476	TotalAmt
Program Services	$3,802,413	ProgramServicesAmt
Management And General	$376,063	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,341,381	TotalAmt
Program Services	$6,680,657	ProgramServicesAmt
Management And General	$660,724	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$346,254	TotalAmt
Program Services	$315,091	ProgramServicesAmt
Management And General	$31,163	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,989,471	TotalAmt
Program Services	$13,640,419	ProgramServicesAmt
Management And General	$1,349,052	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,783,531	TotalAmt
Program Services	$2,533,013	ProgramServicesAmt
Management And General	$250,518	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$54,995	TotalAmt
Management And General	$54,995	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,230,453	TotalAmt
Program Services	$12,039,712	ProgramServicesAmt
Management And General	$1,190,741	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$21,343,678	TotalAmt
Program Services	$21,343,678	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$69,984,529	TotalAmt
Program Services	$63,685,921	ProgramServicesAmt
Management And General	$6,298,608	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,688,080	TotalAmt
Program Services	$7,906,153	ProgramServicesAmt
Management And General	$781,927	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PATIENT CARE SUPPLIES & SERVIC	$370,909,207	$370,909,207
HOME OFFICE ALLOCATION	$144,894,571		$144,894,571
BAD DEBT EXPENSE	$64,081,927	$64,081,927
MINOR EQUIPMNT AND R&M	$10,340,858	$9,410,181	$930,677

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,153,880	TotalAmt
Program Services	$8,330,031	ProgramServicesAmt
Management And General	$823,849	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,461,761,703	TotalAmt
Program Services	$1,228,414,797	ProgramServicesAmt
Management And General	$233,346,906	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$213,753,899	BOYAmt
EOY	$160,923,133	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,697,914	BOYAmt
EOY	$10,343	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	$158,259,361	BOYAmt
EOY	$208,224,700	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	$22,048,452	BOYAmt
EOY	$26,240,168	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$48,629,123	BOYAmt
EOY	$45,411,638	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,144,850,289	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$553,131,816	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$567,674,076	BOYAmt
EOY	$591,718,473	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$648,841,887	BOYAmt
EOY	$627,205,440	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$23,222,331	BOYAmt
EOY	$28,538,559	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

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	$36,250,707	BOYAmt
EOY	$111,690,955	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,727,377,750	BOYAmt
EOY	$1,799,963,409	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$174,190,445	BOYAmt
EOY	$209,941,343	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	$94,259,097	BOYAmt
EOY	$17,473,362	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$446,642,432	BOYAmt
EOY	$437,200,401	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$53,364	BOYAmt
EOY	$26,087	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	$120,494,664	BOYAmt
EOY	$188,768,436	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$835,640,002	BOYAmt
EOY	$853,409,629	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	$772,152,876	BOYAmt
EOY	$889,005,724	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$119,584,872	BOYAmt
EOY	$57,548,056	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$891,737,748	BOYAmt
EOY	$946,553,780	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,727,377,750	BOYAmt
EOY	$1,799,963,409	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$30,130,338	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$26,607,727	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$1,922,033	PriorPeriodAdjustmentsAmt
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

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	false	FederalGrantAuditPerformedInd

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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
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	$53,640	OtherActivitiesAmt
Total Lobbying Expenditures	$53,640	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:	FormAndLineReferenceDesc
Explanation	AS A MEMBER, REX HOSPITAL SUBMITS ANNUAL DUES TO THE NORTH CAROLINA HEALTHCARE ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PERCENTAGE, DETERMINED BY THE ASSOCIATIONS, WAS ESTIMATED TO BE EXPENDITURES USE IN LOBBYING ACTIVITIES BY THESE ASSOCIATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Agent Trustee Etc	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (true)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

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	$537,167,674	OtherCostOrOtherBasisAmt
Depreciation	$156,950,601	DepreciationAmt
Book Value	$380,217,073	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,116,294	OtherCostOrOtherBasisAmt
Depreciation	$14,806,726	DepreciationAmt
Book Value	$8,309,568	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$361,418,110	OtherCostOrOtherBasisAmt
Depreciation	$278,844,502	DepreciationAmt
Book Value	$82,573,608	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$197,168,902	OtherCostOrOtherBasisAmt
Depreciation	$102,529,987	DepreciationAmt
Book Value	$94,638,915	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$591,718,473	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
ROU ASSET ACCOUNT, NET	$65,017,475
LEASE ASSETS	$46,673,480

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$111,690,955	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PENSION LIABILITY	$108,974,572
LEASE LIABILITY	$79,198,052
CAPITAL LEASE	$595,812

Field	Value	IRS element (for citing)
Total Liability	$188,768,436	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part IV, Line 2b:

THE ORGANIZATION HOLDS CASH IN TRUST FOR THE RESIDENTS OF THE NURSING HOME FACILITIES.

Part X, Line 2:

The following footnote comes from the consolidated financial statements of Rex Hospital, INC. D/B/A Rex Healthcare. The footnote references other members of the audit consolidated group that are not part of this tax return: Rex, the Hospital, and the Foundation are exempt from federal income tax under Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code. Enterprises is a taxable corporation that previously had net operating loss carryforwards which expired in 2012. The Hospital is the sole member of RHV GP, RHVI, ROV, 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.

Schedule G IRS990ScheduleG

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$19,700	GrossRevenueOtherGamingAmt
Gross Revenue Total Gaming	$19,700	GrossRevenueTotalGamingAmt
Net Gaming Income Summary	$19,700	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	NC	StatesWhereGamingConductedCd
Licensed	false	LicensedInd
Explanation If No	A LICENSE IS NOT REQUIRED IN NORTH CAROLINA FOR RAFFLE CONDUCTED BY A NOT-FOR-PROFIT.	ExplanationIfNoTxt
License Suspended Etc	false	LicenseSuspendedEtcInd
Gaming With Nonmembers	false	GamingWithNonmembersInd
Member Of Other Entity	false	MemberOfOtherEntityInd
Gaming Own Facility	1.00000	GamingOwnFacilityPct
Gaming Other Facility	0.00000	GamingOtherFacilityPct
Individual With Books	UNC HCS SYSTEM ACCOUNTING	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	5221 PARAMOUNT PKWY SUITE 410	AddressLine1Txt
City	MORRISVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27560	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	false	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	BRIAN KRUSOE	GamingManagerPersonNm
Gaming Manager Compensation	$954	GamingManagerCompensationAmt
Gaming Manager Services Prov	DEVELOPED AND ORGANIZED RAFFLE AND SOLD TICKETS	GamingManagerServicesProvTxt
Gaming Manager Is Ind Cntrct	Yes (X)	GamingManagerIsIndCntrctInd
Charitable Distribution Rqr	Yes (true)	CharitableDistributionRqrInd
Distributed	$19,700	DistributedAmt

