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DUKE UNIVERSITY HEALTH SYSTEM INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
DUKE UNIVERSITY HEALTH SYSTEM INC (EIN 56-2070036)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-05-15
IRS object ID
202641359349301294
Schema version
2024v5.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-05-15T09:10:29-05:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562070036EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DUKE UNIVERSITY HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDUKEBusinessNameControlTxt
Phone9196841860PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 W MAIN STREET STE 300AddressLine1Txt
CityDURHAMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27705ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISA M GOODLETTPersonNm
Person TitleSENIOR VP, CFO, TREASURERPersonTitleTxt
Phone9196841860PhoneNum
Signature2026-05-12SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS A OWENS MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 DOUGLAS ST STE 700AddressLine1Txt
CityDURHAMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27705ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,566,867,630GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DUKEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE O FOR ORGANIZATION'S MISSION STATEMENTActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee27913TotalEmployeeCnt
Total Volunteers840TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,430,372PYContributionsGrantsAmt
CY Contributions Grants$22,693,142CYContributionsGrantsAmt
PY Program Service Revenue$5,330,811,108PYProgramServiceRevenueAmt
CY Program Service Revenue$5,656,796,724CYProgramServiceRevenueAmt
PY Investment Income$295,728,981PYInvestmentIncomeAmt
CY Investment Income$296,004,546CYInvestmentIncomeAmt
PY Other Revenue$133,330,171PYOtherRevenueAmt
CY Other Revenue$189,615,154CYOtherRevenueAmt
PY Total Revenue$5,766,300,632PYTotalRevenueAmt
CY Total Revenue$6,165,109,566CYTotalRevenueAmt
PY Grants And Similar Paid$1,834,150PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,180,270CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,271,542,301PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,366,707,000CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$371,437CYTotalFundraisingExpenseAmt
PY Other Expenses$2,800,243,408PYOtherExpensesAmt
CY Other Expenses$3,030,609,171CYOtherExpensesAmt
PY Total Expenses$5,073,619,859PYTotalExpensesAmt
CY Total Expenses$5,399,496,441CYTotalExpensesAmt
PY Revenues Less Expenses$692,680,773PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$765,613,125CYRevenuesLessExpensesAmt
Total Assets BOY$8,567,717,732TotalAssetsBOYAmt
Total Assets EOY$8,966,684,526TotalAssetsEOYAmt
Total Liabilities BOY$3,007,778,584TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,293,100,431TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,559,939,148NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,673,584,095NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,579,795,039ExpenseAmt
Grant$2,180,270GrantAmt
Revenue$5,798,226,085RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$4,579,795,039TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To OrgYes (1)MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document649IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee27913EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountrySWForeignCountryCd
Foreign CountryNOForeignCountryCd
Foreign CountryUKForeignCountryCd
Foreign CountryHUForeignCountryCd
Foreign CountryISForeignCountryCd
Foreign CountryBDForeignCountryCd
Foreign CountryCAForeignCountryCd
Foreign CountryLUForeignCountryCd
Foreign CountryPLForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldALStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldARStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldHIStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldKSStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMSStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNMStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNDStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldRIStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldUTStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWVStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BETSY CASSIDYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9196688910PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1DUHS INC 615 DOUGLAS STREET SUITEAddressLine1Txt
CityDURHAMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27705ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
VINCENT E PRICE
DIRECTOR3.0048.30Yes (X)$0$2,137,417$62,628
MARY E KLOTMAN MD
DIRECTOR12.0049.20Yes (X)$0$1,522,644$58,317
ERIK PAULSON
DIRECTOR1.0060.00Yes (X)$0$1,002,049$73,226
LESLIE E BAINS
DIRECTOR2.000.00Yes (X)$0$0$0
GAIL BELVETT MD DDS
DIRECTOR4.000.00Yes (X)$0$616$0
DENISE BENNETT
DIRECTOR2.000.00Yes (X)$0$0$0
FEDERICO MANON
DIRECTOR1.000.00Yes (X)$0$0$0
CARMICHAEL S ROBERTS JR
DIRECTOR1.001.00Yes (X)$0$0$0
NANCY M SCHLICHTING
DIRECTOR2.002.00Yes (X)$0$0$0
LAURENE SPERLING
DIRECTOR8.006.00Yes (X)$0$0$0
CRAIG T ALBANESE MD
DIRECTOR/CEO42.000.20Yes (X)$2,279,485$0$59,414Yes (X)
G RICHARD WAGONER JR
DIRECTOR1.000.00Yes (X)$0$0$0
DENISE BARNES
DIRECTOR0.000.00Yes (X)$0$0$0
PETER GROSSI
DIRECTOR1.0040.00Yes (X)$0$1,076,490$54,947
GARHENG KONG MD
DIRECTOR1.000.00Yes (X)$0$0$0
THOMAS H LISTER
DIRECTOR6.002.00Yes (X)$0$0$0
ALISON TOTH
DIRECTOR1.0060.00Yes (X)$8,482$1,031,831$49,664
GERALD HASSELL
DIRECTOR1.000.00Yes (X)$0$0$0
HOWARD FRANCIS MD
DIRECTOR1.0040.00Yes (X)$0$1,010,605$62,358
AMANDA RICHARDS
DIRECTOR2.000.00Yes (X)$0$0$0
ADAM SILVER
DIRECTOR2.006.10Yes (X)$0$0$0
THOMAS A OWENS MD
EXECUTIVE VP, DUHS & COO55.000.80$1,853,877$0$76,073Yes (X)
MONTE D BROWN MD
VP FOR ADMINISTRATION/SECRETARY60.000.20$2,213,088$0$55,851Yes (X)
LISA M GOODLETT
SENIOR VP, CFO, TREASURER50.000.80$1,253,560$0$62,316Yes (X)
KATIE MCKITTRICK
PART YEAR SECRETARY40.000.00$220,868$0$46,784Yes (X)
MARY K MARTIN
CHIEF OPERATING OFFICER, DUH40.000.00$1,151,375$0$79,565Yes (X)
BARBARA M GRIFFITH MD
PRESIDENT, DUKE RALEIGH HOSPITAL40.000.00$673,969$0$68,011Yes (X)
DEVDUTTA SANGVAI MD
PRESIDENT, DUKE REGIONAL HOSPITAL60.000.20$631,801$5,250$181,170Yes (X)
TERRY MCDONNELL
SVP-PART YEAR PATIENT CARE40.000.10$675,480$0$71,308Yes (X)
JASON CARTER
INTERIM PRESIDENT, DUKE REGIONAL HOSPITAL55.000.20$457,658$0$79,671Yes (X)
BRYAN YOURICH
CHIEF PHARMACY OFFICER, DUHS40.000.00$416,477$0$62,810Yes (X)
GREGORY PAULY
PRESIDENT DUH/ACUTE CARE SERVICES/VICE DEAN SOM60.001.00$1,420,831$65,000$79,404Yes (X)
RICHARD P SHANNON MD
CHIEF QUALITY OFFICER40.000.20$1,173,438$5,000$59,329Yes (X)
JEFFREY M FERRANTI
VP & CHIEF DIGITAL OFFICE40.000.00$1,126,154$211,189$77,229Yes (X)
KEITH STOVER
VP FINANCE/COO, PRMO40.000.00$915,292$0$71,448Yes (X)
RHONDA BRANDON
CHIEF HR OFFICER40.000.10$907,056$0$74,213Yes (X)
JOHN A QUELCH
EXECUTIVE VICE CHANCELLOR, DKU25.0015.00$855,423$411,254$73,505Yes (X)
WILLIAM J FULKERSON MD
FORMER OFFICER17.0039.00$201,901$448,111$49,534Yes (X)
ROBERT N WILLIS
FORMER OFFICER50.000.30$799,072$0$60,996Yes (X)
A EUGENE WASHINGTON MD
CHANCELLOR EMERITUS FOR HEALTH AFF.0.0033.00$0$2,285,670$71,327Yes (X)
MARY ANN FUCHS
FORMER KEY EMPLOYEE50.000.00$102,863$0$13,289Yes (X)
LEIGH BLEECKER
FORMER KEY EMPLOYEE0.1065.10$539,968$0$57,054Yes (X)
PRISCILLA RAMSEUR
FORMER KEY EMPLOYEE50.000.10$381,982$0$51,809Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$20,260,100TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$11,213,126TotReportableCompRltdOrgAmt
Total Other Compensation$1,943,250TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5375IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
KERNODLE CLINIC INC
1234 HUFFMAN MILL RDBURLINGTONNC27215MEDICAL SERVICES$38,177,475
VAYA WORKFORCE SOLUTIONS LLC
PO BOX 713427CHICAGOIL60601CONTRACT NURSING$31,693,840
ARAMARK SERVICES INC
1101 MARKET ST 12TH FLOORPHILADELPHIAPA19107FOOD SERVICES$23,909,807
ROBINS & MORTON GROUP
PO BOX 11407 DEPT 5870BIRMINGHAMAL35209CONSTRUCTION SERVICES$15,949,732
C T WILSON CONSTRUCTION CO INC
150 GOLDEN DR 200DURHAMNC27705CONSTRUCTION SERVICES$10,283,620
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K395CntrctRcvdGreaterThan100KCnt
Fundraising$85,170FundraisingAmt
Government Grants$1,325,401GovernmentGrantsAmt
All Other Contributions$21,282,571AllOtherContributionsAmt
Noncash Contributions$184,899NoncashContributionsAmt
Total Contributions$22,693,142TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE622110$5,586,790,990$5,586,790,990
ANCILLARY MEDICAL SVCS622110$70,005,734$70,005,734
FieldValueIRS element (for citing)
Total Program Service Revenue$5,656,796,724TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$103,223,741TotalRevenueColumnAmt
Exclusion$103,223,741ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,676,368TotalRevenueColumnAmt
Exclusion$6,676,368ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,453,639RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,213,040RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$240,599RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$240,599TotalRevenueColumnAmt
Exclusion$240,599ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,593,240,358SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,400,459,553SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$192,780,805SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$192,780,805TotalRevenueColumnAmt
Exclusion$192,780,805ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$175,720FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$85,170ContriRptFundraisingEventAmt
Fundraising Direct Expenses$85,471FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$90,249TotalRevenueColumnAmt
Exclusion$90,249ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
BILLING FEES622110$74,141,565$74,141,565
NET BENEFIT COMPONENTS622110$67,254,000$67,254,000
DEEMED DIVIDEND622110$19,965,031$19,965,031

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,247,342TotalRevenueColumnAmt
Related Or Exempt Func Income$33,796RelatedOrExemptFuncIncomeAmt
Exclusion$21,213,546ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$182,607,938OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,165,109,566TotalRevenueColumnAmt
Related Or Exempt Func Income$5,798,226,085RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$344,190,339ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,075,662TotalAmt
Program Services$2,075,662ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$83,508TotalAmt
Program Services$83,508ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$21,100TotalAmt
Program Services$21,100ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$17,053,709TotalAmt
Program Services$1,971,382ProgramServicesAmt
Management And General$14,755,288ManagementAndGeneralAmt
Fundraising$327,039FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$2,456,984TotalAmt
Program Services$293,346ProgramServicesAmt
Management And General$2,163,638ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,867,312,998TotalAmt
Program Services$1,424,531,547ProgramServicesAmt
Management And General$442,781,451ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$129,437,151TotalAmt
Program Services$98,229,787ProgramServicesAmt
Management And General$31,207,364ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$228,437,360TotalAmt
Program Services$186,836,453ProgramServicesAmt
Management And General$41,582,855ManagementAndGeneralAmt
Fundraising$18,052FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$122,008,798TotalAmt
Program Services$92,300,495ProgramServicesAmt
Management And General$29,700,107ManagementAndGeneralAmt
Fundraising$8,196FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$23,482,326TotalAmt
Program Services$23,369,224ProgramServicesAmt
Management And General$113,102ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,681,397TotalAmt
Program Services$770,282ProgramServicesAmt
Management And General$5,911,115ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$644,490TotalAmt
Management And General$644,490ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$6,540,385TotalAmt
Program Services$6,540,385ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$257,504,795TotalAmt
Program Services$111,308,657ProgramServicesAmt
Management And General$146,196,138ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,820,205TotalAmt
Program Services$33,112ProgramServicesAmt
Management And General$3,786,553ManagementAndGeneralAmt
Fundraising$540FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$48,507,577TotalAmt
Program Services$33,601,225ProgramServicesAmt
Management And General$14,885,983ManagementAndGeneralAmt
Fundraising$20,369FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$91,057,797TotalAmt
Program Services$6,728,529ProgramServicesAmt
Management And General$84,328,944ManagementAndGeneralAmt
Fundraising$324FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$88,237,391TotalAmt
Program Services$61,901,603ProgramServicesAmt
Management And General$26,335,788ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$17,264,061TotalAmt
Program Services$15,675,578ProgramServicesAmt
Management And General$1,587,291ManagementAndGeneralAmt
Fundraising$1,192FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,907,132TotalAmt
Program Services$1,294,631ProgramServicesAmt
Management And General$5,611,808ManagementAndGeneralAmt
Fundraising$693FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$70,068,054TotalAmt
Program Services$70,068,054ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$170,472,396TotalAmt
Program Services$151,707,190ProgramServicesAmt
Management And General$18,765,206ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,552,184TotalAmt
Program Services$2,552,184ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,652,200,872$1,652,200,872
STATE PROVIDER ASSESS.$331,709,239$331,709,239
MEDICAL DIRECTOR & COV.$150,336,312$150,336,312
EQUIPMENT RENTAL & MAIN$130,184,578$97,423,903$32,760,675

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$27,562,020TotalAmt
Program Services$56,230,779ProgramServicesAmt
Management And General-$83,787,831ManagementAndGeneralAmt
Fundraising-$4,968FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,399,496,441TotalAmt
Program Services$4,579,795,039ProgramServicesAmt
Management And General$819,329,965ManagementAndGeneralAmt
Fundraising$371,437FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$106,008BOYAmt
EOY$94,529EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$232,323,432BOYAmt
EOY$432,556,014EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,134,231BOYAmt
EOY$3,541,810EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$710,495,762BOYAmt
EOY$824,514,621EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$61,977BOYAmt
EOY$50,876EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$126,004,704BOYAmt
EOY$137,082,976EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$45,130,849BOYAmt
EOY$42,476,489EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,827,047,676LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,826,694,949LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,000,763,666BOYAmt
EOY$2,000,352,727EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$901,451,389BOYAmt
EOY$791,875,611EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,636,061,648BOYAmt
EOY$3,826,505,713EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$28,218,074BOYAmt
EOY$31,533,324EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$885,965,992BOYAmt
EOY$876,099,836EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,567,717,732BOYAmt
EOY$8,966,684,526EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$429,058,277BOYAmt
EOY$502,861,301EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$8,892,426BOYAmt
EOY$10,205,585EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$572,621,422BOYAmt
EOY$714,047,847EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$298,730,708BOYAmt
EOY$398,970,472EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,698,475,751BOYAmt
EOY$1,667,015,226EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,007,778,584BOYAmt
EOY$3,293,100,431EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,494,921,685BOYAmt
EOY$5,588,135,850EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$65,017,463BOYAmt
EOY$85,448,245EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,559,939,148BOYAmt
EOY$5,673,584,095EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,567,717,732BOYAmt
EOY$8,966,684,526EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$765,613,125ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$79,632,645NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$731,600,823OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$160,948DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$179,746OtherActivitiesAmt
Total Lobbying Expenditures$340,694TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1, LOBBYING ACTIVITIES:FormAndLineReferenceDesc
ExplanationDUKE UNIVERSITY HEALTH SYSTEM, INC. EMPLOYS STAFF WHO PERFORM SOME LOBBYING ACTIVITIES AS PART OF THEIR JOB RESPONSIBILITIES. THESE SAME EMPLOYEES HAVE AND SOME SENIOR LEADERS MAY HAVE DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, AND GOVERNMENT OFFICIALS. DUKE UNIVERSITY HEALTH SYSTEM, INC. PAYS MEMBERSHIP DUES TO OTHER ORGANIZATIONS. PER THE MEMBERSHIP DUES INVOICES, SOME OF THESE ORGANIZATIONS PROVIDE A DISCLOSURE OF LOBBYING PERCENTAGE OF THE DUES RECEIVED.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$65,017,463BeginningYearBalanceAmt
Contributions$23,521,289ContributionsAmt
Investment Earnings Or Losses$1,291,238InvestmentEarningsOrLossesAmt
Other Expenditures$4,381,745OtherExpendituresAmt
End Year Balance$85,448,245EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$60,980,241BeginningYearBalanceAmt
Contributions$7,999,982ContributionsAmt
Investment Earnings Or Losses$1,080,778InvestmentEarningsOrLossesAmt
Other Expenditures$5,043,537OtherExpendituresAmt
End Year Balance$65,017,463EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$57,427,577BeginningYearBalanceAmt
Contributions$10,278,031ContributionsAmt
Investment Earnings Or Losses-$2,178,352InvestmentEarningsOrLossesAmt
Other Expenditures$4,547,015OtherExpendituresAmt
End Year Balance$60,980,241EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$74,699,445BeginningYearBalanceAmt
Contributions$5,159,602ContributionsAmt
Investment Earnings Or Losses-$2,443,178InvestmentEarningsOrLossesAmt
Other Expenditures$19,988,293OtherExpendituresAmt
End Year Balance$57,427,577EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$59,559,614BeginningYearBalanceAmt
Contributions$12,795,429ContributionsAmt
Investment Earnings Or Losses$14,542,065InvestmentEarningsOrLossesAmt
Other Expenditures$12,197,663OtherExpendituresAmt
End Year Balance$74,699,445EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.55559PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.44441TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$87,163,715OtherCostOrOtherBasisAmt
Book Value$87,163,715BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,167,125,457OtherCostOrOtherBasisAmt
Depreciation$1,503,344,849DepreciationAmt
Book Value$1,663,780,608BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,069,036,795OtherCostOrOtherBasisAmt
Depreciation$867,532,258DepreciationAmt
Book Value$201,504,537BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$503,721,709OtherCostOrOtherBasisAmt
Depreciation$455,817,842DepreciationAmt
Book Value$47,903,867BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,000,352,727TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
PRIVATE CAPITAL$1,528,520,833F
HEDGE FUNDS$1,086,003,337F
CASH & CASH EQUIVALENTS$612,968,883F
NATURAL RESOURCES$261,895,567F
REAL ESTATE$172,545,044F
OTHER INVESTMENTS$164,572,049F
FieldValueIRS element (for citing)
Total Book Value Securities$3,826,505,713TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
RIGHT-OF-USE OPERATING LEASE ASSETS$464,251,474
PREPAID PENSION ASSET$189,583,000
ESTIMATED THIRD PARTY PAYOR SETTLEMENT$148,199,953
OTHER NON-CURRENT ASSETS$74,065,409
FieldValueIRS element (for citing)
Total Book Value Other Assets$876,099,836TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
TAXABLE BOND LIABILITY$876,522,593
RIGHT-OF-USE OPERATING LEASE LIABILITIES$494,937,844
FINANCE LEASE LIABILITIES$134,622,659
POST RETIREMENT BENEFIT OBLIGATION$50,523,000
457 PLAN OBLIGATIONS$37,635,013
PROFESSIONAL LIABILITY COSTS$20,626,598
DERIVATIVE INSTRUMENTS$17,615,803
OTHER NON-CURRENT LIABILITIES$34,531,716
FieldValueIRS element (for citing)
Total Liability$1,667,015,226TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE INTENDED USE FOR THE ORGANIZATION'S ENDOWMENT: GENERATE EARNINGS AND SUBSEQUENT DISTRIBUTIONS TO SUPPORT CAPITAL PURCHASES, OFFSET OPERATING COSTS, IMPROVE PATIENT SAFETY, SUPPORT THE NEEDS OF PATIENTS AND FAMILIES, AND FUND OTHER PROGRAMS CONSISTENT WITH THE CHARITABLE MISSION OF THE INSTITUTION.
