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Reviewed 2026-07-02

REX HOSPITAL

Ownership, control, relationships, and source records for REX HOSPITAL.
Ownership receipt

What we can say clearly

REX HOSPITAL is marked as a corporate-chain case. That is separate from direct private-equity ownership, but it still belongs in the red corporate-control color family.

Finding
Corporate-chain ownership/accountability warning
Last reviewed
2026-07-02
Evidence
9 cited sources
Documented warningPart of a corporate hospital chain

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.

Corporate-chain ownership/accountability warning
Last verified Jun 2026
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Key sources

Financial assistance help

Not confirmed

We have not confirmed a Dollar For listing for this facility. This does not mean financial assistance is unavailable.

Control Map

This leads to this

controls
Rex Hospital IncREX HOSPITAL
operates
Unc HealthREX HOSPITAL
parent_company_or_controller
University Of North Carolina Health Care SystemUnc Health

Evidence limits

Red color requiredCMS enrollment match used where available18 ownership sources checked9 total sources below
Direct PE ownershipNot documented as direct PE ownership in this state-template pass
PE relationshipNo documented PE link in current baseline sources
OperatorUNC Health
Population servedNeeds system/facility catchment estimate

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.

Review Note

Why this page is published

completed state-template official-source baseline

Publish state-template completion fields while preserving explicit unavailable/searched-not-found limitations.

Ownership & Control

Detailed records, kept below the answer

Facility legal owner, operator, parent company, ultimate controller, PE sponsor, and institutional shareholder context are separate evidence layers.

See the full ownership chain
controlsRex Hospital Inc → REX HOSPITAL

REX HOSPITAL INC is the best available legal-owner or enrolled-operator layer for REX HOSPITAL.

operatesUnc Health → REX HOSPITAL

UNC Health is shown as the operator or parent-system layer for this facility.

parent_company_or_controllerUniversity Of North Carolina Health Care System → Unc Health

University of North Carolina Health Care System is the best available ultimate parent, sponsor, or controller context for UNC Health.

  • 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.

Connections

Who owns, backs, staffs, or connects to this facility

Legal-owner layerREX HOSPITAL INCFacility legal owner / enrollment layer · legal owner or enrolled operator

REX HOSPITAL INC is shown separately from the parent system and ultimate financial/control context.

Operator layerUNC HealthAcademic public/nonprofit health system · academic health system operator

This connection identifies the operating or system layer used for the public map and dossier.

Parent-company contextUniversity of North Carolina Health Care SystemUltimate parent or controller · ultimate parent / controller context

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.

Shareholder contextInstitutional shareholders / governance contextShareholder or governance context · context only, not hospital operation

No public-company shareholder layer. Control context is UNC Health governance and state academic-health-system accountability.

Leadership

Current accountability and official image status

UNC Health CEO and UNC School of Medicine DeanWesley Burks

System-level academic health-system accountability context.

official image unavailable in this automated NC pass

System Thread

Connected facilities and system family

  • CALDWELL MEMORIAL HOSPITAL, INCUNC Health · LENOIR, NC · connected NC facility
  • CHATHAM HOSPITAL, INCUNC Health · SILER CITY, NC · connected NC facility
  • JOHNSTON HEALTHUNC Health · SMITHFIELD, NC · connected NC facility
  • MARGARET R. PARDEE MEMORIAL HOSPITALUNC Health · HENDERSONVILLE, NC · connected NC facility
  • NASH GENERAL HOSPITALUNC Health · ROCKY MOUNT, NC · connected NC facility
  • REX HOSPITALUNC Health · RALEIGH, NC · current record
  • SOUTHEASTERN REGIONAL MEDICAL CENTERUNC Health · LUMBERTON, NC · connected NC facility
  • UNC HOSPITALS AT WAKEBROOKUNC Health · RALEIGH, NC · connected NC facility
  • UNC HOSPITALS YOUTH BEHAVIORAL HEALTHUNC Health · BUTNER, NC · connected NC facility
  • UNC LENOIR HEALTH CAREUNC Health · KINSTON, NC · connected NC facility
  • UNC ROCKINGHAM HOSPITALUNC Health · EDEN, NC · connected NC facility
  • UNIVERSITY OF NORTH CAROLINA HOSPITALSUNC Health · CHAPEL HILL, NC · connected NC facility
  • WAYNE UNC HEALTHCAREUNC Health · GOLDSBORO, NC · connected NC facility

Timeline

Ownership history and events

  1. controls

    REX HOSPITAL INC is the best available legal-owner or enrolled-operator layer for REX HOSPITAL.

  2. operates

    UNC Health is shown as the operator or parent-system layer for this facility.

