Civic Intelligence

Rex Healthcare Inc

EIN 56-1509129 • 501(c)3 • Raleigh, NC

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Profile

Primary exempt purpose - to operate, promote and advance charitable, educational, and scientific purposes by supporting and operating for the benefit of its sole member, the university of north carolina health care system, and its supported organizations.

4420 Lake Boone TrailRaleigh, NC 27607-7505

www.rexhealth.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

93rd percentile

1.00x

Higher debt load relative to assets than 93% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2023

Liabilities / Revenue

97th percentile

12.08x

Higher debt load relative to revenue than 97% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2023

Net Margin

32nd percentile

-0.4%

Higher net margin than 32% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2023

Top Officer Pay

100th percentile

$2,571,139

Higher top officer pay than 100% of similar nonprofits.

$50M-$100M nonprofits • Source year 2017

Asset Growth

31st percentile

1.1%

Faster asset growth than 31% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2023

Revenue Growth

88th percentile

51%

Faster revenue growth than 88% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2023

Balance Sheet
Liabilities / Assets93rd percentile

Assets

Down

$2,028,375

Down $57,721,597 (-97%) from 2023

Liabilities

Down

$2,188,163

Down $57,610,307 (-96%) from 2023

Net Assets

Down

-$159,788

Down $111,290 (-229%) from 2023

Operations
Liabilities / Revenue97th percentileNet Margin32nd percentile

Revenue

Up

$6,761,759

Up $1,812,033 (+37%) from 2023

Expenses

Up

$6,873,049

Up $1,903,295 (+38%) from 2023

Net Income

Down

-$111,290

Down $91,262 (-456%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth31st percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100M$50M$0-$50MAssets 2011: $0Liabilities 2011: $02011Assets 2012: $0Liabilities 2012: $0Net Assets 2012: $02012Assets 2013: $0Liabilities 2013: $0Net Assets 2013: $02013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014Assets 2015: $1Liabilities 2015: $02015Assets 2016: $0Liabilities 2016: $0Net Assets 2016: $02016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019Assets 2020: $43,521,631Liabilities 2020: $43,533,286Net Assets 2020: -$11,6552020Assets 2021: $87,257,753Liabilities 2021: $87,285,492Net Assets 2021: -$27,7392021Assets 2022: $59,098,718Liabilities 2022: $59,127,188Net Assets 2022: -$28,4702022Assets 2023: $59,749,972Liabilities 2023: $59,798,470Net Assets 2023: -$48,4982023Assets 2024: $2,028,375Liabilities 2024: $2,188,163Net Assets 2024: -$159,7882024

Highlighted filing

2024

Assets$2,028,375
Liabilities$2,188,163
Net Assets-$159,788
Open 2024 Filing

Operations Trend

Revenue Growth88th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$8.0M$6.0M$4.0M$2.0M$0-$2.0MRevenue 2011: $0Expenses 2011: $0Net Income 2011: $02011Revenue 2012: $0Expenses 2012: $0Net Income 2012: $02012Revenue 2013: $0Expenses 2013: $0Net Income 2013: $02013Revenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $0Expenses 2015: $0Net Income 2015: $02015Revenue 2016: $0Expenses 2016: $0Net Income 2016: $02016Revenue 2017: $0Expenses 2017: $0Net Income 2017: $02017Revenue 2018: $0Expenses 2018: $0Net Income 2018: $02018Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019Revenue 2020: $0Expenses 2020: $0Net Income 2020: $02020Revenue 2021: $0Expenses 2021: $0Net Income 2021: $02021Revenue 2022: $3,277,813Expenses 2022: $3,278,544Net Income 2022: -$7312022Revenue 2023: $4,949,726Expenses 2023: $4,969,754Net Income 2023: -$20,0282023Revenue 2024: $6,761,759Expenses 2024: $6,873,049Net Income 2024: -$111,2902024

Highlighted filing

2024

Revenue$6,761,759
Expenses$6,873,049
Net Income-$111,290
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$2,028,375
Liabilities
$2,188,163
Net assets
-$159,788
Revenue
$6,761,759
Expenses
$6,873,049
Net income
-$111,290
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$2.03$2.19$0.16$6.76$6.87$0.11
2023Detailed filing. Detailed filing data is available for this year.$59.7$59.8$0.05$4.95$4.97$0.02
2022Detailed filing. Detailed filing data is available for this year.$59.1$59.1$0.03$3.28$3.28$0.00
2021Detailed filing. Detailed filing data is available for this year.$87.3$87.3$0.03$0.00$0.00$0.00
2020Detailed filing. Detailed filing data is available for this year.$43.5$43.5$0.01$0.00$0.00$0.00
2019Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2018Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2017Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2016Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2015Summary only. Only limited summary data is available for this year.$0.00$0.00$0.00$0.00$0.00
2014Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.00$0.00$0.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.00$0.00$0.00
2011Summary only. Only limited summary data is available for this year.$0.00$0.00$0.00$0.00$0.00
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Mar 6, 2025
Return Version
2023v6.0
Gross Receipts
$6,761,759
Mission and Program Overview

Mission

Form 990-ez, part iii, primary exempt purpose - to participate in and promote the provision of patient care, facilitate the education of physicians and other health care providers, promote research in collaboration with the health sciences schools of the university of north carolina at chapel hill, and facilitate and promote the delivery of other services designed to promote the health and well-being of the citizens of north carolina. Form 990-ez, part v, information regarding personal benefit contracts: the organization did not, during the year, receive any funds, directly, or indirectly, to pay premiums on a personal benefit contract. The organization, did not, during the year, pay any premiums, directly, or indirectly, on a personal benefit contract.