PART X, LINE 2:DUKE UNIVERSITY HEALTH SYSTEM, INC. ADOPTED THE REQUIREMENTS OF FASB ASC 740 AND CONSIDERED ITS TAX POSITIONS. BASED ON THAT ANALYSIS, THE PROVISIONS OF FASB ASC 740 ARE DEEMED IMMATERIAL TO THE DUKE UNIVERSITY HEALTH SYSTEM, INC. FINANCIAL STATEMENTS AND THEREFORE NO FASB ASC 740 SPECIFIC DISCLOSURES ARE MADE IN THE AUDITED FINANCIAL STATEMENTS OF DUKE UNIVERSITY HEALTH SYSTEM, INC. AND ITS AFFILIATES FOR FISCAL YEAR ENDED JUNE 30, 2025.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (10 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmtSpecific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,00INVESTMENTS$391,245,000
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,00SEMINAR$8,000
EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA,00PROGRAM SERVICES$12,000STUDY ABROAD
EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA,00SEMINAR$47,000
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM00SEMINAR$19,000
MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT,00SEMINAR$2,000
NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES00SEMINAR$10,000
SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL,00GRANTMAKING$1,000
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO,00GRANTMAKING$20,000
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO,00SEMINAR$2,000
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$391,344,000SubtotalSpentAmt
Continuation Spent$22,000ContinuationSpentAmt
Total Spent$391,366,000TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionSUB-SAHARAN AFRICARegionTxt
Cash Grant$0CashGrantAmt
Non Cash Assistance$18,000NonCashAssistanceAmt
Description Of Non Cash AsstMEDICAL EQUIPMENTDescriptionOfNonCashAsstTxt
Valuation Method UsedFMVValuationMethodUsedDesc
FieldValueIRS element (for citing)
Total501c3 Org0Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDUKE UNIVERSITY HEALTH SYSTEM, INC. PERIODICALLY APPROVES NONCASH ASSISTANCE OR TRANSFERS MEDICAL EQUIPMENT AND SUPPLIES TO ORGANIZATIONS OUTSIDE THE UNITED STATES, USUALLY IN RESPONSE TO NATURAL DISASTERS. THE ORGANIZATIONS AWARDED THE ASSISTANCE MUST MONITOR THE APPROPRIATE USE OF THE ASSISTANCE TO ENSURE COMPLIANCE WITH LAWS, REGULATIONS, AND ANY TERMS AND CONDITIONS OF THE TRANSFER. SUBRECIPIENTS ARE NOT PERMITTED UNDER THE TERMS OF THE TRANSFER.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$260,890GrossReceiptsEvent1Amt
Charitable Contri Event1$85,170CharitableContriEvent1Amt
Gross Revenue Event1$175,720GrossRevenueEvent1Amt
Non Cash Prizes Event1$30,360NonCashPrizesEvent1Amt
Food And Beverage Event1$43,406FoodAndBeverageEvent1Amt
Entertainment Event1$10,500EntertainmentEvent1Amt
Other Direct Expenses Event1$1,205OtherDirectExpensesEvent1Amt
Gross Receipts Total$260,890GrossReceiptsTotalAmt
Charitable Contributions Tot$85,170CharitableContributionsTotAmt
Gross Revenue Total Events$175,720GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$30,360NonCashPrizesTotalEventsAmt
Food And Beverage Total Events$43,406FoodAndBeverageTotalEventsAmt
Entertainment Total Events$10,500EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$1,205OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$85,471DirectExpenseSummaryEventsAmt
Net Income Summary$90,249NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE G, PART I, LINE 2BFormAndLineReferenceDesc
ExplanationDUKE UNIVERSITY HEALTH SYSTEM, INC. SUPPORTS THE FUNDRAISING ACTIVITIES PERFORMED BY EMPLOYEES OF DUKE UNIVERSITY. SUCH ACTIVITIES ARE DESIGNED TO DEVELOP SUPPORT FOR BOTH THE UNIVERSITY AND THE DUKE UNIVERSITY HEALTH SYSTEM, INC.'S EDUCATIONAL, RESEARCH AND HEALTHCARE PURPOSES. DUKE UNIVERSITY RECEIVES AND DIRECTS THE CONTRIBUTIONS AS APPROPRIATE TO DUKE UNIVERSITY HEALTH SYSTEM, INC. DUKE UNIVERSITY HEALTH SYSTEM, INC. HAS NOT ENTERED INTO ANY ARRANGEMENTS WITH FUNDRAISERS UNDER WHICH THE ORGANIZATION MADE PAYMENTS EXCLUSIVELY FOR SUCH EXPENSES BUT NOT FOR PROFESSIONAL FUNDRAISING SERVICES.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$167,472,118TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$167,472,118NetCommunityBenefitExpnsAmt
Total Expense0.03100TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$58,075,510TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$58,075,510NetCommunityBenefitExpnsAmt
Total Expense0.01080TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$225,547,628TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$225,547,628NetCommunityBenefitExpnsAmt
Total Expense0.04180TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,218,190TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,218,190NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$122,712,488TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,574,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$94,137,838NetCommunityBenefitExpnsAmt
Total Expense0.01740TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,416,207TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,416,207NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$141,346,885TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,574,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$112,772,235NetCommunityBenefitExpnsAmt
Total Expense0.02090TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$366,894,513TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,574,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$338,319,863NetCommunityBenefitExpnsAmt
Total Expense0.06270TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$0BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$630,529,259ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$775,731,764CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$145,202,505MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
DUKE UNIVERSITY HOSPITAL (UNIV CAMPUS)
12301 ERWIN ROADPRIMARY DURHAMCAMPUSDURHAMNC27710HTTP://WWW.DUKEHEALTH.ORGH0015Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
DUKE RALEIGH HOSPITAL A CAMPUS OF DUH
23400 WAKE FOREST ROAD PRIMARYCAMPUSRALEIGHNC27609HTTP://WWW.DUKEHEALTH.ORGH0238Yes (X)Yes (X)Yes (X)
DUKE REGIONAL HOSPITAL
33643 ROXBORO ROADDURHAMNC27704HTTP://WWW.DUKEHEALTH.ORGH0233Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

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DUKE UNIVERSITYDUKE REGIONAL HOSPITALS
00Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)24Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTP://CORPORATE.DUKEHEALTH.ORG/COMMUNITYYes (X)WWW.HEALTHYDURHAM.ORGYes (X)Yes (1)24Yes (1)HTTP://CORPORATE.DUKEHEALTH.ORG/COMMUNITY0Yes (1)Yes (X)200.000000000000300.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTP://WWW.DUKEHEALTH.ORGYes (X)HTTP://WWW.DUKEHEALTH.ORGYes (X)HTTP://WWW.DUKEHEALTH.ORGYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (1)
DUKE RALEIGH HOSPITAL
00Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTP://CORPORATE.DUKEHEALTH.ORG/COMMUNITYYes (X)HTTP://WWW.LIVEWELLWAKE.ORGYes (X)Yes (1)22Yes (1)HTTP://CORPORATE.DUKEHEALTH.ORG/COMMUNITY0Yes (1)Yes (X)200.000000000000300.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTP://WWW.DUKEHEALTH.ORGYes (X)HTTP://WWW.DUKEHEALTH.ORGYes (X)HTTP://WWW.DUKEHEALTH.ORGYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (1)2

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NOTE: THIS SCHEDULE H CONTAINS REFERENCES TO DUKE AND DUKE HEALTH WHICH AREMEANT TO ENCOMPASS FOR THE PURPOSES OF THIS SCHEDULE DUKE UNIVERSITY HEALTH SYSTEM (DUHS), DUKE UNIVERSITY SCHOOL OF MEDICINE, AND DUKE UNIVERSITY SCHOOL OF NURSING. PART V, SECTION B:GROUP A - FACILITY 1 - DUKE UNIVERSITY HOSPITALPART V, SECTION B, LINE 5: DUKE UNIVERSITY HOSPITAL ("DUH") DUH COLLABORATES WITH THE PARTNERSHIP FOR A HEALTHY DURHAM (THE STATE CERTIFIED HEALTHY CAROLINIANS GROUP) AND THE DURHAM COUNTY HEALTH DEPARTMENT TO CONDUCT THE DURHAM COUNTY COMMUNITY HEALTH ASSESSMENT AND DEVELOPS STRATEGIES TO ADDRESS IDENTIFIED NEEDS. FACULTY AND STAFF OF DUH AND FROM ACROSS DUKE UNIVERSITY SERVE ON THE PARTNERSHIP FOR A HEALTHY DURHAM COMMITTEES.THE 2023 COMMUNITY HEALTH ASSESSMENT REPORT WAS PUBLISHED BY DURHAM COUNTY IN 2024. THE 2023 ASSESSMENT PROCESS INCLUDED 205 COUNTY-WIDE SURVEYS ADMINISTERED BY MORE THAN 50 VOLUNTEERS AND 176 COMUNIDAD LATINA SAMPLE SURVEYS ADMINISTERED BY SEVEN PAID CONTRACTORS. COMMUNITY MEMBERS, PARTNERSHIP FOR A HEALTHY DURHAM MEMBERS, STAFF FROM DURHAM COUNTY DEPARTMENT OF PUBLIC HEALTH AND DUKE UNIVERSITY, AND CONTRACTORS ADMINISTERED THE SURVEYS BETWEEN SEPTEMBER OF 2022 AND APRIL OF 2023. LISTENING SESSIONS CONDUCTED THROUGHOUT DURHAM DISPLAYED SURVEY RESULTS AND ENGAGED COMMUNITY MEMBERS IN DETERMINING THE TOP HEALTH PRIORITIES. THE COMMUNITY HEALTH ASSESSMENT TEAM - COMPRISED OF REPRESENTATIVES FROM DUKE UNIVERSITY HEALTH SYSTEM, LOCAL UNIVERSITIES, LOCAL GOVERNMENT, SCHOOLS, NON-PROFIT ORGANIZATIONS AND BUSINESSES WORKED TO DIRECT THE ACTIVITIES OF THE ASSESSMENT AND PROVIDE WRITTEN CONTENT AND EXPERTISE ON ISSUES OF INTEREST. THIS JOINT CHNA AND RELATED IMPLEMENTATION PLAN WAS ADOPTED BY THE DUHS BOARD OF DIRECTORS AND PUBLISHED ON THE DUKE HEALTH WEBSITE IN FISCAL YEAR 2025 (TAX YEAR 2024).GROUP A - FACILITY 1 - DUKE UNIVERSITY HOSPITALPART V, SECTION B, LINE 6A: DUKE REGIONAL HOSPITAL ("DRH")GROUP A - FACILITY 1 - DUKE UNIVERSITY HOSPITALPART V, SECTION B, LINE 6B: THE PARTNERSHIP FOR A HEALTHY DURHAM AND THE DURHAM COUNTY HEALTH DEPARTMENTGROUP A - FACILITY 1 - DUKE UNIVERSITY HOSPITALPART V, SECTION B, LINE 11: THE FIVE HEALTH PRIORITY AREAS IDENTIFIED BY THE CHNA FOR FISCAL YEARS 2025-2027 ARE LISTED BELOW AND REMAIN THE SAME AS THOSE IDENTIFIED IN THE PREVIOUS CHNA EXCEPT FOR THE THIRD PRIORITY - POVERTY. IN THE LATEST ASSESSMENT "VIOLENT CRIME" WAS THE THIRD HEALTH PRIORITY NAMED, BUT IN CONSIDERATION OF UTILIZING AN ASSETS-BASED APPROACH, THE PRIORITY BROADENED TO "COMMUNITY SAFETY AND WELLBEING": 1. AFFORDABLE HOUSING 2. ACCESS TO HEALTHCARE AND HEALTH INSURANCE3. COMMUNITY SAFETY AND WELLBEING 4. MENTAL HEALTH 5. PHYSICAL ACTIVITY, NUTRITION AND FOOD ACCESS THE DUKE UNIVERSITY HOSPITAL IMPLEMENTATION PLAN CONTAINING DETAILED DESCRIPTIONS OF HOW DUKE HOSPITAL PLANS TO ADDRESS EACH PRIORITY ALONG WITH PROGRESS REPORTS CAN BE FOUND ON THE DUKEHEALTH.ORG WEBSITE. DUH CONSIDERS THE IMPLEMENTATION PLAN TO BE A "WORKING PLAN" THAT WILL CONTINUE TO EVOLVE OVER THE THREE-YEAR PERIOD IN ORDER TO ENSURE THE EFFICACY OF STRATEGIES INTENDED TO MEET EXPRESSED COMMUNITY HEALTH NEEDS. THE IMPLEMENTATION PLAN MAY NOTE, BUT DOES NOT CONTAIN DETAILED DESCRIPTIONS OF, THE COMMUNITY HEALTH IMPROVEMENT WORK CARRIED OUT BY OTHER COMPONENTS OF THE LARGER DUKE HEALTH SYSTEM OR DUKE UNIVERSITY. TOGETHER WITH ITS PARTNERS, DUH ASKS ABOUT AND LISTENS TO CONCERNS, EXPLORES BARRIERS TO CARE, ANALYZES HEALTHCARE UTILIZATION AND COSTS, IDENTIFIES PARTNER NEEDS AND RESOURCES, PLANS/REDESIGNS SERVICES, TRACKS OUTCOMES, AND SHARES ACCOUNTABILITY IN ORDER TO DEVELOP EFFECTIVE PROGRAMS TO IMPROVE THE HEALTH OF THE DURHAM COMMUNITY. 1. AFFORDABLE HOUSINGAFFORDABLE HOUSING, AS DEFINED BY HUD (U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT), REQUIRES NO MORE THAN 30% OF A FAMILY'S MONTHLY INCOME. IF A FAMILY SPENDS MORE THAN 30% OF INCOME ON HOUSING, THEY ARE LESS ABLE TO PAY FOR OTHER EXPENSES, SUCH AS FOOD AND HEALTHCARE. THE INCREASED COST BURDEN OF UNAFFORDABLE HOUSING ADDS TO PSYCHOSOCIAL STRESSORS THAT CAN NEGATIVELY IMPACT A FAMILY. RENTERS MAKE UP 48% OF HOUSEHOLDS IN DURHAM, AND ALMOST HALF OF THEM ARE DEFINED AS COST-BURDENED (I.E. PAYING MORE THAN 30% OF THEIR MONTHLY INCOME FOR HOUSING).DUH HAS PARTNERED WITH HABITAT FOR HUMANITY OF DURHAM ON A NUMBER OF HOME BUILDS. ADDITIONALLY, AFFORDABLE HOUSING IS A FOCUS OF DUH AS PART OF THE LARGER DUKE UNIVERSITY. DUKE'S WORK RELATED TO AFFORDABLE HOUSING IS LED BY DUKE UNIVERSITY'S OFFICE OF DURHAM AND COMMUNITY AFFAIRS. FOR INSIGHT INTO THIS AND OTHER WORK LED BY THE OFFICE OF DURHAM AND COMMUNITY AFFAIRS, SEE: HTTPS://COMMUNITY.DUKE.EDU/OUR-FOCUS-AREAS/NEIGHBORHOODS-HOUSING-AND-INFRASTRUCTURE/.2. ACCESS TO HEALTHCARE AND HEALTH INSURANCEACCESS TO HEALTHCARE IN A COMMUNITY REFERS TO THE ABILITY OF RESIDENTS TO FIND A CONSISTENT MEDICAL PROVIDER FOR THEIR PRIMARY CARE NEEDS, TO FIND A SPECIALTY PROVIDER WHEN NEEDED AND TO BE ABLE TO RECEIVE THAT CARE WITHOUT ENCOUNTERING SIGNIFICANT BARRIERS. A NUMBER OF PROGRAMS SUPPORTED BY DUH SEEK TO INCREASE ACCESS TO CARE FOR UNINSURED, UNDERINSURED, AND/OR VULNERABLE INDIVIDUALS AND FAMILIES ARE DESCRIBED BELOW:PROJECT ACCESS OF DURHAM COUNTY (PADC): LINKS ELIGIBLE LOW-INCOME, UNINSURED DURHAM COUNTY RESIDENTS TO SPECIALTY MEDICAL CARE FULLY DONATED BY PHYSICIANS, HOSPITALS INCLUDING DUH, LABS, CLINICS AND OTHER PROVIDERS PARTICIPATING IN THE PADC NETWORK.DURING FY2025, PADC SERVED 2,000 PEOPLE PROVIDING MORE THAN 3,000 EPISODES OF CARE FROM SPECIALTY PHYSICIANS AND OTHER PROVIDERS. PADC'S DURHAM HOMELESS TRANSITIONS PROGRAM WORKED WITH MORE THAN 40 UNHOUSED PERSONS AND ITS HEALTH EQUIPMENT LOAN PROGRAM PROVIDED 1,000 PIECES OF DURABLE MEDICAL EQUIPMENT TO PADC CLIENTS.SOUTHERN HIGH SCHOOL (SHS) WELLNESS CENTER: PROVIDES COMPREHENSIVE PRIMARY CARE AND MENTAL HEALTH SERVICES AT SHS TO STUDENTS AT THE SCHOOL AND IS OPEN TO ALL STUDENTS AND STAFF OF DURHAM PUBLIC SCHOOLS. SHS'S STUDENT POPULATION IS 100% TOTAL ECONOMICALLY DISADVANTAGED AND 47% OF ITS STUDENT POPULATION INDENTIFIES AS HISPANIC/LATINO.
JUST FOR US (JFU): PROVIDES AN IN-HOME CARE PROGRAM FOR LOW-INCOME,FRAIL ELDERLY AND PERSONS WITH DISABILITIES. JFU IS A COLLABORATION OF DUKE, LINCOLN COMMUNITY HEALTH CENTER, DURHAM DEPARTMENT OF SOCIAL SERVICES (DSS), THE LOCAL AREA MENTAL HEALTH ENTITY, AND THE DURHAM HOUSING AUTHORITY. DUH PROVIDES THE MAJORITY OF ONGOING SUPPORT FOR THE PROGRAM. THROUGH JFU, AN INTERDISCIPLINARY TEAM OF PROVIDERS SERVES CLIENTS IN THEIR HOMES, PROVIDING MEDICAL CARE, MANAGEMENT OF CHRONIC ILLNESSES, AND CASE MANAGEMENT. EACH PARTICIPANT RECEIVES A HOME VISIT EVERY 5 WEEKS UNLESS THERE IS AN ACUTE EPISODE OR A HOSPITAL DISCHARGE, FOR WHICH A VISIT IS SCHEDULED IMMEDIATELY. VISITS INCLUDE MEDICATION RECONCILIATION, SOCIAL ISSUES, SUPPORT SERVICES, CHRONIC DISEASE MANAGEMENT, AND POST-HOSPITAL CARE. JFU ALSO UTILIZES MOBILE LAB AND IMAGING SERVICES. THE HEALTH CARE TEAM CONSISTS OF A CLINICAL PROVIDER (PA, NP OR MD), OCCUPATIONAL THERAPIST, REGISTERED DIETITIAN, SOCIAL WORKER, PHLEBOTOMIST, AND COMMUNITY HEALTH WORKER. JFU ALSO OFFERS FACILITATED TELEHEALTH SPECIALTY VISITS.NEIGHBORHOOD/COMMUNITY CLINICS: DUH IN PARTNERSHIP WITH LINCOLN COMMUNITY HEALTH CENTER COLLABORATIVELY OPERATES THREE COMMUNITY HEALTH CLINICS: THE LYON PARK COMMUNITY CLINIC, THE WALLTOWN NEIGHBORHOOD CLINIC AND THE HOLTON WELLNESS CENTER. THE CLINICS ARE DESIGNED TO PROVIDE PRIMARY CARE, HEALTH EDUCATION, AND DISEASE PREVENTION TO THE UNDERSERVED POPULATIONS OF DURHAM. THE CLINICS PROVIDE MEDICAL CARE FOR PERSONS WITH AND WITHOUT HEALTH INSURANCE. THOSE WITHOUT INSURANCE ARE SEEN BASED ON A SLIDING FEE SCALE. NO PATIENT IS DENIED CARE BASED ON INABILITY TO PAY FOR SERVICES. CLINICS RECEIVE SIGNIFICANT SUPPORT FROM DUH. THE CLINICS OPERATE AS FAMILY MEDICINE PRACTICES AND ARE OPEN 5 DAYS A WEEK. DURING FISCAL YEAR 2025, THE SOUTHERN HIGH SCHOOL WELLNESS CENTER, THE NEIGHBORHOOD CLINICS AND JUST FOR US EXPERIENCED SOME STAFFING SHORTAGES, BUT WERE STILL ABLE TO PROVIDE MORE THAN 10,500 PATIENT VISITS.
BENEFITS ENROLLMENT COUNSELING (BEC) : RECEIVES GRANT FUNDING THROUGH THENATIONAL COUNCIL ON AGING TO HELP SENIORS AND THOSE WITH DISABILITIES AND A LIMITED INCOME FIND AND ENROLL IN ALL THE BENEFIT PROGRAMS FOR WHICH THEY ARE ELIGIBLE. THE GOAL OF THE SERVICE IS TO ENABLE OLDER ADULTS TO ENJOY LIFE AND LIVE INDEPENDENTLY IN THEIR HOMES AND COMMUNITIES FOR AS LONG AS POSSIBLE. FOR THOSE WITH LIMITED INCOME AND RESOURCES, ADDITIONAL SUPPORT CAN BE CRITICAL IN MAINTAINING THEIR HEALTH AND AVOIDING COSTLY HOSPITALIZATIONS. THE BENEFITS PROVIDE CLIENTS SERVED WITH ACCESS TO HEALTHY FOOD, NEEDED MEDICAL CARE AND PRESCRIPTIONS, AS WELL AS OTHER SUPPORTIVE SERVICES. THE BENEFITS ALSO PROVIDE A COMMUNITY ECONOMIC STIMULUS, AS BENEFITS ARE SPENT LOCALLY IN PHARMACIES, GROCERY STORES, UTILITY COMPANIES, AND HEALTH CARE PROVIDERS. TO INCREASE THE REACH OF THE PROGRAM BEYOND GRANT FUNDING, BEC STAFF TRAIN VOLUNTEERS (FROM PARTNER COMMUNITY BASED ORGANIZATIONS AND DUKE) TO ASSIST CLIENTS IN DURHAM, GRANVILLE, AND PERSON COUNTIES. THE PROGRAM SERVES AS A PARTNER SITE FOR DUKE SERVICE-LEARNING, THE SCHOOL OF MEDICINE'S MASTER OF BIOMEDICAL SCIENCES PROGRAM, AND DUKE PRIMARY CARE'S LEADERSHIP TRACK.THE BEC CONTINUED TO EDUCATE STUDENT VOLUNTEERS, PROVIDING OPPORTUNITY FOR CLIENT ENGAGEMENT IN LONGITUDINAL RELATIONSHIPS, WITH TRAINING AROUND MEDICARE, SOCIAL SECURITY AND BENEFIT PROGRAMS TO UNDERGRADUATE AND GRADUATE STUDENTS ALIKE. THE BEC HELPED 448 CLIENTS SECURE $2.85 MILLION IN BENEFITS IN FY25.