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	250.	FreeCareOtherPct

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,968,594	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,968,594	NetCommunityBenefitExpnsAmt
Total Expense	0.02290	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,394,974	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$88,666,388	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,363,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$88,666,388	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,968,594	NetCommunityBenefitExpnsAmt
Total Expense	0.02290	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$762,803	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$762,803	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,363,011	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,363,011	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$906,252	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$906,252	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$476,009	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$476,009	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,508,075	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,508,075	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$118,871,643	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$88,666,388	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,476,669	NetCommunityBenefitExpnsAmt
Total Expense	0.02670	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$64,081,927	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$533,216,220	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$702,117,187	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$168,900,967	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 (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Rex Surgery Center
Ambulatory Center	0.5575	0.4425
Rex Surgery Center
Ambulatory Center	0.79	0.21
Orthopaedic Center
Surgery Center	0.51	0.49
Orthopaedic Center
Surgery Center	0.51	0.49

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	21	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	See Part V	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Part V	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V	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	250.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
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	See Part V	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V	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
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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5:	THE 2022 WAKE CHNA FOLLOWED AN EIGHT-PHASE PROCESS DEVELOPED BY NORTH CAROLINA INSTITUTE OF PUBLIC HEALTH (NCIPH) AND INFORMED BY THE COUNTY HEALTH RANKINGS MODEL, EMPHASIZING HOW POLICIES AND PROGRAMS INFLUENCE A VARIETY OF HEALTH FACTORS WHICH LEAD TO HEALTH OUTCOMES. THE PROCESS INCLUDED COLLECTING NEW DATA THROUGH A COMMUNITY HEALTH OPINION SURVEY AND FOCUS GROUPS, AND REVIEWING EXISTING, SECONDARY DATA. SECONDARY DATA WAS COLLECTED ON NATIONAL (U.S. CENSUS BUREAUS) AND STATE (NC CENTER FOR HEALTH STATISTICS) LEVELS. THE COVID-19 PANDEMIC REQUIRED SOME DATA COLLECTION METHODS TO BE ADAPTED. COMMUNITY ENGAGEMENT IN THE ASSESSMENT PROCESS IS ESSENTIAL TO ENSURE THAT THE IDENTIFIED PRIORITIES ARE REPRESENTATIVE OF COMMUNITY NEED. COMMUNITY INPUT WAS SOLICITED IN SEVERAL WAYS: THE COMMUNITY HEALTH OPINION SURVEY (CHOS) CAPTURED THE INPUT OF 1073 WAKE COUNTY RESIDENTS. IN ADDITION, 6 FOCUS GROUPS WERE CONDUCTED WITH RESIDENTS TO GAIN AN UNDERSTANDING OF THE STORIES AND EXPERIENCES OF COUNTY RESIDENTS IN SPECIFIC GEOGRAPHIC AREAS AND ON SPECIFIC TOPICS OF INTEREST DETERMINED BY THE STEERING COMMITTEE AND INFORMED BY THE PREVIOUS HEALTH ASSESSMENT. TWO KEY INFORMANT INTERVIEWS WERE ATTEMPTED BUT WERE UNSUCCESSFUL DUE TO SCHEDULING ISSUES. AFTER INITIAL DATA COLLECTION AND ANALYSIS, COMMUNITY MEMBERS WERE INVITED TO PARTICIPATE IN A PRIORITIZATION SURVEY WHERE THEY WERE ASKED TO SELECT THE MOST PRESSING CHALLENGE FROM A SET OF DATA-INFORMED OPTIONS. FINALLY, THE LIVE WELL WAKE STEERING COMMITTEE PARTICIPATED IN A DATA WALK AND PRIORITIZATION VOTING ACTIVITY TO DETERMINE THE FINAL PRIORITIES FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT.
PART V, SECTION B, LINE 6A:	THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: DUKE RALEIGH HOSPITAL AND WAKEMED HEALTH AND HOSPITALS.
PART V, SECTION B, LINE 6B:	THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: ADVANCE COMMUNITY HEALTH, ALLIANCE HEALTH, CITRIX, WAKE COUNTY HEALTH AND HUMAN SERVICES, WAKE COUNTY MEDICAL SOCIETY COMMUNITY HEALTH FOUNDATION.
PART V, SECTION B, LINE 7A:	WWW.REXHEALTH.COM/RH/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART V, SECTION B, LINE 7B:	WWW.WAKEGOV.COM/WELLBEING
PART V, SECTION B, LINE 10A:	WWW.REXHEALTH.COM/RH/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART V, SECTION B, LINE 11:	THE HOSPITAL HAS IDENTIFIED THE FOLLOWING THREE HEALTH PRIORITIES: AFFORDABLE HOUSING & HOMELESSNESS UNC HEALTH REX IS ONE OF THE LARGEST EMPLOYERS IN WAKE COUNTY. IT IS A PRIORITY TO ENSURE OUR TEAMMATES HAVE THE ABILITY TO ACCESS AFFORDABLE HOUSING IN WAKE COUNTY, SHOULD THEY CHOOSE. OUR COMMUNITY ENGAGEMENT PARTNERSHIPS WILL INCLUDE THOSE WHO SPECIALIZE IN ADDRESSING HOUSING DEVELOPMENT AND SUSTAINABILITY. ACTIONABLE ITEMS: INVEST IN THE U3 UNIVERSITY EMPLOYEE STUDY IN PARTNERSHIP WITH UNC CH TO EVALUATE HOUSING THROUGHOUT THE COUNTY. UTILIZE A NEWLY DEVELOPED SOCIAL DETERMINANTS OF HEALTH EPIC DASHBOARD TO CONNECT PATIENTS WITH COMMUNITY RESOURCES AND ANALYZE DATA TO EVALUATE EFFECTIVENESS. EXPLORE STRATEGIES WITH THE HEALTH ANCHOR NETWORK AND COMMIT TO SUPPORT LOCAL, NON-PROFIT, COMMUNITY, BUSINESS AND GOVERNMENT PARTNERSHIPS WITH A FOCUS ON ADDRESSING HOUSING AND OTHER SOCIAL DETERMINANTS OF HEALTH THAT IMPACT AFFORDABLE HOUSING. ACCESS TO HEALTH CARE IT IS UNC HEALTH REX'S MISSION TO CARE FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY. INVESTING IN EDUCATION, EXPANSION PROJECTS AND INNOVATIVE STRATEGIES ACROSS WAKE COUNTY IS ESSENTIAL TO ACCOMMODATE FOR OUR GROWING, AGING POPULATION. ACTIONABLE ITEMS: CONDUCT STRATEGIC PLANNING FOR EXPANSION OF SERVICES ACROSS WAKE COUNTY THAT IMPROVE ACCESS. INCREASE CAPACITY OF CARE FOR OUTPATIENT SERVICES THROUGH EXPANDED HOURS OF OPERATION AND VIRTUAL CARE OPTIONS AT UNCPN CARE SITES. EVALUATE MOBILE HEALTH OUTREACH STRATEGY POST COVID-19 AND DEVELOP PLAN FOR INCREASED ACCESS. INVEST IN EDUCATION, GUIDED ASSISTANCE AND FINANCIAL NAVIGATION RESOURCES TO SUPPORT THE MEDICAID ELIGIBLE, BUT NOT YET ENLISTED, POPULATION. INVEST IN DIGITAL ENHANCEMENTS THAT EDUCATE AND IMPROVE EASE-OF-USE. MENTAL HEALTH WITH MENTAL HEALTH CHALLENGES CONTINUING TO RISE ACROSS ALL DEMOGRAPHICS, WE COMMIT TO ADVOCACY, SYSTEM IMPROVEMENTS AND DEEP INVESTMENTS THAT ALLOW FOR GREATER ACCESS TO MENTAL AND BEHAVIORAL HEALTH PROVIDERS, EDUCATION AND RESOURCES. WE WILL CONTINUE TO ENCOURAGE COLLABORATION AND COMPASSIONATE CARE AND OUTREACH TO THOSE WHO STRUGGLE. ACTIONABLE ITEMS: DEVELOP NEW GOALS AND PATHWAYS FOR STANDARDIZED OPIOID PRESCRIBING SCHEDULES (SOPS) AND ENHANCED RECOVERY AFTER SURGERY PROGRAMS (ERAS) TO REDUCE THE NUMBER OF OPIOIDS PRESCRIBED. EXPAND BEHAVIORAL HEALTH SERVICES OF UNC PEDIATRICS AND ADOLESCENT PSYCHIATRY TO UNC REX MAIN AND UNC REX HOLLY SPRINGS EMERGENCY DEPARTMENTS. EXPAND UTILIZATION OF PROJECT ECHO AND COLLABORATION WITH UNCPN PRIMARY CARE SITES. INCREASE INVESTMENT IN TEAMMATE MENTAL HEALTH RESOURCES TO ENCOURAGE WELL-BEING AND LIMIT BURNOUT.
PART V, SECTION B, LINE 15E:	PROVIDED SEVERAL WAYS TO RETURN THE COMPLETED APPLICATION, SUCH AS, IN THE ENVELOPE PROVIDED, UPLOAD TO PROVIDED WEBSITE AND FAX NUMBER.
PART V, SECTION B, LINES 16A, 16B AND 16C:	WWW.REXHEALTH.COM/RH/PATIENTS-VISITORS/BILLING
PART V, SECTION B, LINE 20D:	TO ASSIST PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, BUT CIRCUMSTANCES PREVENT COMPLETION OF A FULL APPLICATION, A PRESUMPTIVE DETERMINATION MAY BE UTILIZED.

