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DUKE UNIVERSITY HEALTH SYSTEM INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
DUKE UNIVERSITY HEALTH SYSTEM INC (EIN 56-2070036)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-15
IRS object ID
202401369349301020
Schema version
2022v5.0
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)
Return2024-05-15T07:19:10-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

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)
PersonCRAIG T ALBANESE MDPersonNm
Person TitleCEOPersonTitleTxt
Phone9196841860PhoneNum
Signature2024-04-03SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCRAIGPersonFirstNm
Person LastALBANESE MDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerCRAIG T ALBANESE MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 DOUGLAS ST STE 700AddressLine1Txt
CityDURHAMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27705ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,272,727,142GrossReceiptsAmt
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 Body18VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee26017TotalEmployeeCnt
Total Volunteers505TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$65,812,130PYContributionsGrantsAmt
CY Contributions Grants$17,395,022CYContributionsGrantsAmt
PY Program Service Revenue$4,061,183,925PYProgramServiceRevenueAmt
CY Program Service Revenue$4,441,855,976CYProgramServiceRevenueAmt
PY Investment Income$372,772,809PYInvestmentIncomeAmt
CY Investment Income$95,601,985CYInvestmentIncomeAmt
PY Other Revenue$100,737,132PYOtherRevenueAmt
CY Other Revenue$117,981,685CYOtherRevenueAmt
PY Total Revenue$4,600,505,996PYTotalRevenueAmt
CY Total Revenue$4,672,834,668CYTotalRevenueAmt
PY Grants And Similar Paid$2,048,176PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,054,288CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,016,472,500PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,251,243,997CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$285,902CYTotalFundraisingExpenseAmt
PY Other Expenses$2,155,618,846PYOtherExpensesAmt
CY Other Expenses$2,369,918,261CYOtherExpensesAmt
PY Total Expenses$4,174,139,522PYTotalExpensesAmt
CY Total Expenses$4,623,216,546CYTotalExpensesAmt
PY Revenues Less Expenses$426,366,474PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$49,618,122CYRevenuesLessExpensesAmt
Total Assets BOY$8,260,774,039TotalAssetsBOYAmt
Total Assets EOY$7,958,888,279TotalAssetsEOYAmt
Total Liabilities BOY$2,800,050,325TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,835,375,323TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,460,723,714NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,123,512,956NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,842,016,118ExpenseAmt
Grant$2,054,288GrantAmt
Revenue$4,542,702,009RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$3,842,016,118TotalProgramServiceExpensesAmt
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 Org0MoreThan5000KToOrgInd
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 Mem0BusinessRlnWithFamMemInd
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 Document567IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee26017EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountrySWForeignCountryCd
Foreign CountryDAForeignCountryCd
Foreign CountryNOForeignCountryCd
Foreign CountryMYForeignCountryCd
Foreign CountryPLForeignCountryCd
Foreign CountryUKForeignCountryCd
Foreign CountryPOForeignCountryCd
Foreign CountryGRForeignCountryCd
Foreign CountryHUForeignCountryCd
Foreign CountryISForeignCountryCd
Foreign CountryBDForeignCountryCd
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 Members18GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
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

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
A EUGENE WASHINGTON MD
DIRECTOR/PRESIDENT33.0033.20Yes (X)Yes (X)$0$3,142,252$51,351
VINCENT E PRICE
DIRECTOR3.0048.30Yes (X)$0$1,751,192$55,185
MARY E KLOTMAN MD
DIRECTOR11.0044.30Yes (X)$0$1,235,581$51,873
ERIK PAULSON
DIRECTOR1.0061.00Yes (X)$0$456,004$61,515
LESLIE E BAINS
DIRECTOR2.000.00Yes (X)$0$0$0
GAIL BELVETT MD DDS
DIRECTOR4.000.00Yes (X)$990$0$0
DENISE BENNETT
DIRECTOR2.000.00Yes (X)$0$0$0
GERALD HASSELL
DIRECTOR2.004.00Yes (X)$0$0$0
WILLIAM HAWKINS
DIRECTOR4.006.00Yes (X)$0$0$0
ROSEMARY JACKSON MD
DIRECTOR1.000.00Yes (X)$0$0$0
FEDERICO MANON
DIRECTOR1.000.00Yes (X)$0$0$0
CARMICHAEL S ROBERTS
DIRECTOR1.002.10Yes (X)$0$0$0
NANCY M SCHLICHTING
DIRECTOR2.002.00Yes (X)$0$0$0
LAURENE SPERLING
DIRECTOR8.006.10Yes (X)$0$0$0
SUSAN M STALNECKER
DIRECTOR4.000.10Yes (X)$0$0$0
MOIRA RYNN MD
DIRECTOR2.0040.10Yes (X)$0$483,799$54,853
G RICHARD WAGONER JR
DIRECTOR1.000.00Yes (X)$0$0$0
JIM WHITEHURST
DIRECTOR1.000.00Yes (X)$0$0$0
JOHN P MORDACH
SVP, CFO, PART YEAR TREASURER40.000.60Yes (X)$1,582,991$0$66,153
THOMAS A OWENS MD
EXECUTIVE VICE PRESIDENT, DUHS61.000.70Yes (X)$1,441,308$0$50,390
ROBERT N WILLIS
VP FINANCE/CONTROLLER/CAO/INTERIM TREASURER50.000.70Yes (X)$684,760$0$53,493
MONTE D BROWN MD
VP FOR ADMINISTRATION/SECRETARY60.000.10Yes (X)$781,615$0$55,164
CRAIG T ALBANESE MD
CEO60.000.70Yes (X)$1,407,490$0$53,451
KATHLEEN GALBRAITH
PART YEAR PRESIDENT, DUKE REGIONAL HOSPITAL60.002.00$619,168$0$101,748Yes (X)
MARY K MARTIN
CHIEF OPERATING OFFICER, DUH40.000.00$679,639$0$66,153Yes (X)
MARY ANN FUCHS
VP PATIENT CARE/CHIEF NURSING OFFICER50.000.10$625,223$0$44,749Yes (X)
BARBARA M GRIFFITH MD
PRESIDENT, DUKE RALEIGH HOSPITAL40.000.00$612,137$0$62,567Yes (X)
DEVDUTTA SANGVAI MD
PART YEAR PRESIDENT, DUKE REGIONAL HOSPITAL40.000.20$539,272$8,564$112,431Yes (X)
RICHARD PATRICK SHANNON
CHIEF QUALITY OFFICER40.000.20$991,774$0$55,032Yes (X)
JEFFREY M FERRANTI
SENIOR VP/CHIEF DIGITAL OFFICER40.000.00$1,047,207$129,186$65,117Yes (X)
KEITH STOVER
VP FINANCE/COO, PRMO40.000.00$715,086$0$61,821Yes (X)
RHONDA BRANDON
CHIEF HR OFFICER50.000.10$822,395$0$64,332Yes (X)
JOHN SMITH
VP FINANCE40.000.00$649,908$0$50,745Yes (X)
WILLIAM J FULKERSON MD
FORMER OFFICER0.0056.00$0$1,763,663$43,312Yes (X)
LEIGH BLEECKER
FORMER KEY EMPLOYEE65.000.00$405,081$0$49,609Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,606,044TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,970,241TotReportableCompRltdOrgAmt
Total Other Compensation$1,331,044TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4241IndivRcvdGreaterThan100KCnt
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
PRIVATE DIAGNOSTIC CLINIC PLLC
PO BOX 15000DURHAMNC27710MEDICAL SERVICES$208,195,956
AYA HEALTHCARE INC
5930 CORNERSTONE COURT W 300SAN DIEGOCA92121CONTRACT NURSING$47,026,399
ROBINS & MORTON GROUP
PO BOX 11407 DEPT 5870BIRMINGHAMAL35209CONSTRUCTION SERVICES$20,993,669
ARAMARK SERVICES INC
1101 MARKET ST 12TH FLOORPHILADELPHIAPA19107FOOD SERVICES$19,982,847
WHITING TURNER CONTRACTING CO
300 E JOPPA ROADTOWSONMD21286CONSTRUCTION SERVICES$17,907,352
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K359CntrctRcvdGreaterThan100KCnt
Fundraising$63,870FundraisingAmt
Government Grants$9,402,519GovernmentGrantsAmt
All Other Contributions$7,928,633AllOtherContributionsAmt
Noncash Contributions$37,351NoncashContributionsAmt
Total Contributions$17,395,022TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE622110$4,402,793,657$4,402,793,657
ANCILLARY MEDICAL SVCS622110$39,062,319$39,062,319
FieldValueIRS element (for citing)
Total Program Service Revenue$4,441,855,976TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,132,069TotalRevenueColumnAmt
Exclusion$81,132,069ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,393,855TotalRevenueColumnAmt
Exclusion$6,393,855ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$19,414,817RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$14,675,973RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,738,844RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,738,844TotalRevenueColumnAmt
Exclusion$4,738,844ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,599,610,713SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,583,575,967SecuritiesAmt
Other$1,564,830OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$16,034,746SecuritiesAmt
Other-$1,564,830OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,469,916TotalRevenueColumnAmt
Exclusion$14,469,916ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$133,029FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$63,870ContriRptFundraisingEventAmt
Fundraising Direct Expenses$75,704FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,325TotalRevenueColumnAmt
Exclusion$57,325ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BILLING FEES622110$54,275,159$54,275,159
NET BENEFIT COMPONENTS622110$39,264,000$39,264,000
LAB SERVICES621511$5,525,317$5,525,317

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,727,185TotalRevenueColumnAmt
Related Or Exempt Func Income$1,781,557RelatedOrExemptFuncIncomeAmt
Exclusion$5,945,628ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$106,791,661OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,672,834,668TotalRevenueColumnAmt
Related Or Exempt Func Income$4,542,702,009RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$112,737,637ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,991,996TotalAmt
Program Services$1,991,996ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$62,292TotalAmt
Program Services$62,292ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$11,626,179TotalAmt