3. COMMUNITY SAFETY AND WELLBEINGDURHAM COMMUNITY HEALTH ASSESSMENT SURVEY RESPONDENTS NOTED THAT NEIGHBORHOOD VIOLENCE WAS A PRIMARY CAUSE OF STRESS (12%). SPECIFICALLY, RESPONDENTS NOTED VIOLENT CRIME (18%), THEFT (4.7%), AND GANG ACTIVITY (4.2%) AS HAVING THE GREATEST IMPACT ON QUALITY OF LIFE.DUKE UNIVERSITY HOSPITAL VIOLENCE RECOVERY PROGRAM REFRAMES VIOLENCE AS A PREVENTABLE HEALTH ISSUE. FOUR TEAM MEMBERS SUPPORT RESIDENTS IN THE CITY OF DURHAM AND DURHAM COUNTY WHO HAVE EXPERIENCED VIOLENCE, WITH THE GOAL OF PREVENTING READMISSION TO THE DUKE TRAUMA CENTER.INTENSIVE CASE MANAGEMENT STARTS IN THE EMERGENCY DEPARTMENT WITH THE PATIENT AND FAMILY MEMBERS. THROUGHOUT A HOSPITAL STAY, PROGRAM STAFF MEET WITH THE PATIENT AND FAMILY. TEAM MEMBERS FOLLOW RESIDENTS FOR UP TO ONE YEAR. DURING THAT TIME, CASE MANAGEMENT SUPPORT INCLUDES TACKLING CONCERNS AROUND HOUSING, TRANSPORTATION, MENTAL HEALTH, EMPLOYMENT, LIFE SKILLS AND MORE.THE OFFICE OF COMMUNITY HEALTH SERVES ON THE STEERING COMMITTEE. THE WORK DONE CENTERS ON SUPPORTING EFFORTS TO UNIFY RESEARCH AND PRACTICAL EFFORTS ACROSS DUKE, WHILE ALSO FACILITATING THE WORK OF THE THREE SPECIALIZED SUBCOMMITTEES FOCUSED ON RESEARCH, FEASIBILITY FOR A NEW CENTER AND PEDIATRIC HEALTH RESPONSES.4. MENTAL HEALTHMOST DURHAM COMMUNITY HEALTH ASSESSMENT SURVEY RESPONDENTS (67.1%) REPORTED THAT THEY HAD FEWER THAN SIX BAD DAYS IN THE PAST 30 DAYS. UNFORTUNATELY, ALMOST 10% REPORTED THEY HAD GREATER THAN 20 BAD DAYS IN THE PAST 30 DAYS. FORTY PERCENT OF RESPONDENTS NOTED THAT THEIR MENTAL HEALTH WORSENED SINCE MARCH OF 2020. IN TERMS OF STRESS, FINANCIAL STRESS WAS THE MOST REPORTED REASON FOLLOWED BY WORK AND PERSONAL RELATIONSHIPS.IN 2021, DUKE OPENED THE DUKE BEHAVIORAL HEALTH CENTER ON DUKE REGIONAL HOSPITAL'S CAMPUS AND EXPANDED THE HOSPITAL'S EMERGENCY ROOM. THE $102.4 MILLION CENTER AND EXPANDED EMERGENCY ROOM CONSOLIDATED INPATIENT, OUTPATIENT AND EMERGENCY BEHAVIORAL HEALTH SERVICES ON DUKE REGIONAL'S CAMPUS, WITH THE GOAL OF PROVIDING BETTER COORDINATION OF CARE FOR BEHAVIORAL HEALTH PATIENTS IN DURHAM AND REGIONALLY. THE CENTER INCORPORATES MEETING SPACE SPECIFICALLY DESIGNED FOR COMMUNITY BASED ORGANIZATIONS PROVIDING SERVICES FOR BEHAVIORAL HEALTH PATIENTS AND THEIR FAMILIES.DUKE PARTNERS WITH AND SUPPORTS THE INITIATIVES LISTED BELOW TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES:* INTEGRATED EMERGENCY ROOM DIVERSION PROGRAM: DUKE HEALTH AND ALLIANCE HEALTH COLLABORATE THROUGH AN INTEGRATED EMERGENCY ROOM DIVERSION PROGRAM THAT INCLUDES EMBEDDING CONTRACT SOCIAL WORKERS AND CRISIS LIAISONS DIRECTLY WITHIN DUKE'S EMERGENCY DEPARTMENTS TO STREAMLINE TRANSITIONS TO SPECIALIZED CARE.* DURHAM FAMILIAR FACES INITIATIVE: DUKE HEALTH IS AN ACTIVE AND CENTRAL PARTNER IN THE DURHAM FAMILIAR FACES INITIATIVE (DFFI). THIS PROGRAM IS SPECIFICALLY DESIGNED TO ADDRESS THE NEEDS OF 'HIGH UTILIZERS", INDIVIDUALS WHO FREQUENTLY CYCLE THROUGH THE EMERGENCY DEPARTMENT, THE COUNTY JAIL, AND THE HOMELESS SHELTERS DUE TO UNTREATED MENTAL HEALTH OR SUBSTANCE ABUSE DISORDERS.* PEDIATRIC EMERGENCY DEPARTMENT EXTENSION AREA: THE PEDIATRIC ED EXTENSION AREA WHICH OPENED IN EARLY 2024 SERVED APPROXIMATELY 250 YOUTH RANGING FROM 6 TO 17 YEARS OLD DURING THE FIRST 10 MONTHS OF BEING OPEN. CLINICAL DATA SHOWED THAT MOVING CHILDREN TO THIS DEDICATED SPACE LEAD TO A MARKED DECREASE IN THE NEED FOR RAPID BEHAVIORAL RESPONSE INTERVENTIONS.
5. PHYSICAL ACTIVITY, NUTRITION AND FOOD ACCESSMOST DURHAM COUNTY HEALTH ASSESSMENT SURVEY RESPONDENTS REPORTED THAT WALKING WAS THEIR PRIMARY FORM OF EXERCISE FOLLOWED BY LIFTING WEIGHTS AND GARDENING. TIME AND COST WERE THE MOST COMMON REASONS FOR NOT EATING HEALTHY, BUT 83% OF RESPONDENTS REPORTED THAT THEY NEVER WORRIED ABOUT FOOD RUNNING OUT BEFORE THEY COULD BUY MORE.DUKE HEALTH, IN PARTNERSHIP WITH THE DURHAM COUNTY DEPARTMENT OF PUBLIC HEALTH, SECURED A MULTI-YEAR GRANT TOTALING $750,000 FROM THE DUKE ENDOWMENT TO BECOME A PART OF THE ENDOWMENT'S HEALTHY PEOPLE, HEALTHY CAROLINA'S INITIATIVE. THIS INITIATIVE SUPPORTS COALITIONS AIMED AT IMPROVING THE HEALTH AND WELL-BEING OF COMMUNITIES TO REDUCE CHRONIC DISEASE AND PLACES SIGNIFICANT EMPHASIS ON PHYSICAL ACTIVITY, NUTRITION AND FOOD ACCESS.DURING FISCAL YEAR 2025 THE PARTNERSHIP FOR A HEALTHY DURHAM'S PHYSICAL ACTIVITY, NUTRITION AND FOOD ACCESS COMMITTEE (PANFA) ENCOURAGED CHILDREN TO ENGAGE IN PHYSICAL ACTIVITY BY MAKING ENHACEMENTS TO SCHOOL AND PUBLIC PLAYGROUNDS. FOUR HUNDRED THIRTEEN CHILDREN PARTICPATED IN TRACKING PHYSICAL ACTIVITY AND TEACHERS WERE SURVEYED REGARDING PHYSICAL ACTIVITY LEVELS AND ANY OTHER IMPACTS OF THE ENHANCEMENTS. SEVENTY-TWO PERCENT OF THE STUDENTS GOT 30-60 MINUTES OF ACTIVITY COMPARED TO 68% BEFORE THE ENHANCEMENTS. THE PERCENTAGE OF TIME STUDENTS SPENT BEING ACTIVE WHILE OUTSIDE INCREASED FROM 68% TO 86%. TEACHERS NOTED FEWER DISCIPLINE ISSUES DURING RECESS AS MORE STUDENTS ENGAGED IN PHYSICAL ACTIVITY. TEACHERS ALSO NOTED THAT STUDENTS SEEMED MORE INTERESTED AND ENGAGED IN CLASS.
GROUP A - FACILITY 1 - DUKE UNIVERSITY HOSPITALPART V, SECTION B, LINE 16J: AS PART OF DUHS, DUKE UNIVERSITY HOSPITAL PROVIDES A BROCHURE TO ALL ADMISSIONS THAT INCLUDES A BRIEF SUMMARY OF DUHS FINANCIAL ASSISTANCE POLICIES. DUHS ALSO COMMENTS ON THE BACK OF ITS BILLING INVOICES THAT PATIENTS SHOULD CONTACT PATIENT ACCOUNT REPRESENTATIVES TO HELP THEM IF THEY CANNOT PAY THEIR BILL IN FULL. THIS COMMENT REFERENCES GOVERNMENT-SPONSORED PROGRAMS, MONTHLY PAYMENT PROGRAMS, AND OTHER FINANCIAL ASSISTANCE PROGRAMS AVAILABLE FOR PATIENTS WHO MEET CERTAIN FINANCIAL CRITERIA. DUHS ALSO PUBLICIZES ITS FINANCIAL ASSISTANCE POLICY VERBALLY THROUGH ITS FINANCIAL CARE COUNSELORS. PART V, SECTION B, LINE 24: CERTAIN ELECTIVE COSMETIC/AESTHETIC SERVICES, AND OTHER ELECTIVE SERVICES, WERE BILLED AT AN AMOUNT EQUAL TO GROSS CHARGES.DUKE RALEIGH HOSPITAL:PART V, SECTION B, LINE 5: DUKE RALEIGH HOSPITAL (DUKE RALEIGH OR DRAH) COLLABORATED WITH ADVANCE COMMUNITY HEALTH, ALLIANCE HEALTH, CITRIX, UNITED WAY, UNC REX HEALTHCARE, WAKE COUNTY HEALTH & HUMAN SERVICES, WAKE COUNTY MEDICAL SOCIETY COMMUNITY HEALTH FOUNDATION, WAKEMED HEALTH AND HOSPITALS, AND YOUTH THRIVE TO DEVELOP THE 2022 WAKE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA INCLUDED ANALYSIS OF EXISTING STATISTICS FROM LOCAL, COUNTY, STATE, AND NATIONAL SOURCES AS WELL AS INPUT FROM 1,073 WAKE COUNTY RESIDENTS AND ORGANIZATIONAL LEADERS. COMMUNITY INPUT WAS GATHERED THROUGH INTERNET-BASED AND TELEPHONE SURVEYS, FOCUS GROUPS, AND AN INTERNET-BASED PRIORITIZATION SURVEY. ADDITIONAL ACTION WAS TAKEN BY THE CHNA STEERING COMMITTEE MEMBERS TO PROMOTE ENGAGEMENT DURING PRIORITIZATION, THROUGH DIRECT OUTREACH TO MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY COMMUNITIES AND THOSE WHO WERE UNDERREPRESENTED. THIS JOINT CHNA AND RELATED IMPLEMENTATION PLAN WERE ADOPTED BY THE DUHS BOARD OF DIRECTORS AND PUBLISHED ON THE DUKE HEALTH WEBSITE IN FISCAL YEAR 2023.DUKE RALEIGH HOSPITAL:PART V, SECTION B, LINE 6A: UNC REX HEALTHCARE, WAKEMED HEALTH AND HOSPITALS.DUKE RALEIGH HOSPITAL:PART V, SECTION B, LINE 6B: UNITED WAY, WAKE COUNTY HEALTH & HUMAN SERVICES, ADVANCE COMMUNITY HEALTH, ALLIANCE HEALTH, CITRIX, NORTH CAROLINA INSTITUTE FOR PUBLIC HEALTH, YOUTH THRIVE, AND THE WAKE COUNTY MEDICAL SOCIETY COMMUNITY HEALTH FOUNDATION. DUKE RALEIGH HOSPITAL:PART V, SECTION B, LINE 11:THE FOLLOWING THREE PRIORITY AREAS WERE IDENTIFIED FOR FISCAL YEARS 2023-2025:1. AFFORDABLE HOUSING & HOMELESSNESS2. ACCESS TO HEALTHCARE3. MENTAL HEALTHTHE DUKE RALEIGH HOSPITAL IMPLEMENTATION PLAN CONTAINING DETAILED DESCRIPTIONS OF HOW DUKE RALEIGH PLANS TO ADDRESS EACH PRIORITY ALONG WITH PROGRESS REPORTS CAN BE FOUND ON THE DUKEHEALTH.ORG WEBSITE.
1. AFFORDABLE HOUSING & HOMELESSNESSTHE AFFORDABLE HOUSING AND HOMELESSNESS PRIORITY INCLUDES THE COST OF HOUSING, HOUSING CHOICES, AND HOW MANY PEOPLE ARE HOMELESS. DUKE HEALTH ACKNOWLEDGES THAT HEALTHY HOMES PROMOTE GOOD PHYSICAL AND MENTAL HEALTH, AFFECTING THE OVERALL ABILITY OF FAMILIES TO MAKE HEALTHY CHOICES. DUKE RALEIGH PARTNERS WITH NON-PROFIT ORGANIZATIONS THAT WORK TO ENSURE THAT HOMELESSNESS IS INFREQUENT IN WAKE COUNTY BY INCREASING EFFORTS TO ADVANCE AFFORDABLE HOUSING LIKE THE WAKE COUNTY CONTINUUM OF CARE-NC 507 (COC). DRAH REPRESENTATIVES ATTENDED THE NC 507 STRATEGIC SYSTEM DESIGN CLINIC THAT BROUGHT TOGETHER KEY STAKEHOLDERS TO UNDERSTAND AND DISCUSS ALIGNING SYSTEMS COMPONENTS WITH BEST PRACTICES, UNDERSTAND THE IMPORTANCE OF QUALITY DATA COLLECTION AND DATA-DRIVEN DECISION MAKING TO BETTER ALLOCATE FUNDS AND RESOURCES TOWARDS EFFECTIVE AND EFFICIENT INTERVENTIONS TO END HOMELESSNESS, IDENTIFY RECOMMENDATIONS TO IMPROVE THE LOCAL SYSTEMS TO END HOMELESSNESS, AND ENGAGE IN PLANNING TO DEVELOP ACTIONS TO ADDRESS RECOMMENDATIONS.DUKE RALEIGH CONTINUES TO SUPPORT WAKE COC DURING WHITE FLAG WHICH PROVIDES TEMPORARY EMERGENCY SHELTER TO PEOPLE EXPERIENCING HOMELESSNESS DURING SEVERE WEATHER (NIGHTS WHEN THE TEMPERATURE OR WINDCHILL IS EXPECTED TO BE BELOW 35 DEGREES) AND IN EFFORTS TO ELIMINATE HOMELESSNESS. DUKE RALEIGH HOSTED AN INTERNAL EDUCATION FAIR TO PROMOTE JOB PLACEMENT AND CAREER ADVANCEMENT OPPORTUNITIES FOR TEAM MEMBERS. DUKE RALEIGH WILL CONTINUE STRENGTHENING PATHWAYS THAT SUPPORT ECONOMIC STABILITY, INCLUDING INITIATIVES THAT HELP ADDRESS HOUSING INSECURITY AND HOMELESNESS THROUGH IMPROVED JOB ACCESS AND CAREER MOBILITY.DUKE RALEIGH SUPPORTS THE FOLLOWING ORGANIZATIONS FINANCIALLY AND THROUGH EMPLOYEE VOLUNTEERISM THAT WORK TOWARDS ADVANCING AFFORDABLE HOUSING AND ADDRESSING HOMELESSNESS: HEALING TRANSITIONS, TRIANGLE FAMILY SERVICES, AND URBAN MINISTRIES OF WAKE COUNTY.2. ACCESS TO HEALTHCAREACCESS TO HEALTHCARE INCLUDES HOW AND WHY PEOPLE USE OR DO NOT USE HEALTHCARE, HOW MANY PEOPLE HAVE HEALTH INSURANCE, HOW MUCH HEALTHCARE THERE IS IN THE COMMUNITY, AND HOW MUCH INFORMATION THERE IS ABOUT HEALTHCARE. THE ABILITY TO ACCESS HEALTH SERVICES IS A CRITICAL PUBLIC HEALTH ISSUE, AS PRIMARY AND PREVENTATIVE SERVICES CAN HELP PREVENT OR MANAGE CHRONIC ILLNESSES AND THEREFORE IMPROVE THE HEALTH OF THE COMMUNITY. DUKE RALEIGH IS ACTIVELY ENGAGED IN IMPROVING ACCESS TO HEALTH SERVICES FOR ALL THROUGH STRATEGIC INITIATIVES AND COMMUNITY PARTNERSHIPS. THE BULLET POINTS BELOW DESCRIBE THE PROGRESS MADE BY DUKE RALEIGH DURING FY 2025 ON INITIATIVES TO ADDRESS ACCESS TO HEALTHCARE:* PROVIDED APPROXIMATELY $18.8 MILLION (AT ESTIMATED COST) IN FINANCIAL ASSISTANCE TO PATIENTS. * DUKE RALEIGH ALSO SUPPORTED COMMUNITY PARTNERS WORKING TO PROVIDE CARE TO UNINSURED POPULATIONS. THESE COMMUNITY ORGANIZATIONS INCLUDE PROJECT ACCESS OF WAKE COUNTY, URBAN MINISTRIES OF WAKE COUNTY'S OPEN DOOR CLINIC, URBAN MINISTRIES OF WAKE COUNTY'S CLIENT CHOICE PANTRY, AND ALLIANCE MEDICAL MINISTRY. - DUKE RALEIGH PROVIDED IN-KIND LAB SERVICES TO URBAN MINISTRIES OF WAKE COUNTY'S OPEN-DOOR CLINIC AT AN ESTIMATED ANNUAL VALUE OF $1.67 MILLION. - DONATED AND PACKED 5,750+ POUNDS OF RICE AND BEANS FOR URBAN MINISTRIES OF WAKE COUNTY'S CLIENT CHOICE PANTRY BETWEEN FY17-25 (ENGAGING 30+ EMPLOYEES ANNUALLY). - ASSEMBLED AND DONATED 500+ FLU KITS TO URBAN MINISTRIES OF WAKE COUNTY AND ALLIANCE MINISTRIES AT THE HEIGHT OF FLU AND COVID BETWEEN FY23-25. - PROVIDED FINANCIAL SUPPORT TO ALLIANCE MEDICAL MINISTRY TO SUPPORT THEIR EFFORTS TO PROVIDE COMPREHENSIVE, COMPASSIONATE AND AFFORDABLE HEALTHCARE TO WORKING UNINSURED ADULTS IN WAKE COUNTY.
*PARTICIPATED IN COMMUNITY HEALTH FAIRS AND SCREENING EVENTS DESIGNEDTO EXPAND ACCESS TO CARE, PARTICULARLY IN UNDERSERVED SPECIALTIES AND POPULATIONS BY BRINGING PREVENTATIVE SERVICES, EDUCATION AND CONNECTIONS TO CARE DIRECTLY INTO HIGH-NEED NEIGHBORHOODS.DUKE RALEIGH PARTICIPATED IN THE FOLLOWING EVENTS DURING FY 2025: - RALEIGH FIREBIRDS STEM & HEALTHCARE FAIR - VOCAL HEALTH - RALEIGH FIREBIRDS HEAD & NECK CANCER SCREENING EVENT - BLACK FAMILY WELLNESS EXPO HEAD & NECK CANCER SCREEENING, SPEECH LANGUAGE PATHOLOGY, VOICE CARE AND AUDIOLOGY ASSESSMENTS - HEARING LOSS STIGMA PRESENTATION* PROVIDED HOLIDAY SUPPORT TO A LOCAL TITLE I MIDDLE AND HIGH SCHOOL PARTNER, ASSISTING MORE THAN 17 STUDENTS AND THEIR FAMILIES WITH ESSENTIAL RESOURCES DURING THE THANKSGIVING AND WINTER HOLIDAY SEASON, HELPING TO STRENGTHEN FAMILY STABILITY AND ADDRESS IMMEDIATE SOCIAL NEEDS THAT IMPACT OVERALL HEALTH.* PARTNERED WITH MEDASSIST IN COLLABORATION WITH THE BUILDING HEALTHY COMMUNITIES GRANT TO PROVIDE FREE OVER THE COUNTER MEDICATIONS TO COMMUNITY MEMBERS IN NEED.* SPONSORED THE MIDTOWN FARMERS MARKET WHICH PROMOTES A HEALTHY LIFESTYLE AS WELL AS PROVIDES A VENUE FOR DUKE RALEIGH TO SHARE HEALTHY EDUCATION FROM APRIL-NOVEMBER. IN FY25, DUKE RALEIGH HOSTED ONE SATURDAY FOCUSED ON THE IMPORTANCE OF THE FLU VACCINE AND HAND WASHING.