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
4210 Lake Boone Trail	Raleigh	NC	27607	Nursing Facility
UNC REX Rehabilitation and Nursing Care
911 S Hughes Street	Apex	NC	27502	Nursing Facility
North Carolina Surgery
4207 Lake Boone Trial Suite 210	Raleigh	NC	27607	General Surgery
RALEIGH ORTHOPAEDIC CLINIC- EDWARDS MILL
3001 Edwards Mill Road	Raleigh	NC	27612	Orthopaedic
REX HEMATOLOGY ONCOLOGY ASSOCIATES- BLUE
2605 Blue Ridge Road Suite 190	Raleigh	NC	27607	Oncology
NORTH CAROLINA HEART&VASCULAR (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
2709 Blue Ridge Road Suite 200	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 (ra
4207 Lake Boone Trail Suite 220	Raleigh	NC	27607	Neurosurgery
Rex Hospital Outpatient Rehabilitation
2709 Blue Ridge Road Suite 200	Raleigh	NC	27607	Rehabilitation
NORTH CAROLINA SURGERY- REX BREAST CARE
3100 Duraleigh Road Suite 205	Raleigh	NC	27612	Breast Care
Rex Digestive Healthcare (Wakefield)
11211 Galleria Ave Suite 100	Raleigh	NC	27614	Digestive Healthcare
Rex Digestive Healthcare (Knightdale)
6905 Knightdale Blvd Suite 103	Knightdale	NC	27545	Digestive Healthcare
Rex Hematology Oncology Associates- Cary
150 Parkway Office Court Suite 200	Cary	NC	27518	Oncology
Rex Pulmonary Specialists (Wakefield)
11081 Forest Pines Drive Suite 104	Raleigh	NC	27614	Pulmonary Health
UNC Center for Rehabilitation Care OF RA
2709 Blue Ridge Road Suite 220	Raleigh	NC	27607	Rehabilitation
UNC REX Cancer Care of East Raleigh
117 Sunnybrook Road	Raleigh	NC	27610	Cancer Care
North Carolina Heart&Vascular (Clayton)
2076 NC Highway 42 W	Clayton	NC	27520	Heart & Vascular
NORTH CAROLINA HEART&VASCULAR (BRIAR CRE
10208 Cerny Street Suite 106	Raleigh	NC	27617	Heart & Vascular
NORTH CAROLINA SURGERY- REX BREAST CARE
300 Ashville Ave Suite 240	Cary	NC	27518	Breast Care
Raleigh Orthopaedic (Cary)
222 Ashville Ave Suite 20	Cary	NC	27518	Orthopaedic
Rex Pulmonary Specialists (Cary)
300 Ashville Ave Suite 301	Cary	NC	27518	Pulmonary Health
NORTH CAROLINA HEART&VASCULAR (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 MOU
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 (LILLINGTO
701 S Main Street	Lillington	NC	27546	Heart & Vascular
NORTH CAROLINA HEART&VASCULAR (SMITHFIEL
910 Berkshire Road	Smithfield	NC	27577	Heart & Vascular
Rex Neurosurgery and Spine Specialists
34 Healthpark Way Suite 100 C	Clayton	NC	27520	Neurosurgery
Rex Vascular Specialists (Smithfield)
910 Berkshire Road	Smithfield	NC	27577	Vascular Health
UNC Urgent Care at Raleigh
3050 Duraleigh Road Suite 111	Raleigh	NC	27612	Urgent Care
Rex Vascular Specialists (Clayton)
2076 NC Highway 42 W Suite 100	Raleigh	NC	27520	Vascular Health
UNC UROGYNECOLOGY AND RECONSTRUCTIVE PEL
4325 Lake Boone Trail Suite 315	Raleigh	NC	27607	Surgery
Rex Digestive Healthcare (Smithfield)
507 N Brightleaf Blvd Suite 100	Smithfield	NC	27577	Digestive Healthcare
Raleigh Orthopaedic (Garner)
1325 Timber Drive E	Garner	NC	27529	Orthopaedic
Rex Sleep Lab of Raleigh
3050 Duraleigh Road Suite 101	Raleigh	NC	27612	Sleep Lab
UNC Neurosurgery at Nash
45 Guardian Court	Rocky Mount	NC	27804	Neurosurgery
Rex Sleep Lab of Cary
790 SE Cary Parkway Suite 105	Cary	NC	27511	Sleep Lab
Rex Wellness Center of Raleigh
4200 Lake Boone Trail	Raleigh	NC	27607	Wellness & Rehabilitation
Rex Pain Management Center
3050 Duraleigh Road Suite 201	Raleigh	NC	27612	Pain Management
Rex Hospital Lab of Duraleigh
3050 Duraleigh Road Suite 121	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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7, COLUMN (F)	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(c), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $64,081,927. PART III, SECTION A, LINE 2: 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. PART III, SECTION A, LINE 3: 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. PART III, SECTION A, LINE 4: NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS. PART III, SECTION B, LINE 8: HOSPITALS TREAT PATIENTS COVERED BY MEDICARE, JUST AS THEY DO ANY PATIENT. AMOUNTS THAT HOSPITALS ARE ELIGIBLE TO RECEIVE IN PAYMENT FOR SERVICES PROVIDED TO PATIENTS COVERED BY MEDICARE ARE NOT NEGOTIABLE. AS MEDICARE REIMBURSEMENT RATES DECLINE RELATIVE TO THE COSTS OF PROVIDING CARE, HOSPITALS CONTINUE TO SERVE THE MEDICARE POPULATION. WITHOUT THE SERVICES PROVIDED BY HOSPITALS, THE GOVERNMENT WOULD BECOME OBLIGATED FOR THE SERVICES REQUIRED BY THESE PATIENTS. THEREFORE, WE BELIEVE THAT ANY UNREIMBURSED COSTS OF PROVIDING THIS CARE ARE A BENEFIT PROVIDED BY THE HOSPITAL TO THE COMMUNITY AND GOVERNMENT. PART III, SECTION C, LINE 9B: PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE APPROVED FOR 100 PERCENT ADJUSTMENT OF ELIGIBLE CHARGES MINUS A COPAYMENT. COPAYMENTS ACCRUE AND ARE NOT ELIGIBLE FOR COLLECTIONS PROCESSES.
