2020-05-13T15:11:59-05:00 2019-06-30 BDO USA LLP 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2018-07-01 561509260 Rex Hospital Inc % ANDREW ZUKOWSKI REXH 9197843100 4420 Lake Boone Trail Raleigh NC 27607 ANDREW ZUKOWSKI CFO 9197843100 2020-05-12 true Sandra L Feinsmith P01064157 9192781936 2020-05-12 38.132.154.29 69472520201345000002 2020-05-13 P F1629F6A3F74945AEE6FE2E323340EE9C36B3F52 F1629F6A3F74945AEE6FE2E323340EE9C36B3F52 2018 2020-11-19 02:30:22Z SEE SCHEDULE O Ernest Bovio Jr 4420 Lake Boone Trail Raleigh NC 27607 1389422012 false X www.rexhealth.com X 1986 NC Inspiring hope, improving health and healing communities. 13 10 8135 1206 2927944 0 4454519 161722276 1138427222 1219422838 4071308 5758497 1388374 1477661 1148341423 1388381272 910225 960733 0 0 487912218 526124844 0 0 0 619962024 645814202 1108784467 1172899779 39556956 215481493 1054404277 1268499027 505392389 485022859 549011888 783476168 X UNC REX HEALTHCARE IS THE PREFERRED CHOICE FOR HEALTH SERVICES AMONG PATIENTS IN WAKE COUNTY AND BEYOND BY INSPIRING HOPE, IMPROVING HEALTH AND HEALING COMMUNITIES. UNC REX HEALTHCARE PROVIDES SERVICES AT FACILITIES AND CLINICS ACROSS WAKE COUNTY TO ALL PATIENTS, REGARDLESS OF THE ABILITY TO PAY. UNC REX HEALTHCARE ALSO SEEKS TO IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING EDUCATION, DIAGNOSTIC AND PREVENTATIVE CARE, OFTEN BY JOINING FORCES WITH OTHER COMMUNITY GROUPS. IN ADDITION TO ITS MAIN RALEIGH CAMPUS, UNC REX HEALTHCARE OFFERS MUCH NEEDED CARE AND SUPPORT AT CAMPUSES IN APEX, CARY, GARNER, HOLLY SPRINGS, KNIGHTDALE, RALEIGH AND WAKEFIELD. false false 981267279 960733 1219422838 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. In Dec. 2017, UNC REX received a top five-star rating from the Centers for Medicare & Medicaid Services, one of only 337 hospitals nationwide, and the only hospital in the Triangle region to earn that recognition. 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 2015, UNC REX was re-designated Magnet status for the third 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 7,000 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." In late 2018, UNC Health Care and UNC REX announced plans to increase the living wage for its employees across the Triangle to attract and retain a talented workforce, and reinforce the organization's reputation as a great place to work. The living wage will rise to $15 per hour in July 2019 for employees at UNC Medical Center in Chapel Hill, UNC REX in Raleigh, and UNC Physicians Network in the Triangle. 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. 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 Mediterranean-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 FY19. 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, 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 is expected to open in 2021. 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 anesthesiology and neonatology services, high risk obstetrics provided by UNC Maternal Fetal Medicine, lactation support services provided by a team of certified lactation consultants and an in-house retail center for infant nutrition. UNC REX also offers a wide variety of pre- and post-natal classes, screening for postpartum depression and psychological services. There are three operating suites for cesarean births and 70 private rooms in which labor, delivery, recovery, and postpartum care of the mother and child normally occur. UNC REX's Neonatal Intensive Care Unit is a Level IV designation, allowing UNC REX's team of board certified neonatologists, nurses, respiratory therapists, developmental care team and others to care for even more premature and medically fragile babies. UNC REX's NICU was previously designated Level III. In 2016, Rex also added an Obstetric Emergency Department. The OB ED is staffed 24/7 with a team of OB Hospitalists, nurses and technicians who provide obstetric emergency care in partnership with our community obstetricians. This assures our patients always receive timely obstetric care, not to mention an extra pair of hands when an obstetrician has two deliveries at one time or is managing other urgent patient care needs.UNC REX provided screening mammograms to thousands of women across a 17-county region, including many with no insurance or who are underinsured. 