dealflow
envelope $200M

← Targets

Rex Hospital

dba Rex Hospital, Unc Rex Hospital · Raleigh, Wake County, NC · CCN 340114
Licensed to Rex Hospital Inc

Composite
16.0
rank score
Distress
40
FY2024
Fit
55
vs thesis
Estimated ticket
$244M–$978M
489 beds · over envelope
Ownership
government
STH

Why it ranks here

  • operating margin negative
  • under 30 days cash on hand
  • margin deteriorating
  • urban — higher occupancy and iteration surface
  • very large — likely out of range
  • estimated price exceeds the capital envelope
  • strong occupancy — good iteration surface
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$1.6B
Operating margin -0.5%
Total margin 4.5%
Days cash on hand 10
Current ratio 1.83
Occupancy91%

Facility

Beds489
Facility typeSTH
Settingurban
Ownership classgovernment
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 439 $1.2B $129M -2.2% 9.1% 71 1.73 87% 27,530 26
2022 489 $1.3B $51.1M -3.2% 3.4% 47 1.73 86% 27,234 32
2023 489 $1.5B $-1.8M -0.8% -0.1% 13 1.69 89% 29,916 46
2024 489 $1.6B $78.9M -0.5% 4.5% 10 1.83 91% 31,280 40

Owners

OwnerRole%SinceType
The New Trustees Of The Rex Hospital Inc
Morrisville, NC
5% or greater direct ownership interest 100 1986-03
University Of North Carolina Health Care System
Morrisville, NC
operational/managerial control 100 2007-11
Ananth Mohan corporate officer 2025-06
Ann Collins corporate director 2016-07
Ashley Honeycutt w-2 managing employee 2015-07
Benjamin Mathew corporate officer 2023-01
Caryn Mcneill corporate director 2025-05
Catharine Arrowood corporate director 2014-01
Cherie Webber w-2 managing employee 2020-03
Daniel Reilly w-2 managing employee 2022-05
David Mills corporate director 2021-01
Dayatra Matthews corporate director 2025-05
Donald Reece Iii w-2 managing employee 2025-08
Jason Sandner corporate director 2019-01
Jeffrey Lindsay corporate director 2023-12
Kevin Anderson corporate director 2021-01
Kristen Annis w-2 managing employee 2019-05
Marilyn Pearson corporate director 2022-03
Meera Udayakumar corporate officer 2023-03
Melissa Fitzpatrick corporate director 2020-09
Michael Setliff corporate officer 2024-10
Michael Setliff corporate director 2024-10
Nicole Kolacz corporate officer 2025-04
Robert Oakes corporate director 2021-01
Roy Tempke w-2 managing employee 2021-11

Showing 25 of 27. Full list via /api/targets/340114.

Ownership changes

No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.

Who has been buying in NC

Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.

DateBuyerSellerHospitalBeds
2026-02-01 Atrium Health Hospitals Inc The Charlotte-Mecklenburg Hospital... Atrium Health Lincoln 101
2026-02-01 Atrium Health Hospitals Inc The Charlotte-Mecklenburg Hospital... Atrium Health Cleveland 308
2025-07-01 Atrium Health Hospitals Inc The Charlotte-Mecklenburg Hospital... Atrium Health Stanly 97
2025-07-01 Atrium Health Hospitals Inc The Charlotte-Mecklenburg Hospital... Atrium Health Anson 15
2025-04-01 Duke Health Lake Norman Regional... Mooresville Hospital Management... Lake Norman Regional Medical Center 123
2024-03-02 North Carolina Baptist Hospital Davie Medical Center North Carolina Baptist Hospital 813
2021-10-01 Pitt County Memorial Hospital Inc East Carolina Health-Beaufort Inc Pitt County Memorial Hospital Inc 1,013
2021-10-01 American Healthcare Systems Llc Randolph Hospital, Inc. American Healthcare Systems 145
2021-02-01 Novant Health New Hanover Regional... New Hanover Regional Medical Center New Hanover Regional Medical Center 771
2019-02-01 Mh Mission Hospital, Lllp Mission Hospitals Inc. Mission Hospital Inc 717
2019-02-01 Mh Mission Hospital Mcdowell, Lllp The Mcdowell Hospital Inc The Mcdowell Hospital 33
2019-01-01 The Charlotte-Mecklenburg Hospital... Mercy Hospital Inc Atrium Health Pineville 352
2018-01-01 Unc Rockingham Health Care Inc Morehead Memorial Hospital Unc Rockingham Hospital 108