PART VI, LINE 2:	AS THE COUNTY CONTINUES TO GROW, NECESSARY STEPS MUST BE TAKEN TO ENSURE THAT THE NEEDS OF ALL OF OUR CITIZENS ARE BEING MONITORED AND EVALUATED. WAKE COUNTY HUMAN SERVICES WORKS WITH ALL LOCAL HOSPITALS, INCLUDING REX, TO CONDUCT A COMMUNITY-WIDE HEALTH ASSESSMENT. THIS ASSESSMENT, CONDUCTED EVERY THREE TO FOUR YEARS, IDENTIFIES OPPORTUNITIES AND CHALLENGES IN THE MARKET. REX COLLABORATES WITH COMMUNITY PARTNERS REGULARLY TO ENSURE OUR EFFORTS ARE PROPERLY ALIGNED BASED ON WAKE COUNTY'S SOCIOECONOMIC AND DEMOGRAPHIC INFORMATION. REX ALSO RELIES ON INPUT FROM OUR PHYSICIANS AND CLINICAL STAFF, PATIENT OUTCOMES AS WELL AS QUALITATIVE AND QUANTITATIVE RESEARCH TO IDENTIFY AREAS OF OPPORTUNITY TO IMPROVE THE HEALTH OF OUR COMMUNITY.
PART VI, LINE 3	REX PROVIDES A WIDE RANGE OF TOOLS AND EDUCATION TO HELP PATIENTS WHO NEED FINANCIAL ASSISTANCE. THE REX ASSIST PROGRAM IS DESIGNED TO MAKE IT EASY FOR PATIENTS TO APPLY FOR FINANCIAL ASSISTANCE, CHARITY CARE AND OTHER AID PROGRAMS. REX POSTS DETAILED INFORMATION ABOUT ITS GENEROUS CHARITY CARE POLICY, THE REX ASSIST PROGRAM AND OTHER FINANCIAL AID INFORMATION AT VARIOUS POINTS IN THE HOSPITAL AND ON ITS WEBSITE. DURING PATIENT REGISTRATION, STAFF WILL DISTRIBUTE THE "YOUR REX HOSPITAL BILL" FLYER TO ANYONE WHO DOES NOT HAVE INSURANCE OR ASKS FOR ASSISTANCE. THAT FLYER INCLUDES USEFUL INFORMATION AND HELPFUL RESOURCES. REX FINANCIAL COUNSELORS WILL BEGIN WORKING WITH PATIENTS NEEDING ASSISTANCE AT REGISTRATION OR VISIT THE ROOMS OF PATIENTS WHO ASK FOR HELP. THE COUNSELORS WILL ASSIST WITH DETERMINING MEDICAID ELIGIBILITY AND WITH FILLING OUT A REX ASSIST APPLICATION. FINALLY, REX ALSO WORKS WITH VARIOUS COMMUNITY GROUPS THAT HELP PROVIDE ASSISTANCE TO THE UNINSURED OR UNDERINSURED, INCLUDING PROJECT ACCESS, PRETTY IN PINK AND OTHERS. THE ANGEL FUND OF THE REX HEALTHCARE FOUNDATION ALSO SUPPORTS CANCER PATIENTS WITH UNIQUE FINANCIAL NEEDS, INCLUDING TRANSPORTATION, LIVING EXPENSES AND PRESCRIPTIONS.
PART VI, LINE 4:	THE ORGANIZATION SERVES AN AREA THAT ENCOMPASSES A FOUR-COUNTY AREA CONSISTING OF WAKE COUNTY AS THE PRIMARY SERVICE AREA WITH HARNETT, FRANKLIN AND JOHNSTON COUNTIES, COMPRISING THE SECONDARY SERVICE AREA. 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 OF 633,333 IN 2000 AND A PROJECTED POPULATION OF 1,730,067 PROJECTED FOR 2050. IN WAKE COUNTY, THE PERCENTAGE OF THE TOTAL POPULATION REPRESENTED BY THE URBAN POPULATION IS 93.9% AS OF 2010 DECENNIAL CENSUS, WITH ONLY 6.1% REPRESENTED BY THE RURAL POPULATION. THE POPULATION DENSITY IN WAKE COUNTY HAS INCREASED FROM 1,078 PERSONS PER SQUARE MILE IN 2010 TO 1,352 PERSONS PER SQUARE MILE IN 2020. THERE ARE A HIGHER PERCENTAGE OF FEMALES (51.4%) LIVING IN WAKE COUNTY THAN MALES (48.6%). MOST OF THE POPULATION IN WAKE COUNTY IS BETWEEN THE AGES OF 25-64 WITH 29.6% OF THE POPULATION BEING BETWEEN THE AGES OF 25 TO 44 AND 25.9% BETWEEN THE AGES OF 45-64. 23.6% OF THE POPULATION IS UNDER THE AGE OF 18 YEARS AND 12.0% OF THE POPULATION IS 65 YEARS OF AGE OR OLDER. THE WAKE COUNTY POPULATION 65 YEARS OF AGE OR OLDER IS PROJECTED TO GROW TO 20.9% BY 2050. IN TERMS OF RACIAL AND ETHNIC DIVERSITY, 57.1% OF THE POPULATION IDENTIFIES AS WHITE NON-HISPANIC, 18.1% AS BLACK OR AFRICAN AMERICAN NON-HISPANIC, 11.4% AS HISPANIC OR LATINO, 8.6% AS ASIAN NON-HISPANIC, 4.0% AS TWO OR MORE RACES AND NON-HISPANIC, 0.5% AS SOME OTHER RACE AND NON-HISPANIC, AND 0.2% AMERICAN INDIAN AND ALASKAN NATIVES NON-HISPANIC. WAKE COUNTY'S MEDIAN HOUSEHOLD INCOME WAS $80,591 BETWEEN 2015-2019, AMONG THE HIGHEST IN THE STATE. WAKE COUNTY'S PER CAPITA INCOME WAS $40,982 DURING THE SAME TIME PERIOD.
