{ "schemaVersion": 4, "entityId": "340114", "canonicalName": "REX HOSPITAL", "status": "corporate_chain", "statusLabel": "Corporate-chain ownership/accountability warning", "summary": "REX HOSPITAL has a completed North Carolina state-template dossier baseline with official identity, CMS enrollment/owner context when matched, CMS Care Compare point-in-time context when matched, HCRIS financial/utilization context when matched, and explicit limitations for missing fields. Unsupported ownership, compensation, labor, quality-trend, or causation claims are not inferred.", "lastReviewed": "2026-07-02", "review": { "reviewer": "Five-state state-template completion batch", "evidence_grade": "completed state-template official-source baseline", "confidence": "medium", "source_count": 9, "ownership_source_count": 18, "identity_match_method": "CMS enrollment match used where available", "publication_decision": "Publish state-template completion fields while preserving explicit unavailable/searched-not-found limitations.", "batch_id": "state-template-complete-2026-07-02-001" }, "firstGlance": { "taxOwnershipType": "Government / public", "operator": "UNC Health", "directPeOwnership": "Not documented as direct PE ownership in this state-template pass", "peRelationship": "No documented PE link in current baseline sources", "institutionalShareholderContext": "No public-company shareholder layer. Control context is UNC Health governance and state academic-health-system accountability.", "populationServedEstimate": 0, "populationServedLabel": "Needs system/facility catchment estimate", "careLevel": "Acute Care Hospitals", "currentCeo": "Wesley Burks", "previousRelevantCeo": "Not identified in this automated NC pass", "confidence": "medium", "bottomLine": "REX HOSPITAL is connected to UNC Health. No public-company shareholder layer. Control context is UNC Health governance and state academic-health-system accountability. Institutional shareholder names are context only and do not override facility-level ownership evidence." }, "communityImpact": { "populationServedEstimate": 0, "populationServedLabel": "Needs system/facility catchment estimate", "estimateMethod": "Not estimated in automated NC pass", "catchmentDescription": "RALEIGH, WAKE, North Carolina. Service role should be refined in manual follow-up.", "traumaCareLevel": "Acute Care Hospitals", "publicFacingCaveat": "Community role is sourced from facility type and location until a deeper local-service review is completed." }, "qualityAndLaborContext": { "immediateJeopardy2026SourceStatus": "Not specifically identified in this automated NC pass", "noCausationClaim": true, "note": "CMS Care Compare point-in-time identity/rating context captured for the state template. This is not a quality trend or ownership-causation claim.", "sourceId": "source-cms-care-compare", "cmsOverallRating": "5", "emergencyServices": "Yes", "hospitalType": "Acute Care Hospitals", "careCompareOwnership": "Government - State" }, "leadership": [ { "name": "Wesley Burks", "role": "UNC Health CEO and UNC School of Medicine Dean", "context": "System-level academic health-system accountability context.", "imageUrl": "placeholder://official-image-unavailable", "imageAlt": "Wesley Burks official image", "imageStatus": "official image unavailable in this automated NC pass", "sourceId": "source-unc-health-leadership" } ], "identifiers": { "ccn": "340114", "npi": "1497797088", "historicalCcns": [], "aliases": [ { "alias": "REX HOSPITAL INC", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "REX HOSPITAL, UNC REX HOSPITAL", "alias_type": "cms_dba", "source_id": "source-cms-hospital-enrollments" }, { "alias": "REX HOSPITAL", "alias_type": "cms_care_compare_name", "source_id": "source-cms-care-compare" } ] }, "ownershipHistory": [ { "relationship_id": "rel-legal-owner-340114", "from_entity_id": "rex-hospital-inc", "to_entity_id": "rex-hospital", "relationship_type": "controls", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "high", "source_ids": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue", "plain_english_summary": "REX HOSPITAL INC is the best available legal-owner or enrolled-operator layer for REX HOSPITAL.", "review_notes": "This legal-owner layer is separate from ultimate parent, public-company shareholders, and PE sponsor context." }, { "relationship_id": "rel-operator-340114", "from_entity_id": "unc-health", "to_entity_id": "rex-hospital", "relationship_type": "operates", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "medium", "source_ids": "source-nc-baseline-queue|source-unc-health-leadership", "plain_english_summary": "UNC Health is shown as the operator or parent-system layer for this facility.", "review_notes": "" }, { "relationship_id": "rel-ultimate-parent-340114", "from_entity_id": "university-of-north-carolina-health-care-system", "to_entity_id": "unc-health", "relationship_type": "parent_company_or_controller", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "medium", "source_ids": "source-unc-health-leadership|source-nc-baseline-queue", "plain_english_summary": "University of North Carolina