981267279 true true false true false false false false true false true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 287 0 true 8135 true true true false false false false false false false false false false false X 13 10 false false false false true true true true true false false true true true true true true true true true true X ANDREW ZUKOWSKI 9197843100 4420 LAKE BOONE TRAIL Raleigh NC 27607 Catharine B Arrowood Director 1.0 2.0 X 0 0 0 Teresa C Artis Director 1.0 2.0 X 0 0 0 A Wesley Burks MD Director 1.0 2.0 X 0 0 0 Ann S Collins MD Director/Chairman 2.0 4.0 X X 0 0 0 Courtney A Crowder Director 1.0 2.0 X 0 0 0 Peter D Hans Director 1.0 2.0 X 0 0 0 Steven C Lilly Director 1.0 2.0 X 0 0 0 C Howard Nye Director/Vice Chairman 2.0 4.0 X X 0 0 0 Bobby T Parker Director 1.0 2.0 X 0 0 0 Rig S Patel MD Director 1.0 2.0 X 777263 0 32233 William L Roper MD Director 1.0 2.0 X 0 1268378 974330 Jason Sandner Director 1.0 2.0 X 0 0 0 Robert S Thomas Director 1.0 2.0 X 0 0 0 Gary L Park CEO 20.0 40.0 X X 0 2623154 553104 Stephen W Burriss President 59.0 1.0 X X 759241 0 131840 Ernest L Bovio Jr COO 59.0 1.0 X 169840 596092 94709 Andrew K Zukowski CFO & Treasurer 59.0 1.0 X 402614 0 66608 Linda H Butler MD VP/Medical Affairs, CMO & CMIO 59.0 1.0 X 410709 0 73194 Joel D Ray VP/Patient Care Svcs & CNO 59.0 1.0 X 311883 0 40289 Tate Bombard VP/General Counsel & Secretary 59.0 1.0 X 288747 0 47660 Sylvia D Hackett VP/Rex Healthcare Foundation 59.0 1.0 X 344107 0 77437 Chad T Lefteris VP/Operations 59.0 1.0 X 283171 0 39319 Robert D Ricker VP/Physician Services 59.0 1.0 X 310347 0 86788 Kirsten Riggs VP 59.0 1.0 X 296165 0 45631 Lisa R Schiller VP/Mktg, PR, Comm Relations & 59.0 1.0 X 153847 0 59727 Tammie T Stanton VP/Post Acute Services 59.0 1.0 X 0 335639 100473 Sean T Tehrani MD VP/Regional Hospitalists Servi 59.0 1.0 X 593666 0 62896 Roy C Tempke VP 59.0 1.0 X 235475 0 42469 Tom G Williams VP/Ambulatory Services 59.0 1.0 X 300152 0 63876 Benjamin J Mathew Asst Treasury & Asst Secretary 59.0 1.0 X 156750 0 22478 Mateen Akhtar Physician 60.0 0.0 X 1834115 0 17069 Deepak Pasi Physician 60.0 0.0 X 1669223 0 18642 Mohit Pasi Physician 60.0 0.0 X 1537383 0 18642 Joseph Falsone Physician 60.0 0.0 X 1484142 0 18642 Benjamin Atkeson Physician 60.0 0.0 X 1463795 0 15883 Susan M Sandberg Former Officer 0.0 0.0 X 471798 0 12655 Jayne R Byrd Former Officer 0.0 0.0 X 395698 0 30878 14650131 4823263 2747472 741 true true false Talon Medical Construction Services 212 Powell Drive Suite 130 RALEIGH NC 27606 Construction 979497 Barton Associates Inc 300 Jubilee Drive PEABODY MA 01960 Staffing 580407 DPR Construction 2000 Aerial Center Parkway STE 118 MORRISVILLE NC 27560 Construction 513965 The Blood Connection 5925 Glenwood Ave Suite 150 RALEIGH NC 27612 Blood Services 364570 Harmony Landscape Group Inc 12524 Birchfalls Drive RALEIGH NC 27614 LANDSCAPING 358629 32 161722276 0 161722276 PATIENT SERVICE REVENUE 625100 1161221481 1158349967 2871514 ALL OTHER PROGRAM SERVICE REVENUE 625100 58201357 51815997 56430 6328930 1219422838 980875 980875 0 0 1862307 463506 1398801 0 1398801 1398801 723015 4631841 577234 0 145781 4631841 4777622 4777622 0 0 0 0 0 0 0 0 0 GAIN ON CIP DISPOSAL 621990 78860 78860 78860 1388381272 1210165964 2927944 13565088 960733 960733 0 0 0 7351157 7351157 0 428716923 388631891 40085032 23879589 22702325 1177264 35967355 31931818 4035537 30209820 26584642 3625178 0 738750 738750 80004 80004 54833 54833 0 734198 734198 46177665 42021675 4155990 3957294 3601137 356157 7898266 7187422 710844 5491045 4996851 494194 0 27210917 24761934 2448983 3388952 3083947 305005 0 153481 153481 8783946 7993391 790555 0 39893974 36303517 3590457 8044311 7320323 723988 PATIENT CARE SUPPLIES & SERVIC 299148640 299148640 HOME OFFICE ALLOCATION 118189996 118189996 BAD DEBT EXPENSE 55524640 55524640 MINOR EQUIPMENT AND R&M 14091357 12823135 1268222 6251933 5689258 562675 1172899779 981267279 191632500 0 69318809 108827201 64941844 205416326 0 0 129290627 142393702 0 0 0 0 0 0 21592722 18755032 52704784 39455181 997355632 570185609 413741096 427170023 253007581 262078654 27784591 