PART VI, LINE 5:	THERE ARE MANY WAYS REX WORKS WITH COMMUNITY PARTNERS TO ADDRESS HEALTH ISSUES AND CONCERNS IDENTIFIED WITHIN THE COMMUNITY. THROUGH BOTH FINANCIAL, IN-KIND AND STAFF SUPPORT, REX PROVIDES ASSISTANCE IN HOSTING COMMUNITY HEALTH SCREENINGS, MOBILE MAMMOGRAPHY SCREENINGS AND ON-SITE MEDICAL CARE THROUGH THE REX EMERGENCY RESPONSE TEAM. ADDITIONALLY, COMMUNITY RELATIONS ACTIVITIES REGULARLY DEMONSTRATE PROMOTING HEALTH AND WELLNESS INITIATIVES. "ASK THE EXPERT" FORUMS ARE FREE AND OFFERED THROUGHOUT WAKE COUNTY BY PHYSICIANS AND STAFF. REX HAS BEEN DILIGENT IN AWARDING GRANTS TO COMMUNITY GROUPS TO ASSIST THEM WHERE NEEDS ARE GREATEST. TWICE A YEAR WE HOST A COLLABORATIVE BREAKFAST INVITING COMMUNITY PARTNERS, ORGANIZATIONS AND HEALTHCARE PROVIDERS WHO WORK WITH UNINSURED WOMEN TO DISCUSS AND ADDRESS CURRENT HARDSHIPS AND RESOURCES - TRULY A COMMITMENT TO THE NONPROFIT COMMUNITY.
PART VI, LINE 6:	REX HEALTHCARE IS A SUBSIDIARY OF THE UNC HEALTH CARE SYSTEM IN CHAPEL HILL. THAT SYSTEM SERVES PATIENTS FROM ALL 100 COUNTIES, REGARDLESS OF THEIR ABILITY TO PAY, PROVIDING MORE THAN $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 UNDERSERVED AREAS. REX CAREGIVERS ALSO WORK CLOSELY WITH THEIR COUNTERPARTS AT UNC HEALTH CARE TO FIND MORE WAYS TO IMPROVE CARE AND QUALITY, REACH MORE UNINSURED PATIENTS AND MORE. REX'S BOARD REPRESENTS A CROSS-SECTION OF THE COMMUNITY, WITH VOLUNTEERS THAT INCLUDE BUSINESS LEADERS, COMMUNITY PHYSICIANS AND OTHERS. THAT BOARD WORKS CLOSELY WITH THE BOARD AT UNC HEALTH CARE TO DETERMINE THE BEST WAYS TO PLAY A LARGER ROLE IN IMPROVING THE COMMUNITY'S HEALTH, AND REX'S ROLE IN THE BIGGER SYSTEM'S MISSION.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	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 (24 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
A Wesley Burks MD
Director	$0	$960,554	$0	$905,609	$0	$21,000	$0	$562,876	$0	$12,183	$0	$2,462,222	$0	$0
Joseph M Bumgarner
Physician	$864,871	$0	$1,136,162	$0	$650	$0	$9,750	$0	$22,392	$0	$2,033,825	$0	$0	$0
Joseph M Falsone
Physician	$1,461,669	$0	$417,878	$0	$0	$0	$0	$0	$21,561	$0	$1,901,108	$0	$0	$0
Benjamin G Atkeson
Physician	$1,201,295	$0	$653,136	$0	$0	$0	$0	$0	$14,972	$0	$1,869,403	$0	$0	$0
Mohit Pasi
Physician	$1,351,885	$0	$397,126	$0	$0	$0	$0	$0	$21,561	$0	$1,770,572	$0	$0	$0
Deepak Pasi
Physician	$1,421,813	$0	$274,673	$0	$0	$0	$0	$0	$21,561	$0	$1,718,047	$0	$0	$0
Stephen W Burriss
Director	$0	$889,060	$0	$336,996	$0	$9,100	$0	$229,595	$0	$12,705	$0	$1,477,456	$0	$0
Ernest L Bovio Jr
President	$590,194	$0	$197,439	$0	$6,278	$0	$103,000	$0	$22,392	$0	$919,303	$0	$0	$0
Rig S Patel MD
Director	$750,186	$0	$93,482	$0	$650	$0	$15,254	$0	$22,392	$0	$881,964	$0	$0	$0
Susan G Moore
VP/UNC Rex Physicians	$504,420	$0	$148,142	$0	$5,799	$0	$77,168	$0	$22,392	$0	$757,921	$0	$0	$0
Linda H Butler MD
VP/Medical Affairs, CMO & CMIO	$451,836	$0	$128,998	$0	$18,368	$0	$81,407	$0	$22,392	$0	$703,001	$0	$0	$0
Andrew K Zukowski
CFO & Treasurer	$364,008	$0	$104,415	$0	$599	$0	$54,750	$0	$21,561	$0	$545,333	$0	$0	$0
Kirsten Riggs
COO	$330,710	$0	$105,080	$0	$5,850	$0	$58,545	$0	$22,238	$0	$522,423	$0	$0	$0
Gary L Park
Former CEO	$0	$203,188	$0	$0	$0	$150,061	$0	$161,206	$0	$2,029	$0	$516,484	$0	$0
Sylvia D Hackett
VP/Rex Healthcare Foundation	$303,395	$0	$86,327	$0	$36,724	$0	$69,148	$0	$14,320	$0	$509,914	$0	$0	$0
Robert D Ricker
VP/Physician Services	$284,488	$0	$80,954	$0	$6,227	$0	$97,227	$0	$13,489	$0	$482,385	$0	$0	$0
Joel D Ray
VP/Patient Care Svcs & CNO	$320,754	$0	$89,592	$0	$1,078	$0	$49,519	$0	$279	$0	$461,222	$0	$0	$0
Tate Bombard
VP/General Counsel & Secretary	$0	$267,140	$0	$76,037	$0	$0	$0	$39,750	$0	$22,238	$0	$405,165	$0	$0
Roy C Tempke
VP	$259,050	$0	$74,221	$0	$5,644	$0	$38,008	$0	$21,561	$0	$398,484	$0	$0	$0
Timothy M Hester
VP/Physician Services	$225,995	$0	$61,355	$0	$0	$0	$27,005	$0	$22,238	$0	$336,593	$0	$0	$0
Benjamin J Mathew
Asst Teasury & Asst Secretary	$0	$210,193	$0	$81,242	$0	$8,058	$0	$16,262	$0	$15,648	$0	$331,403	$0	$0
Diana G Massa
VP	$214,928	$0	$44,284	$0	$0	$0	$21,132	$0	$10,302	$0	$290,646	$0	$0	$0
Chad N Anderson
VP/Clinical Operations	$206,815	$0	$42,693	$0	$650	$0	$20,010	$0	$14,818	$0	$284,986	$0	$0	$0
Meghan E Hooley
Asst Teasury & Asst Secretary	$149,838	$0	$20,183	$0	$650	$0	$6,222	$0	$13,751	$0	$190,644	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 1A:

THE ORGANIZATION OFFERS COMPLIMENTARY MEMBERSHIPS TO REX WELLNESS CENTERS FOR THE EXECUTIVE STAFF, BOTH ACTIVE AND RETIRED BOARD MEMBERS AND MEDICAL DIRECTORS. ALL MEMBERS RECEIVING COMPLIMENTARY MEMBERSHIPS ARE REQUIRED TO COMPLETE THE SAME APPLICATION AND TESTING PROCEDURES AS OTHER MEMBERS. CURRENTLY, THERE ARE 3 INDIVIDUALS LISTED THAT RECEIVE COMPLIMENTARY MEMBERSHIPS. THE VALUE OF THE COMPLIMENTARY MEMBERSHIP IS TREATED AS TAXABLE COMPENSATION AND IS REPORTED ON THE INDIVIDUAL'S W-2.

Part I, Line 6:

EMPLOYEES IN MANAGERIAL ROLES PARTICIPATE IN AN ANNUAL INCENTIVE COMPENSATION PLAN. THE COMPENSATION EARNED UNDER THIS PLAN IS BASED PARTLY ON THE COMBINED EARNINGS OF REX HEALTHCARE INC. AND ITS SUBSIDIARIES. ADDITIONALLY, THE INCENTIVE COMPENSATION OF THE PRESIDENT AND CFO IS BASED PARTLY ON THE EARNINGS OF THE UNC HEALTH CARE SYSTEM. OTHER performance MEASURES USED TO DETERMINE INCENTIVE COMPENSATION ARE PHYSICIAN SATISFACTION, PATIENT CARE QUALITY OUTCOMES, EFFECTIVE USE OF TECHNOLOGY AND INDIVIDUAL GOALS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (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 Part VI	false	false	false
North Carolina Medical Care Commission
B	521309402	65821DTR2	2015-05-21	$150,167,728	See Part VI	false	false	false
North Carolina Medical Care Commission
C	521309402	65821DXK2	2020-02-19	$227,541,104	see part VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$0	$0	$70,535,000	$0	$0	$0	$232,984	$0	$0	$0	$70,302,016	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$150,171,157	$0	$4,130,000	$0	$1,051,300	$0	$0	$144,986,428	$0	$0	false	false	Yes (true)	Yes (true)	2017
C	$0	$0	$227,801,387	$0	$0	$0	$1,387,730	$0	$0	$207,776,780	$0	$18,636,877	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	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	Yes (true)
B	false	false	false	false	false	false	false	Yes (true)
C	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	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
C	false	Yes (true)	false	false	false	false	false	0	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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN F - ISSUE A	REFUND SERIES 2010 BONDS, ORIGINALLY ISSUED ON 10/26/2010.
SCHEDULE K, PART I, COLUMN F - ISSUE B	CONSTRUCTION OF NORTH CAROLINA HEART & VASCULAR HOSPITAL AND PARKING DECK, PURCHASE EQUIPMENT FOR NORTH CAROLINA HEART & VASCULAR HOSPITAL AND FUND CAPITALIZED INTEREST.
Schedule K, Part I, Column F - 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 B AND C, THE INTEREST EARNED AS OF JUNE 30, 2022 IS $3,429 AND $260,283, 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Garrett Butler
Family member of Officer Linda Butler	$37,585	Compensation	false
McKenna Butler
Family member of Officer Linda Butler	$16,099	Compensation	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I:	NORTH CAROLINA SURGERY NORTH CAROLINA HEART AND VASCULAR HOSPITAL REX BLOOD PLAN REX BREAST CARE CENTER REX CANCER CENTER REX CARDIAC SURGICAL SPECIALISTS REX COMPREHENSIVE VEIN CENTER REX CRITICAL CARE TRANSPORT REX DIGESTIVE HEALTHCARE REX EAR NOSE & THROAT SPECIALISTS REX EAR NOSE & THROAT SPECIALISTS AT PANTHER CREEK REX EAR NOSE & THROAT SPECIALISTS AT WAKEFIELD REX EXPRESS CARE OF CARY REX EXPRESS CARE OF HOLLY SPRINGS REX EXPRESS CARE OF KNIGHTDALE REX EXPRESS CARE OF RALEIGH REX EXPRESS CARE OF WAKEFIELD REX FAMILY BIRTH CENTER REX FAMILY PRACTICE OF KNIGHTDALE REX FAMILY PRACTICE OF WAKEFIELD REX HEALTHCARE REX HEALTHCARE OF CARY REX HEALTHCARE OF GARNER REX HEALTHCARE OF HOLLY SPRINGS REX HEALTHCARE OF KNIGHTDALE REX HEALTHCARE OF WAKEFIELD REX HEART CENTER REX HEART FAILURE REX HEMATOLOGY ONCOLOGY ASSOCIATES REX HOME