Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
A For the 2024 calendar year, or tax year beginning 07-01-2024 , and ending 06-30-2025
BCheck if applicable:
CName of organization
REX HOSPITAL INC
 
 
Doing business as
SEE SCHEDULE O
 
Number and street (or P.O. box if mail is not delivered to street address)
4420 LAKE BOONE TRAIL
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
RALEIGH, NC27607
D Employer identification number

56-1509260
E Telephone number

G Gross receipts $ 1,918,181,243
F Name and address of principal officer:
M CHAD SETLIFF
4420 LAKE BOONE TRAIL
RALEIGH,NC27607
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
WWW.REXHEALTH.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number  
K Form of organization:  
L Year of formation: 1986
M State of legal domicile: NC
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: 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.
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 13
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 10
5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) ...... 5 6,868
6 Total number of volunteers (estimate if necessary) ............. 6 340
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 835,381
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 118,990 879,564
9 Program service revenue (Part VIII, line 2g) ......... 1,721,078,608 1,911,399,415
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,943,015 2,051,611
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 9,966,778 2,167,693
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,733,107,391 1,916,498,283
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 2,470 9,880
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 742,752,991 761,509,016
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) 0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 979,732,347 1,034,345,625
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,722,487,808 1,795,864,521
19 Revenue less expenses. Subtract line 18 from line 12....... 10,619,583 120,633,762
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,830,481,772 1,975,332,606
21 Total liabilities (Part X, line 26)............. 797,880,047 741,943,887
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,032,601,725 1,233,388,719
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



Phone no.
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2024)
Form 990 (2024)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: TO IMPROVE THE HEALTH AND WELL-BEING OF NORTH CAROLINIANS AND OTHERS WHOM WE SERVE. WE ACCOMPLISH THIS BY PROVIDING LEADERSHIP AND EXCELLENCE IN THE INTERRELATED AREAS OF PATIENT CARE, EDUCATION, AND RESEARCH.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,511,266,070 including grants of $ 9,880 ) (Revenue $ 1,904,899,572 )
UNC HEALTH REX IS WIDELY RECOGNIZED AS ONE OF THE TOP HOSPITALS IN NORTH CAROLINA AND THE NATION. NEWSWEEK, US NEWS, BUSINESS NORTH CAROLINA AND OTHER NATIONALLY RECOGNIZED MEDIA OUTLETS ROUTINELY INCLUDE UNC HEALTH REX ON THEIR "TOP HOSPITALS" LISTS. UNC HEALTH REX ALSO RECEIVES TOP GRADES FOR HOSPITAL SAFETY FROM THE LEAPFROG GROUP. UNC HEALTH REX WAS ALSO NAMED THE TOP HOSPITAL IN THE REGION IN WRAL VOTERS' CHOICE AWARDS FOR 2023. UNC HEALTH REX ACHIEVED A TOP FIVE-STAR RATING FOR QUALITY OF CARE FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). THAT PUTS UNC HEALTH REX AMONG THE TOP HOSPITALS NATIONWIDE. UNC HEALTH REX IS ONE OF ONLY A DOZEN HOSPITALS IN NORTH CAROLINA TO RECEIVE FIVE STARS FROM CMS. MORE THAN 10 YEARS AGO, UNC HEALTH REX BECAME THE FIRST HOSPITAL IN THE TRIANGLE TO BE AWARDED (SEE SCHEDULE O)
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expenses1,511,266,070
Form 990 (2024)
Form 990 (2024)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment
List of Attached Documents:
// Content
.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see attachment
List of Attached Documents:
// Content
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
351
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
6,868
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2024)
Form 990 (2024)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
13
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
10
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
No
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
BENJAMIN J MATHEW4420 LAKE BOONE TRAIL   RALEIGH,NC27607 (919) 784-3100
Form 990 (2024)
Form 990 (2024)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Ann Collins MD......................................................................
Director/Chairman
 4.0
.................
0 		X   X       0 0 0
(2) Catharine Arrowood......................................................................
Director/Vice Chairman
 4.0
.................
0 		X   X       0 0 0
(3) Kirsten Riggs......................................................................
Director/COO
 60.0
.................
0 		X   X       753,680 0 87,198
(4) M Chad Setliff......................................................................
Director/President
 60.0
.................
0 		X   X       463,771 0 31,803
(5) A Wesley Burks MD......................................................................
Director
 2.0
.................
58.0 		X           0 3,118,741 820,925
(6) Caryn McNeill......................................................................
Director
 2.0
.................
0 		X           0 0 0
(7) Courtney Crowder......................................................................
Director
 2.0
.................
0 		X           0 0 0
(8) David Mills......................................................................
Director
 2.0
.................
0 		X           0 0 0
(9) Dayatra Matthews......................................................................
Director
 2.0
.................
0 		X           0 0 0
(10) Jason Sandner......................................................................
Director
 2.0
.................
0 		X           0 0 0
(11) Jeff Lindsay......................................................................
Director
 2.0
.................
58.0 		X           0 2,583,593 351,426
(12) Kevin Anderson......................................................................
Director
 2.0
.................
0 		X           0 0 0
(13) Marilyn Pearson MD......................................................................
Director
 2.0
.................
0 		X           0 0 0
(14) Melissa Fitzpatrick......................................................................
Director
 2.0
.................
0 		X           0 0 0
(15) Rig Patel MD......................................................................
Director
 60.0
.................
0 		X           577,498 0 34,429
(16) Robert Oakes......................................................................
Director
 2.0
.................
0 		X           0 0 0
(17) Benjamin Mathew......................................................................
VP/CFO & Treasurer
 60.0
.................
0 		    X       551,975 0 132,627
Form 990 (2024)
Form 990 (2024)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Chad Anderson........................................................................
VP/Clinical Operations
 60.0
.......................0 		    X       355,627 0 81,245
(19) Diana Massa........................................................................
VP/Clinical Operations
 60.0
.......................0 		    X       379,053 0 54,323
(20) Lorie Rhine........................................................................
VP/Patient Care Services & CNO
 60.0
.......................0 		    X       316,729 0 54,164
(21) Maire CorCoran Ragozzine........................................................................
VP/General Counsel & Secretary
 30.0
.......................30.0 		    X       0 352,161 124,316
(22) Matthew Evans........................................................................
Asst Treasurer & Asst Secretary
 60.0
.......................0 		    X       173,314 0 26,849
(23) Meera Udayakumar MD........................................................................
VP/Medical Affairs & CMO
 60.0
.......................0 		    X       569,963 0 129,883
(24) Megan Lumley........................................................................
VP
 60.0
.......................0 		    X       293,354 0 37,458
(25) Meghan Hooley........................................................................
Asst Treasurer & Asst Secretary
 60.0
.......................0 		    X       85,797 0 15,553
(26) Roy Tempke........................................................................
VP/Care Transitions
 60.0
.......................0 		    X       397,210 0 92,610
(27) Susan Moore MD........................................................................
VP/UNC Rex Physicians
 60.0
.......................0 		    X       792,886 0 115,558
(28) Timothy Hester........................................................................
VP/Physician Services
 60.0
.......................0 		    X       354,854 0 59,302
(29) Dwijesh Patel MD........................................................................
Physician
 60.0
.......................0 		        X   1,928,895 0 39,622
(30) Joseph Bumgarner MD........................................................................
Physician
 60.0
.......................0 		        X   2,021,781 0 32,480
(31) Mateen Akhtar MD........................................................................
Physician
 60.0
.......................0 		        X   2,043,158 0 67,132
(32) Mohammed Farooqui MD........................................................................
Physician
 60.0
.......................0 		        X   1,984,842 0 12,232
(33) Waheed Akhtar MD........................................................................
Physician
 60.0
.......................0 		        X   1,786,537 0 60,801
(34) Ernest Bovio Jr........................................................................
Former President
 0.0
.......................0.0 		          X 119,270 0 5,300
(35) Tate Bombard........................................................................
VP/General Counsel & Secretary
 0.0
.......................60.0 		          X 0 415,658 128,674
1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 15,950,194 6,470,153 2,595,910
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 1,382
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
The Northern Trust Company