24031569 0 0 0 0 22022223 40371339 1054404277 1268499027 143863853 137658986 0 0 408519 496161 241140822 234940076 22441 26042 0 0 0 0 0 0 119956754 111901594 505392389 485022859 X 485969930 548174153 63041958 235302015 0 0 549011888 783476168 1054404277 1268499027 215481493 18982787 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 54833 54833 false Schedule C, Part-II B Rex Hospital believes in maintaining strong, open and effective relationships with elected officials and policy makers at the local, state and national levels. The objective is to educate these groups on healthcare issues, to serve as a resource and to communicate the Organization's position in support of its mission. As a member of the North Carolina Hospital Association and American Hospital Association, a percentage, determined by the individual Associations, of the Organization's membership dues are attributed to lobbying activities by the individual Associations. false true X 30906290 30906290 348452047 129177921 219274126 20014770 10480385 9534385 413476777 344804662 68672115 184505748 85722641 98783107 427170023 0 CAPITAL LEASE 805191 PAYABLE TO RELATED PARTY 1639743 PENSION LIABILITY 109456660 111901594 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. true true X true X 250. false true true true false true true 24081622 24081622 0.02050 52561960 40220496 12341464 0.01050 76643582 40220496 36423086 0.03100 859290 859290 0.00070 445839 445839 0.00040 1071163 1071163 0.00090 2376292 2376292 0.00200 79019874 40220496 38799378 0.03300 true 55524640 19932731 413032184 570394696 -157362512 X true true Rex Surgery Center o Ambulatory Surgical Center 0.55 0.45 Orthopaedic Surgery Surgery Center 0.51 0.49 Rex Surgery Center Ambulatory Surgical Center 0.7 0.3 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 18 true true true true X See Part V X See Part V X true 18 true See Part V false true X 250. 0. false true 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 X true X false false Part V, Section B, Line 5: For this assessment, data were compiled from numerous primary and secondary sources. Primary sources included key leaders of organizations representing broad interest of the community provided input through an Internet-based survey, participation on the Steering committee, and an Internet-based prioritization survey. The process also included significant input and direction from the Community Health Assessment Team. Considering all these sources, input from nearly 5,900 Wake County residents and organizational leaders is included in this Community Health Needs Assessment. Secondary sources for existing data on Wake County included numerous public data sources related to demographics, social and economic determinants of health, environmental health, health status and disease trends, mental/behavioral health trends and modifiable health risks. Part V, Section B, Line 6A: The Organization's community health needs assessment (CHNA) was conducted with the following hospital facilities: Wakemed health and hospitals and Duke Raleigh Hospital. Part V, Section B, Line 6B: The organization's community health needs assessment (CHNA) was conducted with the following organizations other than hospital facilities: Wake County Human Services, Advance Community Health, United Way of the Greater Triangle and 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 five health priorities: Transportation Options and Transit Consumers need to be able to reach the healthcare they need, when they need it. As the Triangle region grows, transportation options and transit need greater evaluation. As one of Wake Countys largest employers, UNC REX will continue to have an interest in initiatives that address transportation for patients, co-workers and the community. - Evaluate transportation options to and from healthcare locations - Assist patients when scheduling multiple appointments to reduce travel - Expand mobile health outreach, mammography and heart & vascular screenings, to reach people closer to where they live and work, especially in underserved areas Employment UNC REX is one of the largest employers in Wake County with more than 6,500 co-workers. A high-quality organization attracts