2023-05-10T14:09:55-05:00 2022-06-30 BDO USA LLP 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2021-07-01 561509260 REX HOSPITAL INC % BENJAMIN J MATHEW REXH 9197843100 4420 LAKE BOONE TRAIL RALEIGH NC 27607 BENJAMIN J MATHEW CFO 9197843100 2023-05-10 true BENJAMIN J MATHEW 999009999 Sandra L Feinsmith P01064157 9192781936 2023-05-09 2 2021 2023-04-26 12:10:37Z SEE SCHEDULE O Ernest Bovio Jr 4420 LAKE BOONE TRAIL RALEIGH NC 27607 1493841780 false X WWW.REXHEALTH.COM X 1986 NC INSPIRING HOPE, IMPROVING HEALTH AND HEALING COMMUNITIES. 15 11 7934 387 5953465 0 883376 844234 1314403994 1445923051 -1082793 1595651 17565499 43529105 1331770076 1491892041 8732 2399 0 0 585732805 663280024 0 0 0 742930637 798479280 1328672174 1461761703 3097902 30130338 1727377750 1799963409 835640002 853409629 891737748 946553780 X TO IMPROVE THE HEALTH AND WELL-BEING OF NORTH CAROLINIANS AND OTHERS WHOM WE SERVE. WE ACCOMPLISH THIS BY PROVIDING LEADERSHIP AND EXCELLENCE IN THE INTERRELATED AREAS OF PATIENT CARE, EDUCATION, AND RESEARCH. false false 1228414797 2399 1475918334 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 1228414797 true true false true false false false false true false true false false true true true false true false false false false false false false true true true false false true true false false false false false false false false true false false false false false true true true true false false true 408 0 true 7934 true true true false false false false false false false false false false false X 15 11 false false false false true true true true true false false true true true true true true true true true true X BENJAMIN J MATHEW 9197843100 4420 LAKE BOONE TRAIL Raleigh NC 27607 A Wesley Burks MD Director 2.0 2.0 X 0 1887163 575059 Joseph M Bumgarner Physician 60.0 0.0 X 2001683 0 32142 Joseph M Falsone Physician 60.0 0.0 X 1879547 0 21561 Benjamin G Atkeson Physician 60.0 0.0 X 1854431 0 14972 Mohit Pasi Physician 60.0 0.0 X 1749011 0 21561 Deepak Pasi Physician 60.0 0.0 X 1696486 0 21561 Stephen W Burriss Director 2.0 2.0 X 0 1235156 242300 Ernest L Bovio Jr President 59.0 1.0 X X 793911 0 125392 Rig S Patel MD Director 2.0 2.0 X 844318 0 37646 Susan G Moore VP/UNC Rex Physicians 59.0 1.0 X 658361 0 99560 Linda H Butler MD VP/Medical Affairs, CMO & CMIO 59.0 1.0 X 599202 0 103799 Andrew K Zukowski CFO & Treasurer 59.0 1.0 X 469022 0 76311 Kirsten Riggs COO 59.0 1.0 X 441640 0 80783 Gary L Park Former CEO 0.0 0.0 X 0 353249 163235 Sylvia D Hackett VP/Rex Healthcare Foundation 1.0 59.0 X 426446 0 83468 Robert D Ricker VP/Physician Services 59.0 1.0 X 371669 0 110716 Joel D Ray VP/Patient Care Svcs & CNO 59.0 1.0 X 411424 0 49798 Tate Bombard VP/General Counsel & Secretary 59.0 1.0 X 0 343177 61988 Roy C Tempke VP 59.0 1.0 X 338915 0 59569 Timothy M Hester VP/Physician Services 59.0 1.0 X 287350 0 49243 Benjamin J Mathew Asst Teasury & Asst Secretary 59.0 1.0 X 0 299493 31910 Diana G Massa VP 59.0 1.0 X 259212 0 31434 Chad N Anderson VP/Clinical Operations 59.0 1.0 X 250158 0 34828 Meghan E Hooley Asst Teasury & Asst Secretary 59.0 1.0 X 170671 0 19973 Ann S Collins MD Director/Chairman 4.0 4.0 X X 0 0 0 Catharine B Arrowood Director/Vice Chairman 4.0 4.0 X X 0 0 0 Kevin T Anderson Director 2.0 2.0 X 0 0 0 Teresa C Artis Director 2.0 2.0 X 0 0 0 Courtney A Crowder Director 2.0 2.0 X 0 0 0 Melissa A Fitzpatrick Director 2.0 2.0 X 0 0 0 Kevin D Howell Director 2.0 2.0 X 0 0 0 David F Mills Director 2.0 2.0 X 0 0 0 Robert B Oakes Director 2.0 2.0 X 0 0 0 Bobby T Parker Director 2.0 2.0 X 0 0 0 Marilyn Pearson MD Director 2.0 2.0 X 0 0 0 Jason Sandner Director 2.0 2.0 X 0 0 0 15503457 4118238 2148809 834 true true false Brasfield Gorrie LLC 3800 Glenwood Avenue Suite 300 RALEIGH NC 27612 Construction 70714321 Brookwood Construction LLC 5400 