3282 Northside Parkway
Suite 100
Atlanta,GA30327 		Financial 12,021,816
American Anesthesiology of North Carolina PLLC

3100 Spring Forest Road
Suite 130
Raleigh,NC27616 		Anesthesiology 9,871,575
The Robins & Morton Group

5001 S Miami Blvd
Suite 101
Durham,NC27703 		Construction 7,444,552
Quality Textile Services Inc

313 S Rogers Lane
Raleigh,NC27610 		Laundry 4,047,707
K&L Gates LLP

301 Hillsborough Street
Suite 1200
Raleigh,NC27603 		Legal 2,188,243
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 54
Form 990 (2024)
Form 990 (2024)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 105,865
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f 773,699
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f....... 879,564
Program Service RevenueAmt Business Code
2a PATIENT SERVICE REVENUE 625100 1,838,938,768 1,838,296,869 641,899  
b ALL OTHER PROGRAM SERVICE REVENUE 625100 72,460,647 66,602,703 193,482 5,664,462
c
d
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f ..... 1,911,399,415
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 1,397,729     1,397,729
4 Income from investment of tax-exempt bond proceeds        
5 Royalties...........        
(i) Real (ii) Personal
6a Gross rents 6a 3,214,298  
b Less: rental expenses 6b 1,063,683  
c Rental income or (loss) 6c 2,150,615 0
d Net rental income or (loss)....... 2,150,615     2,150,615
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a 1,273,159  
b Less: cost or other basis and sales expenses 7b 619,277  
c Gain or (loss) 7c 653,882 0
d Net gain or (loss)......... 653,882     653,882
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..        
OtherRevenueMiscAmt
Business Code
11a GAIN ON FIXED ASSET DISPOSAL 900099 13,578     13,578
b Other Revenue 900099 3,500     3,500
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... 17,078
12 Total revenue. See instructions..... 1,916,498,283 1,904,899,572 835,381 9,883,766
Form 990 (2024)
Form 990 (2024)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 9,880 9,880
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members ....... 0 0
5 Compensation of current officers, directors, trustees, and key employees ........... 6,498,151   6,498,151  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 620,222,484 562,231,682 57,990,802  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 28,406,493 27,006,053 1,400,440  
9 Other employee benefits ....... 66,110,225 58,692,658 7,417,567  
10 Payroll taxes ........... 40,271,663 35,439,063 4,832,600  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 44,168   44,168  
c Accounting ........... 311,943   311,943  
d Lobbying ........... 49,739   49,739  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 1,519,967   1,519,967  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 68,232,323 62,091,414 6,140,909 0
12 Advertising and promotion .... 121,573 110,631 10,942  
13 Office expenses ....... 9,788,271 8,907,327 880,944  
14 Information technology ...... 4,618,496 4,202,831 415,665  
15 Royalties ..        
16 Occupancy ........... 12,851,268 11,694,654 1,156,614  
17 Travel ............ 2,384,029 2,169,466 214,563  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 56,132   56,132  
20 Interest ........... 16,518,060 15,031,435 1,486,625  
21 Payments to affiliates ....... 32,727,113 32,727,113    
22 Depreciation, depletion, and amortization .. 76,021,271 69,179,357 6,841,914  
23 Insurance ... 13,784,752 12,544,124 1,240,628  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PATIENT CARE SUPPLIES & SERVICES 534,868,848 534,868,848    
b HOME OFFICE ALLOCATION 184,096,710   184,096,710  
c BAD DEBT EXPENSE 54,223,983 54,223,983    
d OTHERS 11,616,914 10,571,392 1,045,522  
e All other expenses 10,510,065 9,564,159 945,906 0
25 Total functional expenses. Add lines 1 through 24e 1,795,864,521 1,511,266,070 284,598,451 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).        
Form 990 (2024)
Form 990 (2024)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 31,083,701 1 30,896,865
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 309,743,405 4 395,033,508
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 0 7 0
8 Inventories for sale or use ............ 32,138,131 8 34,269,103
9 Prepaid expenses and deferred charges ...... 53,804,549 9 43,445,821
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,325,132,473
b Less: accumulated depreciation 10b 707,123,228 630,509,311 10c 618,009,245
11 Investments—publicly traded securities . 691,241,172 11 770,528,409
12 Investments—other securities. See Part IV, line 11 ..... 33,684,205 12 37,840,886
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 48,277,298 15 45,308,769
16 Total assets. Add lines 1 through 15 (must equal line 33)... 1,830,481,772 16 1,975,332,606
Liabilities 17 Accounts payable and accrued expenses ..... 179,048,479 17 154,081,681
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 1,019,168 19 942,832
20 Tax-exempt bond liabilities ......... 417,203,305 20 406,891,973
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 200,609,095 25 180,027,401
26 Total liabilities. Add lines 17 through 25.. 797,880,047 26 741,943,887
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 944,293,478 27 1,032,601,726
28 Net assets with donor restrictions ........... 88,308,247 28 200,786,993
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 1,032,601,725 32 1,233,388,719
33 Total liabilities and net assets/fund balances ........ 1,830,481,772 33 1,975,332,606
Form 990 (2024)
Form 990 (2024)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,916,498,283
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,795,864,521
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
120,633,762
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
1,032,601,725
5
Net unrealized gains (losses) on investments ...............
5
80,153,232
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
1,233,388,719
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2024)
Form 990 (2024)
Additional Data


Software ID: 24020961
Software Version: 2024v5.1
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
Name of the organization
REX HOSPITAL INC
 
Employer identification number

56-1509260
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2024 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2024 		(iii)
Distributable
Amount for 2024
1 Distributable amount for 2024 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2024:
a From 2019.......  
b From 2020.......  
c From 2021.......  
d From 2022.......  
e From 2023.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2024 distributable amount  
i Carryover from 2019 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2024 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2024 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2024, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2024. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2025. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2020.....  
b Excess from 2021.....  
c Excess from 2022.....  
d Excess from 2023.....  
e Excess from 2024.....  
Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2024


Additional Data


Software ID: 24020961
Software Version: 2024v5.1
Schedule B
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

right arrow Attach to Form 990, 990-EZ, or 990-PF.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
Name of the organization
REX HOSPITAL INC
 
Employer identification number

56-1509260
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ
501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization


Form 990-PF
501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.  
Note:  Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025) Page 2
Name of organization
REX HOSPITAL INC
  		Employer identification number
56-1509260
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 3
Name of organization
REX HOSPITAL INC
  		Employer identification number

56-1509260
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 4
Name of organization
REX HOSPITAL INC
  		Employer identification number

56-1509260
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (Rev. 1-2025)
Additional Data


Software ID: 24020961
Software Version: 2024v5.1
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow Complete if the organization is described below. right arrow Attach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
REX HOSPITAL INC
 
Employer identification number

56-1509260
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................right arrow
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................right arrow
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................right arrow
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................right arrow

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........right arrow

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2024

Schedule C (Form 990) 2024
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check right arrowexpenses, and share of excess lobbying expenditures).
B Check right arrow
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2021 (b) 2022 (c) 2023 (d) 2024 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990) 2024


Schedule C (Form 990) 2024
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
49,739
j
Total. Add lines 1c through 1i ....................................................................................................
49,739
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY ANNUAL DUES WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND NORTH CAROLINA HEALTHCARE ASSOCIATION (NCHA). A PERCENTAGE, DETERMINED BY THE AHA AND NCHA, WAS ESTIMATED TO BE EXPENDITURES USED IN LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.
Schedule C (Form 990) 2024


Additional Data


Software ID: 24020961
Software Version: 2024v5.1

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
REX HOSPITAL INC
 
Employer identification number

56-1509260
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow  
4
Number of states where property subject to conservation easement is located right arrow  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................right arrow $  
(ii)
Assets included in Form 990, Part X ...............................right arrow $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow  
b
Permanent endowment right arrow  
c
Term endowment right arrow  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   25,979,309 25,979,309
b Buildings ....   543,552,493 195,605,364 347,947,129
c Leasehold improvements   27,502,227 19,662,736 7,839,491
d Equipment ....   383,352,080 298,498,503 84,853,577
e Other .....   344,746,364 193,356,625 151,389,739
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 618,009,245
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)right arrow  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)right arrow  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
Federal Income Taxes  
PENSION LIABILITY 109,079,076
LEASE LIABILITY 70,814,993
CAPITAL LEASE 133,332





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 180,027,401
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ........... 2d 0
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1.................. 3 0
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b 0
c Add lines 4a and 4b.................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 0
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ........... 2d 0
e Add lines 2a through 2d.................... 2e 0
3 Subtract line 2e from line 1................... 3 0
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ........... 4b 0
c Add lines 4a and 4b..................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 0
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE FOLLOWING FOOTNOTE COMES FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF REX HOSPITAL, INC. D/B/A REX HEALTHCARE. THE FOOTNOTE REFERENCES OTHER MEMBERS OF THE AUDIT CONSOLIDATED GROUP THAT ARE NOT PART OF THIS TAX RETURN. REX, THE HOSPITAL, AND THE FOUNDATION ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ENTERPRISES IS A TAXABLE CORPORATION. THE HOSPITAL IS THE SOLE MEMBER OF RHV GP, RHVI, ROV, AND HOLDINGS. THESE ENTITIES ARE DISREGARDED FOR TAX PURPOSES. THE HOSPITAL IS THE SOLE SHAREHOLDER OF ENTERPRISES. ENTERPRISES IS THE SOLE MEMBER OF RWE AND RHVLLC. RWE IS THE SOLE MEMBER OF WELLNESS AND MOB. RWE, RHVLLC, WELLNESS AND MOB ARE DISREGARDED ENTITIES FOR TAX PURPOSES.
Schedule D (Form 990) (Rev. 1-2025)


Additional Data


Software ID: 24020961
Software Version: 2024v5.1




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
Name of the organization
REX HOSPITAL INC
 
Employer identification number

56-1509260
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

 

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

 