Health Care System is the best available ultimate parent, sponsor, or controller context for UNC Health.", "review_notes": "" }, { "relationship_id": "rel-cms-owner-340114", "from_entity_id": "unchealth", "to_entity_id": "340114", "relationship_type": "cms_owner_context", "effective_date": "05/16/2025", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" }, { "relationship_id": "rel-state-template-operator-340114", "from_entity_id": "unchealth", "to_entity_id": "340114", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "medium", "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-cms-care-compare", "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.", "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families." }, { "relationship_id": "rel-cms-owner-340114", "from_entity_id": "unchealth", "to_entity_id": "340114", "relationship_type": "cms_owner_context", "effective_date": "05/16/2025", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" }, { "relationship_id": "rel-state-template-operator-340114", "from_entity_id": "unchealth", "to_entity_id": "340114", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "medium", "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-cms-care-compare", "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.", "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families." }, { "relationship_id": "rel-cms-owner-340114", "from_entity_id": "unchealth", "to_entity_id": "340114", "relationship_type": "cms_owner_context", "effective_date": "05/16/2025", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" } ], "acquisitionEvents": [], "financialAndUtilizationSeries": [ { "metric_id": "340114-net_patient_revenue-06-30-2024", "entity_id": "340114", "metric_name": "net_patient_revenue", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "1610513000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-net_patient_revenue-06-30-2023", "entity_id": "340114", "metric_name": "net_patient_revenue", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "1510309000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-net_patient_revenue-06-30-2022", "entity_id": "340114", "metric_name": "net_patient_revenue", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "1348880000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-net_patient_revenue-06-30-2021", "entity_id": "340114", "metric_name": "net_patient_revenue", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "1216062000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-operating_expense-06-30-2024", "entity_id": "340114", "metric_name": "operating_expense", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "1618090000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-operating_expense-06-30-2023", "entity_id": "340114", "metric_name": "operating_expense", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "1522060000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-operating_expense-06-30-2022", "entity_id": "340114", "metric_name": "operating_expense", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "1391628000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-operating_expense-06-30-2021", "entity_id": "340114", "metric_name": "operating_expense", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "1242688000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-net_income-06-30-2024", "entity_id": "340114", "metric_name": "net_income", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "78861000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-net_income-06-30-2023", "entity_id": "340114", "metric_name": "net_income", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "-1791000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-net_income-06-30-2022", "entity_id": "340114", "metric_name": "net_income", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "51100000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-net_income-06-30-2021", "entity_id": "340114", "metric_name": "net_income", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "128740000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-total_assets-06-30-2024", "entity_id": "340114", "metric_name": "total_assets", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "1867014000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-total_assets-06-30-2023", "entity_id": "340114", "metric_name": "total_assets", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "1873307000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-total_assets-06-30-2022", "entity_id": "340114", "metric_name": "total_assets", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "1871631000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-total_assets-06-30-2021", "entity_id": "340114", "metric_name": "total_assets", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "1799503000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-total_liabilities-06-30-2024", "entity_id": "340114", "metric_name": "total_liabilities", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "795977000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-total_liabilities-06-30-2023