3. MENTAL HEALTHWAKE COUNTY HAS EXPERIENCED AN INCREASE IN THE PREVALENCE AND SEVERITY OF MENTAL HEALTH ISSUES. WHILE THE IMPACTS OF MENTAL HEALTH ARE FAR REACHING, PRIORITIZATION DISCUSSIONS HAVE PLACED SPECIAL EMPHASIS ON SEVERAL POPULATIONS SPECIFICALLY IMPACTED BY MENTAL HEALTH IDENTIFYING THE RELATIONSHIP BETWEEN DISCRIMINATION, RACISM, AND MENTAL HEALTH. DUE TO THE SCOPE AND COMPLEXITY OF MENTAL HEALTH AND ITS TIE TO PHYSICAL HEALTH, A COLLECTIVE AND COLLABORATIVE APPROACH IS NEEDED. THE BULLET POINTS BELOW DESCRIBE THE PROGRESS MADE BY DUKE RALEIGH DURING FY 2025 ON INITIATIVES TO ADDRESS ACCESS TO MENTAL HEALTH SERVICES.* PROVIDED FINANCIAL SUPPORT TO TRIANGLE FAMILY SERVICES TO SUPPORT THEIR EFFORTS TO EXPAND ACCESS TO SUSTAINABLE MENTAL HEALTH SERVICES IN OUR COMMUNITY.* COLLABORATED WITH THE OFFICE OF COMMUNITY HEALTH TO HOST A YOUTH MENTAL HEALTH MINI SUMMIT IN PARTNERSHIP WITH SOUTHEAST RALEIGH PROMISE AND THE SOUTHEAST RALEIGH YMCA. THIS CONVENING FOCUSED ON EMERGING YOUTH MENTAL HEALTH CONCERNS, COMMUNITY-DRIVEN SOLUTIONS, AND STRENGTHENING LOCAL SUPPORT NETWORKS.*PARTNERED WITH THE OFFICE OF COMMUNITY HEALTH TO SERVE AS PRESENTING SPONSORS OF THE ANNUAL NAMI WAKE COUNTY WALK. AS PART OF THE EFFORT, WE BROUGHT TOGETHER MENTAL HEALTH PROVIDERS AND CLINICIANS TO DEMONSTRATE SUPPORT FOR OUR COMMUNITY AND RAISE AWARENESS OF MENTAL HEALTH NEEDS.*DEVELOPED A PROGRAM IN FY25 TO SUPPORT MINORS HOLDING IN THE ED WITH A COMFORTING AND SAFE, QUILT-MAKING ACTIVITY.DUKE RALEIGH HOSPITAL:PART V, SECTION B, LINE 16J: AS PART OF DUHS, DUKE RALEIGH HOSPITAL PROVIDES A BROCHURE TO ALL ADMISSIONS THAT INCLUDES A BRIEF SUMMARY OF DUHS FINANCIAL ASSISTANCE POLICIES. DUHS ALSO COMMENTS ON THE BACK OF ITS BILLING INVOICES THAT PATIENTS SHOULD CONTACT PATIENT ACCOUNT REPRESENTATIVES TO HELP THEM IF THEY CANNOT PAY THEIR BILL IN FULL. THIS COMMENT REFERENCES GOVERNMENT-SPONSORED PROGRAMS, MONTHLY PAYMENT PROGRAMS, AND OTHER FINANCIAL ASSISTANCE PROGRAMS AVAILABLE FOR PATIENTS WHO MEET CERTAIN FINANCIAL CRITERIA. DUHS ALSO PUBLICIZED ITS FINANCIAL ASSISTANCE POLICY VERBALLY THROUGH ITS FINANCIAL CARE COUNSELORS.DUKE RALEIGH HOSPITAL:PART V, SECTION B, LINE 24: CERTAIN ELECTIVE COSMETIC/AESTHETIC SERVICES, AND OTHER ELECTIVE SERVICES, WERE BILLED AT AN AMOUNT EQUAL TO GROSS CHARGES.
GROUP A - FACILITY 3 - DUKE REGIONAL HOSPITAL:PART V, SECTION B, LINE 5: AS PART OF DUKE HEALTH, DUKE REGIONAL HOSPITAL ("DRH") PARTNERED WITH DURHAM COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE PARTNERSHIP FOR A HEALTHY DURHAM TO CONDUCT THE 2023 DURHAM COMMUNITY HEALTH ASSESSMENT. THE 2023 COMMUNITY HEALTH ASSESSMENT REPORT WAS PUBLISHED BY DURHAM COUNTY IN 2024. THE 2023 ASSESSMENT PROCESS INCLUDED 205 COUNTY-WIDE SURVEYS ADMINISTERED BY MORE THAN 50 VOLUNTEERS AND 176 COMUNIDAD LATINA SAMPLE SURVEYS ADMINISTERED BY 7 PAID CONTRACTORS. COMMUNITY MEMBERS, PARTNERSHIP FOR A HEALTHY DURHAM MEMBERS, STAFF FROM DURHAM COUNTY DEPARTMENT OF PUBLIC HEALTH AND DUKE UNIVERSITY AND CONTRACTORS ADMINISTERED THE SURVEYS BETWEEN SEPTEMBER OF 2022 AND APRIL OF 2023. LISTENING SESSIONS CONDUCTED THROUGHOUT DURHAM DISPLAYED SURVEY RESULTS AND ENGAGED COMMUNITY MEMBERS IN DETERMINING THE TOP HEALTH PRIORITIES. THE COMMUNITY HEALTH ASSESSMENT TEAM-COMPRISED OF REPRESENTATIVES FROM DUKE UNIVERSITY HEALTH SYSTEM, LOCAL UNIVERSITIES, LOCAL GOVERNMENTS, SCHOOLS, NON-PROFIT ORGANIZATIONS AND BUSINESSES WORKED TO DIRECT THE ACTIVITIES OF THE ASSESSMENT AND PROVIDE WRITTEN CONTENT AND EXPERTISE ON ISSUES OF INTEREST. THIS JOINT CHNA AND RELATED IMPLEMENTATION PLAN WAS ADOPTED BY THE DUHS BOARD OF DIRECTORS AND PUBLISHED ON THE DUKE HEALTH WEBSITE IN FISCAL 2025 (TAX YEAR 2024).GROUP A - FACILITY 3 - DUKE REGIONAL HOSPITAL:PART V, SECTION B, LINE 6A: DUKE UNIVERSITY HOSPITALGROUP A - FACILITY 3 - DUKE REGIONAL HOSPITAL:PART V, SECTION B, LINE 6B: THE PARTNERSHIP FOR A HEALTHY DURHAM AND THE DURHAM COUNTY HEALTH DEPARTMENTGROUP A - FACILITY 3 - DUKE REGIONAL HOSPITAL:PART V, SECTION B, LINE 11: THE ASSESSMENT IDENTIFIED FIVE HEALTH PRIORITIES FOR FISCAL YEARS 2025-2027:1. AFFORDABLE HOUSING2. ACCESS TO HEALTHCARE AND HEALTH INSURANCE3. COMMUNITY SAFETY AND WELLBEING4. MENTAL HEALTH5. PHYSICAL ACTIVITY, NUTRITION AND FOOD ACCESSTHE DUKE REGIONAL HOSPITAL IMPLEMENTATION PLAN CONTAINING DETAILED DESCRIPTIONS OF HOW DUKE REGIONAL PLANS TO ADDRESS EACH PRIORITY ALONG WITH PROGRESS REPORTS CAN BE FOUND ON THE DUKEHEALTH.ORG WEBSITE. DUKE REGIONAL HOSPITAL CONSIDERS THE DRH COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN DOCUMENT TO BE A "WORKING PLAN" THAT WILL CONTINUE TO EVOLVE OVER THIS THREE-YEAR PERIOD IN ORDER TO ENSURE THE EFFICACY OF STRATEGIES INTENDED TO MEET EXPRESSED COMMUNITY HEALTH NEEDS. THE IMPLEMENTATION PLAN DOES NOT CONTAIN DESCRIPTIONS OF THE COMMUNITY HEALTH IMPROVEMENT WORK CARRIED OUT BY OTHER COMPONENTS OF DUKE HEALTH OR DUKE UNIVERSITY BUT REPRESENTS ONLY DUKE REGIONAL HOSPITAL'S CONTINUALLY EVOLVING VARIETY OF PROGRAMS AND ACTIVITIES IN THE FIVE PRIORITY AREAS TO IMPROVE HEALTH WITHIN THE DURHAM COMMUNITY.1. AFFORDABLE HOUSING AFFORDABLE HOUSING IS A FOCUS OF THE LARGER DUKE UNIVERSITY. DUKE UNIVERSITY'S OFFICE OF DURHAM AND COMMUNITY AFFAIRS LEADS DUKE'S WORK RELATED TO AFFORDABLE HOUSING. INSIGHT INTO THIS AND OTHER WORK LED BY THE OFFICE OF DURHAM AND COMMUNITY AFFAIRS IS AVAILABLE ON THEIR WEBSITE HTTPS://COMMUNITY.DUKE.EDU/OUR-FOCUS-AREAS/NEIGHBORHOODS-HOUSING-AND-INFRASTRUCTURE/. IN ADDITION, DUKE IMPLEMENTED A PLAN TO GRADUALLY INCREASE THE MINIMUM WAGE FOR ALL EMPLOYEES TO $15 PER HOUR, MORE THAN TWICE THE MINIMUM FEDERAL OR STATE HOURLY WAGE. THESE EFFORTS CONTINUED OVER SEVERAL YEARS, CULMINATING IN 2019 WITH A MINIMUM WAGE INCREASE TO $15 FOR ALL EMPLOYEES. ON JULY 1, 2022, DUKE UNIVERSITY, INCLUDING DUKE UNIVERSITY HEALTH SYSTEM, INCREASED THE MINIMUM WAGE TO $17 PER HOUR FOR ALL EMPLOYEES WORKING AT LEAST 20 HOURS PER WEEK AND 36 WEEKS PER YEAR. IN JULY 2024, DUKE'S MINIMUM WAGE INCREASED TO $18 PER HOUR.
2. ACCESS TO HEALTHCARE AND HEALTH INSURANCELINCOLN COMMUNITY HEALTH CENTER (LCHC): IS A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER THAT PROVIDES PRIMARY CARE SERVICES FOR ABOUT 40,000 PATIENTS EACH YEAR. APPROXIMATELY 50 PERCENT OF LCHC PATIENTS ARE UNINSURED AND 52% ARE LIVING AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO FINANCIAL SUPPORT, DUKE REGIONAL HOSPITAL PROVIDES ENGINEERING, ENVIRONMENTAL, LABORATORY, PHARMACY AND RADIOLOGY SERVICES. THE TOTAL DUKE REGIONAL HOSPITAL CONTRIBUTION TO LCHC IN FY 2025, INCLUDING MONETARY AND IN-KIND SERVICES, WAS $10.2 MILLION. DURHAM COUNTY EMERGENCY MEDICAL SERVICES (EMS): SERVES AS THE PRIMARY PROVIDER OF EMERGENCY AMBULANCE SERVICES AND ALTERNATIVE MEDICAL TRANSPORTATION IN DURHAM COUNTY. IN FY 2025, DUKE REGIONAL HOSPITAL CONTRIBUTED $3.1 MILLION TO THE COUNTY TO SUPPORT DURHAM EMS AND DURHAM RECOVERY RESPONSE CENTER.PROJECT ACCESS OF DURHAM COUNTY (PADC): PADC COORDINATES SPECIALTY CARE AT NO CHARGE TO UNINSURED AND UNDERINSURED DURHAM RESIDENTS LIVING AT OR BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. THESE RESIDENTS HAVE ACCESS TO PRIMARY HEALTH CARE THROUGH LINCOLN COMMUNITY HEALTH CENTER. IN FY 2025, DUKE REGIONAL HOSPITAL PROVIDED FINANCIAL SUPPORT OF $20,000 TO PADC.FINANCIAL ASSISTANCE: EACH YEAR DUKE REGIONAL HOSPITAL PROVIDES NO-COST OR DISCOUNTED URGENT OR EMERGENT HEALTH CARE SERVICES TO PATIENTS WHO WERE UNABLE TO PAY. IN FY 2025 DUKE REGIONAL PROVIDED $27.9 MILLION (AT ESTIMATED COST) IN FINANCIAL ASSISTANCE. IN ADDITION, DUKE REGIONAL ABSORBED $3.3 MILLION IN MEDICAID CARE LOSSES IN FY 2025 DUE TO GOVERNMENT REIMBURSEMENTS NOT FULLY MEETING THE COST OF TREATMENT.COMMUNITY HEALTH IMPROVEMENT SERVICES: IN 2025, DUKE REGIONAL HOSPITAL PROVIDED $700,000 IN PATIENT SPONSORSHIP SERVICES, WHICH INCLUDES EXPENSES SUCH AS PAYMENT FOR HOSPITALIZATION, TRANSPORTATION, PATIENT CARE SUPPLIES, DURABLE MEDICAL EQUIPMENT, OUTPATIENT CARE AND LODGING BASED ON SPECIFIC INDIGENT FUNDING GUIDELINES.3. COMMUNITY SAFETY AND WELLBEINGFILL THAT BUS AND SALVATION ARMY ANGEL TREE: EMPLOYEES HAVE DONATED BINS OF SCHOOL SUPPLIES TO CRAYONS2CALCULATORS AND FILL THAT BUS! CAMPAIGN EACH YEAR SINCE 2015 TO SUPPORT DURHAM PUBLIC SCHOOLS. TEACHERS FROM THE SCHOOLS WITH THE HIGHEST POVERTY LEVELS WERE INVITED TO PICK OUT SUPPLIES NEEDED IN THEIR CLASSROOMS.EACH DECEMBER, EMPLOYEES "ADOPT" 100 CHILDREN FROM DUKE REGIONAL'S SALVATION ARMY ANGEL TREE. CHILDREN FROM DURHAM HAVE RECEIVED CLOTHING, BOOKS AND TOYS THANKS TO THE GENEROUS DONATIONS. EXTRA GIFTS ARE ALSO DONATED TO THE SALVATION ARMY FOR OTHER NEEDY FAMILIES IN THE AREA. DURING FY 2025 DUKE REGIONAL ALSO SUPPORTED A FOOD DRIVE FOR NORTH CAROLINA FOOD BANK OF CENTRAL & EASTERN NORTH CAROLINA AND A COAT DRIVE FOR OPEN TABLE MINISTRIES IN DURHAM.LOOK GOOD FEEL BETTER: THE LOOK GOOD FEEL BETTER PROGRAM IS A NON-MEDICAL, BRAND-NEUTRAL PROGRAM THAT PROVIDES SUPPORT FOR FEMALE CANCER TREATMENT PATIENTS WHO HAVE EXPERIENCED HAIR LOSS OR OTHER PHYSICAL APPEARANCE CHANGES DUE TO CHEMOTHERAPY OR RADIATION TREATMENTS. DURING FY 2025 DUKE REGIONAL SPONSORED THE MONTHLY WORKSHOPS IN A VIRTUAL FORMAT.STROKE SUPPORT: DUKE REGIONAL OFFERS A MONTHLY STROKE SUPPORT GROUP THAT OFFERS EDUCATION, SUPPORT AND RESOURCES FOR INDIVIDUALS WHO HAVE BEEN AFFECTED BY STROKE. THE STROKE GROUP HAS ADAPTED ITS FORMAT THROUGH THE YEARS AND IS CURRENTLY MEETING BOTH VIRTUALLY AND IN PERSON.EDUCATION INITIATIVES: EDUCATION IS AN UPSTREAM DRIVER OF HEALTH AND SOCIAL OUTCOMES. DUKE REGIONAL THEREFORE INTEGRATES EDUCATION INITIATIVES INTO ITS COMMUNITY STRATEGY TO ADVANCE THE PRIORITIES INDENTIFIED ABOVE, PARTICULARLY ACCESS TO HEALTHCARE AND COMMUNITY WELL-BEING AND IS COMMITTED TO HELPING TRAIN THE HEALTHCARE WORKERS OF THE FUTURE.CITY OF MEDICINE ACADEMY: DUKE REGIONAL HOSPITAL HAS BEEN A PARTNER WITH CITY OF MEDICINE ACADEMY (CMA) AND DURHAM PUBLIC SCHOOLS SINCE THE PROGRAM'S INCEPTION AT SOUTHERN HIGH SCHOOL IN THE 1990S. IN AUGUST 2011, CMA MOVED TO A NEW FACILITY LOCATED ON THE DUKE REGIONAL CAMPUS. AS PART OF OUR PARTNERSHIP, DUKE REGIONAL HOSPITAL HOSTS STUDENTS FOR CLINICAL ROTATIONS.PROJECT SEARCH: DUKE REGIONAL HOSPITAL WAS THE FIRST HOST HOSPITAL IN THE STATE FOR PROJECT SEARCH, A PARTNERSHIP WITH DURHAM PUBLIC SCHOOLS, OE ENTERPRISES, NORTH CAROLINA DIVISION OF EMPLOYMENT AND INDEPENDENCE FOR PEOPLE WITH DISABILITIES ("EIPD") AND ALLIANCE HEALTH THAT PROVIDES CAREER DEVELOPMENT EXPERIENCES TO SENIOR HIGH SCHOOL STUDENTS WITH DEVELOPMENTAL AND INTELLECTUAL DISABILITIES. DUKE REGIONAL HOSPITAL CONTINUED TO SERVE AS A HOST SITE FOR PROJECT SEARCH ADDING 8 NEW GRADUATES IN 2025 FOR A TOTAL OF 111 GRADUATES TO DATE.FUNDRAISING AND OUTREACH: DUKE REGIONAL HOSPITAL CONDUCTS A NUMBER OF FUNDRAISING AND OUTREACH ACTIVITIES IN THE DURHAM COMMUNITY AND BEYOND. DUKE REGIONAL RAISED $16,127 TO SUPPORT LOCAL CHARITIES DURING FY 2025.THE HOSPITAL CONTINUES TO PARTNER WITH LOCAL NONPROFITS ON ENDEAVERS THAT EDUCATE THE COMMUNITY ABOUT HEALTH INITIATIVES AND DISPARITIES AND PROVIDES OFFICE SPACE FOR THE DURHAM COMMUNITY HEALTH COALITION. IN FY 2025, DUKE REGIONAL HOSPITAL PARTNERED WITH THE AMERICAN RED CROSS TO HOST THREE BLOOD DRIVES THAT RESULTED IN 83 UNITS OF BLOOD COLLECTED.4. MENTAL HEALTHIN 2021, DUKE REGIONAL OPENED THE NEW BEHAVIORAL HEALTH CENTER NORTH DURHAM AND EXPANDED EMERGENCY DEPARTMENT TO PROVIDE MORE COMPREHENSIVE CARE FOR OUR BEHAVIORAL HEALTH PATIENTS. THIS $102.4 MILLION PROJECT EXPANDED THE HOSPITAL'S EMERGENCY ROOM AND CONSOLIDATED INPATIENT, OUTPATIENT AND EMERGENCY BEHAVIORAL HEALTH SERVICES ON DUKE REGIONAL'S CAMPUS, WITH THE GOAL OF PROVIDING BETTER COORDINATION OF CARE FOR BEHAVIORAL HEALTH PATIENTS IN DURHAM AND REGIONALLY. THE CENTER INCORPORATES MEETING SPACE SPECIALLY DESIGNED TO BE USED BY COMMUNITY-BASED ORGANIZATIONS PROVIDING SERVICES FOR BEHAVIORAL HEALTH PATIENTS AND THEIR FAMILIES.
5. PHYSICAL ACTIVITY, NUTRITION AND FOOD ACCESSWHILE DUKE REGIONAL HOSPITAL DOES NOT LEAD FACILITY SPECIFIC PROGRAMS FOCUSED ON THIS HEALTH PRIORITY, THE NEED IS ADDRESSED THROUGH BROADER DUKE HEALTH INITIATIVES THAT BENEFIT THE DUKE REGIONAL HOSPITAL COMMUNITY. DUKE HEALTH, IN PARTNERSHIP WITH THE DURHAM COUNTY DEPARTMENT OF PUBLIC HEALTH, SECURED A MULTI-YEAR GRANT TOTALING $750,000 FROM THE DUKE ENDOWMENT TO BECOME A PART OF THE ENDOWMENT'S HEALTHY PEOPLE, HEALTHY CAROLINAS INITIATIVE. THE INITIATIVE SUPPORTS COALITIONS AIMED AT IMPROVING THE HEALTH AND WELL-BEING OF COMMUNITIES TO REDUCE CHRONIC DISEASE. THE COALITIONS PLACE SIGNIFICANT EMPHASIS ON PHYSICAL ACTIVITY, NUTRITION AND FOOD ACCESS. DURHAM'S COALITION IS THE PARTNERSHIP FOR A HEALTHY DURHAM'S PHYSICAL ACTIVITY, NUTRITION AND FOOD ACCESS COMMITTEE.SEVERAL HEALTHY PEOPLE, HEALTHY CAROLINAS RELATED INITIATIVES WERE INITIATED DURING THE FIRST IMPLEMENTATION YEAR. THE FOOD RECOVERY PROGRAM SAVED OVER 2,000 POUNDS OF FOOD, FEEDING 1,725 PEOPLE. THE VAPING PREVENTION PROGRAM WAS SUCCESSFULLY INTRODUCED INTO ONE ELEMENTARY SCHOOL IN THE SPRING, TEACHING 33 STUDENTS. SIX LEADERS AND EIGHT COMMUNITY MEMBERS TRAINED IN SELF-MANAGEMENT SKILLS FOR CHRONIC ILLNESS IN A TRAIN-THE-TRAINER MODEL. PANFA COLLABORATED WITH CITY TRANSPORTATION STAFF TO INSTALL A BIKE FIX-IT STATION, A FREE RESOURCE FOR BICYCLISTS TO FIX MECHANICAL ISSUES, CONNECTING MULTIPLE PARKS. PANFA MEMBERS ENGAGE IN THE CITY'S VISION ZERO PLAN AND THE JOINT CITY AND COUNTY BIKE AND PEDESTRIAN PLAN, BOTH AIMING TO IMPROVE SAFETY OF STREETS AND ACCESS TO SAFE ACTIVITY.DURING FISCAL YEAR 2025, PANFA ENCOURAGED CHILDREN TO ENGAGE IN PHYSICAL ACTIVITY BY MAKING ENHANCEMENTS TO SCHOOL AND PUBLIC PLAYGROUNDS. FOUR HUNDRED THIRTEEN CHILDREN PARTICIPATED IN TRACKING PHYSICAL ACTIVITY AND TEACHERS WERE SURVEYED REGARDING PHYSICAL ACTIVITY LEVELS AND OTHER IMPACTS OF THE ENHANCEMENTS. SEVENTY-TWO PERCENT OF THE STUDENTS GOT 30-60 MINUTES OF ACTIVITY COMPARED TO 68% BEFORE THE ENHANCEMENTS. THE PERCENTAGE OF TIME THE STUDENTS SPENT BEING ACTIVE WHILE OUTSIDE INCREASED FROM 68% TO 86%. TEACHERS NOTED FEWER DISCIPLINE ISSUES DURING RECESS AS MORE STUDENTS ENGAGED IN PHYSICAL ACTIVITY. TEACHERS ALSO NOTED THAT STUDENTS SEEMED MORE INTERESTED AND ENGAGED IN CLASS.