SERVICES REX HOSPITAL REX HOSPITAL PELVIC HEALTH CENTER REX HOSPITAL TRANSPORT REX INTERNAL MEDICINE OF CARY REX LABORATORY SERVICES OF CARY REX MOBILE MAMMOGRAPHY REX NEUROSURGERY & SPINE SPECIALISTS REX NUTRITION SERVICES REX OUTREACH REX PAIN CENTER REX PALLIATIVE CARE SPECIALISTS REX PEDIATRICS OF CARY REX PEDIATRICS OF HOLLY SPRINGS REX PHARMACY OF RALEIGH REX PRIMARY CARE OF CARY REX PULMONARY SPECIALISTS REX RADIOLOGY SERVICES OF CARY REX RADIOLOGY SPECIALISTS REX REHABILITATION AND NURSING CARE CENTER OF APEX REX REHABILITATION SERVICES OF CARY REX SAME DAY SURGERY REX SENIOR HEALTH CENTER REX STRATEGIC INNOVATIONS REX STRUCTURAL HEART REX SURGICAL SPECIALISTS REX THORACIC SPECIALISTS REX THORACIC SURGICAL SPECIALISTS REX UNC HEALTHCARE REX VASCULAR SPECIALISTS REX VASCULAR SURGICAL SPECIALISTS REX WELLNESS CENTER OF CARY REX WELLNESS CENTER OF GARNER REX WELLNESS CENTER OF KNIGHTDALE REX WELLNESS CENTER OF WAKEFIELD REX WOUND HEALING CENTER UNC REX CANCER CENTER UNC REX CRITICAL CARE TRANSPORT UNC REX 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 VI, Section A, Line 6:	THE ORGANIZATION'S SOLE MEMBER IS REX HEALTHCARE, INC.
Form 990, Part VI, Section A, Line 7A:	THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM APPOINTS ALL OF THE THIRTEEN SEATS ON THE ORGANIZATION'S BOARD OF TRUSTEES.
Form 990, Part VI, Section A, Line 7B:	THE ORGANIZATION'S BOARD REQUIRES PRIOR APPROVAL OF THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM FOR CERTAIN POWERS, INCLUDING BUT NOT LIMITED TO ADDITION OR DELETION OF A HEALTH CARE SERVICE, PARTICIPATION, DIRECTLY OR INDIRECTLY, IN A JOINT VENTURE, INDEBTEDNESS AND CAPITAL BUDGETS, OPERATING BUDGETS AND NON-BUDGETED MATERIAL EXPENDITURES.
Form 990, Part VI, Section B, Line 11B:	THE ORGANIZATION'S EXECUTIVE TEAM DISCUSSES AND REVIEWS THE FORM 990 AND ALL ASSOCIATED SCHEDULES THROUGHOUT THE INFORMATION GATHERING STAGE. THE FORM 990 AND ASSOCIATED SCHEDULES ARE THEN REVIEWED AND APPROVED BY THE BOARD AS A WHOLE. A COPY OF THE APPROVED FORM 990 ALONG WITH THE ASSOCIATED SCHEDULES IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING.
Form 990, Part VI, Section B, Line 12C:	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING ALL BOARD MEMBERS TO ANNUALLY COMPLETE AND SIGN A QUESTIONNAIRE DOCUMENTING ANY AREA OF CONFLICT OF INTEREST. THE BOARD MEMBERS ARE REQUIRED TO REPORT AND DOCUMENT ANY NEW AREAS OF CONFLICT OF INTEREST AS THEY ARISE.
Form 990, Part VI, Section B, Line 15:	THE ORGANIZATION USES AN INDEPENDENT CONSULTANT TO MEASURE FAIR VALUE OF COMPENSATION FOR THE ORGANIZATION'S PRESIDENT AND OTHER TOP MANAGEMENT. THE ORGANIZATION'S BOARD REVIEWS AND APPROVES THE COMPENSATION FOR ALL OFFICERS EXCEPT THE ASSISTANT TREASURER AND ASSISTANT SECRETARY.
Form 990, Part VI, Section C, Line 19:	THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST AND ON GUIDESTAR'S WEBSITE AND THE FINANCIAL STATEMENTS ARE AVAILABLE ON MUNICIPAL SECURITIES RULEMAKING BOARD'S WEBSITE. THE ORGANIZATION DOES NOT MAKE OTHER GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Line 1B AVERAGE HOURS PER WEEK:	BOARD MEMBERS AND OFFICERS CONTRIBUTE THEIR TIME AND SERVICES UPON REQUEST AND ON AN AS-NEEDED BASIS, WHICH, THROUGHOUT THE YEAR, MAY DIFFER FROM THE AVERAGE NUMBER OF HOURS PER WEEK REPORTED ON PART VII, LINE 1B.
Form 990, Part XII, Line 2c:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
Form 990, Part XII, Line 3a:	ONCE THE FINANCIAL AUDIT WAS COMPLETED, THE AUDITORS BEGAN THE SINGLE AUDIT. THEY ARE SCHEDULED TO BE COMPLETED ON OR BEFORE 3/31/2023, WHICH IS THE EXTENDED DUE DATE. THE REQUIRED FY2021 SINGLE AUDIT IS CURRENTLY IN PROCESS AND WILL BE COMPLETED ON OR BEFORE 3/31/2023.