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    59,237,905   59,237,905 3.401 %
b Medicaid (from Worksheet 3, column a) . . . . .     128,965,708 297,084,141 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .         0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 188,203,613 297,084,141 59,237,905 3.401 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     769,388   769,388 0.044 %
f Health professions education (from Worksheet 5) . . .     4,452,510   4,452,510 0.256 %
g Subsidized health services (from Worksheet 6) . . . .         0 0 %
h Research (from Worksheet 7) .     386,578   386,578 0.022 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     4,280   4,280 0 %
j Total. Other Benefits . . 0 0 5,612,756 0 5,612,756 0.322 %
k Total. Add lines 7d and 7j . 0 0 193,816,369 297,084,141 64,850,661 3.724 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 0 0 0 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
54,223,983
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
689,396,771
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
895,400,115
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-206,003,344
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1REX SURGERY CENTER OF CARY LLC
  		AMBULATORY CENTER 55.75 % 0 % 44.25 %
2REX SURGERY CENTER OF WAKEFIELD LLC
  		AMBULATORY CENTER 75.64 % 0 % 24.36 %
3ORTHOPAEDIC CENTER OF RALEIGH LLC
  		SURGERY CENTER 51 % 0 % 49 %
4ORTHOPAEDIC CENTER OF PANTHER CREEK LLC
  		SURGERY CENTER 51 % 0 % 49 %
5WR IMAGING LLC
  		MEDICAL IMAGING 44 % 0 % 56 %
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 REX HOSPITAL INC
4420 LAKE BOONE TRAIL
RALEIGH,NC27607
WWW.REXHEALTH.COM
H0065 		X X         X      
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
REX HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 24
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): www.rexhealth.com/rh/about/community/community-health-needs-assessment
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
REX HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.0%
and FPG family income limit for eligibility for discounted care of 0.0%
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
www.rexhealth.com/rh/patients-visitors/billing
b
www.rexhealth.com/rh/patients-visitors/billing
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
REX HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
REX HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - REX HOSPITAL, INC.. The 2025 Wake CHNA followed a 12-phase approach as recommended by the North Carolina Division of Public Health, guided by the County Health Rankings Model. This model highlights how policies and programs impact various health factors that lead to overall health outcomes. The process included reviewing existing data from national and state sources and collecting primary data through Community Health Opinion Survey (CHOS) and Community conversations. This process involves asking for input from diverse community members, including leaders from local government, businesses, and nonprofits. The CHNA process involves gathering community health data from both primary and secondary sources. Primary data is collected directly from the community through methods such as the CHOS, Community conversations, and the Prioritization Survey. Secondary data comes from existing sources that were not specifically collected for the CHNA, from sources like government agencies, large organizations, and academic research centers. The CHOS captured the input of 1,191 eligible participants. The Community conversations focused on six priority populations for focused conversations: Unhoused/Homeless Individuals, Veterans, Asian Americans, Older Adults, African Americans, and Hispanics/Latinx. A conversation guide was created to structure these discussions, covering topics like community health, health barriers, changes, and needed resources. The Community conversations engaged 69 diverse participants across six sessions, ranging in age from 22 to 94.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - REX HOSPITAL, INC.. The Organization's Community Health Needs Assessment (CHNA) was conducted with the following Hospital facilities: Duke Raleigh Hospital and WakeMed Health and Hospitals.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - REX HOSPITAL, INC.. The Organization's Community Health Needs Assessment (CHNA) was conducted with the following organizations other than Hospital facilities: Advance Community Health, Delta Dental of North Carolina, Neighbor Health Center, Poe Center for Health Education, RightCare, Wake County Health and Human Services.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - REX HOSPITAL, INC.. The Hospital has identified the following three health priorities to address along with actionable items: Affordable Housing & Homelessness Affordable Housing and Homelessness continues to be a challenge in Wake County. It was a priority in the previous CHNA and received the most votes as a focus area to address in the 2025 prioritization survey. Over half of respondents to the Community Health Opinion survey indicated that Wake County was doing poorly in addressing the affordable housing and homelessness crisis, with the lowest satisfaction reported by lower-income, less-educated and Black respondents. Actionable Items: Commit to support and partner with local, non-profit, community, business and government entities with a focus on addressing housing and other social determinants of health that impact affordable housing. Expand utilization of social determinants of health EPIC dashboard to connect patients with community resources and analyze data to evaluate effectiveness. Work with Wake County and other health and resource providers in the community to build medical respite support system to assist those experiencing homelessness. Access to Health Care Access to care also remains a priority in 2025. This includes all aspects that might influence whether someone is able to seek quality and timely healthcare in their community, including affordability, insurance, specialty services, elder care and provider capacity. Over half of respondents to the CHNA's Community Health Opinion survey rated Wake County's healthcare access as good or excellent, though disparities exist-especially among Black residents and those in eastern Wake County. Actionable Items: Strategic expansion of clinics and services across Wake County to increase access for unplanned, planned, and preventative care. Improve new patient scheduling rates and continue building other patient access avenues, including online and guided scheduling. Expand mobile health outreach opportunities, targeting communities and populations most in need. Mental Health Like Affordable Housing and Homelessness and Access to Healthcare, Mental Health is once again a priority for Wake County. Mental health is a critical component of protecting and promoting overall health, as prioritizing mental health helps people cope with stress, enjoy a higher quality of life and maintain productivity. Actionable Items: Expand the "I Give Birth" campaign to increase support of new mothers and increase awareness of postpartum news. Commit to support and partner with local, non-profit, community, business and government entities with a focus on addressing mental health care access and building support networks to serve those in need. Increase investment in teammate mental health resources to encourage well-being, a feeling of belonging, and limit burnout. Expand reach of Behavioral Health Emergency Response Team (BERT) to provide educational resources and training to teammates, families and patients. Priorities identified in the Community Assessment remain concerns, including Community Cohesion, Disease, Illness, and Injury, Economic Opportunity, Education, and Reproductive & Child Health. While Rex Hospital recognizes these health needs, their resources are better used in addressing the top three health priorities listed above.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - REX HOSPITAL, INC.. The Financial Assistance Policy implemented non-income based financial assistance criteria as of 1/1/2025. The non-income eligibility criteria include homelessness, mental incapacitation with no one to act on the patient's behalf, patient or child in patient's household enrolled in any Medicaid or Managed Medicaid insurance, and enrollment in another means-tested public assistance program including, but not limited to: Women, Infants and Children Nutrition Program (WIC), Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance for Needy Families (TANF).
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - REX HOSPITAL, INC.. FINANCIAL ASSISTANCE APPLICATIONS CAN BE RETURNED SEVERAL WAYS INCLUDING US POSTAL MAIL IN PROVIDED PRE-PAID ENVELOPE, IN PERSON AT THE FINANCIAL ASSISTANCE DEPARTMENT OR WITH A FINANCIAL NAVIGATOR, VIA SECURE PATIENT PORTAL, OR BY SECURE FAX.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?58
Name and address Type of Facility (describe)
1 NORTH CAROLINA HEART & VASCULAR HOSPITAL
2800 BLUE RIDGE ROAD
RALEIGH,NC27607 		HEART & VASCULAR
2 REX HOLLY SPRINGS HOSPITAL
850 S MAIN STREET
HOLLY SPRINGS,NC27540 		HEALTHCARE
3 REX HEALTHCARE OF WAKEFIELD
11200 GOVERNOR MANLY WAY
RALEIGH,NC27614 		HEALTHCARE
4 REX HEALTHCARE OF CARY
1505 SW CARY PARKWAY
CARY,NC27511 		HEALTHCARE
5 REX HEALTHCARE OF GARNER
1400 TIMBER DRIVE EAST
GARNER,NC27529 		HEALTHCARE
6 REX HEALTHCARE OF KNIGHTDALE
6602 KNIGHTDALE BLVD
KNIGHTDALE,NC27545 		HEALTHCARE
7 REX HEALTHCARE OF HOLLY SPRINGS
781 AVENT FERRY ROAD
HOLLY SPRINGS,NC27540 		HEALTHCARE
8 UNC REX REHABILITATION AND NURSING CARE CENTER OF RALEIGH
4210 LAKE BOONE TRAIL
RALEIGH,NC27607 		NURSING FACILITY
9 UNC REX REHABILITATION AND NURSING CARE CENTER OF APEX
911 S HUGHES STREET
APEX,NC27502 		NURSING FACILITY
10 NORTH CAROLINA SURGERY
4207 LAKE BOONE TRAIL SUITE 210
RALEIGH,NC27607 		GENERAL SURGERY
11 RALEIGH ORTHOPAEDIC CLINIC- EDWARDS MILL OFFICE
3001 EDWARDS MILL ROAD
RALEIGH,NC27612 		ORTHOPAEDIC
12 REX HEMATOLOGY ONCOLOGY ASSOCIATES- BLUE RIDGE
2605 BLUE RIDGE ROAD SUITE 190
RALEIGH,NC27607 		ONCOLOGY
13 NORTH CAROLINA HEART & VASCULAR (GOLDSBORO)
2615 HOSPITAL ROAD SUITE 300
GOLDSBORO,NC27534 		HEART & VASCULAR
14 NORTH CAROLINA HEART & VASCULAR (CLINTON)
603 BEAMAN STREET SUITE 501
CLINTON,NC28328 		HEART & VASCULAR
15 UNC REX REHABILITATION SERVICES- RALEIGH
10880 DURANT ROAD SUITE 300
RALEIGH,NC27607 		REHABILITATION
16 RALEIGH ORTHOPAEDIC (NORTH RALEIGH)
10880 DURANT ROAD SUITE 300
RALEIGH,NC27614 		ORTHOPAEDIC
17 REX DIGESTIVE HEALTHCARE (RALEIGH)
2417 ATRIUM DRIVE SUITE 150
RALEIGH,NC27607 		DIGESTIVE HEALTHCARE
18 REX DIGESTIVE HEALTHCARE (NORTH RALEIGH)
8300 HEALTH PARK SUITE 327
RALEIGH,NC27615 		DIGESTIVE HEALTHCARE
19 REX EAR NOSE & THROAT SPECIALISTS (CARY)
790 SE CARY PARKWAY SUITE 110
CARY,NC27511 		ENT HEALTHCARE
20 REX NEUROSURGERY & SPINE SPECIALISTS (RALEIGH)
4207 LAKE BOONE TRAIL SUITE 220
RALEIGH,NC27607 		NEUROSURGERY
21 REX HOSPITAL OUTPATIENT REHABILITATION (RALEIGH)
2709 BLUE RIDGE ROAD SUITE 200
RALEIGH,NC27607 		REHABILITATION
22 NORTH CAROLINA SURGERY- REX BREAST CARE SPECIALISTS (RALEIGH)
3100 DURALEIGH ROAD SUITE 205
RALEIGH,NC27612 		BREAST CARE
23 REX DIGESTIVE HEALTHCARE (WAKEFIELD)
11211 GALLERIA AVE SUITE 100
RALEIGH,NC27614 		DIGESTIVE HEALTHCARE
24 REX DIGESTIVE HEALTHCARE (KNIGHTDALE)
6905 KNIGHTDALE BLVD SUITE 103
KNIGHTDALE,NC27545 		DIGESTIVE HEALTHCARE
25 REX HEMATOLOGY ONCOLOGY ASSOCIATES- CARY
150 PARKWAY OFFICE COURT SUITE 200
CARY,NC27518 		ONCOLOGY
26 REX PULMONARY SPECIALISTS (WAKEFIELD)
11081 FOREST PINES DRIVE SUITE 104
RALEIGH,NC27614 		PULMONARY HEALTH
27 UNC CENTER FOR REHABILITATION CARE OF RALEIGH
2709 BLUE RIDGE ROAD SUITE 220
RALEIGH,NC27607 		REHABILITATION
28 UNC REX CANCER CARE OF EAST RALEIGH
117 SUNNYBROOK ROAD
RALEIGH,NC27610 		CANCER CARE
29 NORTH CAROLINA HEART & VASCULAR (CLAYTON)
2076 NC HIGHWAY 42 W
CLAYTON,NC27520 		HEART & VASCULAR
30 NORTH CAROLINA HEART & VASCULAR (BRIAR CREEK)
10208 CERNY STREET SUITE 106
RALEIGH,NC27617 		HEART & VASCULAR
31 NORTH CAROLINA SURGERY- REX BREAST CARE SPECIALISTS (CARY)
300 ASHVILLE AVE SUITE 240