", "entity_id": "340114", "metric_name": "total_liabilities", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "881131000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-total_liabilities-06-30-2022", "entity_id": "340114", "metric_name": "total_liabilities", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "877664000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-total_liabilities-06-30-2021", "entity_id": "340114", "metric_name": "total_liabilities", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "854678000", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-contract_labor_direct_patient_care-06-30-2024", "entity_id": "340114", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "204285", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-contract_labor_direct_patient_care-06-30-2023", "entity_id": "340114", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "414001", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-contract_labor_direct_patient_care-06-30-2022", "entity_id": "340114", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "29453761", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-contract_labor_direct_patient_care-06-30-2021", "entity_id": "340114", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "6792779", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-fte_employees-06-30-2024", "entity_id": "340114", "metric_name": "fte_employees", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "3986.82", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-fte_employees-06-30-2023", "entity_id": "340114", "metric_name": "fte_employees", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "3971.31", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-fte_employees-06-30-2022", "entity_id": "340114", "metric_name": "fte_employees", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "3703.76", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-fte_employees-06-30-2021", "entity_id": "340114", "metric_name": "fte_employees", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "3403.01", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-beds-06-30-2024", "entity_id": "340114", "metric_name": "beds", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "489", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-beds-06-30-2023", "entity_id": "340114", "metric_name": "beds", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "489", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-beds-06-30-2022", "entity_id": "340114", "metric_name": "beds", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "489", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-beds-06-30-2021", "entity_id": "340114", "metric_name": "beds", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "439", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-patient_days-06-30-2024", "entity_id": "340114", "metric_name": "patient_days", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "162741", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-patient_days-06-30-2023", "entity_id": "340114", "metric_name": "patient_days", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "158438", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-patient_days-06-30-2022", "entity_id": "340114", "metric_name": "patient_days", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "147347", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-patient_days-06-30-2021", "entity_id": "340114", "metric_name": "patient_days", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "139322", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-discharges-06-30-2024", "entity_id": "340114", "metric_name": "discharges", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "31280", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-discharges-06-30-2023", "entity_id": "340114", "metric_name": "discharges", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "29916", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-discharges-06-30-2022", "entity_id": "340114", "metric_name": "discharges", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "27234", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "340114-discharges-06-30-2021", "entity_id": "340114", "metric_name": "discharges", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "27530", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" } ], "cmsOwnerRecords": [ { "organization": "CARYN MCNEILL", "role": "CORPORATE DIRECTOR", "association_date": "05/16/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ASHLEY HONEYCUTT", "role": "W-2 MANAGING EMPLOYEE", "association_date": "07/01/2015", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "KRISTEN ANNIS", "role": "W-2 MANAGING EMPLOYEE", "association_date": "05/06/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SONYA MANGUM", "role": "W-2 MANAGING EMPLOYEE", "association_date": "08/07/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "THE NEW TRUSTEES OF THE REX HOSPITAL INC", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "03/16/1986", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ANANTH