FieldValueIRS element (for citing)
Facility8FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - DUKE HEALTH CENTER ARRINGDON
5601 ARRINGDON PARK DRIVEMORRISVILLENC27560SPECIALTY AND INDEPENDENT DIAGNOSTIC TESTING FACILITY
2 - DUKE HEALTH IMAGING AT HERITAGE
3000 ROGERS RDWAKE FORESTNC27587INDEPENDENT DIAGNOSTIC TESTING FACILITY
3 - DUKE IMAGING SERVICES
3700 NW CARY PARKWAY SUITE 120CARYNC27513INDEPENDENT DIAGNOSTIC TESTING FACILITY
4 - DUKE PTOT AT HILLSBOROUGH
267 SOUTH CHURTONHILLSBOROUGHNC27278SPECIALTY
5 - DUKE HEALTH IMAGING AT HOLLY SPRINGS
401 IRVING PKWYHOLLY SPRINGSNC27540INDEPENDENT DIAGNOSTIC TESTING FACILITY
6 - DUKE MEADOWMONT CHAPEL HILL
802 W BARBEE CHAPEL ROAD SUITE 100CHAPEL HILLNC27517SPECIALTY
7 - DUKE IMAGING COLEY HALL
66 VILCOM CENTER DR SUITE 101CHAPEL HILLNC27514INDEPENDENT DIAGNOSTIC TESTING FACILITY
8 - HOCK FAMILY PAVILION
4023 NORTH ROXBORO ROADDURHAMNC27704HOSPICE

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:NOT APPLICABLEPART I, LINE 6A:NOT APPLICABLEPART I, LINE 7, COLUMN F:TOTAL GROSS COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSES IS 6.8%.PART I, LINE 7:CHARITY CARE AT COST IS DETERMINED USING THE COST-TO-CHARGE CALCULATION FROM WORKSHEET 2, IN ORDER TO CALCULATE THE AMOUNTS REPORTED ON THE TABLE. UNREIMBURSED MEDICAID IS DETERMINED USING A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS.CHARITY CARE, UNREIMBURSED MEDICAID, AND COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT COSTS PROVIDED BY DUHS' SUPPORT CORPORATIONS, DUKE HEALTH INTEGRATED PRACTICE, DUKE UNIVERSITY AFFILIATED PHYSICIANS, ASSOCIATED HEALTH SERVICES, DUKE INTEGRATED NETWORK, AND WATTS COLLEGE OF NURSING THAT FILE SEPARATE 990S BUT ARE NOT REQUIRED TO COMPLETE A SCHEDULE H. TOTAL ESTIMATED NET COMMUNITY BENEFIT EXPENSES FOR THESE ENTITIES TOTALED $112.5 MILLION IN FY2025.PART II, COMMUNITY BUILDING ACTIVITIES:THESE ACTIVITIES ARE INCLUDED IN DUKE UNIVERSITY HEALTH SYSTEM, INC.'S (DUHS) OPERATING EXPENSES AND ARE NOT TRACKED SEPARATELY FOR COMMUNITY BENEFIT REPORTING PURPOSES.PART III, LINE 1 AND LINE 2:DUHS PROVIDED UNCOMPENSATED CARE AT ESTIMATED COSTS IN THE FORM OF IMPLICIT PRICE CONCESSIONS (CONSIDERED BAD DEBT EXPENSE PRIOR TO ADOPTION OF ACCOUNTING STANDARDS UPDATE 2014-16, "REVENUE FROM CONTRACTS WITH CUSTOMERS" IN FY2019) ASSOCIATED WITH UNCOLLECTIBLE PATIENT ACCOUNTS AT AN ESTIMATED COST OF $36,043,000 IN FISCAL YEAR 2025. DUHS USED THE COST-TO-CHARGE RATIO FROM WORKSHEET 2 TO ESTIMATE COST.PART III, LINE 3:DUHS PRESUMPTIVELY SCREENS ALL UNINSURED PATIENTS AND ALL PATIENTS ENTERING THROUGH THE EMERGENCY DEPARTMENT, REGARDLESS OF INSURANCE STATUS, FOR FINANCIAL ASSISTANCE. WHILE THESE PRESUMPTIVE PROCESSES IDENTIFY A SUBSET OF PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WITHOUT NEEDING DIRECT INPUT FROM THE PATIENT, THOSE WHO DO NOT FALL UNDER THE PRESUMPTIVE SCREENING CRITERIA WILL NEED TO PROVIDE INFORMATION TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER DUHS' FINANCIAL ASSISTANCE POLICY. A PORTION OF IMPLICIT PRICE CONCESSIONS (FORMERLY CONSIDERED BAD DEBT EXPENSE) SHOULD BE INCLUDED AS A COMMUNITY BENEFIT, BUT THE PORTION THAT IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY IS INDETERMINABLE BECAUSE OF THOSE PATIENTS WHO FAIL TO APPLY FOR OR PROVIDE INFORMATION NEEDED TO DETERMINE THEIR ELIGIBILITY UNDER THE DUHS FAP. DUHS, INC. FOLLOWS ITS MISSION TO THE COMMUNITY AND PROVIDES EMERGENT SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE ARE REPORTED AS AN IMPLICIT PRICE CONCESSION INSTEAD BECAUSE OF THOSE PATIENTS' INABILITY OR UNWILLINGNESS TO PROVIDE THE NECESSARY DOCUMENTATION REQUIRED TO DETERMINE FINANCIAL ASSISTANCE CLASSIFICATION.PART III, LINE 4:PAGES 18-21 IN THE FY2025 AUDITED FINANCIAL STATEMENT FOOTNOTES DESCRIBE IMPLICIT PRICE CONCESSIONS RELATED TO UNINSURED PATIENTS.PART III, LINE 7:TOTAL UNREIMBURSED COSTS ATTRIBUTABLE TO PROVIDING SERVICES UNDER MEDICARE AS REPORTED IN THE JUNE 30, 2025 DUHS CONSOLIDATED FINANCIAL STATEMENTS ARE $708,572,000 AS COMPARED TO $145,202,505 AS REPORTED IN SECTION B, LINE 7 OF SCHEDULE H. THE DUHS TOTAL MEDICARE SHORTFALL OF $708,572,000 IS DERIVED FROM THE COST ACCOUNTING SYSTEM WHICH INCLUDES ALL PAYMENTS AND COSTS ASSOCIATED WITH MEDICARE PATIENTS, WHEREAS THE AMOUNT REPORTED IN SECTION B OF SCHEDULE H IS DERIVED BASED ON IRS INSTRUCTIONS. IRS INSTRUCTIONS SPECIFY THAT ONLY A PORTION OF COSTS ASSOCIATED WITH MEDICARE BENEFICIARIES BE REPORTED ON SCHEDULE H. SIGNIFICANT MEDICARE COSTS EXCLUDED FROM SCHEDULE H DATA INCLUDE THOSE ASSOCIATED WITH MEDICARE PATIENTS COVERED UNDER MANAGED CARE PLANS, COSTS REIMBURSED THROUGH MEANS NOT REPORTED ON THE COST REPORT, AND UNREIMBURSED COSTS PROVIDED BY DUHS' SUPPORT CORPORATIONS THAT ARE NOT REQUIRED TO FILE A COST REPORT OR COMPLETE A SCHEDULE H.PART III, LINE 8:MEDICARE RATES AND THE NUMBER OF MEDICARE PATIENTS DUHS TREATS ARE NOT NEGOTIATED. MEDICARE DOES NOT FULLY COMPENSATE DUHS FOR THE COST OF PROVIDING CARE TO MEDICARE BENEFICIARIES. DUHS CONTINUES TO SERVE THE MEDICARE POPULATION AS MEDICARE REIMBURSEMENT RATES DECLINE RELATIVE TO THE COST OF CARE. THEREFORE, ANY LOSS RELATED TO PROVIDING CARE FOR MEDICARE PATIENTS SHOULD BE CLASSIFIED AS A COMMUNITY BENEFIT. DUHS FOLLOWED THE MEDICARE COST REPORT RULES AND GUIDELINES IN DETERMINING THE COSTS REPORTED ON LINE 6. THESE RULES USE A VARIETY OF DIFFERENT METHODOLOGIES BASED ON THE TYPE OF SERVICE.PART III, LINE 9B:COLLECTION EFFORTS ARE IMMEDIATELY STOPPED FOR PATIENTS WHO SUBMIT A FINANCIAL ASSISTANCE APPLICATION. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT PURSUED USING ANY DEBT COLLECTION PRACTICES.
NEEDS ASSESSMENT:PART VI, LINE 2:DUHS USES SEVERAL MECHANISMS TO ASSESS AND ADDRESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. DUHS IS A LEAD PARTNER ON THE DEVELOPMENT OF COMMUNITY HEALTH NEEDS ASSESSMENTS IN DURHAM COUNTY AND WAKE COUNTY. DUHS ACTIVELY VOLUNTEERS TO COLLECT DATA AND PARTICIPATE ON COMMITTEES IDENTIFYING THE PRIORITIES AND DEVELOPING STRATEGIES TO ADDRESS THE IDENTIFIED PRIORITIES. IN 2019, DUHS BEGAN A PILOT OF SCREENING ITS PATIENTS FOR UNMET SOCIAL NEEDS INCLUDING FOOD INSECURITY, HOUSING INSECURITY, TRANSPORTATION, AND MENTAL HEALTH. THE SCREENING IS MANAGED THROUGH EPIC AND WHEN PATIENTS SCREEN POSITIVE FOR A SOCIAL NEED, DUHS MAKES AN IMMEDIATE REFERRAL, THROUGH A STATEWIDE SYSTEM CALLED NCCARE360, TO COMMUNITY-BASED RESOURCES THAT PROVIDE SUPPORT SERVICES IN THE IDENTIFIED AREA(S). OVER 50 SITES ARE PARTICIPATING IN THE SCREENING OF SOCIAL NEEDS. DUKE UNIVERSITY'S BOARD OF TRUSTEES APPROVED THE STRATEGIC COMMUNITY IMPACT PLAN (SCIP) IN 2019 WHICH OUTLINES FIVE COMMUNITY FOCUS AREAS AND PRIORITIES BASED ON COMMUNITY LISTENING SESSIONS: (1) HOUSING (PRIORITY: AFFORDABLE HOUSING AND INFRASTRUCTURE; (2) EDUCATION (PRIORITY: EARLY CHILDHOOD DEVELOPMENT); (3) EMPLOYMENT (PRIORITY: COLLEGE AND CAREER READINESS); (4) HEALTH (PRIORITY: FOOD SECURITY); AND (5) COMMUNITY (PRIORITY: NONPROFIT CAPACITY). THESE FOCUS AREAS ALIGN WITH THE CHNA PRIORITIES AND PATIENT SCREENING DATA. DUHS HAS EMBRACED THE SCIP AS AN INTEGRAL PART OF ITS STRATEGIC GOAL TO ADVANCE HEALTH EQUITY. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:PART VI, LINE 3:DUHS EMPLOYS NUMEROUS MEANS TO EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE DUHS FINANCIAL ASSISTANCE POLICY. DETAILED INFORMATION IS POSTED ON WWW.DUKEHEALTH.ORG (DUHS' WEBSITE) ALONG WITH HARDCOPY BROCHURES THAT ARE AVAILABLE IN ENGLISH OR SPANISH AT ALL OF OUR PATIENT REGISTRATION LOCATIONS. ALL INPATIENTS AND EMERGENCY DEPARTMENT PATIENTS ARE ALSO PROVIDED WITH A HARDCOPY, ONE-PAGE SUMMARY OF THE WAYS DUHS CAN ASSIST PATIENTS FINANCIALLY. FOR OUTPATIENTS, THIS SAME ONE-PAGE SUMMARY IS PROVIDED ON THEIR FIRST VISIT TO THE INSTITUTION. IN ADDITION, DUHS EMPLOYS FINANCIAL CARE COUNSELORS WHO MEET INDIVIDUALLY WITH PATIENTS WHO HAVE QUESTIONS REGARDING PAYMENT FOR THEIR CARE. DUHS ALSO EMPLOYS MEDICAID ASSISTANCE COUNSELORS WHO SPECIALIZE IN ASSISTING PATIENTS TO APPLY FOR MEDICAID, DISABILITY, AND OTHER FEDERAL, STATE, AND LOCAL PROGRAMS. DUHS ASSISTS BETWEEN 12,000-15,000 PATIENTS IN APPLYING AND BECOMING ELIGIBLE FOR THESE PROGRAMS ANNUALLY. FINALLY, PATIENTS MAY ALWAYS CONTACT DUHS' TOLL FREE CUSTOMER SERVICE NUMBER TO REQUEST INFORMATION ABOUT THEIR BILL OR OBTAIN A FINANCIAL ASSISTANCE APPLICATION.COMMUNITY INFORMATION:PART VI, LINE 4:DUHS SERVES A BROAD, CULTURALLY, RACIALLY AND SOCIALLY DIVERSE GEOGRAPHIC AND DEMOGRAPHIC REGION. DUHS' HOME CITY OF DURHAM IS THE CORE, BUT DUHS' REACH EXTENDS INTO THE SURROUNDING RESEARCH TRIANGLE AREA OF NORTH CAROLINA AND THE STATE'S LARGER NORTHERN PIEDMONT REGION, AS WELL AS STATEWIDE, NATIONALLY AND GLOBALLY. DUHS' PRIMARY SERVICE AREA (PSA) IS A 7-COUNTY REGION IN NC THAT INCLUDES ALAMANCE, DURHAM, GRANVILLE, ORANGE, PERSON, VANCE AND WAKE COUNTIES. WITH A POPULATION OF 2.1 MILLION, THIS 7-COUNTY REGION REPRESENTS APPROXIMATELY 19.3% OF NC'S POPULATION BASED ON FEDERAL FISCAL YEAR (FFY) 2024 DATA. THE WEIGHTED AVERAGE MEDIAN HOUSEHOLD INCOME IN ITS PSA IS $74,695. APPROXIMATELY 68% OF INPATIENT DISCHARGES FROM DUHS FACILITIES IN FFY 2024 WERE PATIENTS FROM ITS PSA. THE POPULATION IN DUHS' PSA IS EXPECTED TO GROW AT A HIGHER RATE OVER THE NEXT 5 YEARS FROM 2025 TO 2029 COMPARED TO NC'S OVERALL EXPECTED POPULATION GROWTH RATE. THE PSA 5-YEAR CAGR IS EXPECTED TO BE 1.1% COMPARED TO THE OVERALL ESTIMATED NC RATE OF 0.9%. DUHS' SECONDARY SERVICE AREA COVERS 15 COUNTIES IN NORTH CAROLINA AND SOUTHERN VIRGINIA WITH A POPULATION OF APPROXIMATELY 2 MILLION. PROMOTION OF COMMUNITY HEALTH:PART VI, LINE 5:DUHS PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH A NUMBER OF COMMUNITY BUILDING ACTIVITIES. CENTRAL TO MANY OF THE EFFORTS IS DUHS' OFFICE OF COMMUNITY HEALTH (OCH). OCH REPORTS DUALLY TO (1) THE CEO OF THE HEALTH SYSTEM AND (2) DUKE'S VICE PRESIDENT OF COMMUNITY AFFAIRS TO FACILITATE LEVERAGING ASSETS ACROSS THE ENTIRE DUKE ENTERPRISE TO ASSESS AND ADDRESS COMMUNITY NEEDS. OCH ALSO FACILITATES THE DEVELOPMENT OF COORDINATED, SYSTEM-LEVEL INITIATIVES TO ADDRESS IDENTIFIED COMMUNITY NEEDS IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS. FURTHERMORE, OCH ORGANIZES ANNUAL HEALTH SUMMITS TO BRING COMMUNITY MEMBERS, ELECTED OFFICIALS, PROVIDERS, AND OTHERS TOGETHER TO GENERATE AND SHARE INFORMATION, COLLECT ADDITIONAL DATA, AND DEVELOP STRATEGIES COLLABORATIVELY TO ADDRESS SOCIAL DRIVERS OF HEALTH. DUHS' OFFICE OF COMMUNITY HEALTH'S CHIEF COMMUNITY HEALTH AND SOCIAL IMPACT OFFICER IS A FULL-TIME LIAISON IN DURHAM AND IN DUHS' PRIMARY SERVICE AREAS. THE OFFICE SPONSORS AND FACILITATES COMMUNITY EVENTS SUCH AS THE ANNUAL COMMUNITY HEALTH SUMMIT AND SIMILAR REGIONAL AND STATE HEALTH SUMMITS THAT RAISE AWARENESS OF COMMUNITY HEALTH NEEDS, PROMOTE PREVENTION AND WELLNESS, AND CHART A COURSE FOR SOLVING HEALTH-RELATED SOCIAL NEED (HRSN) ISSUES AND DISPARITIES IDENTIFIED BY THE COMMUNITY. IN ADDITION, THE OFFICE PROVIDES A POINT OF DIRECT CONTACT FOR COMMUNITY MEMBERS WHO HAVE QUESTIONS OR CONCERNS ABOUT COMMUNITY ISSUES OR ACCESS TO HEALTH CARE SERVICES. THE OFFICE ALSO PROVIDES DIRECT FINANCIAL SUPPORT TO A VARIED PORTFOLIO OF COMMUNITY GROUPS THROUGH THE BUILDING HEALTHY COMMUNITIES GRANTS PROGRAM. THE CHIEF HEALTH AND SOCIAL IMPACT OFFICER AND STAFF SERVE ON A NUMBER OF COMMUNITY BOARDS AND HEALTH-RELATED COMMITTEES. STAFF FROM THE OFFICE OF COMMUNITY HEALTH AND DUHS REPRESENTATIVES IMMERSED IN COMMUNITY ENGAGEMENT ACTIVITIES CREATED FORMAL PRINCIPLES OF COMMUNITY ENGAGEMENT THAT COMMIT DUHS AND ITS COMMUNITY PARTNERS TO DEVELOPING PROPOSED PROJECTS AND INITIATIVES BASED ON TRUST, RESPECT, DIVERSITY, SAFETY AND COMMUNITY-IDENTIFIED NEEDS. THESE PRINCIPLES HAVE BEEN INCORPORATED INTO COMMUNITY-BASED HEALTHCARE PROJECTS INCLUDING COMMUNITY CLINICS, FOCUS GROUPS, CHNA IMPLEMENTATION PLANS, AND DUHS' ANNUAL HEALTH SUMMIT.