Program Services$469,442ProgramServicesAmt
Management And General$11,050,578ManagementAndGeneralAmt
Fundraising$106,159FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$574,939TotalAmt
Program Services$149,898ProgramServicesAmt
Management And General$425,041ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,807,462,417TotalAmt
Program Services$1,412,511,927ProgramServicesAmt
Management And General$394,831,689ManagementAndGeneralAmt
Fundraising$118,801FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$118,482,171TotalAmt
Program Services$90,788,197ProgramServicesAmt
Management And General$27,687,007ManagementAndGeneralAmt
Fundraising$6,967FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$189,976,645TotalAmt
Program Services$150,103,147ProgramServicesAmt
Management And General$39,860,343ManagementAndGeneralAmt
Fundraising$13,155FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$123,121,646TotalAmt
Program Services$95,643,399ProgramServicesAmt
Management And General$27,462,486ManagementAndGeneralAmt
Fundraising$15,761FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$21,271,430TotalAmt
Program Services$21,271,430ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,316,564TotalAmt
Program Services$4,195,698ProgramServicesAmt
Management And General$6,120,866ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$648,777TotalAmt
Management And General$648,777ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,834,779TotalAmt
Management And General$4,834,779ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$366,701,076TotalAmt
Program Services$205,947,314ProgramServicesAmt
Management And General$160,753,762ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,365,439TotalAmt
Program Services$53,629ProgramServicesAmt
Management And General$3,309,967ManagementAndGeneralAmt
Fundraising$1,843FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$37,123,032TotalAmt
Program Services$22,888,770ProgramServicesAmt
Management And General$14,211,046ManagementAndGeneralAmt
Fundraising$23,216FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$79,200,528TotalAmt
Program Services$6,153,424ProgramServicesAmt
Management And General$73,047,104ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$83,220,828TotalAmt
Program Services$55,011,737ProgramServicesAmt
Management And General$28,209,091ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,386,149TotalAmt
Program Services$9,492,495ProgramServicesAmt
Management And General$893,654ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,518,743TotalAmt
Program Services$1,562,714ProgramServicesAmt
Management And General$3,956,029ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$56,473,509TotalAmt
Program Services$56,473,509ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$197,160,687TotalAmt
Program Services$174,576,539ProgramServicesAmt
Management And General$22,584,148ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,496,274TotalAmt
Program Services$13,496,274ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,287,743,293$1,287,743,293
MEDICAID ASSESSMENT$101,187,677$101,187,677
EQUIPMENT RENTAL & MAIN$96,056,736$64,888,966$31,167,770
INTERVIEW & RECRUITING$12,567,509$7,581,721$4,985,788

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$17,354,769TotalAmt
Program Services$57,770,630ProgramServicesAmt
Management And General-$75,125,399ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,623,216,546TotalAmt
Program Services$3,842,016,118ProgramServicesAmt
Management And General$780,914,526ManagementAndGeneralAmt
Fundraising$285,902FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$117,763BOYAmt
EOY$127,009EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$472,331,439BOYAmt
EOY$484,647,422EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$882,384BOYAmt
EOY$1,591,928EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$561,593,108BOYAmt
EOY$643,735,889EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$84,177BOYAmt
EOY$73,077EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$137,742,780BOYAmt
EOY$117,660,579EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$35,959,046BOYAmt
EOY$42,037,222EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,603,694,420LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,540,939,008LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,165,937,441BOYAmt
EOY$2,062,755,412EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$719,112,041BOYAmt
EOY$707,532,851EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,681,086,884BOYAmt
EOY$3,454,131,263EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$21,965,765BOYAmt
EOY$24,168,891EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$463,961,211BOYAmt
EOY$420,426,736EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,260,774,039BOYAmt
EOY$7,958,888,279EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$512,026,066BOYAmt
EOY$436,023,395EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$9,664,456BOYAmt
EOY$10,304,827EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$636,101,119BOYAmt
EOY$605,293,427EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$248,385,750EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,642,258,684BOYAmt
EOY$1,535,367,924EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,800,050,325BOYAmt
EOY$2,835,375,323EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,403,296,138BOYAmt
EOY$5,062,532,715EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$57,427,576BOYAmt
EOY$60,980,241EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,460,723,714BOYAmt
EOY$5,123,512,956EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,260,774,039BOYAmt
EOY$7,958,888,279EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$49,618,122ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$75,612,199NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$311,216,681OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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 RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

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$183,938DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$237,702OtherActivitiesAmt
Total Lobbying Expenditures$421,640TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1: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$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$60,648,900BeginningYearBalanceAmt
Contributions$6,063,715ContributionsAmt
Investment Earnings Or Losses-$1,163,937InvestmentEarningsOrLossesAmt
Other Expenditures$5,989,064OtherExpendituresAmt
End Year Balance$59,559,614EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$58,627,787BeginningYearBalanceAmt
Contributions$5,694,239ContributionsAmt
Investment Earnings Or Losses$681,288InvestmentEarningsOrLossesAmt
Other Expenditures$4,354,414OtherExpendituresAmt
End Year Balance$60,648,900EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.67692PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.32308TermEndowmentBalanceEOYPct
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$86,040,386OtherCostOrOtherBasisAmt
Book Value$86,040,386BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,003,270,844OtherCostOrOtherBasisAmt
Depreciation$1,291,529,981DepreciationAmt
Book Value$1,711,740,863BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,023,281,885OtherCostOrOtherBasisAmt
Depreciation$802,223,912DepreciationAmt
Book Value$221,057,973BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$491,101,305OtherCostOrOtherBasisAmt
Depreciation$447,185,115DepreciationAmt
Book Value$43,916,190BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,062,755,412TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
PRIVATE CAPITAL$1,480,939,087F
HEDGE FUNDS$900,225,663F
CASH & CASH EQUIVALENTS$506,857,421F
NATURAL RESOURCES$280,718,144F
REAL ESTATE$157,405,009F
OTHER INVESTMENTS$127,985,939F
FieldValueIRS element (for citing)
Total Book Value Securities$3,454,131,263TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
RIGHT-OF-USE OPERATING LEASE ASSETS$304,389,176
ESTIMATED THIRD PARTY PAYOR SETTLEMENT$74,097,222
OTHER NON-CURRENT ASSETS$41,940,338
FieldValueIRS element (for citing)
Total Book Value Other Assets$420,426,736TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
TAXABLE BOND LIABILITY$882,735,602
RIGHT-OF-USE OPERATING LEASE LIABILITIES$331,682,334
FINANCE LEASE LIABILITIES$140,981,386
POST RETIREMENT BENEFIT OBLIGATION$108,264,000
457 PLAN OBLIGATIONS$25,178,173
DERIVATIVE INSTRUMENTS$21,860,199
LONG TERM DISABILITY LIABILITY$9,617,000
OTHER NON-CURRENT LIABILITIES$15,049,230
FieldValueIRS element (for citing)
Total Liability$1,535,367,924TotalLiabilityAmt

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, 2023.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (7 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN00INVESTMENTS$318,039,000
CENTRAL AMERICA AND THE CARIBBEAN00SEMINAR$2,000
EAST ASIA AND THE PACIFIC00SEMINAR$19,000
EUROPE (INCLUDING ICELAND & GREENLAND)00SEMINAR$2,000
SOUTH AMERICA00SEMINAR$2,000
SUB-SAHARAN AFRICA00SEMINAR$9,000
NORTH AMERICA00SEMINAR$15,000
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$318,088,000SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$318,088,000TotalSpentAmt
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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2:DUKE 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.