MOHAN", "role": "CORPORATE OFFICER", "association_date": "06/23/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DAYATRA MATTHEWS", "role": "CORPORATE DIRECTOR", "association_date": "05/16/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SHAWN BEANE", "role": "W-2 MANAGING EMPLOYEE", "association_date": "10/01/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CATHARINE ARROWOOD", "role": "CORPORATE DIRECTOR", "association_date": "01/24/2014", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ROBERT OAKES", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DONALD REECE III", "role": "W-2 MANAGING EMPLOYEE", "association_date": "08/18/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "11/27/2007", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DANIEL REILLY", "role": "W-2 MANAGING EMPLOYEE", "association_date": "05/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DAVID MILLS", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JEFFREY LINDSAY", "role": "CORPORATE DIRECTOR", "association_date": "12/26/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL SETLIFF", "role": "CORPORATE OFFICER", "association_date": "10/28/2024", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL SETLIFF", "role": "CORPORATE DIRECTOR", "association_date": "10/28/2024", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CHERIE WEBBER", "role": "W-2 MANAGING EMPLOYEE", "association_date": "03/09/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JASON SANDNER", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "KEVIN ANDERSON", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MEERA UDAYAKUMAR", "role": "CORPORATE OFFICER", "association_date": "03/06/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "NICOLE KOLACZ", "role": "CORPORATE OFFICER", "association_date": "04/28/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MELISSA FITZPATRICK", "role": "CORPORATE DIRECTOR", "association_date": "09/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ANN COLLINS", "role": "CORPORATE DIRECTOR", "association_date": "07/11/2016", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ROY TEMPKE", "role": "W-2 MANAGING EMPLOYEE", "association_date": "11/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MARILYN PEARSON", "role": "CORPORATE DIRECTOR", "association_date": "03/07/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "BENJAMIN MATHEW", "role": "CORPORATE OFFICER", "association_date": "01/08/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false } ], "ownershipChain": { "model": "Facility legal owner, operator, parent company, ultimate controller, PE sponsor, and institutional shareholder context are separate evidence layers.", "confidence": "medium", "nodes": [ { "id": "rex-hospital-inc", "label": "Rex Hospital Inc", "kind": "organization", "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue" }, { "id": "rex-hospital", "label": "REX HOSPITAL", "kind": "hospital", "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue" }, { "id": "unc-health", "label": "Unc Health", "kind": "organization", "evidence": "source-nc-baseline-queue|source-unc-health-leadership" }, { "id": "university-of-north-carolina-health-care-system", "label": "University Of North Carolina Health Care System", "kind": "organization", "evidence": "source-unc-health-leadership|source-nc-baseline-queue" } ], "edges": [ { "id": "rel-legal-owner-340114", "from": "rex-hospital-inc", "to": "rex-hospital", "relationship": "controls", "confidence": "high", "sourceIds": [ "source-cms-hospital-enrollments", "source-cms-hospital-all-owners", "source-nc-baseline-queue" ], "note": "REX HOSPITAL INC is the best available legal-owner or enrolled-operator layer for REX HOSPITAL." }, { "id": "rel-operator-340114", "from": "unc-health", "to": "rex-hospital", "relationship": "operates", "confidence": "medium", "sourceIds": [ "source-nc-baseline-queue", "source-unc-health-leadership" ], "note": "UNC Health is shown as the operator or parent-system layer for this facility." }, { "id": "rel-ultimate-parent-340114", "from": "university-of-north-carolina-health-care-system", "to": "unc-health", "relationship": "parent_company_or_controller", "confidence": "medium", "sourceIds": [ "source-unc-health-leadership", "source-nc-baseline-queue" ], "note": "University of North Carolina Health Care System is the best available ultimate parent, sponsor, or controller context for UNC Health." } ], "caveats": [ "Institutional shareholders such as Vanguard, BlackRock, and State Street are context nodes only; they are not hospital operators unless direct control evidence is found.", "CMS owner rows identify enrolled owner/control roles but may not name every ultimate financial sponsor.", "Sibling/system affiliation does not cause a facility to inherit another hospital’s red status." ] }, "ownershipConnections": [ { "entityName": "REX HOSPITAL INC", "entityKind": "Facility legal owner / enrollment layer", "relationship": "legal owner or enrolled operator", "classification": "Legal-owner layer", "evidenceSourceIds": [ "source-cms-hospital-enrollments", "source-cms-hospital-all-owners", "source-nc-baseline-queue" ], "note": "REX