high-quality people. And a strong, diverse workforce is needed to provide high-quality health care, remain a competitive employer and offer continued investment in the community. UNC REX is consistently recognized as the preferred hospital in Wake County and honored by top decile national rankings in co-worker satisfaction. - Emphasis on talent recruitment and retention with intentional outreach to diverse population - Monitor and support fair living wage and other benefits - Make investments in co-workers through co-worker resource groups - Expand health services in southern Wake County Access to Care As the market moves from volume-based to value-based care, UNC REX will analyze high quality, innovative solutions to reduce costs, improve care and promote prevention and wellness. Growth of online and mobile engagement opportunities such as the educational unchealthtalk.org, MyChart and UNC Health App will continue to reduce system complexity, making it easier for consumers to navigate the healthcare landscape. Continued strategic analysis of the area, demographics and future projections for Wake County will be used to evaluate locations and scope of services in planning. UNC REX treats every patient regardless of their ability to pay, and will continue to offer generous charity care and financial assistance programs. - Pursuit of innovative solutions to assist consumers and patients including virtual care - Evaluate staffing across our primary care network - Construction and openings of multiple new locations and services throughout the area - Explore engaging, interactive ways beyond hospital walls to connect with consumers through education, community outreach, telehealth or alternatives - Provide education to address proper utilization of our medical care departments and centers - Extend the American Hospital Association's Knockout pneumonia effort Mental Health and Substance Abuse UNC REX made significant investments in mental and behavioral health in the last three years. In December 2017, an eight-bed behavioral health zone with access to an activity area and natural sunlight opened in the Emergency Department. This is a safe environment for patients until discharge to outpatient services or transferred to an appropriate inpatient psychiatric facility. The behavioral health infrastructure in Wake County remains fragmented, difficult to navigate and hindered by gaps in services and greater resources are needed. UNC REX will continue to be a voice in the conversation regarding mental health and substance use disorder with partners in Wake County. This is vital in coordinating patient care and delineating available services across agencies, resulting in more appropriate referrals, avoiding redundancies and developing shared strategic priorities. The opioid addiction crisis has not spared the Triangle. UNC REX aims to pursue solutions that address the unique needs of those suffering with mental illness, behavioral health and substance abuse. - Advocate for mental and behavioral health across the County - Continue financial and operational support for specialized behavioral health and medical care - Build awareness around reducing the stigmas surrounding mental health through partnerships with agencies specializing in mental health issues - Develop a program to dispense opioid reversal kits - Analyze opioid stewardship best practices and increase community education and awareness of opioid abuse Housing and Homelessness Health problems may cause a persons homelessness as well as be exacerbated by the experience. Those living with mental health and substance use disorders who are homeless are more likely to have immediate, life-threatening physical illnesses and live in dangerous conditions. Health and homelessness are inextricably linked. - Support for Wake County's pilot paramedic program to help address admissions among high risk patients - Bolster support for crisis intervention services in the Emergency Department and post-discharge follow up including home health visits to shelters - Continue support of Wake County and other non-profit initiatives that address affordable housing UNC REX celebrated a milestone of caring for the community for 125 