CARY,NC27518 		BREAST CARE
32 RALEIGH ORTHOPAEDIC (CARY)
222 ASHVILLE AVE SUITE 20
CARY,NC27518 		ORTHOPAEDIC
33 REX PULMONARY SPECIALISTS (CARY)
300 ASHVILLE AVE SUITE 301
CARY,NC27518 		PULMONARY HEALTH
34 NORTH CAROLINA HEART & VASCULAR (LOUISBURG)
500 REDWOOD LANE
LOUISBURG,NC27549 		HEART & VASCULAR
35 NORTH CAROLINA SURGERY AT BRIER CREEK
10208 CERNY STREET SUITE 106
RALEIGH,NC27617 		GENERAL SURGERY
36 NORTH CAROLINA HEART & VASCULAR (WILSON)
2605 FOREST HILLS ROAD SW SUITE D
WILSON,NC27893 		HEART & VASCULAR
37 NORTH CAROLINA SURGERY AT SMITHFIELD
131 E MARKET STREET
SMITHFIELD,NC27577 		GENERAL SURGERY
38 REX HEART FAILURE CLINIC (GOLDSBORO)
2615 HOSPITAL ROAD SUITE 300
GOLDSBORO,NC27534 		HEART HEALTH
39 NORTH CAROLINA HEART & VASCULAR (ROCKY MOUNT)
2412 PROFESSIONAL DRIVE
ROCKY MOUNT,NC27804 		HEART & VASCULAR
40 NORTH CAROLINA SURGERY AT WILSON
130 GLENDALE DRIVE W
WILSON,NC27893 		GENERAL SURGERY
41 REX DIGESTIVE HEALTHCARE (CARY)
10030 GREEN LEVEL CHURCH RD SUITE
CARY,NC27519 		DIGESTIVE HEALTHCARE
42 NORTH CAROLINA HEART & VASCULAR (LILLINGTON)
701 S MAIN STREET
LILLINGTON,NC27546 		HEART & VASCULAR
43 NORTH CAROLINA HEART & VASCULAR (SMITHFIELD)
910 BERKSHIRE ROAD
SMITHFIELD,NC27577 		HEART & VASCULAR
44 REX NEUROSURGERY AND SPINE SPECIALISTS (CLAYTON)
34 HEALTHPARK WAY SUITE 100 C
CLAYTON,NC27520 		NEUROSURGERY
45 REX VASCULAR SPECIALISTS (SMITHFIELD)
910 BERKSHIRE ROAD
SMITHFIELD,NC27577 		VASCULAR HEALTH
46 UNC URGENT CARE AT RALEIGH
3050 DURALEIGH ROAD SUITE 111
RALEIGH,NC27612 		URGENT CARE
47 REX VASCULAR SPECIALISTS (CLAYTON)
2076 NC HIGHWAY 42 W SUITE 100
RALEIGH,NC27520 		VASCULAR HEALTH
48 UNC UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY AT REX
4325 LAKE BOONE TRAIL SUITE 315
RALEIGH,NC27607 		SURGERY
49 REX DIGESTIVE HEALTHCARE (SMITHFIELD)
507 N BRIGHTLEAF BLVD SUITE 100
SMITHFIELD,NC27577 		DIGESTIVE HEALTHCARE
50 RALEIGH ORTHOPAEDIC (GARNER)
1325 TIMBER DRIVE E
GARNER,NC27529 		ORTHOPAEDIC
51 REX SLEEP LAB OF RALEIGH
3050 DURALEIGH ROAD SUITE 101
RALEIGH,NC27607 		SLEEP LAB
52 UNC NEUROSURGERY AT NASH
45 GUARDIAN COURT
RALEIGH,NC27607 		NEUROSURGERY
53 REX SLEEP LAB OF CARY
790 SE CARY PARKWAY SUITE 105
RALEIGH,NC27607 		SLEEP LAB
54 REX WELLNESS CENTER OF RALEIGH
4200 LAKE BOONE TRAIL
RALEIGH,NC27607 		WELLNESS & REHABILITATION
55 REX PAIN MANAGEMENT CENTER
3050 DURALEIGH ROAD SUITE 201
RALEIGH,NC27612 		PAIN MANAGEMENT
56 REX HOSPITAL LAB OF DURALEIGH
3050 DURALEIGH ROAD SUITE 12
RALEIGH,NC27612 		LAB
57 REX MEDICAL OFFICE BUILDING
2800 BLUE RIDGE ROAD
RALEIGH,NC27607 		HEALTHCARE
58 REX MEDICAL PLAZA
4414 LAKE BOONE TRAIL
RALEIGH,NC27607 		HEALTHCARE
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part I, Line 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(C), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THE COLUMN IS $54,223,983.
Schedule H, Part III, Line 2 BAD DEBT & HASP REQUIREMENTS To comply with the Healthcare Access and Stabilization Program (HASP) requirements for FY2025, the North Carolina Department of Health and Human Services mandated all North Carolina hospitals to attest to implementing a standardized, enhanced medical debt policy. This applies to North Carolina residents who are actively enrolled in Medicaid or Managed Medicaid or fall below certain federal poverty levels. Historical debt remaining in our system was impacted. In FY2025, the filing organization implemented the North Carolina Medical Debt Relief and Mitigation policy as required by HASP. This policy reduced Bad Debt expense and increased Charity Care for the filing year.
Schedule H, Part II Community Building Activities As a member Hospital of University of North Carolina Health Care System (UNC HCS), UNC Health Rex participates in several community building activities. UNC Health Rex collects school supplies that are donated to local county schools to be shared with students in need. Also, UNC Health Rex collects food for a UNC HCS wide food drive to be donated to the local food banks and given to families that struggle with food insecurity. UNC Health Rex has two mobile mammography vehicles (nicknamed Betty and Wilma) that provide a convenient option for patients without reliable transportation to benefit from mammography's early detection. Also, UNC Health Rex has two food pantries at both UNC Health Rex and Holly Springs Hospitals that provide a three-day supply of healthy food to discharged patients who are considered food insecure. In compliance with the Affordable Care Act, UNC Health Rex participates with other Wake County Hospitals and Organizations to prepare a Community Health Needs Assessment (CHNA) every three years. The most current CHNA was conducted in Tax year 2024 and the three top priorities for UNC Health Rex are Affordable Housing and Homelessness, Access to Healthcare, and Mental Health. By focusing on these priority items, UNC Health Rex can make an effective health impact in the community.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE ORGANIZATION'S BAD DEBT EXPENSE AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS AND FORM 990 PART IX. THE COST-TO-CHARGE RATIO FOR THE YEAR WAS APPLIED TO THE GROSS BAD DEBT CHARGES FOR THE YEAR.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION'S BAD DEBT DOES NOT INCLUDE ANY AMOUNTS ATTRIBUTABLE TO THOSE PATIENTS WHO APPLIED FOR AND RECEIVED FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs HOSPITALS TREAT PATIENTS COVERED BY MEDICARE, JUST AS THEY DO ANY PATIENT. AMOUNTS THAT HOSPITALS ARE ELIGIBLE TO RECEIVE IN PAYMENT FOR SERVICES PROVIDED TO PATIENTS COVERED BY MEDICARE ARE NOT NEGOTIABLE. AS MEDICARE REIMBURSEMENT RATES DECLINE RELATIVE TO THE COSTS OF PROVIDING CARE, HOSPITALS CONTINUE TO SERVE THE MEDICARE POPULATION. WITHOUT THE SERVICES PROVIDED BY HOSPITALS, THE GOVERNMENT WOULD BECOME OBLIGATED FOR THE SERVICES REQUIRED BY THESE PATIENTS. THEREFORE, WE BELIEVE THAT ANY UNREIMBURSED COSTS OF PROVIDING THIS CARE ARE A BENEFIT PROVIDED BY THE HOSPITAL TO THE COMMUNITY AND GOVERNMENT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE APPROVED FOR 100 PERCENT ADJUSTMENT OF ELIGIBLE CHARGES MINUS A COPAYMENT. COPAYMENTS ACCRUE AND ARE NOT ELIGIBLE FOR COLLECTIONS PROCESSES.
Schedule H, Part V, Section B, Line 16a FAP website - REX HOSPITAL, INC.: Line 16a URL: www.rexhealth.com/rh/patients-visitors/billing;
Schedule H, Part V, Section B, Line 16b FAP Application website - REX HOSPITAL, INC.: Line 16b URL: www.rexhealth.com/rh/patients-visitors/billing;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - REX HOSPITAL, INC.: Line 16c URL: www.rexhealth.com/rh/patients-visitors/billing;
Schedule H, Part VI, Line 2 Needs assessment AS THE COUNTY CONTINUES TO GROW, NECESSARY STEPS MUST BE TAKEN TO ENSURE THAT THE NEEDS OF ALL OF OUR CITIZENS ARE BEING MONITORED AND EVALUATED. WAKE COUNTY HUMAN SERVICES WORKS WITH ALL LOCAL HOSPITALS, INCLUDING REX, TO CONDUCT A COMMUNITY-WIDE HEALTH ASSESSMENT. THIS ASSESSMENT, CONDUCTED EVERY THREE TO FOUR YEARS, IDENTIFIES OPPORTUNITIES AND CHALLENGES IN THE MARKET. REX COLLABORATES WITH COMMUNITY PARTNERS REGULARLY TO ENSURE OUR EFFORTS ARE PROPERLY ALIGNED BASED ON WAKE COUNTY'S SOCIO ECONOMIC AND DEMOGRAPHIC INFORMATION. REX ALSO RELIES ON INPUT FROM OUR PHYSICIANS AND CLINICAL STAFF, PATIENT OUTCOMES AS WELL AS QUALITATIVE AND QUANTITATIVE RESEARCH TO IDENTIFY AREAS OF OPPORTUNITY TO IMPROVE THE HEALTH OF OUR COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Rex provides needed healthcare services to anyone regardless of that person's ability to pay. Rex's Financial Assistance Policy is designed to assist patients who are financially unable to pay for healthcare services. A link to the policy can be found on Rex's public website. Rex displays information regarding the availability of financial assistance in its emergency room, registration areas in the Hospital and Clinics, and financial counselor offices. In addition to financial assistance information displayed on Rex's property, financial assistance information is distributed at local community events and via advertisements on TV and social media platforms. A link is also provided on Rex's website to the availability of financial assistance and its Financial Assistance Policy, along with an on-line application. Inpatient case managers also provide information to the patients regarding available programs and the Organization's Financial Policy. Consultation with financial counselors is also available to all patients as needed.
Schedule H, Part VI, Line 4 Community information The organization serves an area that encompasses a four-county area consisting of Wake County as the primary service area with Harnett, Franklin and Johnston Counties, comprising the secondary service area. The population of Wake County according to the 2020 U.S. Census is 1,129,410. Wake County is the most populous county in North Carolina. The population of Wake County is growing rapidly, with a population increase of 633,333 in 2000 and a projected population of 1,730,067 by 2050. In Wake County, the percentage of the total population represented by the urban population is 94.8% as of 2010 Decennial Census, with only 5.2% represented by the rural population. The population density in Wake County has increased from 1,078 persons per square mile in 2010 to 1,426 persons per square mile in 2023. The county's population is slightly more female (50.9%) than male (49.1%). The majority of residents fall within the working-age range, with 29.6% between 25 and 44 years old and 25.7% between 45 and 64 years old. Children under 18 comprise 23.4% of the population, while 12.2% are 65 years or older. The senior population is expected to rise to 20.9% by 2050. Wake County has a more diverse population than North Carolina as a whole. Racial and ethnic composition includes 58.3% White (non-Hispanic), 19.2% Black or African American (non-Hispanic), 10.4% Hispanic or Latino, 7.9% Asian (non-Hispanic), 3.5% multiracial (non-Hispanic), 0.5% other race (non-Hispanic), and 0.2% American Indian or Alaska Native (non-Hispanic). Wake County's median household income is $102,918 to $105,168, among the highest in the state. Wake County's per capita income was $55,448 during the same time period.
Schedule H, Part VI, Line 5 Promotion of community health THERE ARE MANY WAYS REX WORKS WITH COMMUNITY PARTNERS TO ADDRESS HEALTH ISSUES AND CONCERNS IDENTIFIED WITHIN THE COMMUNITY. THROUGH BOTH FINANCIAL, IN-KIND AND STAFF SUPPORT, REX PROVIDES ASSISTANCE IN HOSTING COMMUNITY HEALTH SCREENINGS, MOBILE MAMMOGRAPHY SCREENINGS AND ON-SITE MEDICAL CARE THROUGH THE REX EMERGENCY RESPONSE TEAM. ADDITIONALLY, COMMUNITY RELATIONS ACTIVITIES REGULARLY DEMONSTRATE PROMOTING HEALTH AND WELLNESS INITIATIVES. "ASK THE EXPERT" FORUMS ARE FREE AND OFFERED THROUGHOUT WAKE COUNTY BY PHYSICIANS AND STAFF. REX HAS BEEN DILIGENT IN AWARDING GRANTS TO COMMUNITY GROUPS TO ASSIST THEM WHERE NEEDS ARE GREATEST. TWICE A YEAR WE HOST A COLLABORATIVE BREAKFAST INVITING COMMUNITY PARTNERS, ORGANIZATIONS AND HEALTHCARE PROVIDERS WHO WORK WITH UNINSURED WOMEN TO DISCUSS AND ADDRESS CURRENT HARDSHIPS AND RESOURCES -TRULY A COMMITMENT TO THE NONPROFIT COMMUNITY.
Schedule H, Part VI, Line 6 Affiliated health care system REX HEALTHCARE IS A SUBSIDIARY OF THE UNC HEALTH CARE SYSTEM IN CHAPEL HILL. THAT SYSTEM SERVES PATIENTS FROM ALL 100 COUNTIES, REGARDLESS OF THEIR ABILITY TO PAY, PROVIDING MORE THAN $200 MILLION A YEAR IN UNCOMPENSATED CARE. AS PART OF THE INTEGRATED SYSTEM, REX STRIVES TO IMPROVE ACCESS AND SERVICES IN WAKE COUNTY'S GROWING AND UNDER SERVED AREAS. REX CAREGIVERS ALSO WORK CLOSELY WITH THEIR COUNTERPARTS AT UNC HEALTH CARE TO FIND MORE WAYS TO IMPROVE CARE AND QUALITY, REACH MORE UNINSURED PATIENTS AND MORE. REX'S BOARD REPRESENTS A CROSS-SECTION OF THE COMMUNITY, WITH VOLUNTEERS THAT INCLUDE BUSINESS LEADERS, COMMUNITY PHYSICIANS AND OTHERS. THAT BOARD WORKS CLOSELY WITH THE BOARD AT UNC HEALTH CARE TO DETERMINE THE BEST WAYS TO PLAY A LARGER ROLE IN IMPROVING THE COMMUNITY'S HEALTH, AND REX'S ROLE IN THE BIGGER SYSTEM'S MISSION.
Schedule H (Form 990) 2024
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Schedule I
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
REX HOSPITAL INC
 