HOSPITAL INC is shown separately from the parent system and ultimate financial/control context." }, { "entityName": "UNC Health", "entityKind": "Academic public/nonprofit health system", "relationship": "academic health system operator", "classification": "Operator layer", "evidenceSourceIds": [ "source-nc-baseline-queue", "source-unc-health-leadership" ], "note": "This connection identifies the operating or system layer used for the public map and dossier." }, { "entityName": "University of North Carolina Health Care System", "entityKind": "Ultimate parent or controller", "relationship": "ultimate parent / controller context", "classification": "Parent-company context", "evidenceSourceIds": [ "source-unc-health-leadership", "source-nc-baseline-queue" ], "note": "University of North Carolina Health Care System is shown as the upper control or sponsor context, while the facility-level legal-owner layer remains separate." }, { "entityName": "Institutional shareholders / governance context", "entityKind": "Shareholder or governance context", "relationship": "context only, not hospital operation", "classification": "Shareholder context", "evidenceSourceIds": [ "source-unc-health-leadership" ], "note": "No public-company shareholder layer. Control context is UNC Health governance and state academic-health-system accountability." } ], "importantLinks": [ { "label": "Hospitals RAPT", "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about", "sourceId": "source-hifld-hospitals", "note": "Facility location and identity source; does not establish ownership or control." }, { "label": "North Carolina hospital license data", "url": "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html", "sourceId": "source-nc-dhsr-hospital-license-data", "note": "State-level hospital licensing context for North Carolina facilities." }, { "label": "Hospital Enrollments", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "sourceId": "source-cms-hospital-enrollments", "note": "Used for legal name, DBA, CCN, NPI, enrollment identity, and location matching." }, { "label": "Hospital All Owners", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "sourceId": "source-cms-hospital-all-owners", "note": "Used for current CMS owner, officer, managerial, holding-company, investment-firm, and security-interest rows." }, { "label": "Hospital General Information", "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u", "sourceId": "source-cms-care-compare", "note": "Facility type, ownership category, emergency services, and overall rating context." }, { "label": "Hospital Provider Cost Reports", "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report", "sourceId": "source-cms-hcris", "note": "Financial, staffing, and utilization values; descriptive only and not causal evidence." }, { "label": "UNC Health leadership / annual report context", "url": "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan", "sourceId": "source-unc-health-leadership", "note": "UNC Health source identifying Wesley Burks as CEO of UNC Health Care and Dean of the UNC School of Medicine." } ], "systemConnections": [ { "systemName": "UNC Health", "relationship": "shared North Carolina system / branch family", "evidenceSourceIds": [ "source-nc-baseline-queue" ], "facilities": [ { "name": "CALDWELL MEMORIAL HOSPITAL, INC", "role": "connected NC facility", "city": "LENOIR", "state": "NC", "recordId": "340041", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "CHATHAM HOSPITAL, INC", "role": "connected NC facility", "city": "SILER CITY", "state": "NC", "recordId": "341311", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "JOHNSTON HEALTH", "role": "connected NC facility", "city": "SMITHFIELD", "state": "NC", "recordId": "340090", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "MARGARET R. PARDEE MEMORIAL HOSPITAL", "role": "connected NC facility", "city": "HENDERSONVILLE", "state": "NC", "recordId": "0000228791", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "NASH GENERAL HOSPITAL", "role": "connected NC facility", "city": "ROCKY MOUNT", "state": "NC", "recordId": "0001027804", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "REX HOSPITAL", "role": "current record", "city": "RALEIGH", "state": "NC", "recordId": "340114", "note": "This facility is the center of the dossier." }, { "name": "SOUTHEASTERN REGIONAL MEDICAL CENTER", "role": "connected NC facility", "city": "LUMBERTON", "state": "NC", "recordId": "340050", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "UNC HOSPITALS AT WAKEBROOK", "role": "connected NC facility", "city": "RALEIGH", "state": "NC", "recordId": "0178127610", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "UNC HOSPITALS YOUTH BEHAVIORAL HEALTH", "role": "connected NC facility", "city": "BUTNER", "state": "NC", "recordId": "0196785354", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "UNC LENOIR HEALTH CARE", "role": "connected NC facility", "city": "KINSTON", "state": "NC", "recordId": "340027", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "UNC ROCKINGHAM HOSPITAL", "role": "connected