years in 2019. A deep history of giving back will remain for years to come. UNC REX continues to offer one of the most generous charity care policies in the state, ensuring that eligible individuals receive medically necessary care regardless of their ability to pay. The program provides patients with relief of most financial obligation if the patients income falls at or below 250 percent of the Federal Poverty Guidelines. Last year, this amounted to $121 million or $332,000 a day of free care provided to patients. In addition to providing community health benefits, UNC REX supports organizations that emulate our mission and the priorities of the community health needs assessment. Collaboration and action with like-minded citizens and business leaders who share the vision of making Wake County a highly desirable and healthier place to live and work will drive the commitment. UNC REX will remain highly engaged in core planning of the new Live Well Wake effort. Details of this new, broader initiative with greater Wake County Human Services will continue to unfold. UNC REX is committed to fulfill its mission of inspiring hope and healing communities across the Triangle. part v, section b, lines 16a, 16b and 16c: www.uncmedicalcenter.org/uncmc/patients-visitors/billing/financial- assistance-programs 61 North Carolina Heart & Vascular Hospital 2800 Blue Ridge Road Raleigh NC 27607 Heart & Vascular 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 Medical Office Building 2800 Blue Ridge Road Raleigh NC 27607 Healthcare Rex Medical Plaza 4414 Lake Boone Trail Raleigh NC 27607 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 & Nursing Care Ce 4210 Lake Boone Trail Raleigh NC 27607 Nursing Facility UNC REX Rehabilitation & Nursing Care Ce 911 S Hughes Street Apex NC 27502 Nursing Facility North Carolina Surgery 4207 Lake Boone Trail Suite 210 Raleigh NC 27607 General Surgery Raleigh Orthopaedic Clinic- Edwards Mill 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 UNC Radiation Oncology at Smithfield 514 N Bright Leaf Blvd Suite 120 Smithfield NC 27577 Oncology UNC Radiation Oncology at Clayton 2076 NC Highway 42 W Suite 120 Clayton NC 27520 Oncology 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 and Throat Specialists (Ca 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 (Brier C 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 (Louisbu 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 M 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 Road STE Cary NC 27519 Digestive Healthcare North Carolina Heart & Vascular (Lilling 701 S Main Street Lillington NC 27546 Heart & Vascular North Carolina Heart & Vascular (Smithfi 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 Vascular Health 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 Home Services 1500 Sunday Drive Suite 113 Raleigh NC 27607 Home Healthcare Rex Hospital Lab of Duraleigh 3050 Duraleigh Road Suite 121 Raleigh NC 27612 Lab Rex Child Development Center 3116 Blue Ridge Road Raleigh NC 27612 Child Development Part III, Section A, Line 2: THE COSTING METHODOLOGY USED TO DETERMINE PAYER COSTS IS THE ANDI METHODOLOGY, WHICH USES A FACILITY-WIDE RATIO OF COST TO CHARGES AS DESCRIBED IN THE NCHA COMMUNITY BENEFITS GUIDELINES. Part III, Section A, Line 3: WHILE THE COSTS OF BAD DEBTS ARE PRESENT FOR ESSENTIALLY EVERY BUSINESS ORGANIZATION, FEW OTHER THAN HOSPITALS ARE EXPECTED TO CONTINUE TO PROVIDE SERVICES TO THOSE WITH MEANS WHO HAVE PREVIOUSLY FAILED TO PAY. CONTINUATION OF SERVICE TO PATIENTS WITH THE MEANS TO PAY BUT WHO HAVE FAILED TO DO SO IS A FURTHER COMMUNITY BENEFIT RELATED TO THE ORGANIZATION'S MISSION. THEREFORE, WE BELIEVE THAT THE COST OF BAD DEBTS SHOULD BE CONSIDERED A COMMUNITY BENEFIT. Part III, 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% 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 COUNTYS 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 encompases a four-county area consisting of Wake County as the primary service area with Harnett, Franklin and Johnston Counties, comprising the secondary service area. Wake County is projected to grow at a rate of 2.4 percent annually from 2010-2023 with the addition of over 323,000 people, increasing its population from 900,993 to 1,224,073. Wake County's population distribution by gender is 51.2% female and 48.8% male, with a median age of 35.7 years The population is 63.9% White, 20.5% Black/African-American, 7.3% Asian, .5% American Indian or Alaska Native, .1% Pacific Islander, 4.8% other race and 3.0% multiracial. The ethnic diversity is 10.3% Hispanic/Latino and 89.7% non-Hispanic/Latino. Wake County's median household income is among the highest in the state at $74,355. 