Employer identification number
56-1509260
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) NC Professionals Health Program
220 Horizon Drive
Suite 201
Raleigh,NC276154928 		56-1846599 501(c)(3) 7,500       Operations Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) Rev. 1-2025

Schedule I (Form 990) Rev. 1-2025
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I (Form 990) Rev. 1-2025



Additional Data


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Schedule J
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
REX HOSPITAL INC
 
Employer identification number

56-1509260
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
Yes
 
b
Any related organization? ......................
6b
Yes
 
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1M Chad Setliff
Director/President 		(i)

(ii)		 114,583
-------------
0 		291,794
-------------
0 		57,394
-------------
0 		28,200
-------------
0 		3,603
-------------
0 		495,574
-------------
0 		0
-------------
0
2Kirsten Riggs
Director/COO 		(i)

(ii)		 468,022
-------------
0 		279,658
-------------
0 		6,000
-------------
0 		56,751
-------------
0 		30,447
-------------
0 		840,878
-------------
0 		0
-------------
0
3Jeff Lindsay
Director 		(i)

(ii)		 0
-------------
1,289,430 		0
-------------
1,260,003 		0
-------------
34,160 		0
-------------
335,275 		0
-------------
16,151 		0
-------------
2,935,019 		0
-------------
0
4A Wesley Burks MD
Director 		(i)

(ii)		 0
-------------
1,051,540 		0
-------------
2,047,060 		0
-------------
20,141 		0
-------------
804,603 		0
-------------
16,322 		0
-------------
3,939,666 		0
-------------
0
5Rig Patel MD
Director 		(i)

(ii)		 554,148
-------------
0 		22,750
-------------
0 		600
-------------
0 		15,250
-------------
0 		19,179
-------------
0 		611,927
-------------
0 		0
-------------
0
6Ernest Bovio Jr
Former President 		(i)

(ii)		 48,846
-------------
0 		0
-------------
0 		70,424
-------------
0 		2,886
-------------
0 		2,414
-------------
0 		124,570
-------------
0 		0
-------------
0
7Tate Bombard
VP/General Counsel & Secretary 		(i)

(ii)		 0
-------------
292,923 		0
-------------
116,157 		0
-------------
6,578 		0
-------------
113,712 		0
-------------
14,962 		0
-------------
544,332 		0
-------------
0
8Benjamin Mathew
VP/CFO & Treasurer 		(i)

(ii)		 391,885
-------------
0 		159,490
-------------
0 		600
-------------
0 		102,180
-------------
0 		30,447
-------------
0 		684,602
-------------
0 		0
-------------
0
9Meera Udayakumar MD
VP/Medical Affairs & CMO 		(i)

(ii)		 413,497
-------------
0 		155,866
-------------
0 		600
-------------
0 		101,500
-------------
0 		28,383
-------------
0 		699,846
-------------
0 		0
-------------
0
10Lorie Rhine
VP/Patient Care Services & CNO 		(i)

(ii)		 306,183
-------------
0 		0
-------------
0 		10,546
-------------
0 		30,866
-------------
0 		23,298
-------------
0 		370,893
-------------
0 		0
-------------
0
11Chad Anderson
VP/Clinical Operations 		(i)

(ii)		 263,516
-------------
0 		91,511
-------------
0 		600
-------------
0 		50,958
-------------
0 		30,287
-------------
0 		436,872
-------------
0 		0
-------------
0
12Timothy Hester
VP/Physician Services 		(i)

(ii)		 262,923
-------------
0 		91,931
-------------
0 		0
-------------
0 		28,079
-------------
0 		31,223
-------------
0 		414,156
-------------
0 		0
-------------
0
13Megan Lumley
VP 		(i)

(ii)		 233,249
-------------
0 		59,505
-------------
0 		600
-------------
0 		37,458
-------------
0 		0
-------------
0 		330,812
-------------
0 		0
-------------
0
14Diana Massa
VP/Clinical Operations 		(i)

(ii)		 279,288
-------------
0 		97,240
-------------
0 		2,525
-------------
0 		35,285
-------------
0 		19,038
-------------
0 		433,376
-------------
0 		0
-------------
0
15Susan Moore MD
VP/UNC Rex Physicians 		(i)

(ii)		 563,912
-------------
0 		222,952
-------------
0 		6,022
-------------
0 		87,175
-------------
0 		28,383
-------------
0 		908,444
-------------
0 		0
-------------
0
16Roy Tempke
VP/Care Transitions 		(i)

(ii)		 291,697
-------------
0 		100,789
-------------
0 		4,724
-------------
0 		65,164
-------------
0 		27,446
-------------
0 		489,820
-------------
0 		0
-------------
0
17Matthew Evans
Asst Treasurer & Asst Secretary 		(i)

(ii)		 159,082
-------------
0 		14,232
-------------
0 		0
-------------
0 		4,933
-------------
0 		21,916
-------------
0 		200,163
-------------
0 		0
-------------
0
18Maire CorCoran Ragozzine
VP/General Counsel & Secretary 		(i)

(ii)		 0
-------------
262,364 		0
-------------
62,977 		0
-------------
26,820 		0
-------------
109,354 		0
-------------
14,962 		0
-------------
476,477 		0
-------------
0
19Mateen Akhtar MD
Physician 		(i)

(ii)		 1,674,970
-------------
0 		367,613
-------------
0 		575
-------------
0 		45,375
-------------
0 		21,757
-------------
0 		2,110,290
-------------
0 		0
-------------
0
20Joseph Bumgarner MD
Physician 		(i)

(ii)		 1,552,275
-------------
0 		468,906
-------------
0 		600
-------------
0 		11,500
-------------
0 		20,980
-------------
0 		2,054,261
-------------
0 		0
-------------
0
21Mohammed Farooqui MD
Physician 		(i)

(ii)		 880,198
-------------
0 		1,104,644
-------------
0 		0
-------------
0 		0
-------------
0 		12,232
-------------
0 		1,997,074
-------------
0 		0
-------------
0
22Dwijesh Patel MD
Physician 		(i)

(ii)		 1,442,513
-------------
0 		485,782
-------------
0 		600
-------------
0 		11,500
-------------
0 		28,122
-------------
0 		1,968,517
-------------
0 		0
-------------
0
23Waheed Akhtar MD
Physician 		(i)

(ii)		 1,304,481
-------------
0 		481,481
-------------
0 		575
-------------
0 		45,375
-------------
0 		15,426
-------------
0 		1,847,338
-------------
0 		0
-------------
0
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I LINE 6 -COMP. CONTINGENT ON NET EARNINGS OF ORGANIZATION & RELATED ORGANIZATIONS EMPLOYEES IN MANAGERIAL ROLES PARTICIPATE IN AN ANNUAL INCENTIVE COMPENSATION PLAN. THE COMPENSATION EARNED UNDER THIS PLAN IS BASED PARTLY ON THE COMBINED EARNINGS OF REX HEALTHCARE INC. AND ITS SUBSIDIARIES. ADDITIONALLY, THE INCENTIVE COMPENSATION OF THE PRESIDENT AND CFO IS BASED PARTLY ON THE EARNINGS OF THE UNC HEALTH CARE SYSTEM. OTHER PERFORMANCE MEASURES USED TO DETERMINE INCENTIVE COMPENSATION ARE PHYSICIAN SATISFACTION, PATIENT CARE QUALITY OUTCOMES, EFFECTIVE USE OF TECHNOLOGY AND INDIVIDUAL GOALS.
Schedule J (Form 990) (Rev. 1-2025)