PART III ACCOUNTING METHOD:

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$196,899GrossReceiptsEvent1Amt
Charitable Contri Event1$63,870CharitableContriEvent1Amt
Gross Revenue Event1$133,029GrossRevenueEvent1Amt
Non Cash Prizes Event1$31,225NonCashPrizesEvent1Amt
Food And Beverage Event1$37,650FoodAndBeverageEvent1Amt
Entertainment Event1$3,341EntertainmentEvent1Amt
Other Direct Expenses Event1$3,488OtherDirectExpensesEvent1Amt
Gross Receipts Total$196,899GrossReceiptsTotalAmt
Charitable Contributions Tot$63,870CharitableContributionsTotAmt
Gross Revenue Total Events$133,029GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$31,225NonCashPrizesTotalEventsAmt
Food And Beverage Total Events$37,650FoodAndBeverageTotalEventsAmt
Entertainment Total Events$3,341EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$3,488OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$75,704DirectExpenseSummaryEventsAmt
Net Income Summary$57,325NetIncomeSummaryAmt

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 BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
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$159,367,231TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$159,367,231NetCommunityBenefitExpnsAmt
Total Expense0.03450TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$297,692,860TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$297,692,860NetCommunityBenefitExpnsAmt
Total Expense0.06440TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$457,060,091TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$457,060,091NetCommunityBenefitExpnsAmt
Total Expense0.09890TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,731,685TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,731,685NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$103,578,001TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,731,222DirectOffsettingRevenueAmt
Net Community Benefit Expns$79,846,779NetCommunityBenefitExpnsAmt
Total Expense0.01730TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,607,100TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,607,100NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$119,916,786TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,731,222DirectOffsettingRevenueAmt
Net Community Benefit Expns$96,185,564NetCommunityBenefitExpnsAmt
Total Expense0.02080TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$576,976,877TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,731,222DirectOffsettingRevenueAmt
Net Community Benefit Expns$553,245,655NetCommunityBenefitExpnsAmt
Total Expense0.11970TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$614,127,148ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$768,142,403CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$154,015,255MedicareSurplusOrShortfallAmt

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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdAddress Line2USAddress/AddressLine2Txt
DUKE UNIVERSITY HOSPITAL
12301 ERWIN ROAD PRIMARY CAMPUSDURHAMNC27710HTTP://WWW.DUKEHEALTH.ORGH0015Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
DUKE RALEIGH HOSPITAL
23400 WAKE FOREST ROAD PRIMARYRALEIGHNC27609HTTP://WWW.DUKEHEALTH.ORGH0238Yes (X)Yes (X)Yes (X)CAMPUS
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
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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 (1)Yes (1)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 (14 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 THE DUKE DIVISION OF COMMUNITY HEALTH AND APPOINTED MEMBERS OF THE DUH SENIOR LEADERSHIP TEAM OFFICIALLY SERVE ON THE PARTNERSHIP FOR A HEALTHY DURHAM COMMITTEES.THE 2020 COMMUNITY HEALTH ASSESSMENT REPORT WAS PUBLISHED BY DURHAM COUNTY IN 2021. THE 2020 SURVEY WAS CONDUCTED BETWEEN MAY AND SEPTEMBER 2019, AND CARRIED OUT BY 243 COMMUNITY VOLUNTEERS, PARTNERSHIP MEMBERS, AND STAFF FROM DURHAM COUNTY DEPARTMENT OF PUBLIC HEALTH AND DUKE HEALTH. THE COUNTY WIDE SURVEY SAMPLE SIZE WAS DOUBLED IN 2019 TO ANALYZE DATA BY RACE AND ETHNICITY. THE ASSESSMENT INCLUDED 612 RESIDENT SURVEYS IN COUNTY WIDE AND HISPANIC OR LATINO NEIGHBORHOOD SAMPLES. COMMUNITY LISTENING SESSIONS WERE CONDUCTED VIA ZOOM DUE TO COVID-19 RESTRICTIONS. THE COMMUNITY HEALTH ASSESSMENT TEAM - COMPRISED OF MEMBERS REPRESENTING LOCAL GOVERNMENTS, HEALTH CARE SYSTEMS, COLLEGES & UNIVERSITIES, COMMUNITY-BASED ORGANIZATIONS AND NON-PROFITS IN SECTORS OF PHYSICAL AND MENTAL HEALTH, TRANSPORTATION, EDUCATION, HOUSING, RESEARCH, FOOD ACCESS, PLANNING ENVIRONMENT AND MORE 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 2022 (TAX YEAR 2021).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 ASSESSMENT IDENTIFIED THE SAME FIVE HEALTH PRIORITIES FOR 2021-2023 AS THOSE OF THE PREVIOUS ASSESSMENT CYCLE: 1. AFFORDABLE HOUSING 2. ACCESS TO HEALTHCARE AND HEALTH INSURANCE3. POVERTY 4. MENTAL HEALTH 5. OBESITY, DIABETES 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 40% 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 PUBLIC AFFAIRS. FOR INSIGHT INTO THIS AND OTHER WORK LED BY THE OFFICE OF DURHAM AND COMMUNITY AFFAIRS, SEE: HTTPS://COMMUNITY.DUKE.EDU/PROGRAMS-INITIATIVES/HOUSING-NEIGHBORHOODS/.2. ACCESS TO HEALTHCARE AND HEALTH INSURANCE:ACCESS 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 TO THE PATIENTS BY THE PHYSICIANS, HOSPITALS INCLUDING DUH, LABS, CLINICS AND OTHER PROVIDERS PARTICIPATING IN THE PADC NETWORK.DURING FY2023, 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.LOCAL ACCESS TO COORDINATED HEALTHCARE (LATCH): AIMS TO IMPROVE HEALTH KNOWLEDGE AND SELF-CARE, ACCESS TO HEALTH CARE AND HEALTH SERVICES UTILIZATION OUTCOMES AMONG DURHAM COUNTY'S UNINSURED. THE LATCH PARTNERSHIP INCLUDES DUH (WHICH NOW PROVIDES THE MAJORITY OF OPERATING FUNDS), LINCOLN COMMUNITY HEALTH CENTER, THE DURHAM COUNTY DEPARTMENTS OF HEALTH AND SOCIAL SERVICES, EL CENTRO HISPANO, AND A NUMBER OF COMMUNITY-BASED ORGANIZATIONS (CBOS). CARE MANAGEMENT SERVICES INCLUDE HEALTH SERVICES COORDINATION AND NAVIGATION (MEDICAL, SOCIAL, BEHAVIORAL); POST-HOSPITALIZATION FOLLOW-UP; PATIENT EDUCATION; CHRONIC DISEASE MANAGEMENT; PSYCHO-SOCIAL SUPPORT; ACCESS TO BENEFITS (MEDICAID/SSI/SSDI); BILLS ASSISTANCE; INTERPRETATION TRANSLATION; AND, TRANSPORTATION COORDINATION. IN PARTNERSHIP WITH OTHER COMMUNITY STAKEHOLDERS-HEALTHCARE AND SOCIAL SERVICE PROVIDERS, LOCAL GOVERNMENT AND COMMUNITY-BASED ORGANIZATIONS-LATCH MONITORS HEALTHCARE TRENDS, IDENTIFIES BARRIERS FACING UNINSURED PATIENTS, AND, WORKING AS A CONSORTIUM, ADDRESSES AND ELIMINATES BARRIERS.DURING FISCAL YEAR 2023, LATCH CONTINUED TO SERVE UNINSURED INDIVIDUALS IN DURHAM COUNTY.
THE COMPLEX CHILD PROGRAM (CCP) PROVIDES THE COORDINATIONOF MEDICAL AND CO-MANAGEMENT OF MEDICAL CARE FOR CHILDREN WITH MULTIPLE MEDICALLY COMPLEX ISSUES THAT REQUIRE THE INTERACTION WITH MULTIPLE SPECIALISTS. ON AVERAGE THESE CHILDREN WORK WITH 13 SPECIALISTS. THROUGH THE CCP PARENTS HAVE DIRECT PHONE ACCESS TO A COMPLEX CARE SERVICE (CCS) PROVIDER OR RN 24/7. THE CCP TEAM WORKS WITH PARENTS TO CREATE A COMPREHENSIVE "COMPLEX CARE PLAN" THAT IS PLACED IN THE CHILD'S MEDICAL RECORD AND GIVEN TO THE PARENTS. IN ADDITION, THE CCP TEAM COORDINATES INPATIENT INTENSIVE CARE TRANSITIONS PRIOR TO DISCHARGE AND CONDUCTS INTENSIVE OUTPATIENT "BETWEEN-VISIT" CONTACTS (PHONE, CLINIC VISITS, AND IN SOME CASES, HOME VISITS). DURING FY23, THE CCP CONTINUED TO MAXIMIZE SERVICES TO CHILDREN WITH MULTIPLE MEDICALLY COMPLEX ISSUES AND THEIR FAMILIES.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. IT IS OPERATED BY DUKE'S DIVISION OF COMMUNITY HEALTH ON BEHALF OF DUH.
JUST FOR US (JFU): PROVIDES AN IN-HOME CARE PROGRAM FOR LOW-INCOME,FRAIL ELDERLY AND DISABLED. 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. THE HEALTH CARE TEAM CONSISTS OF A CLINICAL PROVIDER (PA, NP OR MD), OCCUPATIONAL THERAPIST, REGISTERED DIETITIAN, SOCIAL WORKER, PHLEBOTOMIST, AND COMMUNITY HEALTH WORKER. 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 WERE 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 2023, THE SOUTHERN HIGH SCHOOL WELLNESS CENTER, THE MICRO-CLINICS AND JUST FOR US PROVIDED 10,587 IN-PERSON AND VIDEO/TELEHEALTH PATIENT VISITS.