  3. parent company or controller

    University of North Carolina Health Care System is the best available ultimate parent, sponsor, or controller context for UNC Health.

  4. cms owner context

    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.

  5. operates

    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.

Metrics

Financial and utilization series

MetricPeriodValueMethod note
net patient revenue07/01/2023 to 06/30/2024$1,610,513,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
net patient revenue07/01/2022 to 06/30/2023$1,510,309,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
net patient revenue07/01/2021 to 06/30/2022$1,348,880,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
net patient revenue07/01/2020 to 06/30/2021$1,216,062,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
operating expense07/01/2023 to 06/30/2024$1,618,090,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
operating expense07/01/2022 to 06/30/2023$1,522,060,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
operating expense07/01/2021 to 06/30/2022$1,391,628,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
operating expense07/01/2020 to 06/30/2021$1,242,688,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
net income07/01/2023 to 06/30/2024$78,861,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
net income07/01/2022 to 06/30/2023-$1,791,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
net income07/01/2021 to 06/30/2022$51,100,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
net income07/01/2020 to 06/30/2021$128,740,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total assets07/01/2023 to 06/30/2024$1,867,014,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total assets07/01/2022 to 06/30/2023$1,873,307,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total assets07/01/2021 to 06/30/2022$1,871,631,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total assets07/01/2020 to 06/30/2021$1,799,503,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total liabilities07/01/2023 to 06/30/2024$795,977,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total liabilities07/01/2022 to 06/30/2023$881,131,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total liabilities07/01/2021 to 06/30/2022$877,664,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total liabilities07/01/2020 to 06/30/2021$854,678,000Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
contract labor direct patient care07/01/2023 to 06/30/2024$204,285Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
contract labor direct patient care07/01/2022 to 06/30/2023$414,001Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
contract labor direct patient care07/01/2021 to 06/30/2022$29,453,761Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
contract labor direct patient care07/01/2020 to 06/30/2021$6,792,779Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
fte employees07/01/2023 to 06/30/20243,986.82 FTEHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
fte employees07/01/2022 to 06/30/20233,971.31 FTEHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
fte employees07/01/2021 to 06/30/20223,703.76 FTEHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
fte employees07/01/2020 to 06/30/20213,403.01 FTEHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
beds07/01/2023 to 06/30/2024489 bedsHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
beds07/01/2022 to 06/30/2023489 bedsHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
beds07/01/2021 to 06/30/2022489 bedsHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
beds07/01/2020 to 06/30/2021439 bedsHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
patient days07/01/2023 to 06/30/2024162,741 daysHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
patient days07/01/2022 to 06/30/2023158,438 daysHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
patient days07/01/2021 to 06/30/2022147,347 daysHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
patient days07/01/2020 to 06/30/2021139,322 daysHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
discharges07/01/2023 to 06/30/202431,280 dischargesHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
discharges07/01/2022 to 06/30/202329,916 dischargesHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
discharges07/01/2021 to 06/30/202227,234 dischargesHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
discharges07/01/2020 to 06/30/202127,530 dischargesHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.

Evidence Notes

Contradictions, limitations, and unavailable fields

Open evidence notes
Limitation

This automated NC pass searched mandatory official/source systems and records missing items; it does not claim the entire internet was exhausted.

Limitation

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.

Unavailable

official CEO image URL

Unavailable

source-backed local CEO/current leader

Unavailable

facility-level CEO compensation amount

Direct connection

Legal/enrollment layer: REX HOSPITAL INC.

Direct connection

Operator layer: UNC Health.

Direct connection

Ultimate parent/controller context: University of North Carolina Health Care System.

Direct connection

Shareholder/governance context: No public-company shareholder layer. Control context is UNC Health governance and state academic-health-system accountability.

Direct connection

Operator/owner context: UNC Health.

Direct connection

CMS Care Compare ownership category: Government - State.

Download

Take the evidence with you

CSVEvidence CSV — every source with dates and URLsSpreadsheet-friendly source audit for this hospitalJSONFull evidence file JSONComplete structured evidence file exactly as published

Sources

Evidence and source documents

governmentHospitals RAPTHomeland Infrastructure Foundation-Level DatagovernmentNorth Carolina hospital license dataNorth Carolina Division of Health Service RegulationgovernmentHospital EnrollmentsCenters for Medicare & Medicaid ServicesgovernmentHospital All OwnersCenters for Medicare & Medicaid ServicesgovernmentHospital General InformationCenters for Medicare & Medicaid ServicesgovernmentHospital Provider Cost ReportsCenters for Medicare & Medicaid ServicesprimaryUNC Health leadership / annual report contextUNC Health