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 COUNTYS 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. REXS 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 COMMUNITYS HEALTH, AND REXS ROLE IN THE BIGGER SYSTEMS MISSION. Part VI Line 7: THE ORGANIZATION SUBMITS AN ANNUAL COMMUNITY BENEFIT REPORT TO THE NORTH CAROLINA HOSPITAL ASSOCIATION AND THE NORTH CAROLINA MEDICAL CARE COMMISSION. true NORTH CAROLINA SYMPHONY 4350 LASSITER SUITE 250 RALEIGH NC 27609 560556755 501(c)(3) 71500 GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL/EDUCATION SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT KAY YOW CANCER FOUNDATION 5121 KINGDOM WAY SUITE 305 RALEIGH NC 27607 261789695 501(c)(3) 65000 General Support GREATER RALEIGH CHAMBER PO BOX 2978 RALEIGH NC 27602 560370850 501(c)(6) 64640 General Support HABITAT FOR HUMANITY 322 W LAMAR STREET AMERICUS GA 31709 911914868 501(c)(3) 50000 General Support AMERICAN HEART ASSOCIATION 3901 COMPUTER DRIVESUITE 110 RALEIGH NC 27609 560529996 501(c)(3) 40000 General/Education Support LEUKEMIA & LYMPHOMA SOCIETY 401 HARRISON OAKS BLVD SUITE 200 CARY NC 27513 135644916 501(c)(3) 37500 General Support UNITED WAY OF THE GREATER TRIANGLE 2400 PERIMETER PARK DRIVE SUITE 15 RALEIGH NC 27560 561949103 501(c)(3) 32792 General Support INTERACT 1012 OBERLIN ROAD SUITE 100 RALEIGH NC 27605 581320613 501(c)(3) 30000 General Support NEIGHBORHEALTH CENTER INC 4201 LAKE BOONE TRAIL SUITE 005 RALEIGH NC 27607 460711361 501(c)(3) 30000 General Support URBAN MINISTRIES OF WAKE COUNTY 1390 CAPITAL BLVD RALEIGH NC 27603 581422700 501(c)(3) 27500 General Support ALICE AYCOCK POE CENTER FOR HEALTH EDUCATION 224 SUNNYBROOK ROAD RALEIGH NC 27610 561500678 501(c)(3) 26251 General Support TRANSITIONS LIFECARE 250 HOSPICE CIRCLE RALEIGH NC 27607 561228779 501(c)(3) 25000 General Support WAKE TECH COMMUNITY COLLEGE FOUNDATION 9101 FAYETTEVILLE ROAD RALEIGH NC 27603 237017752 501(c)(3) 21600 General Support NC MUSEUM OF ART FOUNDATION 2110 BLUE RIDGE ROAD RALEIGH NC 27607 237071511 501(c)(3) 21000 General Support CARY CHAMBER OF COMMERCE 307 NORTH ACADEMY STREET CARY NC 27519 560989726 501(c)(3) 20127 General Support SUSAN G KOMEN NC TRIANGLE 600 AIRPORT BLVD SUITE 100 MORRISVILLE NC 27560 752845066 501(c)(3) 20000 General Support USO OF NORTH CAROLINA 600 AIRPORT BLVD SUITE 200 MORRISVILLE NC 27560 560532315 501(c)(3) 20000 General Support WAKE EDUCATION PARTNERSHIP 706 HILLSBOURGH STREET SUITE A RALEIGH NC 27603 581518182 501(c)(3) 20000 General Support NC MEDASSIST 4428 TAGGART CREEK ROAD SUITE 101 CHARLOTTE NC 28208 562018957 501(c)(3) 14000 General Support MORRISVILLE CHAMBER OF COMMERCE 260 TOWN HALL DRIVE SUITE A MORRISVILLE NC 27560 561712502 501(c)(6) 12580 General Support TOWN OF CARY PO BOX 8049 CARY NC 27512 566001196 501(c)(6) 12000 General Support FOOD BANK CENTRAL & EASTERN NC 1924 CAPITAL BLVD RALEIGH NC 27604 561283426 501(c)(3) 11529 General Support ALLIANCE MEDICAL MINISTRY 101 DONALD ROSS DRIVE RALEIGH NC 27610 562168673 501(c)(3) 10000 General Support GET YOUR REAR IN GEAR 5666 LINCOLN DRIVE SUITE 270 EDINA MN 55436 300377727 501(c)(3) 10000 General Support NAMI WAKE COUNTY PO BOX 12562 RALEIGH NC 27605 561552949 501(c)(3) 10000 General Support TRIANGLE FAMILY SERVICES INC 3937 WESTERN BLVD RALEIGH NC 27606 560547491 501(c)(3) 10000 General Support WAKE FOREST AREA CHAMBER OF COMMERCE 350 S WHITE STREET WAKE FOREST NC 27587 561122169 501(c)(6) 9175 General Support BLUE RIDGE ALLIANCE CORRIDOR 2416 HILLSBOROUGH STREET RALEIGH NC 27607 471697576 501(c)(3) 7500 General Support ALLIANCE BEHAVIORAL HEALTHCARE 5200 W PARAMOUNT PKWY SUITE 200 MORRISVILLE NC 27560 455068567 501(c)(3) 6935 General Support HOLLY SPRINGS CHAMBER OF