3. POVERTYPOVERTY HAS A STRONG IMPACT ON HEALTH AND IS AN IMPORTANT CONCERN FOR DURHAM RESIDENTS. RESEARCH NOW SHOWS THAT EVEN THE RISK OF AN ADVERSE CHANGE IN MATERIAL CONDITIONS, ECONOMIC AND HOUSING INSECURITY, AS WELL AS UNINSURED OR UNDERINSURED HEALTH INSURANCE COVERAGE, AFFECT HEALTH OUTCOMES. IN 2017, DUKE IMPLEMENTED A PLAN TO GRADUALLY INCREASE THE MINIMAM 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. SSI/SSDI OUTREACH, ACCESS AND RECOVERY (SOAR) HELPS PATIENTS WHO ARE CHRONICALLY HOMELESS, OR AT RISK OF HOMELESSNESS ACCESS HEALTH INSURANCE, A STABLE INCOME, AND MEDICAL CARE BY ASSISTING THESE INDIVIDUALS IN APPLYING FOR SUPPLEMENTAL SECURITY INCOME (SSI) AND SOCIAL SECURITY DISABILITY INSURANCE (SSDI). THROUGH SOAR, THESE INDIVIDUALS WITH COMPLEX NEEDS ARE PROVIDED CASE MANAGEMENT FOR HOME, HOSPITAL, AND CLINIC VISITS; ARE PROVIDED WITH A STEP BY STEP EXPLANATION AND COMPLETION OF ALL APPLICATIONS FOR FEDERAL DISABILITY BENEFITS; RECEIVE EXPEDITED APPLICATIONS FOR MONTHLY INCOME AND MEDICAID/MEDICARE; AND ARE LINKED TO COMMUNITY RESOURCES. DUH FUNDS TWO SOAR CASE MANAGERS. DURING FY23, DUH CONTINUED TO ASSIST PATIENTS REFERRED TO THE SOAR PROGRAM.
BENEFITS ENROLLMENT COUNSELING (BEC) HELPS SENIORS AND THOSE WITHDISABILITIES 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. BEC WORKS WITH DUKE UNDERGRADUATES AND MEDICAL STUDENTS WHO ENGAGE IN SERVICE, OUTREACH, AND ADVOCACY EFFORTS AS WELL AS BUILD MEANINGFUL INTERGENERATIONAL RELATIONSHIPS.BEC PROGRAMS INCLUDE THE COPE INITIATIVE (COMMUNITY OUTREACH, PREVENTION AND EDUCATION), WHICH OFFERS HEALTH SCREENING AND EDUCATION IN THE COMMUNITY, AND INITIATIVES THAT DIRECTLY ADDRESS GAPS IN SENIOR HUNGER PREVENTION THROUGH TEACHING SELF-SUFFICIENT, SUSTAINABLE GARDENING PRACTICES, AND THE PROVISION OF COOKING CLASSES AT SENIOR CENTERS.BEC SAW SUBSTANTIAL GROWTH IN FY23 FROM FY22, SERVING 485 UNIQUE CLIENTS, UP FROM 350 IN FY22. THE ESTIMATED VALUE OF BENEFITS TO CLIENTS INCREASED FROM $1.2 MILLION IN FY22 TO OVER $1.5 MILLION IN FY23.4. MENTAL HEALTHDUH PARTNERS WITH AND SUPPORTS A NUMBER OF COLLABORATIVE INITIATIVES TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES AND REDUCE SUBSTANCE ABUSE. DUH SERVES AS A KEY PARTNER IN THE FOLLOWING ACTIVITES:* COMMUNITY COALITIONS: DURHAM CRISIS COLLABORATIVE; PARTNERSHIP FOR A HEALTHY DURHAM MENTAL HEALTH COMMITTEE AND DURHAM TOGETHER FOR RESILIENT YOUTH; DURHAM COUNTY LEADERSHIP FORUM ON SUBSTANCE ABUSE AND MENTAL HEALTH.* NALOXONE OUTREACH: PHARMACIES (DUKE CLINIC PHARMACY, MAIN STREET, GURLEY'S, JOSEF'S, & DUKE CANCER SPECIALTY); DURHAM COUNTY DEPARTMENT OF PUBLIC HEALTH; DURHAM MOBILE CRISIS UNIT.* PROVIDER EDUCATION: PROVIDER TOOLKITS AND CME EDUCATION; USE OF PAIN AGREEMENTS; USE OF CONTROLLED SUBSTANCE REPORTING SYSTEM (CSRS); CHRONIC PAIN PROVIDER CONSULTATION CALLS.* DIVERSION CONTROL: PERMANENT DROP BOXES IN 5 OF 6 COUNTIES (DURHAM, FRANKLIN, PERSON, GRANVILLE, & VANCE).* CHRONIC PAIN PATIENT SUPPORT: CHRONIC PAIN SELF-MANAGEMENT WORKSHOPS AT LINCOLN COMMUNITY HEALTH CENTER; CHRONIC PAIN MANAGEMENT RESOURCES; KEY COMMUNITY PRESENTATIONS.* COUNTY-WIDE ADVERSE CHILDHOOD EXPERIENCES (ACES) AND COMMUNITY RESILIENCY MODEL (CRM): ACTIVITIES AND TRAINING.DURING FISCAL YEAR 2023 DUKE CONTINUED TO WORK WITH COMMUNITY PARTNERS TO DEVELOP COMMUNITY-BASED SUPPORTIVE SERVICES FOR INDIVIDUALS LIVING WITH OPIOID USE DISORDER/SUBSTANCE USE DISORDER.
DUHS SAFE OPIOID TASK FORCE: PROVIDES RECOMMENDATIONSFOR THE INITIATION AND MANAGEMENT OF OPIOID THERAPY ACROSS DUKE UNIVERSITY HEALTH SYSTEM (DUHS) TO IMPROVE PERSONAL AND COMMUNITY SAFETY AND REDUCE HARM ASSOCIATED WITH THESE HIGH RISK TREATMENTS WHILE ENGAGING PATIENTS IN THEIR OWN CARE. DUH ALONG WITH DUKE REGIONAL AND DUKE RALEIGH HOSPITALS SERVES AS A PIVOTAL PLAYER IN ALL ASPECTS OF THE WORK OF THE TASK FORCE.
5. OBESITY, DIABETES, AND FOOD ACCESSOBESITY IS A STRONG CONTRIBUTOR TO DIABETES. MANY DISEASES ARE LINKED TO NUTRITION, INCLUDING OBESITY, HYPERTENSION, HIGH CHOLESTEROL, DIABETES, AND SOME CANCERS. FOOD INSECURITY, THE STATE OF BEING WITHOUT RELIABLE ACCESS TO A SUFFICIENT QUANTITY OF AFFORDABLE, NUTRITIOUS FOOD, HAS A LARGE IMPACT ON A PERSON'S DIET.
BULL CITY FIT IS A COMMUNITY-BASED WELLNESS PROGRAM AND IS PART OFTHE LARGER DUKE CHILDREN'S HEALTHY LIFESTYLES PROGRAM. THE HEALTHY LIFESTYLES PROGRAM SEEKS TO ADDRESS WEIGHT-RELATED HEALTH PROBLEMS FOR CHILDREN BY OFFERING CARING PROVIDERS, FAMILY-CENTERED TREATMENT PROGRAMS, HIGHLY TRAINED EDUCATORS AND RESEARCHERS, AND STRONG COMMUNITY PARTNERSHIPS. BULL CITY FIT HELPS IN THIS EFFORT BY OFFERING FREE EVENING AND WEEKEND ACTIVITY SESSIONS FOR THE LARGER COMMUNITY. THESE SESSIONS COVER VARIOUS THEMES THAT ENCOURAGE AND PROMOTE ACTIVE LIVING, SUCH AS FITNESS GAMES, SPORT LESSONS, EXERCISE ROUTINES, SWIMMING, COOKING, AND GARDENING. EACH ACTIVITY IS FACILITATED WITH THE SUPPORT OF ENERGETIC STAFF AND VOLUNTEERS TO CREATE A POSITIVE AND FUN ENVIRONMENT FOR ALL.BULL CITY FIT EMPOWERS THE WHOLE FAMILY TO INCREASE KNOWLEDGE AND PRACTICE OF PHYSICAL ACTIVITY AND HEALTHY EATING; ADDRESS CURRENT WEIGHT-RELATED ILLNESS AND PREVENT CHRONIC DISEASE THROUGH INCREASED ACTIVITY LEVELS; IMPROVE QUALITY OF LIFE BY PROMOTING HEALTHY BEHAVIORS; INCREASE CONFIDENCE, SUPPORT POSITIVE CHANGE, AND BUILD A LIFELONG COMMITMENT TO A HEALTHY LIFESTYLE.PARTNERS OF BULL CITY FIT INCLUDE: DURHAM PARKS AND RECREATION; DURHAM CITY GOVERNMENT; DURHAM COUNTY DEPARTMENT OF PUBLIC HEALTH; EAST DURHAM CHILDREN'S INITIATIVE; LINCOLN COMMUNITY HEALTH CENTER; COMMUNITY NUTRITION PARTNERSHIP; VEGGIE VAN; BLUE POINTE YOGA; DURHAM PUBLIC SCHOOLS; PARTNERSHIP FOR A HEALTHY DURHAM; DUKE SERVICE LEARNING; DUKE FAMILY MEDICINE; DUKE CHILDREN'S HOSPITAL AND THE UNC SCHOOL OF SOCIAL WORK.DURING FY2023, DUH AND THE PARTNERSHIP SUCCESSFULLY SECURED A MULTI-YEAR IMPLEMENTATION GRANT TO CARRY OUT THE COMMUNITY-DRIVEN ACTIVITIES DEVELOPED DURING THE 2022 PLANNING GRANT PERIOD.