Etta Burke Crescent Suite 201 RALEIGH NC 27606 Construction 2465076 Raleigh Emergency Medicine Associat 2500 Blue Ridge Road Suite 417 RALEIGH NC 27607 Emergency Medical 1488955 Talon Medical Construction Services 212 Powell Drive Suite 130 RALEIGH NC 27606 Construction 1474860 MedSpeed LLC 140 Industrial Drive ELMHURST IL 60126 Courier 1025127 48 844234 844234 PATIENT SERVICE REVENUE 625100 1384088840 1378195186 5893654 ALL OTHER PROGRAM SERVICE REVENUE 625100 61834211 56110884 59811 5663516 1445923051 1061058 1061058 0 0 2826573 967307 1859266 0 1859266 1859266 1517025 982432 534593 534593 534593 0 0 0 19700 0 19700 19700 0 0 0 CARES ACT STIMULUS 900099 41612264 41612264 GAIN ON FIXED ASSET DISPOSAL 900099 37875 37875 41650139 1491892041 1475918334 5953465 9176008 2399 2399 0 0 0 6676622 6676622 0 552434914 500782250 51652664 20379688 19374969 1004719 49225424 43702331 5523093 34563376 30415771 4147605 0 194536 194536 0 53640 53640 0 1620106 1620106 54289707 49458674 4831033 4178476 3802413 376063 7341381 6680657 660724 346254 315091 31163 0 14989471 13640419 1349052 2783531 2533013 250518 0 54995 54995 13230453 12039712 1190741 21343678 21343678 69984529 63685921 6298608 8688080 7906153 781927 PATIENT CARE SUPPLIES & SERVIC 370909207 370909207 HOME OFFICE ALLOCATION 144894571 144894571 BAD DEBT EXPENSE 64081927 64081927 MINOR EQUIPMNT AND R&M 10340858 9410181 930677 9153880 8330031 823849 1461761703 1228414797 233346906 0 213753899 160923133 8697914 10343 0 0 158259361 208224700 0 0 0 0 0 0 22048452 26240168 48629123 45411638 1144850289 553131816 567674076 591718473 648841887 627205440 23222331 28538559 0 0 0 0 36250707 111690955 1727377750 1799963409 174190445 209941343 0 0 94259097 17473362 446642432 437200401 53364 26087 0 0 0 0 0 0 120494664 188768436 835640002 853409629 X 772152876 889005724 119584872 57548056 891737748 946553780 1727377750 1799963409 30130338 26607727 -1922033 X X false true X true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 53640 53640 false Schedule C, Part-II B: 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. false true X 25979309 25979309 537167674 156950601 380217073 23116294 14806726 8309568 361418110 278844502 82573608 197168902 102529987 94638915 591718473 ROU ASSET ACCOUNT, NET 65017475 LEASE ASSETS 46673480 111690955 0 PENSION LIABILITY 108974572 LEASE LIABILITY 79198052 CAPITAL LEASE 595812 188768436 X 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. 19700 19700 19700 NC false A LICENSE IS NOT REQUIRED IN NORTH CAROLINA FOR RAFFLE CONDUCTED BY A NOT-FOR-PROFIT. false false false 1.00000 0.00000 UNC HCS SYSTEM ACCOUNTING 5221 PARAMOUNT PKWY SUITE 410 MORRISVILLE NC 27560 false BRIAN KRUSOE 954 DEVELOPED AND ORGANIZED RAFFLE AND SOLD TICKETS X true 19700 true true X true X 250. false true true true false true false 31968594 31968594 0.02290 81394974 88666388 113363568 88666388 31968594 0.02290 762803 762803 0.00050 3363011 3363011 0.00240 906252 906252 0.00060 476009 476009 0.00030 5508075 5508075 0.00380 118871643 88666388 37476669 0.02670 true 64081927 0 533216220 702117187 -168900967 X true true 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 1 1 Rex Hospital INC 4420 Lake Boone Trail Raleigh NC 27607 www.rexhealth.com H0065 X X X Rex Hospital INC 1 false false true X X X X X X X X X 21 true true true true X See Part V X See Part V X true 21 true See Part V false true X 250. 0. X true true X X X X true X See Part V X See Part V X See Part V X X X X X X true X false X X X true X false false 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. 