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Short-term acute care hospital · Raleigh, North Carolina · 485 beds · CMS certification number 340114

Rex Hospital, UNC Rex Hospital

Latest filing: fiscal year ended June 30, 2025, amended, stamped by CMS September 25, 2026. 30 years on file, all shown below.

Enrolled with Medicare by Rex Hospital.

Fiscal 2025 at a glance

Net patient revenue $1.8B $1,813,043,000 · G-3 line 3
Operating expenses $1.7B $1,715,822,000 · G-3 line 4
Result from patient care $97.2M $97,221,000 · G-3 line 5
Margin on patient care 5.4% line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $157.7M in its first year on file (1996) to $1.8B in 2025.
  • From fiscal year 2024 to fiscal year 2025 its net patient revenue rose 12.6%.
  • Its result from patient care: −$11.8M (2023), −$7.6M (2024), $97.2M (2025).
  • All 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 1.8% of its inpatient days and Medicare for 23.0%.
  • THE NEW TRUSTEES OF THE REX HOSPITAL INC holds 100% of it, on its Medicare enrollment.
  • In its fiscal 2025 filing, its $1.8B net patient revenue sits at the 50th percentile of 16 hospitals in NC, same facility class, 400 and over beds.

How these statements are drawn

30 years of filings

Net patient revenueOperating expenses

1996 settled margin −13.4% $157.7M $178.8M

1997 settled margin 1.5% $197.8M $194.9M

1998 settled margin −2.3% $229.0M $234.2M

1999 settled margin 1.5% $252.2M $248.5M

2000 settled margin −2.6% $286.5M $293.8M

2001 reopened margin 50.4% $304.9M $151.1M

2002 settled margin 3.2% $325.2M $314.9M

2003 settled not filed $298.7M

2004 settled margin 8.8% $362.7M $330.9M

2005 reopened margin 5.4% $365.0M $345.4M

2006 reopened margin 7.2% $411.5M $381.8M

2007 settled with audit margin 8.7% $452.6M $413.2M

2008 reopened margin −0.4% $453.4M $455.4M

2009 reopened margin 0.5% $495.0M $492.6M

2010 reopened margin 3.1% $552.6M $535.2M

2011 reopened margin 4.7% $608.3M $579.8M

2012 reopened margin 4.3% $693.5M $663.9M

2013 reopened margin 2.2% $701.7M $686.1M

2014 reopened margin −3.2% $712.5M $735.3M

2015 reopened margin −3.6% $813.7M $843.0M

2016 reopened margin 3.4% $904.6M $873.8M

2017 reopened margin 4.0% $986.6M $947.1M

2018 reopened margin 1.9% $1.1B $1.0B

2019 settled with audit margin −0.2% $1.1B $1.1B

2020 settled margin −2.8% $1.1B $1.1B

2021 settled margin −2.2% $1.2B $1.2B

2022 settled margin −3.2% $1.3B $1.4B

2023 amended margin −0.8% $1.5B $1.5B

2024 amended margin −0.5% $1.6B $1.6B

2025 amended margin 5.4% $1.8B $1.7B

Beside its peers

Short-term acute care hospitals in North Carolina with 400 and over beds, fiscal year 2025.

Hospital Beds Net patient revenue Operating expenses Margin

Rex Hospital, UNC Rex Hospital 485 $1,813,043,000 $1,715,822,000 5.4%

Atrium Health Cabarrus, Concord 447 $1,089,554,007 $798,966,245 26.7%

Caromont Regional Medical Center, Gastonia 468 $822,685,423 $749,618,309 8.9%

Novant Health New Hanover Regional Medical Center, Wilmington 752 $2,389,539,012 $2,148,049,178 10.1%

Novant Health Presbyterian Medical Center, Charlotte 537 $2,413,299,816 $2,095,658,565 13.2%

Wakemed Raleigh Campus, Raleigh 721 $1,569,204,496 $1,484,303,306 5.4%

Patients and payers

  • Discharges 32,037 S-3 line 14, col 15
  • Inpatient days 166,045 S-3 line 14, col 8
  • Beds in use, on an average day 456.2 days ÷ days in year
  • Occupancy 93.8% days ÷ bed days
  • Medicare share of days 23.0% S-3 cols 6 ÷ 8
  • Medicaid share of days 1.8% S-3 cols 7 ÷ 8

Who owns it

  • THE NEW TRUSTEES OF THE REX HOSPITAL INC100%

Related organizations on its own cost report: UNC HOSPITALS, hospital; JOHNSTON, hospital; LENOIR MEMORIAL, hospital; UNC HEALTH, home office.

Control: governmental, other.

Follow Rex Hospital, UNC Rex Hospital, free

More short-term acute care hospitals in North Carolina

File HOSP10FY2024.ZIP, form CMS-2552-10, CMS certification number 340114. Owners of 5% or more: CMS Hospital All Owners and Hospital Enrollments, Medicare enrollment October 1, 2026.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read September 25, 2026.

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