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 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 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). A DRAH REPRESENTATIVE 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 SUPPORTS 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). 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, HABITAT FOR HUMANITY, 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 FY2023 ON INITIATIVES TO ADDRESS ACCESS TO HEALTHCARE:* PROVIDED APPROXIMATELY $19.8 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, URBAN MINISTRIES OF WAKE COUNTY, ALLIANCE MEDICAL MINISTRY, INTER-FAITH FOOD SHUTTLE, AND MEALS ON WHEELS. * DUKE RALEIGH PROVIDED IN-KIND LAB SERVICES TO URBAN MINISTRIES OF WAKE COUNTY'S OPEN-DOOR CLINIC AT AN ESTIMATED ANNUAL VALUE OF $2 MILLION.* DONATED AND PACKED 5,000+ POUNDS OF RICE AND BEANS FOR URBAN MINISTRIES OF WAKE COUNTY'S CLIENT CHOICE PANTRY BETWEEN FY17-FY23. * ORGANIZED TWO HEAD AND NECK CANCER SCREENING EVENTS IN FY23 RESULTING IN APPROXIMATELY 450 LIVES REACHED AND 56 SCREENING COMPLETED. * ORGANIZED A BACK-TO-SCHOOL GIVEAWAY FOR A LOCAL VULNERABLE COMMUNITY AND A LOCAL TITLE 1 SCHOOL RESULTING IN APPROXIMATELY 200 LIVES REACHED AND 100 BAGS DISTRIBUTED.* 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 HOSTING 4 DAYS FOCUSED ON MENTAL HEALTH, WELL-BEING AND CANCER CARE.
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 FY2023 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* PROVIDED SUPPORT FOR THE ADVERSE CHILDHOOD EXPERIENCES (ACES) RESILIENCE IN WAKE COUNTY INITIATIVE. THIS IS A MULTI-SECTOR, COMMUNITY-DRIVEN MOVEMENT TO ADDRESS AND PREVENT ACES AND BUILD RESILIENCE IN WAKE COUNTY.* HOSTED A MENTAL HEALTH AND WELLBEING POPUP AT THE MIDTOWN FARMERS MARKET IN JULY 2022* SPONSORED THE NATIONAL ASSOCIATION OF MENTAL ILLNESS CELEBRATION OF COURAGE WALK AS A $2,500 SPONSOR AND PRESENTER THE DAY OF IN SEPTEMBER 2022* PARTICIPATED IN THE NORTH CAROLINA BEHAVIORAL HEALTH WORKGROUP.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 2020 DURHAM COMMUNITY HEALTH ASSESSMENT. THE 2020 SURVEY WAS CONDUCTED BETWEEN MAY AND SEPTEMBER 2019, AND CARRIED OUT BY 243 COMMUNITY VOLUNTEERS, PARTNERSHIP MEMBERS, AND STAFF FROM DURHAM COUNTY DEPARTMENT OF PUBLIC HEALTH AND DUKE HEALTH. THE COUNTY WIDE SURVEY SAMPLE SIZE WAS DOUBLED IN 2019 TO ANALYZE DATA BY RACE AND ETHNICITY. THE ASSESSMENT INCLUDED 612 RESIDENT SURVEYS IN COUNTY WIDE AND HISPANIC OR LATINO NEIGHBORHOOD SAMPLES. COMMUNITY LISTENING SESSIONS WERE CONDUCTED VIA ZOOM DUE TO COVID-19 RESTRICTIONS. THE COMMUNITY HEALTH ASSESSMENT TEAM COMPRISED OF REPRESENTATIVES FROM LOCAL GOVERNMENTS, HEALTH CARE SYSTEMS, COLLEGES & UNIVERSITIES, COMMUNITY-BASED ORGANIZATIONS AND NON-PROFITS IN SECTORS OF PHYSICAL AND MENTAL HEALTH, TRANSPORTATION, EDUCATION, HOUSING, RESEARCH, FOOD ACCESS, PLANNING ENVIRONMENT AND MORE - 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 2022 (TAX YEAR 2021).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 2021-2023:1. AFFORDABLE HOUSING2. ACCESS TO HEALTHCARE AND HEALTH INSURANCE3. POVERTY4. MENTAL HEALTH5. OBESITY, DIABETES 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 AND 3. AFFORDABLE HOUSING AND POVERTYMINIMUM WAGE, IN 2017, DUKE IMPLEMENTED A PLAN TO GRADUALLY INCREASE THE MINIMAM 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.FILL 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 IN 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 FY2023, DUKE REGIONAL HOSPITAL SUPPORTED CRAYONS2CALCULATOR FILL THE BUS! CAMPAIGN, THE SALVATION ARMY TREE GIFT DRIVE AND A FOOD DRIVE FOR THE NORTH CAROLINA FOOD BANK OF CENTRAL AND EASTERN NC.EDUCATION: DUKE REGIONAL HOSPITAL HAS IDENTIFIED EDUCATION AS A PRIORITY OF ITS COMMUNITY STRATEGY TO HELP ADDRESS POVERTY. DUKE REGIONAL HOSPITAL IS COMMITTED TO HELP TRAIN THE HEALTHCARE WORKERS OF THE FUTURE. DURING FISCAL YEARS 2017 THROUGH 2020, DRH PROVIDED OPPORTUNITIES FOR 70 PRE-HEALTH UNDERGRADUATE STUDENTS FROM LOCAL COLLEGES AND UNIVERSITIES TO SHADOW AND VOLUNTEER ALONGSIDE CLINICAL AND CUSTOMER SERVICE STAFF AS AMBASSADORS IN THE EMERGENCY DEPARTMENT. DRH ALSO PROVIDED AN EIGHT-WEEK VOLUNTEER PROGRAM FOR AREA HIGH SCHOOL STUDENTS TO GAIN EXPERIENCES IN A HEALTH CARE SETTING EACH SUMMER. DUE TO COVID-19, IN-PERSON VOLUNTEER OPPORTUNITIES WERE HALTED IN MARCH 2020, BUT DRH CONTINUED TO FIND CREATIVE WAYS TO ENGAGE STUDENTS VIRTUALLY AND WELCOMED CLINICAL STUDENTS BACK TO CAMPUS USING A SLOW AND MEASURED RE-ENTRY OF STUDENTS STARTING IN THE SUMMER OF 2020. SINCE THAT TIME, CLINICAL STUDENTS AND VOLUNTEERS HAVE RETURNED TO THE HOSPITAL SETTING.DRH INVESTED $5.9 MILLION IN FISCAL YEAR 2023 TO TRAIN AND TEACH TOMORROW'S HEALTHCARE PROFESSIONALS. 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 AND INTERNSHIPS, PROVIDES CPR TRAINING AND HOSTS THE ANNUAL SENIOR AWARDS NIGHT IN THE HOSPITAL AUDITORIUM.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 VOCATIONAL REHABILITATION 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 6 NEW GRADUATES IN 2023 FOR A TOTAL OF GRADUATES TO 95 TO DATE. APPROXIMATELY HALF ARE STILL EMPLOYED IN THE COMMUNITY, WITH FOUR GRADUATES WORKING AT DUKE REGIONAL HOSPITAL.