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
REX HOSPITAL INC
 
Employer identification number
56-1509260
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A NORTH CAROLINA MEDICAL CARE COMMISSION
  		52-1309402 CT1594736 07-22-2020 70,535,000 (SEE STATEMENT)   X   X   X
B NORTH CAROLINA MEDICAL CARE COMMISSION
  		52-1309402 65821DTR2 05-21-2015 150,167,728 (SEE STATEMENT)   X   X   X
C NORTH CAROLINA MEDICAL CARE COMMISSION
  		52-1309402 65821DXK2 02-19-2020 227,541,104 (SEE STATEMENT)   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired ..................        
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 70,535,000 150,171,157 217,716,706  
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............   4,130,000    
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 232,984 1,051,300 1,387,730  
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds .............   144,986,428 217,454,313  
11 Other spent proceeds ............. 70,302,016      
12 Other unspent proceeds .............     8,961,904  
13 Year of substantial completion ............. 2017 2022
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X     X   X    
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X   X   X    
16 Has the final allocation of proceeds been made? .......... X   X     X    
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X      
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 2
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X    
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   X   X   X    
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X   X   X    
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X    
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?   X   X   X    
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government .... 0 % 0 % 0 %  
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... 0 % 0 % 0 %  
6 Total of lines 4 and 5 ............. 0 % 0 % 0 %  
7 Does the bond issue meet the private security or payment test? ...   X   X   X    
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X    
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 0 % 0 % 0 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X    
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X      
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X    
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X     X   X    
b Exception to rebate? ........   X   X   X    
c No rebate due? .........   X X   X      
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X X     X    
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X    
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of hedge ......... 0 % 0 % 0 %  
d Was the hedge superintegrated? ......   X   X   X    
e Was the hedge terminated? ........   X   X   X    
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X    
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC ......... 0 % 0 % 0 %  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........   X   X   X    
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X    
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X      
Part Ⅴ
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X      
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE ISSUE A: REFUND SERIES 2010 BONDS, ORIGINALLY ISSUED ON 10/26/2010.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE ISSUE B: CONSTRUCTION OF NORTH CAROLINA HEART & VASCULAR HOSPITAL AND PARKING DECK, PURCHASE EQUIPMENT FOR NORTH CAROLINA HEART & VASCULAR HOSPITAL AND FUND CAPITALIZED INTEREST.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE ISSUE C: CONSTRUCTION OF REX HOLLY SPRINGS HOSPITAL AND REX CANCER CENTER.
Schedule K, Part II, Line 3 COLUMNS B & C THE TOTAL PROCEEDS OF ISSUE BEING REPORTED IS GREATER THAN FILED ON THE FORM 8038 DUE TO INVESTMENT EARNINGS, MAINLY INTEREST EARNED. FOR ISSUE BAND C, THE INTEREST AS OF JUNE 30, 2025 IS $3,429 AND $264,080 RESPECTIVELY.
Schedule K, Part II, Line 11 COLUMN A THE OTHER SPENT PROCEEDS FOR ISSUE A WERE SPENT ON REFUNDING SERIES 2010 BONDS, ORIGINALLY ISSUED ON 10/26/2010.
Schedule K, Part IV, Line 2c COLUMN B THE REBATE COMPUTATION WAS PERFORMED FOR PERIOD ENDED MAY 21, 2020 AND BASED ON AN INDEPENDENT INVESTMENT BANKING FIRM'S REPORT DATED JULY 9, 2020, NO REBATE PAYMENT WAS REQUIRED. A 2025 REBATE CALCULATION WAS NOT REQUIRED BECAUSE ALL AMOUNTS HAVE BEEN EXPENSED.
Schedule K, Part IV, Line 2c COLUMN C THE REBATE COMPUTATION WAS PERFORMED FOR PERIOD ENDED JULY 1, 2025, AND BASED ON AN INDEPENDENT INVESTMENT BANKING FIRM'S REPORT DATED SEPTEMBER 4, 2025, NO REBATE PAYMENT WAS REQUIRED.
Schedule K (Form 990) (Rev. 1-2025)