COMMERCE 344 RALEIGH STREET SUITE 100 HOLLY SPRINGS NC 27540 561875144 501(c)(6) 6865 General Support INTL BLUEGRASS MUSIC ASSOC 4206 GALLATIN PIKE NASHVILLE TN 37216 621251378 501(c)(6) 6500 General Support 25 6 Part I, Line 2: REX REQUIRES ALL REQUESTS FOR GRANTS OR OTHER ASSISTANCE TO BE IN WRITING. SUCH REQUESTS ARE TYPICALLY REVIEWED ON AN ANNUAL BASIS FOLLOWING GUIDELINES RELATED TO COMMUNITY NEED AND REXS MISSION. REXS PRIORITIES INCLUDE SUPPORTING HEALTH, HUMAN SERVICES, EDUCATION AND ARTS IN COMMUNITIES IT SERVES. REX HAS VARIOUS WAYS OF TRACKING THE RESULTS OF ITS CONTRIBUTIONS. BECAUSE REX OFTEN WORKS CLOSELY WITH THE COMMUNITY GROUPS IT SUPPORTS, THE ORGANIZATION RECEIVES FREQUENT UPDATES ON THEIR WORK AND PROGRESS. FOR LARGER GRANTS, REX ALSO RECEIVES ANNUAL OR QUARTERLY REPORTS ON RESULTS. X true true X X X X X true true false false false true true false false Rig S Patel MD Director 638831 0 136451 0 1981 0 12250 0 19983 0 809496 0 0 0 William L Roper MD Director 0 775465 0 447343 0 45570 0 953337 0 20993 0 2242708 0 0 Gary L Park CEO 0 526087 0 507300 0 1589767 0 532111 0 20993 0 3176258 0 1461911 Stephen W Burriss President 551971 0 185970 0 21300 0 111857 0 19983 0 891081 0 0 0 Ernest L Bovio Jr COO 145799 390194 0 197104 24041 8794 63558 7115 5380 18656 238778 621863 0 0 Andrew K Zukowski CFO & Treasurer 339021 0 60724 0 2869 0 47966 0 18642 0 469222 0 0 0 Linda H Butler MD VP/Medical Affairs, CMO & CMIO 344735 0 59306 0 6668 0 53211 0 19983 0 483903 0 0 0 Joel D Ray VP/Patient Care Svcs & CNO 263354 0 46388 0 2141 0 40010 0 279 0 352172 0 0 0 Tate Bombard VP/General Counsel & Secretary 236815 0 44503 0 7429 0 27832 0 19828 0 336407 0 0 0 Sylvia D Hackett VP/Rex Healthcare Foundation 281843 0 50701 0 11563 0 64215 0 13222 0 421544 0 0 0 Chad T Lefteris VP/Operations 239200 0 42634 0 1337 0 32876 0 6443 0 322490 0 0 0 Robert D Ricker VP/Physician Services 250122 0 44859 0 15366 0 74907 0 11881 0 397135 0 0 0 Kirsten Riggs VP 248196 0 40782 0 7187 0 26989 0 18642 0 341796 0 0 0 Lisa R Schiller VP/Mktg, PR, Comm Relations & 120337 0 0 0 33510 0 51273 0 8454 0 213574 0 0 0 Tammie T Stanton VP/Post Acute Services 0 276288 0 49139 0 10212 0 79480 0 20993 0 436112 0 0 Sean T Tehrani MD VP/Regional Hospitalists Servi 493310 0 93858 0 6498 0 44254 0 18642 0 656562 0 0 0 Roy C Tempke VP 193120 0 33774 0 8581 0 25245 0 17224 0 277944 0 0 0 Tom G Williams VP/Ambulatory Services 248652 0 44374 0 7126 0 44048 0 19828 0 364028 0 0 0 Benjamin J Mathew Asst Treasury & Asst Secretary 143323 0 13220 0 207 0 5492 0 16986 0 179228 0 0 0 Mateen Akhtar Physician 1321309 0 511452 0 1354 0 0 0 17069 0 1851184 0 0 0 Deepak Pasi Physician 1061916 0 594242 0 13065 0 0 0 18642 0 1687865 0 0 0 Mohit Pasi Physician 950517 0 584142 0 2724 0 0 0 18642 0 1556025 0 0 0 Joseph Falsone Physician 944885 0 536650 0 2607 0 0 0 18642 0 1502784 0 0 0 Benjamin Atkeson Physician 1110507 0 351495 0 1793 0 0 0 15883 0 1479678 0 0 0 Susan M Sandberg Former Officer 151964 0 0 0 319834 0 4201 0 8454 0 484453 0 0 0 Jayne R Byrd Former Officer 344304 0 43340 0 8054 0 25110 0 5768 0 426576 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 8 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 4A & 4B: Susan Sandberg received a severance payment in the amount of $244,851. Gary Park received distributions totaling $1,461,911 from a non-qualified supplemental retirement plan funded and controlled by a related organization, UNC HCS. 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 65821DFJ5 2010-10-26 127456150 See Part VI false false false B North Carolina Medical Care Commission 521309402 65821DTR2 2015-05-21 150167728 See Part VI false false false A 39760000 0 127458770 0 2184840 0 1628054 0 0 47608529 76034727 0 2013 true false true true B 0 0 150171157 0 4130000 0 1051300 0 0 144986428 0 0 2017 false false true 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 A false false false true false false 0 false 0 false true B false true false false true false 0 false 0 false true A true B true Schedule K, Part I, Column F - Issue A Construction of Central Energy Plant, purchase routine capital equipment and refund Series 1998 Bonds, originally issued on 4/21/1998. 