IN ADDITION TO COMMUNITY BUILDING ACTIVITIES,DUHS PROMOTES THE HEALTH OF ITS COMMUNITIES IN A NUMBER OF IMPORTANT WAYS. ONE OF DUHS' THREE CONSTITUENT HOSPITALS, DUKE REGIONAL, HAS AN OPEN MEDICAL STAFF AND A HOSPITAL CORPORATION BOARD, WHICH IS A COUNTY APPOINTED BOARD RESPONSIBLE FOR HOSPITAL OVERSIGHT. DUHS' CEO ALSO HAS A COMMUNITY HEALTH ADVISORY BOARD TO PROVIDE FEEDBACK ON A VARIETY OF ISSUES, INCLUDING USE OF DUHS RESOURCES, HEALTH SERVICE DELIVERY SYSTEMS AND LONG-RANGE GOALS TO REDUCE HEALTH RISKS AND DISPARITIES IN DURHAM COUNTY. THE BOARD INCLUDES STATE AND LOCAL ELECTED OFFICIALS, NEIGHBORHOOD COUNCILS AND OTHER GRASSROOTS ORGANIZATIONS, POLITICAL GROUPS, DURHAM PUBLIC SCHOOLS, AMONG OTHERS. DUHS MAINTAINS A BUILDING HEALTHY COMMUNITIES GRANT COMMITTEE TO REVIEW COMMUNITY REQUESTS FOR PHILANTHROPIC ASSISTANCE THAT PROMOTE HEALTH, WELLNESS, AND ECONOMIC MOBILITY. DUHS FORMED A COMMUNITY HEALTH EXECUTIVE COUNCIL IN 2022 COMPRISED OF LEADERS ACROSS DUKE HEALTH TO OVERSEE STRATEGIES DESIGNED TO ADVANCE HEALTH EQUITY AND ADDRESS HEALTH-RELATED SOCIAL NEEDS. ADDITIONALLY, SEVERAL COMMITTEES/COUNCILS HAVE BEEN FORMED AROUND SPECIFIC HEALTH-RELATED SOCIAL NEEDS TO DISCUSS COMMUNITY STATUS, CAPACITY NEEDS OF COMMUNITY-BASED ORGANIZATIONS, AND TO INFORM SYSTEM-LEVEL EFFORTS.DUKE HEALTH PROVIDES VARIOUS OPPORTUNITIES FOR STUDENTS TO INTERACT WITH DIFFERENT HEALTH CARE PROFESSIONALS ACROSS THE SYSTEM. THE OFFICE OF COMMUNITY HEALTH, DRH, AND OTHER KEY COMMUNITY PARTICIPANTS ARE ACTIVE IN A WORKFORCE DEVELOPMENT PROJECT CALLED PROJECT SEARCH. THIS PROGRAM, MODELED AFTER THE PROGRAM AT CINCINNATI CHILDREN'S HOSPITAL, PROVIDES YOUTH WITH DISABILITIES EMPLOYMENT TRAINING AND CAREER OPPORTUNITIES IN DURHAM. EACH YEAR, DUKE RALEIGH HOSPITAL PARTNERS WITH ENLOE MAGNET HIGH SCHOOL AND SOUTHEAST RALEIGH MAGNET HIGH SCHOOL TO HOST A STEAM CAREER FAIR AND GUIDED HOSPITAL TOUR IN WAKE COUNTY. CLINICAL AND NON-CLINICAL TEAM MEMERS ACROSS THE HOSPITAL PARTICIPATE TO HELP STUDENTS EXPLORE THE MANY ROLES THAT SHAPE PATIENT CARE AND COMMUNITY HEALTH. THE EVENT IS DESIGNED TO SPARK CURIOSITY, HIGHLIGHT THE BREADTH OF CAREERS IN HEALTHCARE, AND SUPPORT EARLY PIPELINE DEVELOPMENT FOR THE NEXT GENERATION OF HEALTH PROFESSIONALS.DURHAM-ORANGE MEDICAL SOCIETY AND THE DURHAM ACADEMY OF MEDICINE, DENTISTRY AND PHARMACY (AN ASSOCIATION FOR AFRICAN-AMERICAN MEDICAL PROFESSIONALS) HELP PROMOTE THE SUCCESS OF THE CITY OF MEDICINE ACADEMY (CMA). THE CMA IS A PUBLIC MAGNET HIGH SCHOOL DESIGNED FOR STUDENTS INTERESTED IN HEALTH CARE CAREERS. DUKE FACULTY ARE INVOLVED WITH MENTORING STUDENTS AND CLASSROOM LECTURES AT THE CITY MEDICINE ACADEMY.STUDENTS FROM THE DUKE SCHOOLS OF MEDICINE AND NURSING ENGAGE COMMUNITIES IN DURHAM AND BEYOND IN ACTIVITIES THAT INCLUDE FREE BLOOD PRESSURE SCREENINGS FOR THE HOMELESS, AND IDENTIFYING THE HEALTH CARE NEEDS OF A LOW WEALTH COMMUNITY SCHOOL AND DEVELOPING A CURRICULUM FOR STUDENTS AND PARENTS THAT ADDRESSES THOSE NEEDS. STUDENTS HAVE ALSO FORMED FOOD SECURITY INITIATIVES INCLUDING ROOT CAUSES' FRESH PRODUCE PROGRAM THAT DISTRIBUTES FOOD TO DUKE PATIENTS BASED ON PROVIDER PRESCRIPTIONS. OCH IS ALSO AN ADVISOR TO A STUDENT-LED GROUP AT DUKE CALLED THE FOOD RECOVERY NETWORK THAT PACKAGES UNUSED, PREPARED MEALS FROM DINING SERVICES ACROSS THE UNIVERSITY AND DELIVERS THEM TO COMMUNITY-BASED ORGANIZATIONS FOR DISTRIBUTION TO COMMUNITY MEMBERS IN NEED.AFFILIATED HEALTH CARE SYSTEM ROLES:PART VI, LINE 6:DUHS PROVIDES HEALTH CARE SERVICES ACROSS THE FULL CONTINUM OF CARE, FROM WELLNESS AND PREVENTATIVE SERVICES TO HOSPICE. DUHS' HEALTH CARE NETWORK INCLUDES FOUR HOSPITALS, AN EXTENSIVE AMBULATORY AND CLINIC NETWORK, AND AN INTEGRATED PHYSICIAN PRACTICE ORGANIZATION. DUHS IS ANCHORED BY DUKE UNIVERSITY HOSPITAL, WHICH OPERATES AS A SINGLE MULTI-CAMPUS HOSPITAL, INCLUDING ITS FLAGSHIP ACADEMIC MEDICAL CENTER LOCATED ON THE DUKE UNIVERSITY CAMPUS IN DURHAM, NORTH CAROLINA (THE DUKE UNIVERSITY HOSPITAL-UNIVERSITY CAMPUS) AND A COMMUNITY HOSPITAL LOCATED IN RALEIGH, NORTH CAROLINA (DUKE RALEIGH HOSPITAL). THE UNIVERSITY CAMPUS LOCATION IS AN ACADEMIC MEDICAL CENTER THAT PROVIDES COMPREHENSIVE DIAGNOSTIC AND THERAPEUTIC SERVICES AND SERVES AS A TEACHING AND RESEARCH HOSPITAL FOR STUDENTS OF MEDICINE, NURSING, AND ALLIED HEALTH SCIENCES. DUKE RALEIGH HOSPITAL IS A GENERAL ACUTE CARE COMMUNITY HOSPITAL PROVIDING SERVICES PRIMARILY TO RESIDENTS OF WAKE COUNTY AND SURROUNDING COMMUNITIES. DUHS ALSO OPERATES DUKE REGIONAL HOSPITAL, A GENERAL ACUTE CARE COMMUNITY HOSPITAL LOCATED IN DURHAM, NORTH CAROLINA, PROVIDING CARE TO RESIDENTS OF DURHAM AND SURROUNDING COMMUNITIES. ON APRIL 1, 2025, DUHS, THROUGH A WHOLLY CONTROLLED AFFILIATE, ACQUIRED LAKE NORMAN REGIONAL MEDICAL CENTER IN MOORESVILLE, NORTH CAROLINA, AND NOW OPERATES THIS FACILITY AS DUKE HEALTH LAKE NORMAN HOSPITAL, A COMMUNITY HOSPITAL SERVING SOUTHERN IREDELL COUNTY AND THE SURROUNDING REGION.ACROSS ITS HOSPITALS AND ABULATORY OPERATIONS, DUHS OFFERS A COMPREHENSIVE RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC, EMERGENCY, REHABILITATIVE, BEHAVIORAL HEALTH, AND SPECIALTY SERVICES. DUHS' AMBULATORY FOOTPRINT INCLUDES A BROAD NETWORK OF CLINICS, PRIMARY CARE PRACTICES, AND SPECIALTY CLINICS LOCATED THROUGHOUT ITS SERVICE AREA.DUKE HEALTH INTEGRATED PRACTICE (DHIP) IS DUHS' EMPLOYED PHYSICIAN AND CLINICAL PRACTICE ORGANIZATION AND SUPPORTS THE DELIVERY OF PRIMARY AND MULTI-SPECIALTY CARE ACROSS THE SYSTEM. DUHS ALSO PROVIDES HOME HEALTH, HOME INFUSION, AND HOSPICE SERVICES, ENABLING CARE TO BE DELIVERED IN OUTPATIENT AND HOME-BASED SETTINGS WHEN CLINICALLY APPROPRIATE.DUHS' OPERATING UNITS WORK TOGETHER TO PROVIDE COORDINATED CARE AT THE APPROPRIATE LEVEL OF SERVICE, WITH AN EMPHASIS ON ACCESS, QUALITY AND COMMUNITY BENEFIT. LIST OF ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT:PART VI, LINE 7:NORTH CAROLINA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (62 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
ALLIANCE MEDICAL MINISTRY INC
101 DONALD ROSS DRRALEIGHNC27610562168673501(C)(3)$50,000$0COMMUNITY SUPPORT
AMERICAN HEART ASSOCIATION INC
PO BOX 843384DALLASTX752843384135613797501(C)(3)$75,000$0SPONSORSHIP
AUTISM SUPPORT AND ADVOCACY CENTER
1901 CHAPEL HILL RDDURHAMNC27707264613218501(C)(3)$15,000$0COMMUNITY SUPPORT
BACKPACK PROJECT DURHAM
1400 WEST MAIN ST BOX 97347DURHAMNC27708923221822501(C)(3)$7,500$0COMMUNITY SUPPORT
BLACK FARMERS MARKET
PO BOX 13633DURHAMNC27709872075264501(C)(3)$10,000$0COMMUNITY SUPPORT
BOYS & GIRLS CLUBS OF DURHAM & ORAN
1010 MARTIN LUTHER KING JR PKWDURHAMNC27713566001906501(C)(3)$11,000$0COMMUNITY SUPPORT
BOYS CLUB OF WAKE COUNTY INC
701 N RALEIGH BLVDRALEIGHNC27610560863051501(C)(3)$20,000$0SPONSORSHIP
CAPSTONE EVENT GROUP INC
3803-B COMPUTER DR SUITE 205RALEIGHNC27609464157559$7,500$0SPONSORSHIP
CENTRAL PARK SCHOOL FOR CHILDREN
724 FOSTER STDURHAMNC27701201582345501(C)(3)$20,000$0COMMUNITY SUPPORT
CHILDRENS CANCER PARTNERS
900 S PINE ST STE FSPARTANBURGSC29302202511033501(C)(3)$8,500$0COMMUNITY SUPPORT
CHILDRENS FLIGHT OF HOPE INC
751 CORPORATE CENTER DR STE 130RALEIGHNC27607561762824501(C)(3)$20,000$0COMMUNITY SUPPORT
CITY OF MEDICINE VOLUNTEER MEDICAL
6409 FAYETTVILLE RD STE 120 334DURHAMNC27713862706784501(C)(3)$15,000$0COMMUNITY SUPPORT
COMMUNITIES IN PARTNERSHIP
PO BOX 11247DURHAMNC27703475567396501(C)(3)$30,000$0COMMUNITY SUPPORT
COMMUNITY FOUNDATION OF MIDDLE TN
3421 BELMONT BLVDNASHVILLETN37215621471789501(C)(3)$50,000$0COMMUNITY SUPPORT
COMMUNITY HEALTH COALITION INC
PO BOX 15176DURHAMNC277042755562269385501(C)(3)$8,500$0COMMUNITY SUPPORT
DURHAM CHILDRENS INITIATIVE
2101 ANGIER AVE 200DURHAMNC27703320263133501(C)(3)$8,500$0COMMUNITY SUPPORT
DURHAM NATIVITY SCHOOL
1004 N MANGUM STDURHAMNC27701562274228501(C)(3)$6,000$0COMMUNITY SUPPORT
DURHAM PUBLIC SCHOOLS FOUNDATION
600 E UMSTEAD STDURHAMNC27701822803464501(C)(3)$100,000$0COMMUNITY SUPPORT
DURHAM SUCCESS SUMMIT INC
732 9TH STREET 596DURHAMNC27705862985757501(C)(3)$7,250$0COMMUNITY SUPPORT
EL CENTRO HISPANO INC
2000 CHAPEL HILL RD 26ADURHAMNC27707562011661501(C)(3)$7,500$0SPONSORSHIP
EMILY KRZYZEWSKI FAMILY LIFE CENTER
904 W CHAPEL HILL STDURHAMNC27701562230469501(C)(3)$25,000$0SPONSORSHIP
EMPOWERED PARENTS IN COMMUNITY
PO BOX 51431DURHAMNC27717841926159501(C)(3)$7,500$0SPONSORSHIP
FAMILIES MOVING FORWARD
PO BOX 25426DURHAMNC27702561633998501(C)(3)$20,000$0COMMUNITY SUPPORT
FAMILY VIOLENCE PREVENTION CTR INC
1012 OBERLINE RD SUITE 100RALEIGHNC27605581320613501(C)(3)$30,000$0SPONSORSHIP
FIGHT FOR 1 OF US INC
8024 GLENWOOD AVE SUITE 200RALEIGHNC27607274754653501(C)(3)$30,000$0SPONSORSHIP
FOOD BANK OF CENTRAL & EASTERN NC
1924 CAPITAL BLVDRALEIGHNC27604561283426501(C)(3)$10,000$0COMMUNITY SUPPORT
GREAT 100 INC
PO BOX 4875GREENSBORONC274044875561705456501(C)(3)$20,000$0SPONSORSHIP
HABITAT FOR HUMANITY OF DURHAM
1823 CHAPEL HILL RDDURHAMNC27707581674794501(C)(3)$75,000$0COMMUNITY SUPPORT
HELENE FOUNDATION
13200 STRICKLAND RD 114-308RALEIGHNC27613270810112501(C)(3)$7,500$0COMMUNITY SUPPORT
HOLT BROTHERS FOUNDATION INC
421 FAYETTEVILLE ST SUITE 1300RALEIGHNC27601566570426501(C)(3)$7,500$0SPONSORSHIP
HOUSING FOR NEW HOPE INC
18 W COLONY PLACE SUITE 250DURHAMNC27705582089068501(C)(3)$35,000$0COMMUNITY SUPPORT
IMMERSION FOR SPANISH LANGUAGE AQUI
PO BOX 16278CHAPEL HILLNC27516455336885501(C)(3)$8,500$0COMMUNITY SUPPORT
INTER-FAITH FOOD SHUTTLE
1001 BLAIR DRRALEIGHNC27620561753180501(C)(3)$15,000$0COMMUNITY SUPPORT
IVY COMMUNITY CENTER INC
4222 FAYETTEVILLE ROADDURHAMNC27713561932352501(C)(3)$10,000$0COMMUNITY SUPPORT
JEWISH FFEDERATION OF DURHAM CHAPEL
1937 W CORNWALLIS RDDURHAMNC27705581384316501(C)(3)$10,000$0COMMUNITY SUPPORT
L ARCHE NORTH CAROLINA
504 W CHAPEL HILL STDURHAMNC27701474421582501(C)(3)$25,000$0COMMUNITY SUPPORT
LATIN 19
604 CHALFANT CTRALEIGHNC27607872248916501(C)(3)$7,500$0COMMUNITY SUPPORT
LINCOLN COMMUNITY HEALTH CENTER INC
1301 FAYETTEVILLE STDURHAMNC27707561031244501(C)(3)$12,500$0COMMUNITY SUPPORT
MEALS ON WHEELS OF WAKE COUNTY
1001 BLAIR DRIVE SUITE 100RALEIGHNC27603561061085501(C)(3)$20,000$0COMMUNITY SUPPORT
MIDTOWN EVENTS LLC
PO BOX 19107RALEIGHNC27619271832351$10,000$0SPONSORSHIP
MIDTOWN RALEIGH ALLIANCE
7413 SIX FORKS RD STE 259RALEIGHNC27615452559048501(C)(3)$22,000$0SPONSORSHIP
NAMI WAKE COUNTY
PO BOX 12562RALEIGHNC27605561552949501(C)(3)$15,000$0COMMUNITY SUPPORT
NORTH CAROLINA ORGANIZING COMMITTEE
401 HARRISON OAKS BLVD 210CARYNC27513932199231501(C)(3)$350,000$0SPONSORSHIP
NORTH CAROLINA VICTIM ASSISTANCE NE
1053 WHITAKER MILL RD STE 115RALEIGHNC27604561525424501(C)(3)$10,000$0COMMUNITY SUPPORT
OAK CITY CARES INC
1430 S WILMINGTON STRALEIGHNC27603830826329501(C)(3)$10,000$0COMMUNITY SUPPORT
PROJECT ENLIGHTENMENT FOUNDATION
PO BOX 30574RALEIGHNC27622205407465501(C)(3)$8,000$0COMMUNITY SUPPORT
RECOVERY COMMUNITY OF DURHAM
1209 N ELIZABETH STDURHAMNC27701473923808501(C)(3)$6,200$0COMMUNITY SUPPORT
RONALD MCDONALD HOUSE OF DURHAM
506 ALEXANDER AVEDURHAMNC27705561220376501(C)(3)$50,000$0SPONSORSHIP
SAMARITAN HEALTH CENTER
PO BOX 51339DURHAMNC27717263770762501(C)(3)$12,500$0COMMUNITY SUPPORT
SENIOR PHARMASSIST INC
406 RIGSBEE AVE STE 201DURHAMNC277012186562084639501(C)(3)$10,000$0SPONSORSHIP
SOUTHLIGHT HEALTHCARE
3125 POPLARWOOD CT SUITE 203RALEIGHNC27604560988422501(C)(3)$10,000$0COMMUNITY SUPPORT
STUDENT U
600 E UMSTEAD STDURHAMNC27701273460491501(C)(3)$10,000$0COMMUNITY SUPPORT
SUSAN G KOMEN BREAST CANCER FOUNDATION
13770 NOEL ROADDALLASTX75380751835298501(C)(3)$55,000$0SPONSORSHIP
TABLE MINISTRIES INC
311 E MAIN STCARRBORONC27510261471735501(C)(3)$10,000$0COMMUNITY SUPPORT
TRIANGLE FAMILY SERVICES
3937 WESTERN BLVDRALEIGHNC27606560547491501(C)(3)$12,500$0COMMUNITY SUPPORT
UNC HEALTH FOUNDATION INC
123 WEST FRANKLIN ST SUITE 510CHAPEL HILLNC27516566057494501(C)(3)$50,000$0GENERAL SUPPORT
URBAN MINISTRIES OF DURHAM
410 LIBERTY STDURHAMNC27701581505891501(C)(3)$72,500$0COMMUNITY SUPPORT
VELLE CARES FOUNDATION
2741 JORDAN BLVDNEW HILLNC27562463479904501(C)(3)$50,000$0GENERAL SUPPORT
WAKEMED
PO BOX 14549RALEIGHNC27620562001346501(C)(3)$35,000$0GENERAL SUPPORT
WEST END COMMUNITY FOUNDATION INC
1309 HALLEY STDURHAMNC27707561858174501(C)(3)$6,000$0COMMUNITY SUPPORT
WOMENS CENTER OF WAKE COUNTY INC
2200 NEW BERN AVERALEIGHNC27610581316004501(C)(3)$10,000$0COMMUNITY SUPPORT
YMCA OF THE TRIANGLE AREA INC
801 CORPORATE CENTER DR STE 200RALEIGHNC27607560591307501(C)(3)$30,000$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org61Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
FINANCIAL ASSISTANCE73$67,258
WATTS COLLEGE OF NURSING SCHOLARSHIPS19$16,250

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationDUKE UNIVERSITY HEALTH SYSTEM, INC. PROVIDES GENERAL SUPPORT TO LOCAL ORGANIZATIONS BASED ON OUR AWARENESS OF THEIR ACTIVITIES WITHIN THE LOCAL COMMUNITY. DUKE UNIVERSITY HEALTH SYSTEM, INC. ALSO MAINTAINS A BUILDING HEALTHY COMMUNITIES GRANTS PROGRAM THAT REVIEWS COMMUNITY REQUESTS FOR PHILANTHROPIC ASSISTANCE THAT PROMOTE HEALTH AND WELLNESS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
A EUGENE WASHINGTON MD
CHANCELLOR EMERITUS FOR HEALTH AFF.$0$995,113$0$1,267,557$0$23,000$0$42,072$0$32,472$0$2,360,214$0$0
CRAIG T ALBANESE MD
DIRECTOR/CEO$1,583,735$0$672,750$0$23,000$0$42,072$0$22,513$0$2,344,070$0$0$0
MONTE D BROWN MD
VP FOR ADMINISTRATION/SECRETARY$488,464$0$657,136$0$1,067,488$0$42,072$0$15,313$0$2,270,473$0$0$0
VINCENT E PRICE
DIRECTOR$0$2,114,417$0$0$0$23,000$0$42,072$0$27,489$0$2,206,978$0$0
THOMAS A OWENS MD
EXECUTIVE VP, DUHS & COO$1,177,120$0$653,757$0$23,000$0$42,072$0$37,821$0$1,933,770$0$0$0
MARY E KLOTMAN MD
DIRECTOR$0$1,147,203$0$356,274$0$19,167$0$42,072$0$19,983$0$1,584,699$0$0
GREGORY PAULY
PRESIDENT DUH/ACUTE CARE SERVICES/VI$1,090,031$0$250,000$0$80,800$65,000$42,072$0$40,864$230$1,503,767$65,230$0$0
JEFFREY M FERRANTI
VP & CHIEF DIGITAL OFFICE$621,020$115,827$482,134$95,362$23,000$0$42,072$0$37,132$385$1,205,358$211,574$0$0
JOHN A QUELCH
EXECUTIVE VICE CHANCELLOR, DKU$725,423$411,254$107,000$0$23,000$0$42,072$0$33,754$1,379$931,249$412,633$0$0
LISA M GOODLETT
SENIOR VP, CFO, TREASURER$881,319$0$250,000$0$122,241$0$42,072$0$23,080$0$1,318,712$0$0$0
RICHARD P SHANNON MD
CHIEF QUALITY OFFICER$763,447$0$386,991$0$23,000$5,000$42,072$0$19,725$31$1,235,235$5,031$0$0
MARY K MARTIN
CHIEF OPERATING OFFICER, DUH$768,696$0$382,679$0$0$0$42,072$0$39,983$0$1,233,430$0$0$0
PETER GROSSI
DIRECTOR$0$882,479$0$171,011$0$23,000$0$42,072$0$15,742$0$1,134,304$0$0
ALISON TOTH
DIRECTOR$0$995,931$0$12,900$8,482$23,000$0$42,072$28$10,810$8,510$1,084,713$0$0
ERIK PAULSON
DIRECTOR$0$847,600$0$131,449$0$23,000$0$42,072$0$33,881$0$1,078,002$0$0
HOWARD FRANCIS MD
DIRECTOR$0$852,552$0$135,053$0$23,000$0$42,072$0$23,029$0$1,075,706$0$0
KEITH STOVER
VP FINANCE/COO, PRMO$561,042$0$331,250$0$23,000$0$42,072$0$31,151$0$988,515$0$0$0
RHONDA BRANDON
CHIEF HR OFFICER$622,602$0$261,454$0$23,000$0$42,072$0$34,121$0$983,249$0$0$0
ROBERT N WILLIS
FORMER OFFICER$618,211$0$157,861$0$23,000$0$42,072$0$20,889$0$862,033$0$0$0
DEVDUTTA SANGVAI MD
PRESIDENT, DUKE REGIONAL HOSPITAL$477,884$0$153,917$0$0$5,250$42,072$0$140,597$31$814,470$5,281$0$0
TERRY MCDONNELL
SVP-PART YEAR PATIENT CARE$508,888$0$62,720$0$103,872$0$42,072$0$30,840$0$748,392$0$0$0
BARBARA M GRIFFITH MD
PRESIDENT, DUKE RALEIGH HOSPITAL$510,170$0$163,799$0$0$0$42,072$0$27,546$0$743,587$0$0$0
WILLIAM J FULKERSON MD
FORMER OFFICER$0$425,111$201,901$0$0$23,000$0$42,072$0$8,785$201,901$498,968$0$0
LEIGH BLEECKER
FORMER KEY EMPLOYEE$351,869$0$188,099$0$0$0$42,072$0$16,063$0$598,103$0$0$0
JASON CARTER
INTERIM PRESIDENT, DUKE REGIONAL HOS$357,924$0$16,000$0$83,734$0$42,072$0$38,775$0$538,505$0$0$0
BRYAN YOURICH
CHIEF PHARMACY OFFICER, DUHS$310,828$0$84,240$0$21,409$0$42,072$0$21,723$0$480,272$0$0$0
PRISCILLA RAMSEUR
FORMER KEY EMPLOYEE$287,549$0$94,433$0$0$0$42,072$0$10,620$0$434,674$0$0$0
KATIE MCKITTRICK
PART YEAR SECRETARY$209,077$0$10,500$0$1,291$0$26,958$0$20,459$0$268,285$0$0$0
MARY ANN FUCHS
FORMER KEY EMPLOYEE$0$0$102,863$0$0$0$13,289$0$1$0$116,153$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ACHARTER TRAVEL CRAIG T. ALBANESE, MD USED FIRST CLASS OR CHARTER TRAVEL SERVICES. SUCH TRAVEL WAS FOR BUSINESS PURPOSES AND NOT INCLUDED IN TAXABLE INCOME. TAX INDEMNIFICATION GREGORY PAULY, LISA M. GOODLETT, TERRY MCDONNELL AND JASON CARTER RECEIVED A BENEFIT THAT WAS GROSSED UP TO COMPENSATE FOR WITHHOLDING OF TAXES. SUCH AMOUNTS WERE INCLUDED IN THEIR TAXABLE INCOME.