The coordination of activities supporting university of north carolina health care system and its charitable tax-exempt affiliates.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$56,571,362$1,094,727▼ $55,476,635
Land, Buildings, and Equipment, Net$1,063,836$852,535▼ $211,301
Cash and Non-Interest-Bearing Accounts$0$122,625▲ $122,625
Inventories for Sale or Use$0$1,458▲ $1,458
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$2,114,774$-42,970▼ $2,157,744
Total Assets$59,749,972$2,028,375▼ $57,721,597
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$59,798,470$1,207,781▼ $58,590,689
Other Liabilities$0$980,382▲ $980,382
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$59,798,470$2,188,163▼ $57,610,307
Net Assets / Fund Balance
Total Net Assets Fund Balance$-48,498$-159,788▼ $111,290
Total Liabilities and Net Assets / Fund Balance$59,749,972$2,028,375▼ $57,721,597

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$128,395$1,471,605$1,600,000
Other Land Buildings$717,557$180,427$897,984
Equipment$6,583$4,407$10,990
Buildings$0$0$0
Compensation and Service Providers
Top Officer Pay100th percentile

Board Members and Trustees

NameTitle
Jeff LindsayDirector/president & Chairman
Lynne Fiscus MdDirector
Matthew Ewend MdDirector
Ernest L Bovio JrDirector (thru 01/2024)
Stephen W BurrissDirector (thru 07/2023)
Will BryantDirector/treasurer & Secretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$274,735
Investment Income
$70
Other Revenue
$6,486,954
Change in Net Assets
$-111,290
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,659,205
Other Expenses$3,213,844
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,114,844--$3,114,844
Fees for Services Other$954,050$0$0$954,050
Depreciation Depletion-$641,769-$641,769
Payroll Taxes$237,441--$237,441
Other Employee Benefits$232,718--$232,718
Office Expenses-$107,886-$107,886
Pension Plan Contributions$74,202--$74,202
Interest-$41,889-$41,889
Travel$5,590--$5,590
Occupancy$4,817--$4,817
Other Expenses$4,148--$4,148
Total Functional Expenses$6,081,505$791,544$0$6,873,049
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liabilities$748,538
Incentive Pay Reserve$195,757
Sales Tax Payable$36,087
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“The organization's sole member is the university of north carolina health care system.”

Form 990, Part VI, Section A, Line 7A

“The university of north carolina health care system appoints all of the seats on the organization's board of directors. The board shall consist of at least three (3) but no more than seven (7) directors.”

Form 990, Part VI, Section A, Line 7B

“The organization's board requires prior approval of the university of north carolina health care system for certain powers, including but not limited to amendment of the articles of incorporation, amendment of the by-laws, conversion, merger, consolidation, or sale of substantially all of the assets and dissolution of the organization.”

Form 990, Part VI, Section B, Line 11B

“The form 990 will be reviewed by the board chair prior to signature and filing.”

Form 990, Part VI, Section B, Line 12C

“The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy by requiring all board members to annually complete and sign a questionnaire documenting any area of conflict of interest. The board members are required to report and document any new areas of conflict of interest as they arise.”

Form 990, Part VI, Section C, Line 19

“The organization's governing documents, conflict of interest policy or financial statements are not made available to the public.”

Filing and Contact Details

Filer

Filer Name
Rex Healthcare Inc
EIN
56-1509129
In Care Of
% UNC HEALTH SYSTEM ACCOUNTING
Phone
9197843100
Address
4420 LAKE BOONE TRAIL, Raleigh, NC 27607-7505
Doing Business As
Nc Healthunc Health Rex

Signing Officer

Name
Jeff Lindsay
Title
Pres. & Board Chair
Phone
9197843100
Signed
2025-03-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeff Lindsay
Formed
1986
Legal Domicile
Nc
Voting Board Members
4
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Bdo USA
Address
421 Fayetteville Street Suite 300, Raleigh, NC 27601
Preparer
Sandra L Feinsmith
Phone
9192781936
Supplemental Narrative

Additional Explanations

Form 990 Part IX Line 11G

“Description:medical home services total fees:940260”

Form 990 Part IX Line 11G

“Description:other total fees:11418”

Form 990 Part IX Line 11G

“Description:housekeeping services total fees:2372”

Financial Statement Notes

Schedule D, Part X, Line 2

“The following footnote comes from the consolidated financial statements of rex healthcare, inc. And subsidiaries, including rex healthcare, inc. 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.”

Raw XML AppendixShowing 400 of 859 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR (THRU 07/2023)
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0UNC HEALTH CARE SYSTEM
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1CALDWELL MEMORIAL HOSPITAL INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt2CHATHAM HOSPITAL INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt3REX HOSPITAL INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt4UNC PHYSICIANS NETWORK LLC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt5UNC ROCKINGHAM HEALTH CARE INC
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE FOLLOWING FOOTNOTE COMES FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF REX HEALTHCARE, INC. AND SUBSIDIARIES, INCLUDING REX HEALTHCARE, INC. 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.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PART X, LINE 2
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