Additional Data


Software ID: 24020961
Software Version: 2024v5.1

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
REX HOSPITAL INC
 
Employer identification number

56-1509260
Return Reference Explanation
Form 990, Part I, Line 1 NORTH CAROLINA SURGERY NORTH CAROLINA HEART AND VASCULAR HOSPITAL REX CARDIAC SURGICAL SPECIALISTS REX COMPREHENSIVE VEIN CENTER REX EAR NOSE & THROAT SPECIALISTS REX EAR NOSE & THROAT SPECIALISTS AT PANTHER CREEK REX EAR NOSE & THROAT SPECIALISTS AT WAKEFIELD REX FAMILY PRACTICE OF KNIGHTDALE REX FAMILY PRACTICE OF WAKEFIELD REX HEALTHCARE REX HEALTHCARE OF CARY REX HEALTHCARE OF GARNER REX HEALTHCARE OF HOLLY SPRINGS REX HEALTHCARE OF KNIGHTDALE REX HEALTHCARE OF WAKEFIELD REX HEART FAILURE REX HEMATOLOGY ONCOLOGY ASSOCIATES REX HOME SERVICES REX HOSPITAL INFUSION REX HOSPITAL LABORATORY REX HOSPITAL PELVIC HEALTH CENTER REX HOSPITAL PULMONOLOGY REX HOSPITAL OUTPATIENT SPEECH THERAPY OF CARY REX HOSPITAL OUTPATIENT SPEECH THERAPY REX HOSPITAL RADIATION ONCOLOGY OF WAKEFIELD REX HOSPITAL TRANSPORT REX INTERNAL MEDICINE OF CARY REX LABORATORY SERVICES OF CARY REX MOBILE MAMMOGRAPHY REX NEUROSURGERY & SPINE SPECIALISTS REX NUTRITION SERVICES REX PAIN CENTER REX PALLIATIVE CARE SPECIALISTS REX PEDIATRICS OF CARY REX PEDIATRICS OF HOLLY SPRINGS REX PRIMARY CARE OF CARY REX PULMONARY SPECIALISTS REX RADIOLOGY SERVICES OF CARY REX RADIOLOGY SPECIALISTS REX SAME DAY SURGERY REX SENIOR HEALTH CENTER REX STRATEGIC INNOVATIONS REX STRUCTURAL HEART REX SURGICAL SPECIALISTS REX THORACIC SPECIALISTS REX THORACIC SURGICAL SPECIALISTS REX UNC HEALTHCARE REX VASCULAR SPECIALISTS REX VASCULAR SURGICAL SPECIALISTS REX WELLNESS CENTER OF CARY REX WELLNESS CENTER OF GARNER REX WELLNESS CENTER OF KNIGHTDALE REX WELLNESS CENTER OF WAKEFIELD REX WOUND HEALING CENTER UNC REX CANCER CENTER UNC REX CRITICAL CARE TRANSPORT UNC REX GYNECOLOGIC ONCOLOGY UNC REX HEALTHCARE UNC REX HOME SERVICES UNC REX HOSPITAL UNC REX HOSPITAL TRANSPORT UNC REX MATERNAL FETAL MEDICINE UNC REX PHARMACY OF RALEIGH UNC REX REHABILITATION & NURSING CARE CENTER OF APEX UNC REX REHABILITATION & NURSING CARE CENTER OF RALEIGH UNC URGENT CARE AT BEAVER CREEK COMMONS UNC URGENT CARE AT CARY UNC URGENT CARE AT FUQUAY VARINA UNC URGENT CARE AT GARNER UNC URGENT CARE AT HOLLY SPRINGS UNC URGENT CARE AT KNIGHTDALE UNC URGENT CARE AT MIDTOWN RALEIGH UNC URGENT CARE AT PANTHER CREEK UNC URGENT CARE AT PARK WEST VILLAGE MARKET UNC URGENT CARE AT RALEIGH UNC URGENT CARE AT WAKEFIELD
Form 990, Part III, Line 4a MAGNET STATUS BY THE AMERICAN NURSES CREDENTIALING CENTER. IN 2020, UNC HEALTH REX WAS RE-DESIGNATED MAGNET STATUS FOR THE FOURTH CONSECUTIVE TIME. THE MAGNET RECOGNITION PROGRAM RECOGNIZES HEALTH CARE ORGANIZATIONS FOR EXCELLENCE IN NURSING CARE. THIS AWARD PUTS UNC HEALTH REX'S NURSES IN AN ELITE GROUP OF THE TOP 2 PERCENT OF NURSES IN THE NATION. UNC HEALTH REX IS ONE OF THE LARGEST EMPLOYERS IN WAKE COUNTY, WITH MORE THAN 6,500 TEAMMATES. UNC HEALTH REX IS KNOWN FOR ITS EXCELLENT BENEFITS AND IS ROUTINELY RECOGNIZED BY LOCAL AND NATIONAL PUBLICATIONS AS A "BEST PLACE TO WORK." IN LATE 2021, UNC HEALTH REX OPENED A NEW, 50-BED COMMUNITY HOSPITAL IN HOLLY SPRINGS. THE UNC HEALTH REX HOLLY SPRINGS HOSPITAL OFFERS MUCH-NEEDED MEDICAL CARE AND SERVICES TO ALL RESIDENTS OF ONE OF THE TRIANGLE'S FASTEST-GROWING REGIONS, CLOSER TO HOME. UNC HEALTH REX BEGAN EFFORTS MORE THAN A DECADE AGO TO EXPAND MEDICAL CARE IN THAT AREA, WHICH CONTINUES TO ATTRACT NEW RESIDENTS, FROM YOUNG FAMILIES TO RETIREES. THE 242,000 SQUARE-FOOT, EIGHT-STORY COMMUNITY HOSPITAL INCLUDES 50 INPATIENT BEDS, OPERATING ROOMS FOR A WIDE RANGE OF SURGERIES, A FULL-SERVICE EMERGENCY DEPARTMENT, MRI, RADIOLOGY, LABORATORY, PHARMACY AND MUCH MORE. THE HOSPITAL DELIVERS HUNDREDS OF BABIES EACH YEAR WITH SEVEN LABOR AND DELIVERY ROOMS, A C-SECTION OPERATING SUITE AND OB EMERGENCY BAYS. THE HOSPITAL EMPLOYS MORE THAN 400 PEOPLE. UNC HEALTH REX FILED PLANS IN EARLY 2025 TO EXPAND THE HOLLY SPRINGS HOSPITAL AND ADD ADDITIONAL BEDS TO KEEP UP WITH GROWING DEMAND IN THAT REGION. UNC HEALTH REX RUNS A FOOD PANTRY TO SUPPORT PATIENTS AND THEIR FAMILIES WHO STRUGGLE WITH ACCESS TO HEALTHY FOOD. THE PANTRY IS A PARTNERSHIP BETWEEN UNC HEALTH REX, FOOD LION AND THE FOOD BANK OF CENTRAL & EASTERN NORTH CAROLINA. IT'S ONE OF THE FIRST FOOD PANTRIES OPERATED BY A COMMUNITY HOSPITAL IN NORTH CAROLINA, AND ONE OF ONLY A HANDFUL ACROSS THE COUNTRY. PATIENTS AT UNC HEALTH REX WHO INDICATE THAT THEY HAVE RECENTLY STRUGGLED WITH FOOD ACCESS, OR WHO ARE CONSIDERED FOOD INSECURE, ARE PRESCRIBED A VISIT TO THE FOOD PANTRY WITH THEIR HOSPITAL DISCHARGE PAPERWORK. THEY WILL RECEIVE A THREE-DAY SUPPLY OF HEALTHY FOOD, ENOUGH FOR A FAMILY OF FOUR, INCLUDING FRESH PRODUCE, STAPLE ITEMS AND HEALTHY SNACKS. THE UNC HEALTH REX FOOD PANTRY WILL ALSO PROVIDE NUTRITIONAL INFORMATION, HEALTHY RECIPES FROM UNC HEALTH REX'S AWARD-WINNING CHEFS AND DIETITIANS, AND A COMPREHENSIVE LIST OF FOOD BANKS AND OTHER COMMUNITY RESOURCES. THE UNC HEALTH REX HOLLY SPRINGS HOSPITAL RUNS A SECOND FOOD PANTRY. UNC HEALTH REX'S CULINARY TEAM HAS CREATED A CHEF-BASED PROGRAM THAT HAS ATTRACTED INTERNATIONAL RECOGNITION AND REINVENTING TRADITIONAL "HOSPITAL FOOD." THEY TEND AN HERB AND VEGETABLE GARDEN AT UNC HEALTH REX AND USE LOCAL AND FRESH INGREDIENTS AS MUCH AS POSSIBLE. UNC HEALTH REX WAS THE FIRST HOSPITAL IN THE SOUTHEAST TO GET RID OF DEEP FRYERS AND THE CHEFS CONTINUE TO EXPLORE NEW WAYS TO COOK AND SERVE OUR CUISINE. THE UNC HEALTH REX CHEFS RUN A NEW MEDITERRANEAN-THEMED, HEART HEALTHY RESTAURANT CALLED KARDIA IN THE NEW NORTH CAROLINA HEART & VASCULAR HOSPITAL. IN ADDITION, THE CHEFS AND REGISTERED DIETITIANS OFFER FREE CLASSES ON HEALTHY COOKING AND EATING TO PATIENTS, THEIR FAMILIES, AND MEMBERS OF THE COMMUNITY IN A DEMONSTRATION KITCHEN. UNC HEALTH REX PERFORMS THOUSANDS OF HEART AND VASCULAR PROCEDURES A YEAR, INCLUDING CORONARY ARTERY BYPASS GRAFTING, ENDOVASCULAR AAA REPAIR, ECHOCARDIOGRAPHY, PERIPHERAL VASCULAR ULTRASOUND, VALVE REPLACEMENT AND REPAIR, ANGIOPLASTY, CARDIAC CATHETERIZATION, MINIMALLY INVASIVE STRUCTURAL HEART PROCEDURES, INVASIVE PERIPHERAL VASCULAR INTERVENTIONS, INCLUDING CRITICAL LIMB ISCHEMIA PROCEDURES, ELECTROPHYSIOLOGY PROCEDURES AND STENT PLACEMENT, REGARDLESS OF PATIENTS' ABILITY TO PAY. UNC HEALTH REX HAS BEEN A CHEST PAIN ACCREDITED HOSPITAL FOR MORE THAN A DECADE, REINFORCING THE ORGANIZATION'S DEDICATION TO COMMUNITY OUTREACH AND INNOVATION IN THE CARE OF CHEST PAIN PATIENTS. THE SERVICE LINE ALSO INCLUDES OPEN HEART SURGICAL SUITES WHERE PHYSICIANS PERFORM PROCEDURES SUCH AS CORONARY ARTERY BYPASS GRAFTING, MITRAL VALVE REPLACEMENT AND REPAIR, AND AORTIC VALVE AND AORTIC ARCH REPLACEMENTS. UNC HEALTH REX ALSO PROVIDES A FULL RANGE OF INVASIVE CATHETER BASED CARDIAC, VASCULAR AND ELECTROPHYSIOLOGY PROCEDURES. ALL OF THE EXISTING HEART AND VASCULAR SERVICES AND CARE, WHICH WERE PROVIDED AT MORE THAN SEVEN LOCATIONS ACROSS THE MAIN HOSPITAL IN RALEIGH, WERE CONSOLIDATED INTO A MODERN, MORE EFFICIENT AND MORE CONVENIENT FACILITY WITH THE MARCH 2017 OPENING OF THE NORTH CAROLINA HEART AND VASCULAR HOSPITAL ON UNC HEALTH REX'S MAIN RALEIGH CAMPUS. THIS EIGHT-STORY, 306,000-SQUARE-FOOT HOSPITAL PROVIDES EASIER AND MORE COMFORTABLE ACCESS FOR PATIENTS AND THEIR FAMILIES, PHYSICIANS AND STAFF, IN A FACILITY THAT'S DESIGNED TO PROMOTE HEALING, PREVENTION, EDUCATION, INNOVATION AND WELLNESS. OUR CHEFS AND DIETITIANS REGULARLY HOLD COMMUNITY HEALTHY COOKING DEMONSTRATIONS IN A CONFERENCE SPACE THAT INCLUDES A DEMONSTRATION KITCHEN, AND HAVE HOSTED HUNDREDS OF PARTICIPANTS, INCLUDING PATIENTS AND THEIR FAMILIES.
Form 990, Part VI, Line 6 Classes of members or stockholders THE ORGANIZATION'S SOLE MEMBER IS REX HEALTHCARE, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM APPOINTS ALL OF THE THIRTEEN SEATS ON THE ORGANIZATION'S BOARD OF TRUSTEES.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE ORGANIZATION'S BOARD REQUIRES PRIOR APPROVAL OF THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM FOR CERTAIN POWERS, INCLUDING BUT NOT LIMITED TO ADDITION OR DELETION OF A HEALTH CARE SERVICE, PARTICIPATION, DIRECTLY OR INDIRECTLY, IN A JOINT VENTURE, INDEBTEDNESS AND CAPITAL BUDGETS, OPERATING BUDGETS AND NON-BUDGETED MATERIAL EXPENDITURES.
Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE ORGANIZATION'S CFO REVIEWED THE FORM 990 AND THE FULL BOARD RECEIVED A COPY OF THE FORM 990 PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING ALL BOARD MEMBERS TO ANNUALLY COMPLETE AND SIGN A QUESTIONNAIRE DOCUMENTING ANY AREA OF CONFLICT OF INTEREST. THE BOARD MEMBERS ARE REQUIRED TO REPORT AND DOCUMENT ANY NEW AREAS OF CONFLICT OF INTEREST AS THEY ARISE.
Form 990, Part VI, Line 15a Process to establish compensation of top management official THE ORGANIZATION USES AN INDEPENDENT CONSULTANT TO MEASURE FAIR VALUE OF COMPENSATION FOR THE ORGANIZATION'S PRESIDENT AND OTHER TOP MANAGEMENT. THE ORGANIZATION'S BOARD REVIEWS AND APPROVES THE COMPENSATION FOR ALL OFFICERS EXCEPT THE ASSISTANT TREASURER AND ASSISTANT SECRETARY.
Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST AND ON GUIDESTAR'S WEBSITE AND THE FINANCIAL STATEMENTS ARE AVAILABLE ON MUNICIPAL SECURITIES RULEMAKING BOARD'S WEBSITE. THE ORGANIZATION DOES NOT MAKE OTHER GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Section A, Line 1b BOARD MEMBERS AND OFFICERS CONTRIBUTE THEIR TIME AND SERVICES UPON REQUEST AND ON AN AS-NEEDED BASIS, WHICH, THROUGHOUT THE YEAR, MAY DIFFER FROM THE AVERAGE NUMBER OF HOURS PER WEEK REPORTED ON PART VII, LINE 1B.
Form 990, Part XII, Line 2c Change of oversight process or selection process THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
Form 990, Part III, Line 4a (continued) UNC HEALTH REX SURGERY CENTERS IN RALEIGH, CARY AND WAKEFIELD ARE USED BY HUNDREDS OF PHYSICIANS TO PROVIDE THOUSANDS OF IN- AND OUT-PATIENT SURGERIES AND PROCEDURES EVERY YEAR. THE THREE LOCATIONS HAVE IMPROVED ACCESS TO SPECIALIZED CARE FOR PATIENTS ACROSS THE REGION. SURGEONS MAKE SUBSTANTIAL USE OF MINIMALLY INVASIVE TECHNOLOGY AND INNOVATION FOR DIAGNOSIS AND TREATMENT, REDUCING PATIENTS' RECOVERY TIME AND HOSPITAL STAY AND SUPPORTING QUALITY CARE. THE CENTERS INCLUDE 38 OPERATING SUITES, 11 MINOR PROCEDURE ROOMS, AND VARIOUS PERIOPERATIVE AND ANCILLARY SUPPORT SPACES. UNC HEALTH REX IS INCREASINGLY PERFORMING SURGERIES ON AN OUTPATIENT BASIS AND CONTINUING TO LOOK FOR OTHER WAYS TO REDUCE OVERALL COSTS FOR PATIENTS. SOME OF THE TOP PROCEDURES INCLUDE GENERAL, ORTHOPEDIC, GYNECOLOGIC, AND OPHTHALMIC SURGERIES. DURING THE YEAR, THOUSANDS OF OUTPATIENT ORTHOPEDIC PROCEDURES WERE PERFORMED AT RALEIGH ORTHOPAEDIC SURGERY CENTER IN RALEIGH AND CARY, UNC HEALTH REX'S JOINT VENTURE WITH RALEIGH ORTHOPAEDIC CLINIC. UNC HEALTH REX PROVIDES A FULL RANGE OF SPECIALIZED, MULTI-DISCIPLINARY ONCOLOGY THERAPY AND SUPPORT SERVICES TO THOUSANDS OF PATIENTS IN WAKE COUNTY AND BEYOND INCLUDING MEDICAL, RADIATION AND SURGICAL ONCOLOGY. IN ADDITION TO PROVIDING CANCER TREATMENTS AND THERAPIES AT MULTIPLE LOCATIONS IN WAKE COUNTY, THE CENTERS OFFER OUTREACH AND SUPPORT SERVICES INCLUDING NUTRITIONAL SERVICES, NURSE NAVIGATION, SOCIAL WORK, REHABILITATION SERVICES AND SURVIVORSHIP OR END OF LIFE CARE. UNC HEALTH REX CANCER CENTER ALSO PROVIDES ONCOLOGIC SURGICAL SERVICES TO CANCER PATIENTS THROUGH ACCESS TO UNC HEALTH REX HOSPITAL. UNC HEALTH REX CANCER CENTER IS ACCREDITED BY THE COMMISSION ON CANCER AS A COMPREHENSIVE COMMUNITY CANCER CENTER AND WORKS CLOSELY WITH THE NATIONALLY RECOGNIZED N.C. CANCER HOSPITAL AND THE UNC LINEBERGER COMPREHENSIVE CANCER CENTER IN CHAPEL HILL TO EXTEND SPECIALTY ONCOLOGY SERVICES AND CLINICAL TRIALS TO PATIENTS IN RALEIGH. IN EARLY 2017, UNC HEALTH REX CANCER CARE BEGAN A PATIENT & FAMILY ADVISORY COUNCIL. IT'S A GROUP OF SURVIVORS AND OTHER VOLUNTEERS WHO VISIT WITH CANCER PATIENTS AND FAMILIES GOING THROUGH TREATMENT TO OFFER SUPPORT, GATHER FEEDBACK, DEVELOP NEW PROGRAMS AND ACTIVITIES, AND MORE. THE GOAL IS TO HELP STAFF UNDERSTAND WAYS THEY COULD IMPROVE THE OVERALL PATIENT EXPERIENCE. IN MARCH 2022, UNC HEALTH REX OPENED A NEW UNC HEALTH REX CANCER CENTER ACROSS THE STREET FROM THE MAIN RALEIGH HOSPITAL CAMPUS. THAT FACILITY IS NOW HOME TO MUCH OF UNC HEALTH REX'S ONCOLOGY CARE AND SERVICES, INCLUDING SUPPORT GROUPS, COMMUNITY EDUCATION AND MORE. AT UNC HEALTH REX'S WOMEN'S CENTER, CAREGIVERS SEEK TO PROVIDE FAMILY-CENTERED CARE TO THE NEW MOTHER, BABY AND EXTENDED FAMILY. EVERY YEAR, THOUSANDS OF BABIES ARE BORN AT THE WOMEN'S CENTER. THESE BIRTHS ARE SUPPORTED BY 24/7 ANESTHESIOLOGY AND NEONATOLOGY SERVICES, HIGH RISK OBSTETRICS PROVIDED BY UNC MATERNAL FETAL MEDICINE, LACTATION SUPPORT SERVICES PROVIDED BY A TEAM OF CERTIFIED LACTATION CONSULTANTS AND AN IN-HOUSE RETAIL CENTER FOR INFANT NUTRITION. UNC HEALTH REX ALSO OFFERS A WIDE VARIETY OF PRE- AND POST-NATAL CLASSES, SCREENING FOR POSTPARTUM DEPRESSION AND PSYCHOLOGICAL SERVICES. THERE ARE THREE OPERATING SUITES FOR CESAREAN BIRTHS AND 70 PRIVATE ROOMS IN WHICH LABOR, DELIVERY, RECOVERY, AND POSTPARTUM CARE OF THE MOTHER AND CHILD NORMALLY OCCUR. UNC HEALTH REX'S NEONATAL INTENSIVE CARE UNIT IS A LEVEL IV DESIGNATION, ALLOWING UNC HEALTH REX'S TEAM OF BOARD-CERTIFIED NEONATOLOGISTS, NURSES, RESPIRATORY THERAPISTS, DEVELOPMENTAL CARE TEAM AND OTHERS TO CARE FOR EVEN MORE PREMATURE AND MEDICALLY FRAGILE BABIES. UNC HEALTH REX'S NICU WAS PREVIOUSLY DESIGNATED LEVEL III. IN 2016, REX ALSO ADDED AN OBSTETRIC EMERGENCY DEPARTMENT. THE OB ED IS STAFFED 24/7 WITH A TEAM OF OB HOSPITALISTS, NURSES AND TECHNICIANS WHO PROVIDE OBSTETRIC EMERGENCY CARE IN PARTNERSHIP WITH OUR COMMUNITY OBSTETRICIANS. UNC HEALTH REX PROVIDES SCREENING MAMMOGRAMS TO THOUSANDS OF WOMEN ACROSS A 17-COUNTY REGION, INCLUDING MANY WITH NO INSURANCE OR WHO ARE UNDERINSURED. UNC HEALTH REX'S TWO MOBILE MAMMOGRAPHY VEHICLES (NICKNAMED BETTY AND WILMA) PROVIDE A CONVENIENT OPTION FOR BUSINESS AND OTHER ORGANIZATIONS SO THAT ALL WOMEN MAY BENEFIT FROM MAMMOGRAPHY'S EARLY DETECTION CAPABILITIES. MOBILE MAMMOGRAPHY IS MADE POSSIBLE THROUGH GENEROUS FUNDING FROM REVLON INC., THE KAY YOW CANCER FUND AND THE UNC HEALTH FOUNDATION. MAMMOGRAPHY SERVICES FUNDING IS AVAILABLE FOR QUALIFIED WOMEN UTILIZING THE MOBILE MAMMOGRAPHY UNIT THROUGH GENEROUS FUNDING FROM SUSAN G. KOMEN FOR THE CURE, NC TRIANGLE AFFILIATE. UNC HEALTH REX IS A LEADER IN WELLNESS, PREVENTION, AND EDUCATION IN OUR COMMUNITY. WE WORK WITH VARIOUS COMMUNITY PARTNERS TO IMPROVE THE OVERALL HEALTH OF RESIDENTS OF ALL AGES. UNC HEALTH REX WELLNESS CENTERS IN RALEIGH, CARY AND KNIGHTDALE PROVIDE A WIDE RANGE OF FITNESS, DIET, REHAB, EDUCATION AND OTHER SERVICES FOR THOUSANDS OF MEMBERS. UNC HEALTH REX SUPPORTS MANY COMMUNITY PARTNERS THAT COMPLEMENT OUR MISSION TO IMPROVE THE HEALTH AND WELLBEING OF ALL NORTH CAROLINIANS, INCLUDING THE AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, FOOD BANK, HABITAT FOR HUMANITY, KAY YOW CANCER FUND, AND MANY OTHERS. UNC URGENT CARE, PREVIOUSLY KNOWN AS REX EXPRESS CARE, CLINICS (10+ LOCATIONS ACROSS WAKE COUNTY) PROVIDE A CONVENIENT, LOWER-COST ALTERNATIVE TO THE HOSPITAL EMERGENCY DEPARTMENT FOR PATIENTS WHO NEED URGENT MEDICAL TREATMENT BECAUSE OF AN ACCIDENT OR ILLNESS. THE CLINICS USE AN ONLINE RESERVATION SYSTEM AT ALL LOCATIONS ACROSS WAKE COUNTY, MAKE IT EASIER FOR PATIENTS TO SCHEDULE THEIR URGENT CARE VISITS.
FORM 990, PARTS VIII & IX AND SCHEDULE H BAD DEBT & HASP REQUIREMENTS To comply with the Healthcare Access and Stabilization Program (HASP) requirements for FY2025, the North Carolina Department of Health and Human Services mandated all North Carolina hospitals to attest to implementing a standardized, enhanced medical debt policy. This applies to North Carolina residents who are actively enrolled in Medicaid or Managed Medicaid or fall below certain federal poverty levels. Historical debt remaining in our system was impacted. In FY2025, the filing organization implemented the North Carolina Medical Debt Relief and Mitigation policy as required by HASP. This policy reduced Bad Debt expense and increased Charity Care for the filing year.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) (Rev. 1-2025)