PART I, LINE 4ASEVERANCE PAYMENT MONTE D. BROWN, MD RECEIVED A PAYMENT IN CONNECTION WITH A SEPARATION AGREEMENT. SUCH AMOUNTS WERE INCLUDED IN SCHEDULE J, PART II, COLUMN B (III).
SCHEDULE J, PART I, LINE 7NON-FIXED PAYMENTS: DUHS MAINTAINS AN EXECUTIVE INCENTIVE COMPENSATION PLAN. PAYMENTS UNDER THE PLAN ARE BASED ON PRE-ESTABLISHED PERFORMANCE METRICS AND A FIXED CALCULATION METHODOLOGY APPROVED BY THE DUHS COMPENSATION COMMITTEE WITH ASSISTANCE AND INPUT FROM AN EXECUTIVE COMPENSATION CONSULTING FIRM ASSURING COMPARABILITY WITH SIMILAR SYSTEMS. THE PLAN ALLOWS FOR A MODIFICATION TO AN INDIVIDUAL'S INCENTIVE PAYMENT BASED ON LEADERSHIP COMPETENCIES AND OTHER FACTORS WITH PAYOUTS (AND MODIFICATIONS, IF ANY) APPROVED BY THE DUHS COMPENSATION COMMITTEE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A52130940265821DUD12016-05-26$383,990,154SEE PART VI000
NORTH CAROLINA MEDICAL CARE COMMISSION
B52130940265821DVK42016-08-11$140,200,389SEE PART VI000
NORTH CAROLINA MEDICAL CARE COMMISSION
C52130940265821DZV62025-06-25$522,841,295SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$289,480,000$383,990,154$201,888,819$2,101,335$180,000,000Yes (1)Yes (1)Yes (1)Yes (1)
B$140,200,389$139,008,505$1,191,8840Yes (1)Yes (1)Yes (1)
C$522,841,295$3,196,295$344,645,000Yes (1)00Yes (1)$10,034,031$164,965,969

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
B00Yes (1)Yes (1)00.000000.000000.0000000Yes (1)
C000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)Yes (1)000Yes (1)
B000Yes (1)0000Yes (1)
C0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART I, COLUMN FFormAndLineReferenceDesc
ExplanationBOND ISSUE A: THE 2016B AND 2016C REVENUE REFUNDING BONDS WERE CONVERTED TO BEAR INTEREST AT A NEW BANK-BOUGHT INDEX FLOATING RATE ON 03/01/22. THE PURPOSE OF THE BONDS ISSUED 05/26/16 WAS TO REFUND THE ORIGINAL 2009A BONDS ISSUED ON 10/22/09 TO FINANCE HOSPITAL IMPROVEMENTS INCLUDING THE AMBULATORY CANCER CENTER AT DUKE UNIVERSITY HOSPITAL AND OTHER RENOVATION AND IMPROVEMENT PROJECTS AT DUKE RALEIGH HOSPITAL, AND TO REFUND THE 2005C BONDS ISSUED ON 05/30/12 AND TO PARTIALLY REFUND THE 2005B BONDS ISSUED ON 05/30/12. THE PURPOSE OF THE BONDS ISSUED 05/30/2012 WAS TO PARTIALLY REFUND THE 2005ABC BONDS ISSUED ON 03/22/12, WHICH REFUNDED THE 2005ABC BONDS ISSUED ON 08/21/2009, WHICH REFUNDED THE ORIGINAL 2005ABC BONDS ISSUED ON 5/19/2005. THE PURPOSE OF THE BONDS ISSUED 05/19/2005 WAS TO PARTIALLY REFUND THE 1996C BONDS ISSUED ON 10/24/1996, 1998A BONDS ISSUED ON 08/27/1998, AND THE 1998B BONDS ISSUED ON 10/13/1998. BOND ISSUE B: THE PURPOSE OF THE BONDS ISSUED 08/11/16 WAS TO REFUND THE ORIGINAL 2010A BONDS ISSUED ON 04/02/10 TO FINANCE HOSPITAL CAPITAL IMPROVEMENTS INCLUDING: THE CONSTRUCTION OF A MAJOR TERTIARY CARE ADDITION TO DUKE UNIVERSITY HOSPITAL REFERRED TO AS THE DUKE MEDICINE PAVILION (DMP) WHICH INCLUDED A NEW 582,000 SQUARE FOOT TERTIARY CARE ADDITION INCLUDING FOUR 24-BED INTENSIVE CARE UNITS, TWO 32 BED INTERMEDIATE /STEP-DOWN UNITS, 16 OPERATING ROOMS, EXPANDED IMAGING FACILITIES, AND PATIENT AND FAMILY ORIENTED AMENITIES; A 9,000 SQUARE FOOT SOUTH CONCOURSE CONNECTOR CORRIDOR BETWEEN THE EXISTING CANCER CENTER AND DUKE CLINICS AND THE DMP; A 46,000 SQUARE FOOT NORTH CONCOURSE CONNECTOR CORRIDOR BETWEEN THE DMP AND DUKE UNIVERSITY HOSPITAL-NORTH; RENOVATION OF APPROXIMATELY 29,000 SQUARE FEET IN DUKE UNIVERSITY HOSPITAL AND ROAD IMPROVEMENT AND VEHICLE PARKING PROJECTS REQUIRED TO COMPLETE AND OPERATE THE NEW ADDITION. BOND ISSUE C: THE PURPOSE OF THE BONDS ISSUED 06/25/25 WAS TO REFINANCE THE 2005A, 2005B, 2016B AND 2016C BONDS ISSUED ON 03/01/22, AND TO REFINANCE THE 2006ABC BONDS ISSUED ON 02/14/22. THE BONDS WERE ALSO ISSUED TO FINANCE THE CONSTRUCTION OF DUKE HEALTH CARY BUILDING 200, WHICH WILL CONSIST OF A FREESTANDING EMERGENCY DEPARTMENT, AN AMBULATORY SURGERY CENTER, SPECIALITY CLINICS, AND OTHER MEDICAL FACILITIES. THE PURPOSE OF THE BONDS ISSUED 03/01/22 WAS TO CONVERT THE 2005A AND 2005B REVENUE REFUNDING BONDS TO BEAR INTEREST AT A NEW BANK-BOUGHT INDEX FLOATING RATE. THE PURPOSE OF THE BONDS ISSUED 05/30/2012 WAS TO PARTIALLY REFUND THE 2005ABC BONDS ISSUED ON 03/22/2012. THE PURPOSE OF THE BONDS ISSUED 03/22/2012 WAS TO REFUND THE 2005ABC BONDS ISSUED ON 08/21/2009, WHICH REFUNDED THE ORIGINAL 2005ABC BONDS ISSUED ON 5/19/2005. THE PURPOSE OF THE BONDS ISSUED 05/19/2005 WAS TO PARTIALLY REFUND THE 1996C BONDS ISSUED ON 10/24/1996, 1998A BONDS ISSUED ON 08/27/1998, AND THE 1998B BONDS ISSUED ON 10/13/1998. THE BONDS ISSUED 03/01/22 WERE ALSO ISSUED TO CONVERT THE 2016(B) AND 2016 (C) BONDS TO BEAR INTEREST AT A NEW BANK-BOUGHT INDEX FLOATING RATE. SEE ALSO BOND ISSUE (A) ABOVE. THE PURPOSE OF THE BONDS ISSUED 02/14/22 WAS TO CONVERT THE 2006ABC BONDS TO BEAR INTEREST AT A NEW BANK-BOUGHT INDEX FLOATING RATE. THE PURPOSE OF THE BONDS ISSUED 3/19/2015 WAS TO REFUND THE 2006ABC BONDS ISSUED ON 10/06/2011, WHICH REFUNDED THE BONDS ISSUED 11/15/2006 FOR HOSPITAL IMPROVEMENTS INCLUDING: ROUTINE INFRASTRUCTURE, RENOVATION AND IMPROVEMENT PROJECTS AT DUKE UNIVERSITY HOSPITAL AND DUKE RALEIGH HOSPITAL, IMPROVEMENTS TO INFORMATION SYSTEMS, RENOVATION AND EXPANSION OF EMERGENCY DEPARTMENT AT DUKE UNIVERSITY HOSPITAL, HELIPORT AND NEW ROOF IMPROVEMENTS AT DUKE UNIVERSITY HOSPITAL, AND PHASES 1 AND 2 OF AN OPERATING ROOM SUITE RENOVATION AND EXPANSION AT DUKE UNIVERSITY HOSPITAL. NOTE FOR SCHEDULE K, PART III, LINES 4-6, BOND ISSUE A: RESPONSES REFLECT THE COMPUTATION OF THE PORTION OF THE ISSUE ALLOCABLE TO THE REFUNDING OF THE 2009A BONDS. NOTE FOR SCHEDULE K, PART IV, LINE 2C, BOND ISSUES (A) AND (B): BOND ISSUE (A) COMPLETED 06/01/19 (NO ARBITRAGE DUE AT THAT TIME AND THEREFORE NOT DUE IN 2024 AS NO MORE PROCEEDS WERE INVESTED). BOND ISSUE (B) COMPLETED 08/01/21. AS TO (C), NO ARBITRAGE COMPUTATION WAS NECESSARY BECAUSE ARBITRAGE IS NOT YET DUE. NOTE FOR BOND ISSUE (C): A PORTION OF THESE PROCEEDS WERE DISBURSED OR DEEMED DISBURSED UPON ISSUANCE TO CURRENTLY REFUND THE PRIOR BONDS AS DESCRIBED ABOVE.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
AGILITI HEALTH INC
SEE PART V$1,652,356SEE PART V0
GARRY BARTELS
SEE PART V$79,874SEE PART V0
XIOMARA BOYCE
SEE PART V$79,364SEE PART V0
SAM KLOTMAN
SEE PART V$129,881SEE PART V0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:FormAndLineReferenceDesc
Explanation(A) NAME OF INTERESTED PERSON: AGILITY HEALTH, INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: AGILITY HEALTH, INC. DIRECTOR IS ALSO A DUHS, INC. DIRECTOR(C) AMOUNT OF TRANSACTION: $1,652,356(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR GOODS OR SERVICES(E) SHARING OF ORGANIZATION REVENUE? = NO(A) NAME OF INTERESTED PERSON: GARRY BARTELS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: GARRY BARTELS IS A FAMILY MEMBER OF A DUHS, INC. DIRECTOR(C) AMOUNT OF TRANSACTION: $79,874 (D) DESCRIPTION OF TRANSACTION: PAYMENT FOR SALARY AND BENEFITS(E) SHARING OF ORGANIZATION REVENUE? = NO(A) NAME OF INTERESTED PERSON: XIOMARA BOYCE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: XIOMARA BOYCE IS A FAMILY MEMBER OF A DUHS, INC. DIRECTOR(C) AMOUNT OF TRANSACTION: $79,364 (D) DESCRIPTION OF TRANSACTION: PAYMENT FOR SALARY AND BENEFITS(E) SHARING OF ORGANIZATION REVENUE? = NO(A) NAME OF INTERESTED PERSON: SAM KLOTMAN(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SAM KLOTMAN IS A FAMILY MEMBER OF A DUHS, INC. DIRECTOR(C) AMOUNT OF TRANSACTION: $ 129,881 (D) DESCRIPTION OF TRANSACTION: PAYMENT FOR SALARY AND BENEFITS(E) SHARING OF ORGANIZATION REVENUE? = NOExplanationTxt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$1,400NoncashContributionsRptF990Amt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution6ContributionCnt
Noncash Contributions Rpt F990$153,339NoncashContributionsRptF990Amt
Method Of Determining RevenuesMARKET QUOTEMethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$700NoncashContributionsRptF990Amt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)ENTERTAINMENT31$26,660VARIOUS
Yes (X)SPORTS4$2,800VARIOUS
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 32B:FormAndLineReferenceDesc
ExplanationDUKE UNIVERSITY HEALTH SYSTEM, INC. USES INVESTMENT BROKERS TO SELL INVESTMENTS. DUKE UNIVERSITY HEALTH SYSTEM, INC. MAY OCCASIONALLY USE THIRD PARTIES TO SELL OTHER TYPES OF NON-CASH CONTRIBUTIONS, AS THE NEED ARISES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1, & PART III, DESCRIPTION OF ORGANIZATION MISSION:DUHS, AS PART OF DUKE HEALTH, IS COMMITTED TO ADVANCING HEALTH TOGETHER BY DELIVERING TOMORROW'S HEALTH CARE TODAY, ACCELERATING DISCOVERY AND ITS TRANSLATION, CREATING EDUCATION THAT IS TRANSFORMING, BUILDING HEALTHY COMMUNITIES, AND CONNECTING WITH THE WORLD TO IMPROVE HEALTH GLOBALLY.
FORM 990, PART III, LINE 4ASTATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS HISTORY AND ORGANIZATION IN 1925, JAMES B. DUKE WILLED $4 MILLION TO ESTABLISH DUKE UNIVERSITY HOSPITAL AND ITS MEDICAL SCHOOL TO IMPROVE HEALTH CARE IN THE CAROLINAS, THEN A POOR REGION LACKING HOSPITALS AND HEALTH CARE PROVIDERS. DUKE UNIVERSITY HOSPITAL HAS GROWN TO BE RECOGNIZED AS ONE OF THE WORLD'S GREAT HEALTH CARE PROVIDERS. IN 1998 AND CONCURRENT WITH ACQUIRING CONTROL OF TWO LOCAL COMMUNITY HOSPITALS, THE DUKE UNIVERSITY BOARD OF TRUSTEES ESTABLISHED DUKE UNIVERSITY HOSPITAL AS THE FLAGSHIP OF THE NEWLY INCORPORATED DUKE UNIVERSITY HEALTH SYSTEM, INC. (DUHS) TO MANAGE A WIDE RANGE OF HEALTH CARE PROGRAMS AT THE SAME HIGH LEVEL OF QUALITY THAT HAS TRADITIONALLY MADE DUKE UNIVERSITY HOSPITAL A WORLD LEADER. THIS NETWORK OF REGIONAL HEALTH CARE ORGANIZATIONS IS DEDICATED TO EMPLOYING DUKE'S STRENGTHS IN PATIENT CARE, EDUCATION, AND RESEARCH. DUHS IS A COMPONENT OF DUKE HEALTH WHICH CONCEPTUALLY INTEGRATES THE DUKE UNIVERSITY SCHOOL OF MEDICINE, DUKE-NUS MEDICAL SCHOOL, DUKE UNIVERSITY SCHOOL OF NURSING, DUKE UNIVERSITY HEALTH SYSTEM, OUR PHYSICIAN PRACTICE, DUKE HEALTH INTEGRATED PRACTICE, AND INCORPORATES THE HEALTH AND HEALTH RESEARCH PROGRAMS WITHIN THE DUKE GLOBAL HEALTH INSTITUTE AS WELL AS THOSE IN SCHOOLS AND CENTERS ACROSS DUKE UNIVERSITY, INCLUDING THE DUKE ROBERT J. MARGOLIS CENTER FOR HEALTH POLICY. THE DUKE HEALTH CLINICAL ENTERPRISE IS INTENDED TO FUNCTION AS A FULLY ALIGNED AND UNIFIED ORGANIZATION FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE, DELIVERING ADVANCED TREATMENT FOR THOSE WHO NEED IT, AND EXTENDING NEW KNOWLEDGE BEYOND OUR SYSTEMS TO THE BENEFIT OF OTHERS. LEVERAGING THE DEPTH AND BREADTH OF CAPABILITIES THAT EXIST ACROSS DUKE HEALTH AND THE ENTIRE UNIVERSITY, WE PLAN TO ACHIEVE THE VISION TO DELIVER TOMORROW'S HEALTH CARE TODAY BY LEADING IN THE DELIVERY OF HIGHEST-QUALITY, PATIENT CENTERED CARE, INTEGRATING TO OPTIMIZE COORDINATION OF CARE, GROWING AND EXTENDING OUR REACH LOCALLY, REGIONALLY, AND NATIONALLY, INVESTING IN INNOVATION TO CREATE SUSTAINABLE DIFFERENTIATION AND VALUE AND DELIVERING ON THE PROMISE OF POPULATION HEALTH. MANY PROGRAM SERVICE ACCOMPLISHMENTS ARE INCLUDED IN SCHEDULE H OF THIS FORM INCLUDING THE FINANCIAL COMMITMENT MADE TO THE COMMUNITY BY DUHS IN TERMS OF CHARITY CARE AND OTHER DIRECT AND MEASURABLE INVESTMENTS. FURTHER DETAIL OF DUHS' COMMITMENT TO PROMOTING HEALTH, WELLNESS, AND ACCESS TO QUALITY CARE FOR THE PEOPLE AND COMMUNITIES IT SERVES IS REPORTED IN DUHS' ANNUAL COMMUNITY BENEFIT REPORT. THE COMMUNITY BENEFIT REPORT IS AVAILABLE ONLINE AT HTTPS://CORPORATE.DUKEHEALTH.ORG/COMMUNITY.
FORM 990, PART V, LINE 3BTHE ORGANIZATION DID NOT HAVE UNRELATED BUSINESS GROSS INCOME OF $1,000 OR MORE DURING THE FISCAL YEAR ENDED JUNE 30, 2025. HOWEVER THE ORGANIZATION HAS FILED FORM 990-T FOR THE FISCAL YEAR ENDED JUNE 30, 2025 IN ORDER TO CARRY FORWARD THE NET OPERATING LOSS.
FORM 990, PART VI, SECTION A, LINE 2DIRECTORS TOM LISTER, VINCENT E. PRICE, CARMICHAEL S. ROBERTS, NANCY M. SCHLICHTING, ADAM SILVER, AND LAURENE M. SPERLING ARE TRUSTEES OF DUKE UNIVERSITY. DIRECTORS MARY E. KLOTMAN, MD AND VINCENT E. PRICE ARE OFFICERS OF DUKE UNIVERSITY. DIRECTOR AND CEO CRAIG T. ALBANESE, MD AND OFFICER THOMAS A. OWENS, MD ARE DIRECTORS AND OFFICERS OF DUKE HEALTH INTEGRATED PRACTICE, INC. DIRECTOR MARY E. KLOTMAN, MD IS A DIRECTOR OF DUKE HEALTH INTEGRATED PRACTICE, INC. OFFICER LISA M. GOODLETT IS AN OFFICER OF DUKE HEALTH INTEGRATED PRACTICE, INC. THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF DUKE HEALTH INTEGRATED PRACTICE, INC: ALISON TOTH, HOWARD FRANCIS, MD, ERIK PAULSON, MD AND PETER GROSSI. OFFICERS LISA M. GOODLETT AND THOMAS A. OWENS, MD SERVED AS DIRECTORS AND OFFICERS OF DURHAM CASUALTY COMPANY, LTD. OFFICERS MONTE D BROWN, MD, LISA M. GOODLETT, AND THOMAS A. OWENS, MD SERVED AS DIRECTORS AND OFFICERS OF HEALTH SYSTEM MEDICAL STRATEGIES, INC.