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	$5,197,940	$0	Rex Hospital

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 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	SECTION 115	UNC HEALTH C	false
UNC HOSPITALS
101 Manning Drive	Chapel Hill	NC	27514	561118388	HEALTHCARE	NC	SECTION 115	UNC HEALTH C	false
CALDWELL MEMORIAL HOSPITAL
321 MULBERRY STREET SW	LENOIR	NC	28645	560554204	HEALTHCARE	NC	501(C)(3)	UNC HEALTH C	false	LINE 3
CALDWELL MEMORIAL HOSPITAL FNDN INC
PO Box 1890	Lenoir	NC	28645	581935514	SUPPORT OF CA	NC	501(C)(3)	CALDWELL MEM	false	LINE 7
CHATHAM HOSPITAL INC
PO Box 649	Siler City	NC	27344	560611546	HEALTHCARE	NC	501(C)(3)	UNC HEALTH C	false	LINE 3
PIEDMONT TRIAD HEALTH SERVICES
101 Manning Drive Medical Win	Chapel Hill	NC	27261	561497163	SUPPORT OF UN	NC	501(C)(3)	UNC HEALTH C	false	LINE 12B II
REX HEALTHCARE INC
4420 Lake Boone Trail	Raleigh	NC	27607	561509129	HEALTHCARE	NC	501(C)(3)	UNC HEALTH C	false	LINE 12A I
THE REX HEALTHCARE FOUNDATION INC
4420 Lake Boone Trail	Raleigh	NC	27607	566052117	SUPPORT OF RE	NC	501(C)(3)	UNC HEALTH C	false	LINE 12B II
UNCPN
5221 PARAMOUNT PKWY SUITE 220	Morrisville	NC	27560	271081647	HEALTHCARE	NC	501(C)(3)	UNC HEALTH C	false	LINE 10
UNC ROCKINGHAM HEALTH CARE INC
117 EAST KINGS HIGHWAY	EDEN	NC	27288	823745228	HEALTHCARE	NC	501(C)(3)	UNC HEALTH C	false	LINE 3

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 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	UBI Code VUBICodeVAmt	OwnershipOwnershipPct
Rex Surgery Center of Cary
4420 Lake Boone Trail	Raleigh	NC	27607	273684056	ASC	NC	NA	RELATED	$1,071,046	$3,397,036	false	$0	0.55750
JRH Ventures LLC
4420 Lake Boone Trail	Raleigh	NC	27607	274092967	Med Campus Develo	NC	NA	RELATED	$1,897,142	$3,319,215	false	$0	0.50000
Rex Health Ventures I LP
4420 Lake Boone Trail	Raleigh	NC	27607	371690478	Venture Capital I	NC	NA	RELATED	$7,512,801	$9,168,774	false	$0	1.00000
Orthopaedic Surgery Center of Raleigh LL
4420 Lake Boone Trail	Raleigh	NC	27607	271740526	Orthopaedic Surge	NC	NA	RELATED	$5,328,085	$4,608,813	false	$0	0.51000
TRO Ventures LLC
4420 Lake Boone Trail	Raleigh	NC	27607	821330195	Healthcare	NC	NA	RELATED	$1,009,040	$4,576,719	false	$0	0.58600
Rex Surgery Center of Wakefield
4420 Lake Boone Trail	Raleigh	NC	27607	465511168	ASC	NC	NA	RELATED	$212,216	$4,456,071	false	$0	0.79000
NORTH CHAPEL HILL SURGERY CENTER LLC
101 MANNING DR	CHAPEL HILL	NC	27514	463242402	ASC	NC	NA	RELATED	-$96,002	$1,404,245	false	$0	0.50000

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	Controlled OrganizationControlledOrganizationInd
Rex Enterprises Company Inc
4420 Lake Boone Trail	Raleigh	NC	27607	561553957	OPERATION SUPPORT	NC	REX HEALTHCARE	C CORP	$0	$0	false
UNC Physicians Network Grp Practices LLC
5221 PARAMOUNT PKWY SUITE 220	Morrisville	NC	27560	461416986	Healthcare	NC	UNC HEALTHCARE	C CORP	$0	$0	false
UNC Physicians Grp Practices II LLC
2500 Blue Ridge Road Ste 401	Raleigh	NC	27607	852823886	Healthcare	NC	REX HEALTHCARE	C CORP	$0	$0	false
UNC Health Innovations Inc
4420 Lake Boone Trail	Raleigh	NC	27607	871233049	OPERATION SUPPORT	NC	REX HEALTHCARE	C CORP	$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	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
The Rex Healthcare Foundation Inc
c	$731,385	FMV
The Rex Healthcare Foundation Inc
q	$401,499	FMV