Additional Data


Software ID: 24020961
Software Version: 2024v5.1
SCHEDULE R
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
Open to Public Inspection
Name of the organization
REX HOSPITAL INC
 
Employer identification number

56-1509260
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) REX HEALTH VENTURES GP I LLC
4420 LAKE BOONE TRAIL
RALEIGH,NC27607
45-5070550 		VENTURE CAPIT NC 0 0 REX HOSPITAL
 
(2) REX ORTHOPEDIC VENTURES LLC
4420 LAKE BOONE TRAIL
RALEIGH,NC27607
27-3434805 		ORTHOPEDIC PR NC 6,106,945 0 REX HOSPITAL
 








Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)UNC HEALTH CARE SYSTEM
101 MANNING DRIVE

CHAPEL HILL,NC27514
56-2206970 		HEALTHCARE NC 115   UNC HEALTH C
 
 
No
(2)UNC HOSPITALS
101 Manning Drive

Chapel Hill,NC27514
56-1118388 		HEALTHCARE NC 115   UNC HEALTH C
 
 
No
(3)CALDWELL MEMORIAL HOSPITAL
321 MULBERRY STREET SW

LENOIR,NC28645
56-0554202 		HEALTHCARE NC 501(c)(3) 3 UNC HEALTH C
 
 
No
(4)CALDWELL MEMORIAL HOSPITAL FNDN INC
PO Box 1890

Lenoir,NC28645
58-1935514 		SUPPORT OF CA NC 501(c)(3) 7 CALDWELL MEM
 
 
No
(5)CHATHAM HOSPITAL INC
PO Box 649

Siler City,NC27344
56-0611546 		HEALTHCARE NC 501(c)(3) 3 UNC HEALTH C
 
 
No
(6)PIEDMONT TRIAD HEALTH SERVICES
101 Manning Drive Medical Wing

Chapel Hill,NC27514
56-1497163 		SUPPORT OF UN NC 501(c)(3) Type II UNC HEALTH C
 
 
No
(7)REX HEALTHCARE INC
4420 Lake Boone Trail

Raleigh,NC27607
56-1509129 		HEALTHCARE NC 501(c)(3) Type I UNC HEALTH C
 
 
No
(8)UNCPN
5221 PARAMOUNT PKWY SUITE 220

Morrisville,NC27560
27-1081647 		HEALTHCARE NC 501(c)(3) 10 UNC HEALTH C
 
 
No
(9)UNC ROCKINGHAM HEALTH CARE INC
117 EAST KINGS HIGHWAY

EDEN,NC27288
82-3745228 		HEALTHCARE NC 501(c)(3) 3 UNC HEALTH C
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) Rex Surgery Center of Cary

4420 Lake Boone Trail
Raleigh,NC27607
27-3684056 		ASC NC NA
  		Related 1,583,903 4,942,895   No       55.75 %
(2) JRH Ventures LLC

4420 Lake Boone Trail
Raleigh,NC27607
27-4092967 		Med Campus De NC NA
  		Related 2,622,068 5,031,386   No       50 %
(3) Rex Health Ventures I LP

4420 Lake Boone Trail
Raleigh,NC27607
37-1690478 		Venture Capit NC NA
  		Related -152,356 21,125,850   No       100 %
(4) Orthopaedic Surgery Center of Raleigh LLC

4420 Lake Boone Trail
Raleigh,NC27607
27-1740526 		Orthopaedic S NC NA
  		Related 6,589,832 6,484,160   No       51 %
(5) TRO Ventures LLC

4420 Lake Boone Trail
Raleigh,NC27607
82-1330195 		Healthcare NC NA
  		Related 434,872 5,734,445   No       58.6 %
(6) Rex Surgery Center of Wakefield

4420 Lake Boone Trail
Raleigh,NC27607
46-5511168 		ASC NC NA
  		Related 716,986 102,058   No       75.645 %
(7) NORTH CHAPEL HILL SURGERY CENTER LLC

101 MANNING DR
CHAPEL HILL,NC27514
46-3242402 		HEALTHCARE NC NA
  		Related -66,020 2,469,430   No       50 %
(8) ORTHOPAEDIC SURGERY CENTER OF PANTHER CR

4420 LAKE BOONE TRAIL
Raleigh,NC27607
84-3730735 		Orthopaedic S NC NA
  		Related 341,814 -1,633,128   No       51 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) REX ENTERPRISES COMPANY INC

4420 LAKE BOONE TRAIL
RALEIGH,NC27607
56-1553957 		OPERATION SUP NC REX HEALTHCARE
  		C Corporation 0 0 0 %   No
(2) UNC PHYSICIANS NETWORK GRP PRACTICES LLC

5221 PARAMOUNT PKWY SUITE 220
MORRISVILLE,NC27560
46-1416986 		HEALTHCARE NC UNC HEALTHCARE
  		C Corporation 0 0 0 %   No
(3) UNC PHYSICIANS GRP PRACTICES II LLC

4420 LAKE BOONE TRAIL
RALEIGH,NC27607
85-2823886 		HEALTHCARE NC REX HEALTHCARE
  		C Corporation 0 0 0 %   No
(4) UNC HEALTH INNOVATIONS INC

4420 LAKE BOONE TRAIL
RALEIGH,NC27607
87-1233049 		OPERATION SUP NC REX HEALTHCARE
  		C Corporation 0 0 0 %   No






Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) (Rev. 1-2025)

Additional Data


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