58 North Carolina Heart & Vascular Hospital 2800 Blue Ridge Road Raleigh NC 27607 Heart & Vascular Rex Holly Springs Hospital 850 S Main Street Holly Springs NC 27540 Healthcare Rex Healthcare of Wakefield 11200 Governor Manly Way Raleigh NC 27614 Healthcare Rex Healthcare of Cary 1505 SW Cary Parkway Cary NC 27511 Healthcare Rex Healthcare of Garner 1400 Timber Drive East Garner NC 27529 Healthcare Rex Healthcare of Knightdale 6602 Knightdale Blvd Knightdale NC 27545 Healthcare Rex Healthcare of Holly Springs 781 avent Ferry Road Holly Springs NC 27540 Healthcare UNC REX Rehabilitation and Nursing Care 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 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. X true true X X X X X false false false false false true true false false A Wesley Burks MD Director 0 960554 0 905609 0 21000 0 562876 0 12183 0 2462222 0 0 Joseph M Bumgarner Physician 864871 0 1136162 0 650 0 9750 0 22392 0 2033825 0 0 0 Joseph M Falsone Physician 1461669 0 417878 0 0 0 0 0 21561 0 1901108 0 0 0 Benjamin G Atkeson Physician 1201295 0 653136 0 0 0 0 0 14972 0 1869403 0 0 0 Mohit Pasi Physician 1351885 0 397126 0 0 0 0 0 21561 0 1770572 0 0 0 Deepak Pasi Physician 1421813 0 274673 0 0 0 0 0 21561 0 1718047 0 0 0 Stephen W Burriss Director 0 889060 0 336996 0 9100 0 229595 0 12705 0 1477456 0 0 Ernest L Bovio Jr President 590194 0 197439 0 6278 0 103000 0 22392 0 919303 0 0 0 Rig S Patel MD Director 750186 0 93482 0 650 0 15254 0 22392 0 881964 0 0 0 Susan G Moore VP/UNC Rex Physicians 504420 0 148142 0 5799 0 77168 0 22392 0 757921 0 0 0 Linda H Butler MD VP/Medical Affairs, CMO & CMIO 451836 0 128998 0 18368 0 81407 0 22392 0 703001 0 0 0 Andrew K Zukowski CFO & Treasurer 364008 0 104415 0 599 0 54750 0 21561 0 545333 0 0 0 Kirsten Riggs COO 330710 0 105080 0 5850 0 58545 0 22238 0 522423 0 0 0 Gary L Park Former CEO 0 203188 0 0 0 150061 0 161206 0 2029 0 516484 0 0 Sylvia D Hackett VP/Rex Healthcare Foundation 303395 0 86327 0 36724 0 69148 0 14320 0 509914 0 0 0 Robert D Ricker VP/Physician Services 284488 0 80954 0 6227 0 97227 0 13489 0 482385 0 0 0 Joel D Ray VP/Patient Care Svcs & CNO 320754 0 89592 0 1078 0 49519 0 279 0 461222 0 0 0 Tate Bombard VP/General Counsel & Secretary 0 267140 0 76037 0 0 0 39750 0 22238 0 405165 0 0 Roy C Tempke VP 259050 0 74221 0 5644 0 38008 0 21561 0 398484 0 0 0 Timothy M Hester VP/Physician Services 225995 0 61355 0 0 0 27005 0 22238 0 336593 0 0 0 Benjamin J Mathew Asst Teasury & Asst Secretary 0 210193 0 81242 0 8058 0 16262 0 15648 0 331403 0 0 Diana G Massa VP 214928 0 44284 0 0 0 21132 0 10302 0 290646 0 0 0 Chad N Anderson VP/Clinical Operations 206815 0 42693 0 650 0 20010 0 14818 0 284986 0 0 0 Meghan E Hooley Asst Teasury & Asst Secretary 149838 0 20183 0 650 0 6222 0 13751 0 190644 0 0 0 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. A North Carolina Medical Care Commission 521309402 CT1594736 2020-07-22 70535000 See Part VI false false false B North Carolina Medical Care Commission 521309402 65821DTR2 2015-05-21 150167728 See Part VI false false false C North Carolina Medical Care Commission 521309402 65821DXK2 2020-02-19 227541104 see part VI false false false A 0 0 70535000 0 0 0 232984 0 0 0 70302016 0 true false true true B 0 0 150171157 0 4130000 0 1051300 0 0 144986428 0 0 2017 false false true true C 0 0 227801387 0 0 0 1387730 0 0 207776780 0 18636877 false false false true A false false false false 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false false true C false false false false 0.00000 0.00000 0.00000 false false false true A false true false false false false 0 false 0 false true B false false false true true false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true 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. Garrett Butler Family member of Officer Linda Butler 37585 Compensation false McKenna Butler Family member of Officer Linda Butler 16099 Compensation false 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. 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