FORM 990, PART VI, SECTION A, LINE 3DUHS DELEGATES CONTROL TO A SUPPORTING ORGANIZATION FOR THE MANAGEMENT OF INVESTMENTS.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS OF THE BOARD OF DIRECTORS OF DUHS, OTHER THAN THE EX OFFICIO MEMBERS, WILL BE NOMINATED BY THE BOARD OF DIRECTORS OF DUHS, AND WILL BE APPOINTED BY THE BOARD OF TRUSTEES OF DUKE UNIVERSITY. MEMBERS OF THE BOARD OF DIRECTORS OF DUHS WILL BE SUBJECT TO REMOVAL AT THE DISCRETION OF THE BOARD OF TRUSTEES OF DUKE UNIVERSITY IN ACCORDANCE WITH THE BYLAWS OF DUHS.
FORM 990, PART VI, SECTION A, LINE 7BTHE DUHS BYLAWS PROVIDE THAT DUHS MUST OBTAIN DUKE UNIVERSITY BOARD OF TRUSTEES APPROVAL FOR CERTAIN SIGNIFICANT TRANSACTIONS REGARDING DEBT ISSUANCES, CAPITAL ACQUISITIONS AND TANGIBLE PERSONAL AND REAL PROPERTY SALES.
FORM 990, PART VI, SECTION B, LINE 11BAFTER STAFF PREPARATION AND MANAGEMENT REVIEW, THE DUHS FORM 990 IS PRESENTED TO THE DUHS COMPLIANCE/AUDIT COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW AND DISCUSSION. DUHS BOARD LEVEL COMMENT AND DISCUSSION ARE INCORPORATED INTO THE FORM AS APPROPRIATE PRIOR TO FILING. A FINAL VERSION OF THE FORM IS MADE AVAILABLE TO THE DUHS BOARD OF DIRECTORS FOR FURTHER REVIEW AND COMMENT BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CDUHS MONITORS AND ENFORCES COMPLIANCE RELATED TO CONFLICT OF INTEREST VIA AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE DISTRIBUTED TO INDIVIDUALS INCLUDING OFFICERS, DIRECTORS, AND KEY EMPLOYEES, RELYING ON SELF DISCLOSURE OF ALL THOSE SUBJECT TO THE COI POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE DUHS COMPENSATION COMMITTEE, COMPRISED OF MEMBERS OF THE DUHS BOARD OF DIRECTORS, REVIEWS AND APPROVES ALL EXECUTIVE COMPENSATION FOR CERTAIN DISQUALIFIED PERSONS AND OTHER KEY EMPLOYEES. THE DUHS COMPENSATION COMMITTEE REVIEWS AND RECOMMENDS TO THE DUKE UNIVERSITY COMPENSATION COMMITTEE THE COMPENSATION FOR THE PRESIDENT AND CEO OF DUHS WHO IS ALSO AN OFFICER OF DUKE UNIVERSITY. DUHS HAS ADOPTED A STATEMENT OF COMPENSATION PHILOSOPHY THAT ARTICULATES BROAD OBJECTIVES TO HELP GUIDE THE DUHS COMPENSATION COMMITTEE IN ITS MISSION. THE DUHS COMPENSATION COMMITTEE ENGAGES THE SERVICES OF AN OUTSIDE EXECUTIVE COMPENSATION CONSULTING FIRM TO ESTABLISH COMPARABILITY DATA OF OTHER HEALTH CARE SYSTEMS OF SIMILAR SIZE AND COMPLEXITY AS DUHS. THE DUHS COMPENSATION COMMITTEE REVIEWS THE MARKET ANALYSIS THEN DETERMINES THE REASONABLENESS AND APPROPRIATENESS OF ALL ASPECTS OF EXECUTIVE COMPENSATION. THE DUHS COMPENSATION COMMITTEE ALSO SETS THE METRICS AND APPROVES THE PAYOUTS FOR THE DUHS INCENTIVE COMPENSATION PLANS FOR THESE INDIVIDUALS. THE DELIBERATIONS AND CONCLUSIONS OF THE DUHS COMPENSATION COMMITTEE ARE KEPT BY A RECORDING SECRETARY WHO RECORDS THE MINUTES OF THE COMMITTEE MEETINGS. FORM 990, PART VI, SECTION B, LINE 16B: DUHS FOLLOWS A WRITTEN POLICY THAT REQUIRES DUHS TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS AND NEGOTIATE TERMS AND SAFEGUARDS TO PROTECT THE ORGANIZATION'S ASSETS AND EXEMPT STATUS. DUHS PUTS TERMS AND SAFEGUARDS IN AGREEMENTS WITH THIRD PARTIES TO PROTECT THE ASSETS AND EXEMPT STATUS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 18IN ADDITION TO PROVIDING THE ORGANIZATION'S FORM 990 UPON REQUEST, THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC ON SEVERAL THIRD PARTY WEBSITES. WHILE THE ORGANIZATION DOES NOT PROVIDE THE FORM 990 DIRECTLY TO THESE THIRD PARTIES, THE FORM 990 IS OBTAINED FROM THE INTERNAL REVENUE SERVICE. THE THIRD PARTIES SUBSEQUENTLY AND INDEPENDENTLY PROVIDE ACCESS TO THE FORM 990 ON THEIR PLATFORM.
FORM 990, PART VI, SECTION C, LINE 19DUKE UNIVERSITY HEALTH SYSTEM, INC.'S GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND ANY SUBSEQUENT AMENDMENTS OR RESTATEMENTS) ARE AVAILABLE TO THE PUBLIC ON THE NORTH CAROLINA SECRETARY OF STATE WEBSITE. DUKE UNIVERSITY HEALTH SYSTEM, INC. MAKES ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. INDEPENDENTLY AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT: HTTPS://CORPORATE.DUKEHEALTH.ORG/FINANCIAL-INFORMATION
FORM 990, PART VII, SECTION A(COMPENSATION REPORTING/HIGHEST COMPENSATED EMPLOYEES): THE ORGANIZATION DETERMINED THE INDIVIDUALS REPORTED AS THE "FIVE HIGHEST COMPENSATED EMPLOYEES" ON FORM 990, PART VII, SECTION A IN ACCORDANCE WITH THE APPLICABLE FORM 990 INSTRUCTIONS, WHICH CONSIDER REPORTABLE COMPENSATION PAID BY THE FILING ORGANIZATION AND BY RELATED ORGANIZATIONS. BECAUSE CERTAIN PERSONNEL HAVE SPLIT-FUNDED OR DUAL-ROLE ARRANGEMENTS ACROSS RELATED ORGANIZATIONS, AN INDIVIDUAL MAY BE AMONG THE FIVE HIGHEST COMPENSATED EMPLOYEES OF MORE THAN ONE RELATED ORGANIZATION BASED ON TOTAL REPORTABLE COMPENSATION, EVEN IF A SUBSTANTIAL PORTION OF THAT COMPENSATION IS PAID BY A RELATED ORGANIZATION. RELATED-ORGANIZATION COMPENSATION IS REPORTED ON PART VII, SECTION A, COLUMNS (E) AND (F), AS APPLICABLE (AND ON SCHEDULE J, IF APPLICABLE). FOR ADDITIONAL TRANSPARENCY TO READERS, THE ORGANIZATION IS ALSO PROVIDING THE FOLLOWING INFORMATION, WHICH IS NOT REQUIRED BY FORM 990: THE INDIVIDUALS WHO WOULD HAVE BEEN INCLUDED AS THE ORGANIZATION'S FIVE HIGHEST COMPENSATED EMPLOYEES BASED SOLELY ON COMPENSATION PAID BY THE FILING ORGANIZATION, BUT WHO ARE NOT INCLUDED ON PART VII BECAUSE THE PART VII LIST IS LIMITED TO FIVE INDIVIDUALS DETERMINED UNDER THE FORM 990 INSTRUCTIONS. ADDITIONAL HIGHLY COMPENSATED EMPLOYEES (VOLUNTARY DISCLOSURE; NOT REQUIRED FOR PART VII REPORTING): ARLENE N CHUA, PHYSICIAN - REPORTABLE COMPENSATION (W-2/1099): $785,454
FORM 990, PART XI, LINE 9:NONPERIODIC CHANGES IN DEFINED BENEFIT PLANS: 49,914,703. NET TRANSFERS TO THE UNIVERSITY AND AFFILIATES: -761,550,495. DEEMED DIVIDEND: -19,965,031.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
DUKE PRMO LLC
615 DOUGLAS STREET SUITE 700DURHAMNC27705MEDICAL BILLINGNC$243,218,997$783,572DUKE UNIVERSITY HEALTH SYSTEM INC
SAME DAY SURGERY CENTER FRANKLIN LLC
310 BLACKWELL STREET 4TH FLOOR BOXDURHAMNC27710SUPPORTNC$0$0DUKE UNIVERSITY HEALTH SYSTEM INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ASSOCIATED HEALTH SVCS INC
2200 W MAIN STREET STE 300DURHAMNC27705561845329HEALTHCARENC501(C)(3)12 TYPE 1DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)
DU SPECIAL VENTURES FUND INC
280 S MANGUM STREET STE 210DURHAMNC27701561465177INVESTMENTSNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
DUKE CORPORATE EDUCATION
310 BLACKWELL STDURHAMNC27701421672476EDUCATIONNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
DUKE GIFT PROPERTIES INC
2200 W MAIN STREET STE 300DURHAMNC27705571211078SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
DUKE GLOBAL INC
2200 W MAIN STREET STE 300DURHAMNC27705611588319SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
DUKE INTEGRATED NETWORK INC
2200 W MAIN STREET STE 300DURHAMNC27705463129771SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)
DUKE MEDICINE GLOBAL SUPP CORP- 61-1593721
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
DUKE QUALITY NETWORK INC
2200 W MAIN STREET STE 300DURHAMNC27705461340679SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)
DUKE SCHOLARLY EXHIBITS INC
2200 W MAIN STREET STE 300DURHAMNC27705561701245SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
DUKE UNIV AFFILIATED PHYSICIANS
2200 W MAIN STREET STE 300DURHAMNC27705561902501HEALTHCARENC501(C)(3)12 TYPE 1DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)
DUKE UNIV PHILANTHROPIES INC
2200 W MAIN STREET STE 300DURHAMNC27705571211099SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
DUKE UNIVERSITY
2200 W MAIN STREET STE 300DURHAMNC27705560532129EDUCATIONNC501(C)(3)LINE 20N/A
DUMAC INC
280 S MANGUM STREET STE 210DURHAMNC27701900754895SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
DURHAM ASSET MGMT COMPANY INC
2200 W MAIN STREET STE 300DURHAMNC27705561757238SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
GOTHIC CORPORATION
280 S MANGUM STREET STE 210DURHAMNC27701561776668INVESTMENTSNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
GOTHIC HSP CORPORATION
280 S MANGUM STREET STE 210DURHAMNC27701271325761INVESTMENTSNC501(C)(3)12 TYPE 1DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)
INNOVATIONS IN HEALTHCARE INC
2200 W MAIN STREET STE 300DURHAMNC27705320358709SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
RUTH K BROAD BIOMED RES FDN
2200 W MAIN STREET STE 300DURHAMNC27705650045051SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
DUKE JANJUN SERVICES INC
2200 W MAIN STREET STE 300DURHAMNC27705471150667SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
DUKE JULDEC SERVICES INC
2200 W MAIN STREET STE 300DURHAMNC27705471143245SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
DUKE ALLMO SERVICES INC
2200 W MAIN STREET STE 300DURHAMNC27705471133466SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
DUKE AFFILIATIONS NETWORK INC
2200 W MAIN STREET STE 300DURHAMNC27705812623775SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)
DUKE UNIV FED CRED UNION
2200 WEST MAIN STREETDURHAMNC27705561632379BANKINGNC501(C)(1)0N/A
WATTS COLLEGE OF NURSING INC
2200 W MAIN STREET STE 300DURHAMNC27705833076664SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)
DUKE HEALTH INTEGRATED PRACTICE INC
2200 W MAIN STREET STE 300DURHAMNC27705862109896HEALTHCARENC501(C)(3)LINE 3DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)
DONALD R WATSON FOUNDATION INC
601 SOUTH COLLEGE ROADWILMINGTONNC28403561861816SUPPORTNC501(C)(3)12 TYPE 10N/A
FAMILY HEALTH MINISTRIES INC
PO BOX 16783CHAPEL HILLNC27516562206165HEALTH CLINICSNC501(C)(3)LINE 10DUKE UNIVERSITY0
LENOX BAKER CHILDREN'S HOSPITAL FOUNDATION INC
1513 TYONEK DRIVEDURHAMNC27703561550944FINANCIAL SUPPORTNC501(C)(3)LINE 4DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)
DUKE HEALTH LAKE NORMAN REGIONAL MEDICAL CENTER INC
2200 W MAIN STREET STE 300DURHAMNC27705332476324HEALTHCARENC501(C)(3)LINE 3DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)
FACULTY CLUB OF DUKE UNIVERSITY INC
2200 W MAIN STREET STE 300DURHAMNC27705510168730RECREATIONALNC501(C)(4)DUKE UNIVERSITY0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdEINEIN
BLACKWELL PARTNERS LLC - SERIES A - 20-8075455
280 S MANGUM ST STE 210DURHAMNC27701INVESTMENTSDEN/AN/A00
LYRICAL BLUE RL PT 27-2994514
32 N DEAN STENGLEWOODNJ07631INVESTMENTSDEN/AN/A00
SBER LUCKY STRIKE 20-3891303
310 BLACKWELL STDURHAMNC27701REAL ESTATENCN/AN/A00
MANGUM II LLC - 46-5135858
280 S MANGUM STREET STE 210DURHAMNC27701INVESTMENTSNCN/AN/A00
LS INVESTOR LLC 20-3891381
310 BLACKWELL STDURHAMNC27701REAL ESTATENCN/AN/A00
DILWEG BLUE PF LP 47-1225569
5310 S ALSTON AVE STE 210DURHAMNC27713INVESTMENTSDEN/AN/A00
LYRICAL BLUE RL PT IV 47-1542108
32 N DEAN STENGLEWOODNJ07631INVESTMENTSDEN/AN/A00
STRATUS SCP II INVESTORS - C LP
INVESTMENTSN/AN/A0050 LOTHIAN ROAD FESTIVAL SQUAREEDINBURGHUKEH3 9WJUK
ALTOS HYBRID D LLC
2882 SAND HILL ROAD SUITE 100MENLO PARKCA94025INVESTMENTSDEN/AN/A00473996176
BLACKWELL PARTNERS LLC - SERIES C
280 S MANGUM ST STE 210DURHAMNC27701INVESTMENTSDEN/AN/A00811264533
BLACKWELL PARTNERS LLC - SERIES B
280 S MANGUM ST STE 210DURHAMNC27701INVESTMENTSDEN/AN/A00472530719
BLACKWELL PARTNERS LLC - SERIES D
280 S MANGUM ST STE 210DURHAMNC27701INVESTMENTSDEN/AN/A00813385353
BLACKWELL PARTNERS LLC - SERIES E
280 S MANGUM ST STE 210DURHAMNC27701INVESTMENTSDEN/AN/A00811511048
ALTOS HYBRID 2D LLC - 81-5176567
2882 SAND HILL ROAD STE 100MENLO PARKCA94025INVESTMENTSDEN/AN/A00
LYRICAL-BLUE 100 KINGSHIGHWAY PARTNERS LP
32 N DEAN STENGLEWOODNJ07631INVESTMENTSDEN/AN/A00823708328
WASHINGTON GOTHIC LP
593 WASHINGTON STREETWELLESLEYMA02482INVESTMENTSDEN/AN/A00834516893
DUKE TRIANGLE ENDOSCOPY CENTER LLC
1A BURTON HILLS BLVDNASHVILLETN37215HEALTHCARENCN/AN/A00204257024
DWELLWORKS CO-INVESTMENT LLC
7 TIMES SQUARE STE 4307NEW YORKNY10036INVESTMENTSDEN/AN/A00832165945
BEP LEGACY 1C LLC
1001 FANNIN ST STE 800HOUSTONTX77002INVESTMENTSDEN/AN/A00273871932
WELLINGTON TRUST CO NA - CTF OPP FIXED INC ALLOC II POR
280 CONGRESS STREETBOSTONMA02210INVESTMENTSDEN/AN/A00831264831
ENIAC SPECIAL DELTA LLC
604 MISSION STREET 10TH FLSAN FRANCISCOCA94105INVESTMENTSDEN/AN/A00842355221
STRATUS SCP III INVESTORS - GAMMA LP
INVESTMENTSN/AN/A0050 LOTHIAN ROAD FESTIVAL SQUAREEDINBURGHUKEH3 9WJUK
MANGUM LLC
280 S MANGUM STREET STE 210DURHAMNC27701INVESTMENTSNCN/AN/A00461275587
CPF HEARTBEAT HEALTH INV A LLC
980 N MICHIGAN AVENUE SUITE 1998CHICAGOIL60611INVESTMENTSDEN/AN/A00881279232
CPF TRIAS INVESTMENT II LLC
980 N MICHIGAN AVE STE 1998CHICAGOIL60611INVESTMENTSDEN/AN/A00874204000
MANGUM III LLC
280 S MANGUM STREET STE 210DURHAMNC27701INVESTMENTSDEN/AN/A00923565585
MANGUM III LLC - SERIES A
280 S MANGUM STREET STE 210DURHAMNC27701INVESTMENTSDEN/AN/A00923592240
RALLYDAY LF CO-INVESTORS LP
250 FILLMORE ST STE 225DENVERCO80206INVESTMENTSDEN/AN/A00932940647
MANGUM III LLC - SERIES E
280 S MANGUM STREET STE 210DURHAMNC27701INVESTMENTSDEN/AN/A00332777494

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdProvince Or StateForeignAddress/ProvinceOrStateNmBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
DUKE CE LS INC
310 BLACKWELL STREETDURHAMNC27701202004016REAL ESTATENCN/AC0
DUKE CE (SEA) PRIVATE LIMITED
SUPPORTN/AC01 RAFFLES PLACE TOWER 2SINGAPORESN048616SN
DUKE CORPORATE EDUCATION LIM
421672476EDUCATION CONSULTINGN/AC0165 FLEET STREETLONDONUKEC4A 2DYUK
DUKE CORPORATE EDUCATION RSA
421672476CONSULTINGN/AC0GROUND FLOOR TWICKEHNHAM BLDGBRYANSTONSF02021SFJOHANNESBURG
DUKE GLOBAL CONSULTING (KUNSHAN)
CONSULTINGN/AC01666 WEI CHEN NAN RDKUNSHAN PRCH215300CHKUNSHAN
DUKE MEDICAL STRATEGIES INC
2200 WEST MAIN STREET STE 920DURHAMNC27705561993799HEALTHCARENCN/AC0
DURHAM CASUALTY COMPANY LTD
980113277INSURANCECYes (1)AON HOUSE 30 WOODBOURNE AVEPEMBROKEBDHM 08BDDUHS INC$68,492,150$391,245,4541.00000
GOTHIC INTERNATIONAL LTD
INVESTMENTSN/AC0113 S CHURCH STREET QUEENSGATE HOUGRAND CAYMANCJKY1-1108CJ
HEALTH SYSTEM MEDICAL STRATEGIES INC
2200 W MAIN STREET STE 300DURHAMNC27705562222444HEALTH CARENCCYes (1)DUHS INC-$15,412$14,9691.00000
MARATHON BLUE CAYMAN FUND
INVESTMENTSN/AC089 NEXUS WAY PO BOX 31106GRAND CAYMANCJKY1-1205CJ
GHI HOLDINGS MAURITIUS
INVESTMENTSN/AC09TH FL ORANGE TOWER CYBERCITYEBENEMPMP
GHI ERP LTD
INVESTMENTSN/AC09TH FL ORANGE TOWER CYBERCITYEBENEMPMP
GHI HSP LTD
INVESTMENTSN/AC09TH FL ORANGE TOWER CYBERCITYEBENEMPMP
GHI JBD LTD
INVESTMENTSN/AC09TH FL ORANGE TOWER CYBERCITYEBENEMPMP
GHI LTP LTD
INVESTMENTSN/AC09TH FL ORANGE TOWER CYBERCITYEBENEMPMP
MCP PRIVATE CAPITAL (FEEDER) FUND I LP
INVESTMENTSN/AC06 RUE GABRIEL LIPPMANNLUXEMBOURGLUL-5365LU
DUKE INDIA SERVICES PRIVATE LIMITED
MEDICAL RESEARCHN/AC0302 PRIDE ELITE 10 MUSEUM ROADBANGALOREIN560001INKARNATAKA
DUKE GLOBAL GERMANY GMBH
EDUCATIONN/AC0ESCHERSHEIMER LANDSTR 14FRANKFURTGM60322GM
DUKE CORP EDU INDIA PRIVATE
421672476CONSULTINGN/AC0ACADEMIC BLOCK NEW CAMPUSVASTRAPURIN380015INAHMEDABAD
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DUKE HEALTH INTEGRATED PRACTICE INC
R$133,994,148FMV
DUKE UNIVERSITY AFFILIATED PHYSICIANS INC
R$49,225,426FMV
ASSOCIATED HEALTH SERVICES INC
S$15,933,823FMV
DUKE AFFILIATIONS NETWORK INC
R$6,172,078FMV
DUKE INTERGRATED NETWORK INC
R$8,546,715FMV
WATTS COLLEGE OF NURSING INC
R$1,404,535FMV
DURHAM CASUALTY COMPANY INC
S$35,075,911FMV
DURHAM CASUALTY COMPANY INC
R$14,077,032FMV
DUKE TRIANGLE ENDOSCOPY CENTER LLC
L$201,090FMV
DUKE TRIANGLE ENDOSCOPY CENTER LLC
Q$174,456FMV
DUKE HEALTH LAKE NORMAN REGIONAL MEDICAL CENTER INC
R$302,809,438FMV
GOTHIC HSP CORPORATION
C$567,844,502FMV
GOTHIC HSP CORPORATION
B$577,613,067FMV