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 2023, INCLUDING MONETARY AND IN-KIND SERVICES, WAS $8.8 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 2023, DUKE REGIONAL HOSPITAL CONTRIBUTED $2.8 MILLION TO THE COUNTY TO SUPPORT DURHAM EMS.PROJECT ACCESS OF DURHAM COUNTY (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 FY2023, DUKE REGIONAL HOSPITAL PROVIDED FINANCIAL SUPPORT OF $20,000 IN LIEU OF PROVIDING SPACE AFTER PADC RELOCATED TO A NON-HOSPITAL BUILDING IN FY2021.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 2023 DUKE REGIONAL PROVIDED $31.9 MILLION (AT ESTIMATED COST) IN FINANCIAL ASSISTANCE.IN ADDITION, DUKE REGIONAL HOSPITAL PROVIDED $500,000 IN PATIENT SPONSORSHIP SERVICES, WHICH INCLUDES EXPENSES SUCH AS PAYMENT FOR POST-ACUTE CARE, DURABLE MEDICAL EQUIPMENT, LODGING AND MEALS BASED ON SPECIFIC INDIGENT FUNDING GUIDELINES.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. OBESITY, DIABETES, AND FOOD ACCESSBEYOND ITS CLINICAL SERVICE LINES IN THE HOSPITAL, DRH COLLABORATES WITH NUMEROUS DURHAM NON-PROFITS AND OTHER ENTITIES WITHIN THE DUKE UNIVERSITY HEALTH SYSTEM THAT ARE SPECIFICALLY FOCUSED ON COMMUNITY-BASED MECHANISMS FOR THE PREVENTION AND TREATMENT OF OBESITY AND DIABETES AND ON ISSUES OF FOOD ACCESS.IN ADDITION TO THE ABOVE ACTIVITIES SPECIFICALLY RELATED TO THE CHNA IDENTIFIED HEALTH PRIORITIES, DUKE REGIONAL HOSPITAL SUPPORTS HEALTH NEEDS OF ITS COMMUNITY IN THE FOLLOWING WAYS: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. FOR MORE THAN A DECADE, DRH HAS SUPPORTED THIS PROGRAM AS A HOST SITE. DUE TO COVID-19, DUKE REGIONAL SPONSORED THE MONTHLY WORKSHOPS IN A VIRTUAL FORMAT AND HAVE CONTINUED IN THIS FORMAT THROUGH THE PRESENT TIME.STROKE SUPPORT: DUKE REGIONAL OFFERS A MONTHLY STROKE SUPPORT GROUP THAT PROVIDES EDUCATION, SUPPORT AND RESOURCES FOR INDIVIDUALS WHO HAVE BEEN AFFECTED BY STROKE. THE SUPPORT GROUP STARTED IN 2006 AND TYPICALLY HOSTS 20-25 PARTICIPANTS A MONTH (WITH A COMBINATION OF SURVIVORS AND CARE GIVERS). DURING FISCAL YEAR 2023, DUKE REGIONAL CONTINUED THE MONTHLY STROKE SUPPORT PROGRAM AND MOVED TO HYBRID MEETINGS (PARTICIPANTS CHOSE TO ATTEND IN PERSON OR VIRTUALLY).FUNDRAISING AND OUTREACH: DUKE REGIONAL CONDUCTS A NUMBER OF FUNDRAISING AND OUTREACH ACTIVITIES IN THE DURHAM COMMUNITY AND BEYOND. DUKE REGIONAL EMPLOYEES RAISE FUNDS EACH YEAR FOR CHARITABLE ORGANIZATIONS, INCLUDING DUKE COMMUNITY GIVING (INCLUDING UNITED WAY OF THE GREATER TRIANGLE), AND THE AMERICAN HEART ASSOCIATION. IN FY2023, DUKE REGIONAL RAISED $29,857 TO SUPPORT LOCAL CHARITIES.THE HOSPITAL CONTINUES TO PARTNER WITH LOCAL NONPROFITS ON ENDEAVORS THAT EDUCATE OUR COMMUNITY ABOUT HEALTH INITIATIVES AND DISPARATIES AND PROVIDES OFFICE SPACE FOR THE DURHAM COMMUNITY HEALTH COALITION. IN FY2023, DRH PARTNERED WTH THE AMERICAN RED CROSS TO HOST 5 BLOOD DRIVES. THESE DRIVES RESULTED IN COLLECTING 103 UNITS OF BLOOD.
GROUP A - FACILITY 3 - DUKE REGIONAL HOSPITALPART V, SECTION B, LINE 16J: AS PART OF DUHS, DUKE REGIONAL 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.GROUP A - FACILITY 3 - DUKE REGIONAL HOSPITALPART V, SECTION B, LINE 24: CERTAIN ELECTIVE COSMETIC/AESTHETIC SERVICES, AND OTHER ELECTIVE SERVICES, WERE BILLED AT AN AMOUNT EQUAL TO GROSS CHARGES.
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
2 - DUKE MEADOWMONT CHAPEL HILL
802 W BARBEE CHAPEL ROAD SUITE 100CHAPEL HILLNC27517SPECIALTY
3 - DUKE IMAGING SERVICES
3700 NW CARY PARKWAY SUITE 120CARYNC27513INDEPENDENT DIAGNOSTIC TESTING FACILITY
4 - DUKE HEALTH IMAGING AT HERITAGE
3000 ROGERS RDWAKE FORESTNC27587INDEPENDENT DIAGNOSTIC TESTING FACILITY
5 - DUKE PTOT AT HILLSBOROUGH
267 SOUTH CHURTONHILLSBOROUGHNC27278SPECIALTY
6 - DUKE HEALTH IMAGING AT HOLLY SPRINGS
401 IRVING PKWYHOLLY SPRINGSNC27540INDEPENDENT DIAGNOSTIC TESTING FACILITY
7 - HOCK FAMILY PAVILION
4023 NORTH ROXBORO ROADDURHAMNC27704HOSPICE
8 - DUKE IMAGING COLEY HALL
66 VILCOM CENTER DR SUITE 101CHAPEL HILLNC27514INDEPENDENT DIAGNOSTIC TESTING FACILITY

Supplemental Information Detail SupplementalInformationDetail (3 entries)

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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 12.5%.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 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 SINCE NOT A HOSPITAL. TOTAL NET COMMUNITY BENEFIT EXPENSES FOR THESE ENTITIES TOTALED $25.9 MILLION IN FY2023.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 $31,791,000 IN FISCAL YEAR 2023. 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 17-20 IN THE FY2023 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, 2023 DUHS CONSOLIDATED FINANCIAL STATEMENTS ARE $502,845,000 AS COMPARED TO $154,015,255 AS REPORTED IN SECTION B, LINE 7 OF SCHEDULE H. THE DUHS TOTAL MEDICARE SHORTFALL OF $502,845,000 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 AND COSTS REIMBURSED THROUGH MEANS NOT REPORTED ON THE COST REPORT.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 ALMOST 2.1 MILLION, THIS 7-COUNTY REGION REPRESENTS APPROXIMATELY 19% OF NC'S POPULATION BASED ON FEDERAL FISCAL YEAR (FFY) 2022 DATA. THE WEIGHTED AVERAGE MEDIAN HOUSEHOLD INCOME IN ITS PSA IS $74,695. APPROXIMATELY 67% OF INPATIENT DISCHARGES FROM DUHS FACILITIES IN FFY 2022 WERE PATIENTS FROM ITS PSA. THE POPULATION IN DUHS' PSA IS EXPECTED TO GROW AT A HIGHER RATE OVER THE NEXT 5 YEARS FROM 2023 TO 2028 COMPARED TO NC'S OVERALL EXPECTED POPULATION GROWTH RATE. THE PSA 5-YEAR CAGR IS EXPECTED TO BE 1.2% COMPARED TO THE OVERALL ESTIMATED NC RATE OF 0.7%. 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 CHANCELLOR/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. 