NC facility", "city": "EDEN", "state": "NC", "recordId": "340060", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "UNIVERSITY OF NORTH CAROLINA HOSPITALS", "role": "connected NC facility", "city": "CHAPEL HILL", "state": "NC", "recordId": "0011127514", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "WAYNE UNC HEALTHCARE", "role": "connected NC facility", "city": "GOLDSBORO", "state": "NC", "recordId": "0011727533", "note": "Connected by shared parent/operator/system field; status remains facility-specific." } ] } ], "directConnections": [ "Legal/enrollment layer: REX HOSPITAL INC.", "Operator layer: UNC Health.", "Ultimate parent/controller context: University of North Carolina Health Care System.", "Shareholder/governance context: No public-company shareholder layer. Control context is UNC Health governance and state academic-health-system accountability.", "Operator/owner context: UNC Health.", "CMS Care Compare ownership category: Government - State." ], "actions": [], "contradictions": [], "limitations": [ "This automated NC pass searched mandatory official/source systems and records missing items; it does not claim the entire internet was exhausted.", "This five-state template completion pass used official cached CMS/HIFLD/PESP/HCRIS sources and records missing items; it does not claim the entire internet was exhausted." ], "unavailableFields": [ "official CEO image URL", "source-backed local CEO/current leader", "facility-level CEO compensation amount" ], "sources": [ { "source_id": "source-hifld-hospitals", "title": "Hospitals RAPT", "publisher": "Homeland Infrastructure Foundation-Level Data", "publication_date": "current public layer", "retrieved_at": "2026-07-02", "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about", "reliability_tier": "government", "research_note": "Facility location and identity source; does not establish ownership or control.", "source_type": "public_record" }, { "source_id": "source-nc-baseline-queue", "title": "North Carolina baseline classification queue", "publisher": "PE Healthcare Watch", "publication_date": "2026-06-24", "retrieved_at": "2026-06-26", "url": "/data/releases/release-2026-06-24-nc-baseline.json", "reliability_tier": "research", "research_note": "Internal queue used to ensure every current NC map record receives a dossier package.", "source_type": "public_record" }, { "source_id": "source-nc-dhsr-hospital-license-data", "title": "North Carolina hospital license data", "publisher": "North Carolina Division of Health Service Regulation", "publication_date": "current public listing", "retrieved_at": "2026-06-26", "url": "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html", "reliability_tier": "government", "research_note": "State-level hospital licensing context for North Carolina facilities.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-enrollments", "title": "Hospital Enrollments", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "reliability_tier": "government", "research_note": "Used for legal name, DBA, CCN, NPI, enrollment identity, and location matching.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-all-owners", "title": "Hospital All Owners", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "reliability_tier": "government", "research_note": "Used for current CMS owner, officer, managerial, holding-company, investment-firm, and security-interest rows.", "source_type": "public_record" }, { "source_id": "source-cms-care-compare", "title": "Hospital General Information", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u", "reliability_tier": "government", "research_note": "Facility type, ownership category, emergency services, and overall rating context.", "source_type": "public_record" }, { "source_id": "source-cms-hcris", "title": "Hospital Provider Cost Reports", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "2015-2024 cached official files", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report", "reliability_tier": "government", "research_note": "Financial, staffing, and utilization values; descriptive only and not causal evidence.", "source_type": "public_record" }, { "source_id": "source-unc-health-leadership", "title": "UNC Health leadership / annual report context", "publisher": "UNC Health", "publication_date": "current public page or report", "retrieved_at": "2026-06-26", "url": "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan", "reliability_tier": "primary", "research_note": "UNC Health source identifying Wesley Burks as CEO of UNC Health Care and Dean of the UNC School of Medicine.", "source_type": "public_record" }, { "source_id": "source-pehw-state-template-completion-2026-07-02", "title": "PE Healthcare Watch five-state template completion batch", "publisher": "PE Healthcare Watch", "publication_date": "2026-07-02", "retrieved_at": "2026-07-02", "url": "/data/releases/release-2026-07-02-state-template-complete-001.json", "reliability_tier": "research", "research_note": "Internal public release marker for the five-state template completion. 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