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 II, Line 3, Column A&B The total proceeds of issue being reported is greater than filed on the Form 8038 due to investment earnings, mainly interest earned. For Issue A and Issue B, the interest earned as of 6/30/2019 is $2,620 and $3,429, respectively. Schedule K, Part II, Line 11, Column A The other spent proceeds were used to redeem Series 1998 Bonds, originally issued on 4/21/1998. Schedule K, Part I, Line 2c, Column A The rebate computation was performed for period ended September 30, 2015 and based on an Independent Accountants' Report dated November 6, 2015, no rebate payment was required. Form 990, Part I, Doing Business As: 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 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 GARNER UNC URGENT CARE AT HOLLY SPRINGS UNC URGENT CARE AT KNIGHTDALE 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 ORGANIZATIONS 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 ORGANIZATIONS BOARD OF TRUSTEES. Form 990, Part VI, Section A, Line 7B: THE ORGANIZATIONS 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 ORGANIZATIONS 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 ORGANIZATIONS PRESIDENT AND OTHER TOP MANAGEMENT. THE ORGANIZATIONS 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 ORGANIZATIONS FORM 990 IS AVAILABLE UPON REQUEST AND ON GUIDESTARS WEBSITE AND THE FINANCIAL STATEMENTS ARE AVAILABLE ON MUNICIPAL SECURITIES RULEMAKING BOARDS 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. 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 3135415 0 Rex Hospital UNC Rockingham Health Care Inc 117 E Kings Hwy Eden NC 27288 823745228 Healthcare NC 501(c)(3) Line 3 UNC Health C false UNC Health Care System 101 Manning Drive Chapel Hill NC 27514 562206970 Healthcare NC Section 115 UNC Health C false UNC Hospitals 211 Friday Center Dr STE 2029 Chapel Hill NC 27517 561118388 Healthcare NC Section 115 UNC Health C false Caldwell Memorial Hospital PO Box 1890 Lenoir NC 28645 560554202 Healthcare NC 501(c)(3) Line 3 UNC Health C false Caldwell Memorial Hospital Foundation I PO Box 1890 Lenoir NC 28645 581935514 Support of Ca NC 501(c)(3) Line 7 Caldwell Mem false Chatham Hospital INC PO Box 649 Siler City NC 27344 560611546 Healthcare NC 501(c)(3) Line 3 UNC Health C false High Point Regional Health 601 N Elm Street High Point NC 27261 560532309 Healthcare NC 501(c)(3) Line 3 UNC Health C false Piedmont Triad Health Services 101 Manning Drive Medical Wing Eas Chapel Hill NC 27514 561497163 Support of UN NC 501(c)(3) Line 12B,II UNC Health C false High Point Regional Health Foundation 601 N Elm Street High Point NC 27261 272854711 Support High NC 501(c)(3) Line 12A, I UNC Health C false Rex Healthcare Inc 4420 Lake Boone Trail Raleigh NC 27607 561509129 Healthcare NC 501(c)(3) Line 12A, I UNC Health C false The Rex Healthcare Foundation Inc 4420 Lake Boone Trail Raleigh NC 27607 566052117 Healthcare NC 501(c)(3) Line 12, II UNC Health C true UNC Physicians Network 1600 Perimeter Park Drive STE 225 Morrisville NC 27560 271081647 Healthcare NC 501(c)(3) Line 10 UNC Health C false Rex Surgery Center of Cary 4420 Lake Boone Trail Raleigh NC 27607 273684056 ASC NC NA NONE 0 0 0 JRH Ventures LLC 4420 Lake Boone Trail Raleigh NC 27607 274092967 Med Campus DV NC NA NONE 0 0 0 Rex Health Ventures I LP 4420 Lake Boone Trail Raleigh NC 27607 371690478 Venture Capital NC NA NONE 0 0 0 Orthopaedic Surgery Center of Raleigh LL 4420 Lake Boone Trail Raleigh NC 27607 271740526 Orthopaedic Surge NC NA NONE 0 0 0 TRO Ventures LLC 4420 Lake Boone Trail Raleigh NC 27607 821330195 Healthcare NC NA NONE 0 0 0 Rex Surgery Center of Wakefield 4420 Lake Boone Trail Raleigh NC 27607 465511168 ASC NC NA NONE 0 0 0 Rex Enterprises Company Inc 4420 Lake Boone Trail Raleigh NC 27607 561553957 Operations Suppor NC Rex Healthcare C Corp 0 0 false UNC Physicians Network Group Practices L 1600 Perimeter Park Drive STE 225 Morrisville NC 27560 461416986 Healthcare NC NA C Corp 0 0 false false false true false false false false false false false false false true true true false false false The Rex Healthcare Foundation Inc c 1368829 FMV The Rex Healthcare Foundation Inc p 712168 FMV