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 IN SOCIAL DRIVERS AREAS. DUHS' OFFICE OF COMMUNITY HEALTH ASSOCIATE VICE PRESIDENT SERVES AS 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. IN ADDITION, THE OFFICE PROVIDES A POINT OF DIRECT CONTACT FOR COMMUNITY MEMBERS WHO HAVE QUESTIONS OR CONCERNS ABOUT COMMUNITY ISSUES OR ABOUT ACCESS TO HEALTH CARE SERVICES. THE OFFICE ALSO PROVIDES DIRECT FINANCIAL SUPPORT TO A VARIETY OF COMMUNITY GROUPS THROUGH THE BUILDING HEALTHY COMMUNITIES GRANTS PROGRAM. THE ASSOCIATE VICE-PRESIDENT 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. IN ADDITION, APPROXIMATELY 50 LOCAL LEADERS IN THE DURHAM FAITH COMMUNITY ARE WORKING WITH DUKE HEALTH TO LOOK AT HOW TO ADDRESS THE NEEDS OF THEIR CONGREGATIONS AND COMMUNITIES BY COMBINING THE TRADITIONS OF THE FAITH COMMUNITY WITH THE KNOWLEDGE OF MODERN MEDICINE. DUHS' CEO ALSO HAS A CHANCELLOR'S 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 GRANTS COMMITTEE TO REVIEW COMMUNITY REQUESTS FOR PHILANTHROPIC ASSISTANCE THAT PROMOTE HEALTH AND WELLNESS. DUHS FORMED A COMMUNITY HEALTH EXECUTIVE COUNCIL 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-ORANGE MEDICAL SOCIETY AND THE DURHAM ACADEMY OF MEDICINE, DENTISTRY AND PHARMACY (AN ASSOCIATION FOR AFRICAN-AMERICAN MEDICAL PROFESSIONALS) TO 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. FACULTY ARE INVOLVED WITH MENTORING STUDENTS AND CLASSROOM LECTURES. DUHS IS A KEY PARTICIPANT IN THE ANNUAL BULL CITY FRESH START EVENT. STAFF FROM THE DUKE SCHOOL OF NURSING, DUKE EYE CENTER, AND STAFF AFFILIATED WITH LINCOLN COMMUNITY HEALTH CENTER HEALTHCARE FOR THE HOMELESS CLINIC VOLUNTEER TIME AND RESOURCES AT THIS IMPORTANT EVENT. 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 COMMUNITY RESIDENTS BASED ON PROVIDER PRESCRIPTIONS. OCH IS ALSO AN ADVISOR TO A STUDENT-LED GROUP 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 VIRTUALLY ALL LEVELS OF CARE BEGINNING WITH DUKE UNIVERSITY AFFILIATED PHYSICIANS (DBA DUKE PRIMARY CARE) (DPC). DPC IS A BROAD NETWORK OF COMMUNITY-BASED SERVICES THAT INCLUDE FAMILY MEDICINE, PEDIATRICS, INTERNAL MEDICINE, AND URGENT CARE. THE HOSPITALS PROVIDE ROUTINE INPATIENT AND OUTPATIENT CARE. IN DURHAM COUNTY, DUH AND DRH WORK TOGETHER TO MAXIMIZE FACILITY UTILIZATION PROVIDING ROUTINE AND ADVANCED LEVELS OF CARE. DUH ALSO OPERATES A TRAUMA CENTER WITH AIR AMBULANCE SERVICE. DRAH SERVES THE WAKE COUNTY AREA AS A COMMUNITY HOSPITAL. THE DRAH CAMPUS HAS SEVERAL MEDICAL OFFICE BUILDINGS ENHANCING CONVENIENCE FOR THE PATIENT IN NON-EMERGENT CASES AND PROVIDES STREAMLINED ACCESS TO HIGH-DEMAND PROCEDURES SUCH AS CARDIAC CATHETERIZATION AND RADIOLOGY PROCEDURES. DUHS CONTINUES TO EXPAND ITS AMBULATORY FOOTPRINT TO PROVIDE CARE CLOSE TO PATIENTS' HOMES, EXTEND ACCESS TO NEW COMMUNITIES AND MEET GROWING POPULATION NEEDS EFFICIENTLY AND EFFECTIVELY. DUHS' POPULATION HEALTH MANAGEMENT OFFICE WITHIN DUKE INTEGRATED NETWORK, INC. IS THE CENTRAL ENTITY AT DUKE GUIDING CARE TRANSFORMATION FOR VALUE BASED CARE, INCLUDING CARE MANAGEMENT PROGRAMS AND DEPLOYMENT OF RELATED DATA AND ANALYTICS PROGRAMS, AS WELL AS FOSTERING RELATIONSHIPS WITH PAYERS, COMMUNITY RESOURCES, AND PHYSICIANS WITHIN THE SERVICE AREA. DUHS ALSO OPERATES HOME HEALTH AND HOME INFUSION SERVICES TO TREAT AND CARE FOR PATIENTS IN THE COMFORT OF THEIR HOME. THIS IS OBVIOUSLY PRACTICAL FOR PATIENTS NOT REQUIRING AN INPATIENT STAY BUT IN NEED OF ONGOING CARE AT A SUB-ACUTE LEVEL. FINALLY, HOSPICE PROVIDES PALLIATIVE CARE FOR PATIENTS NOT RESPONDING TO CURATIVE CARE. PAIN MANAGEMENT, SYMPTOM MANAGEMENT, AND PSYCHOLOGICAL AND SPIRITUAL SUPPORT PROVIDE A ROUNDED APPROACH TO COMPASSIONATELY ASSIST TERMINAL PATIENTS AND THEIR FAMILIES WITH THE PROCESS OF DYING. ALL OF THE OPERATING UNITS OF DUHS WORK TOGETHER TO PROVIDE THE RIGHT LEVEL OF CARE FOR THE PATIENT IN THE MOST BENEFICIAL MANNER. IN ADDITION TO THE REACTIVE ACTIVITIES OF DIAGNOSTIC CARE, DUHS ALSO SUPPORTS AND PROMOTES HEALTH AND WELL-BEING AT DUKE HEALTH & FITNESS CENTER, AND DUKE INTEGRATIVE MEDICINE. THESE SERVICES INCLUDE A MEDICALLY-BASED WEIGHT LOSS PROGRAM, MEDICALLY-BASED FITNESS, WELLNESS AND REHABILITATION PROGRAMS.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 (63 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
ALICE AYCOCK POE CTR FOR HEALTH EDUCATION
224 SUNNYBROOK RDRALEIGHNC27610561500678501(C)(3)$12,500$0SPONSORSHIP
ALLIANCE MEDICAL MINISTRY INC
101 DONALD ROSS DRRALEIGHNC27610562168673501(C)(3)$30,000$0COMMUNITY SUPPORT
AMERICAN HEART ASSOCIATION INC
PO BOX 4002900DES MOINESIA503402900135613797501(C)(3)$150,000$0SPONSORSHIP
BIG BROTHERS BIG SISTERS OF THE TRIANGLE
808 AVIATION PKWY SUITE 900MORRISVILLENC27560562109717501(C)(3)$7,500$0COMMUNITY SUPPORT
BOYS & GIRLS CLUBS OF DURHAM & ORANGE COUNTIES
1010 MARTIN LUTHER KING JR PKWDURHAMNC27713566001906501(C)(3)$25,000$0COMMUNITY SUPPORT
CAPSTONE EVENT GROUP LLC
3803-B COMPUTER DR SUITE 205RALEIGHNC27609464157559$13,000$0SPONSORSHIP
CARING HOUSE INC
2625 PICKETT RDDURHAMNC277055603561647154501(C)(3)$43,833$0GENERAL SUPPORT
CAROL EMMOTT FOUNDATION
4931 SW 76TH AVE 229PORTLANDOR97225841882898501(C)(3)$20,000$0GENERAL SUPPORT
CATHOLIC CHARITIES OF THE DIOCESE OF RALEIGH
7200 STONEHENGE DRRALEIGHNC27613560529943501(C)(3)$25,000$0COMMUNITY SUPPORT
CENTER FOR VOLUNTEER CAREGIVING
1150 SE MAYNARD RD STE 210CARYNC27511582067482501(C)(3)$10,000$0COMMUNITY SUPPORT
CHATHAM OUTREACH ALLIANCE
PO BOX 1326PITTSBORONC27312561668767501(C)(3)$12,500$0COMMUNITY SUPPORT
CHILDRENS CANCER PARTNERS
900 S PINE ST STE FSPARTANBURGSC29302202511033501(C)(3)$10,000$0COMMUNITY SUPPORT
CHILDRENS FLIGHT OF HOPE INC
1005 DRESSER CTRALEIGHNC27609561762824501(C)(3)$30,000$0COMMUNITY SUPPORT
COMMUNITIES IN PARTNERSHIP
PO BOX 11247DURHAMNC27703475567396501(C)(3)$60,000$0COMMUNITY SUPPORT
COMMUNITY EMPOWERMENT FUND
208 N COLUMBIA ST SUITE 100CHAPEL HILLNC275143504270428981501(C)(3)$7,500$0COMMUNITY SUPPORT
DURHAM CENTER FOR SENIOR LIFE
406 RIGSBEE AVE SUITE 202DURHAMNC27701560886647501(C)(3)$15,000$0COMMUNITY SUPPORT
DURHAM SUCCESS SUMMIT INC
732 9TH STREET 596DURHAMNC27705862985757501(C)(3)$7,500$0COMMUNITY SUPPORT
EL CENTRO HISPANO INC
2000 CHAPEL HILL RD 26ADURHAMNC27707562011661501(C)(3)$10,000$0COMMUNITY SUPPORT
EL FUTURO INC
2020 E CHAPEL HILL ROAD SUITE 23DURHAMNC27707800122334501(C)(3)$59,000$0COMMUNITY SUPPORT
FAMILY VIOLENCE PREVENTION CENTER INC
1012 OBERLINE RD SUITE 100RALEIGHNC27605581320613501(C)(3)$62,500$0COMMUNITY SUPPORT
FIGHT FOR 1 OF US INC
8024 GLENWOOD AVE SUITE 200RALEIGHNC27607274754653501(C)(3)$16,750$0SPONSORSHIP
FOOD BANK OF CENTRAL AND EASTERN
1924 CAPITAL BLVDRALEIGHNC27604561283426501(C)(3)$10,000$0COMMUNITY SUPPORT
FRIENDS OF FREMONT PEOPLE'S FREE
106 PANAMINT DRIVEDURHAMNC27705920823631501(C)(3)$15,000$0COMMUNITY SUPPORT
GET HAPPY
115 WINDERMERE DRIVE 404DURHAMNC27712863862455501(C)(3)$7,500$0SPONSORSHIP
GREAT 100 INC
PO BOX 4875GREENSBORONC274044875561705456501(C)(3)$30,000$0SPONSORSHIP
GREATER RALEIGH CHAMBER OF COMMERCE
800 S SALISBURY STRALEIGHNC27601560370850501(C)(6)$62,625$0COMMUNITY SUPPORT/SPONSORSHIP
HEALING TRANSITIONS INC
1251 GOODE STREETRALEIGHNC27603562135246501(C)(3)$25,000$0COMMUNITY SUPPORT
HOUSING FOR NEW HOPE INC
18 W COLONY PLACE SUITE 250DURHAMNC27705582089068501(C)(3)$25,525$0COMMUNITY SUPPORT
INTER-FAITH FOOD SHUTTLE
1001 BLAIR DRRALEIGHNC27620561753180501(C)(3)$20,250$0COMMUNITY SUPPORT
JUSTICEMATTERS INC
PO BOX 199DURHAMNC27702271378558501(C)(3)$7,500$0COMMUNITY SUPPORT
LATIN 19
100 W MORGAN STDURHAMNC27701872248916501(C)(3)$12,500$0COMMUNITY SUPPORT
LIFE SKILLS FOUNDATION
PO BOX 51129DURHAMNC27712203676000501(C)(3)$14,750$0COMMUNITY SUPPORT
MEALS ON WHEELS OF DURHAM INC
2522 ROSS RDDURHAMNC27703561729111501(C)(3)$5,500$0COMMUNITY SUPPORT
MIDTOWN EVENTS LLC
4321 LASSITER AT NORTH HILLS AVE STRALEIGHNC27609271832351$20,000$0SPONSORSHIP
MIDTOWN RALEIGH ALLIANCE
7413 SIX FORKS RD STE 259RALEIGHNC27615452559048501(C)(3)$13,000$0SPONSORSHIP
MUDCATS BASEBALL LLC
ONE BREWERS WAYMILWAUKEEWI53214274165120$6,000$0SPONSORSHIP
NATIONAL INSTITUTE OF MINORITY ECON
114 PARRISH STDURHAMNC27702561579041501(C)(3)$10,000$0COMMUNITY SUPPORT
NORTH CAROLINA SECRETARY OF STATE
PO BOX 29622RALEIGHNC27626561611340$0$7,517COMMUNITY SUPPORTFMVCOMMUNITY SUPPORT
NORTH CAROLINA SYMPHONY SOCIETY INC
3700 GLENWOOD AVE SUITE 130RALEIGHNC27612560556755501(C)(3)$12,500$0COMMUNITY SUPPORT
NURSES ON BOARDS COALITION
PO BOX 14535MADISONWI53708821962611501(C)(3)$10,000$0GENERAL SUPPORT
OPEN TABLES MINISTRY
PO BOX 51363DURHAMNC27717270977564501(C)(3)$10,000$0COMMUNITY SUPPORT
REINVESTMENT PARTNERS
PO BOX 1929DURHAMNC277021929311587628501(C)(3)$10,000$0COMMUNITY SUPPORT
RESCUE MISSIONS MINISTRIES INC
PO BOX 11368DURHAMNC27703581482590501(C)(3)$15,000$0COMMUNITY SUPPORT
RONALD MCDONALD HOUSE OF DURHAM
506 ALEXANDER AVEDURHAMNC27705561220376501(C)(3)$50,000$0SPONSORSHIP
SAMARITAN HEALTH CENTER
PO BOX 51339DURHAMNC27717263770762501(C)(3)$25,000$0COMMUNITY SUPPORT
SENIOR PHARMASSIST INC
406 RIGSBEE AVE STE 201DURHAMNC277012186562084639501(C)(3)$11,000$0COMMUNITY SUPPORT
STEPUP DURHAM
112 BROADWAY ST SUITE BDURHAMNC27701474578727501(C)(3)$10,000$0COMMUNITY SUPPORT
STRONGHER TOGETHER INC
PO BOX 52142DURHAMNC27707821595797501(C)(3)$10,000$0COMMUNITY SUPPORT
STUDENT U
600 E UMSTEAD STDURHAMNC27701273460491501(C)(3)$30,000$0COMMUNITY SUPPORT
SUNRISE COMMUNITY FOR RECOVERY AND
50 S FRENCH BROAD AVE STE 246ASHVILLENC28802205775122501(C)(3)$10,000$0COMMUNITY SUPPORT
SUSAN G KOMEN BREAST CANCER FOUNDATION
13770 NOEL RD STE 801889DALLASTX75380751835298501(C)(3)$110,000$0SPONSORSHIP
TABLE MINISTRIES INC
209 E MAIN STREETCARRBORONC27510261471735501(C)(3)$17,500$0COMMUNITY SUPPORT
TRIANGLE FAMILY SERVICES
3937 WESTERN BLVDRALEIGHNC27606560547491501(C)(3)$15,000$0COMMUNITY SUPPORT
TROSA INC
1820 JAMES STDURHAMNC277072024561861158501(C)(3)$55,000$0COMMUNITY SUPPORT
UNC HEALTH FOUNDATION INC
PO BOX 1050 CB 7565CHAPEL HILLNC27514566057494501(C)(3)$100,000$0COMMUNITY SUPPORT
URBAN MINISTRIES OF DURHAM INC
PO BOX 249DURHAMNC27702581505891501(C)(3)$12,500$0COMMUNITY SUPPORT
URBAN MINISTRIES OF WAKE COUNTY
1390 CAPITAL BLVDRALEIGHNC27603581422700501(C)(3)$12,500$0COMMUNITY SUPPORT
WAKE COUNTY CONTINUMN OF CARE
PO BOX 12044RALEIGHNC27605651267717501(C)(3)$12,500$0COMMUNITY SUPPORT
WAKE COUNTY MEDICAL SOCIETY COMM
7474 CREEDMOOR ROAD 164RALEIGHNC27613562205175501(C)(3)$8,333$0SPONSORSHIP
WAKE TECH COMM COLL FOUNDATION
9101 FAYETTEVILLE RDRALEIGHNC276035696237017752501(C)(3)$17,000$0COMMUNITY SUPPORT
WEST END COMMUNITY FOUNDATION INC
PO BOX 51398DURHAMNC27717561858174501(C)(3)$6,500$0COMMUNITY SUPPORT
WOMENS CENTER OF WAKE COUNTY INC
400 S WEST STREETRALEIGHNC27601581316004501(C)(3)$20,000$0COMMUNITY SUPPORT
YMCA OF THE TRIANGLE AREA INC
801 CORPORATE CENTER DR STE 200RALEIGHNC27607560591307501(C)(3)$15,000$0COMMUNITY SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org59Total501c3OrgCnt
Total Other Org4TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeFINANCIAL ASSISTANCEGrantTypeTxt
Recipient61RecipientCnt
Cash Grant$62,292CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt

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 Payment0SeverancePaymentInd
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 (22 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
DIRECTOR/PRESIDENT$0$1,574,285$0$1,547,467$0$20,500$0$37,164$0$19,338$0$3,198,754$0$0
VINCENT E PRICE
DIRECTOR$0$1,730,692$0$0$0$20,500$0$37,164$0$23,691$0$1,812,047$0$0
WILLIAM J FULKERSON MD
FORMER OFFICER$0$952,651$0$730,131$0$80,881$0$37,164$0$9,235$0$1,810,062$0$0
JOHN P MORDACH
SVP, CFO, PART YEAR TREASURER$890,430$0$672,061$0$20,500$0$37,164$0$31,870$0$1,652,025$0$0$0
THOMAS A OWENS MD
EXECUTIVE VICE PRESIDENT, DUHS$855,279$0$505,470$0$80,559$0$37,164$0$15,990$0$1,494,462$0$0$0
CRAIG T ALBANESE MD
CEO$1,123,435$0$263,555$0$20,500$0$37,164$0$19,941$0$1,464,595$0$0$0
MARY E KLOTMAN MD
DIRECTOR$0$811,689$0$403,392$0$20,500$0$37,164$0$17,328$0$1,290,073$0$0
JEFFREY M FERRANTI
SENIOR VP/CHIEF DIGITAL OFFICER$579,609$93,942$447,098$35,244$20,500$0$37,164$0$30,135$0$1,114,506$129,186$0$0
RICHARD PATRICK SHANNON
CHIEF QUALITY OFFICER$709,932$0$261,342$0$20,500$0$37,164$0$24,508$0$1,053,446$0$0$0
RHONDA BRANDON
CHIEF HR OFFICER$521,551$0$280,344$0$20,500$0$37,164$0$28,824$0$888,383$0$0$0
MONTE D BROWN MD
VP FOR ADMINISTRATION/SECRETARY$445,237$0$304,240$0$32,138$0$37,164$0$19,403$0$838,182$0$0$0
KEITH STOVER
VP FINANCE/COO, PRMO$474,434$0$220,075$0$20,577$0$37,164$0$26,178$0$778,428$0$0$0
MARY K MARTIN
CHIEF OPERATING OFFICER, DUH$506,635$0$173,004$0$0$0$37,164$0$30,617$0$747,420$0$0$0
ROBERT N WILLIS
VP FINANCE/CONTROLLER/CAO/INTERIM TR$447,603$0$216,657$0$20,500$0$37,164$0$17,739$0$739,663$0$0$0
KATHLEEN GALBRAITH
PART YEAR PRESIDENT, DUKE REGIONAL H$354,308$0$249,860$0$15,000$0$37,164$0$65,700$0$722,032$0$0$0
JOHN SMITH
VP FINANCE$387,894$0$241,514$0$20,500$0$37,164$0$14,793$0$701,865$0$0$0
BARBARA M GRIFFITH MD
PRESIDENT, DUKE RALEIGH HOSPITAL$498,612$0$113,333$0$192$0$36,474$0$27,673$0$676,284$0$0$0
MARY ANN FUCHS
VP PATIENT CARE/CHIEF NURSING OFFICE$423,366$0$201,857$0$0$0$37,164$0$8,915$0$671,302$0$0$0
DEVDUTTA SANGVAI MD
PART YEAR PRESIDENT, DUKE REGIONAL H$375,724$8,564$163,548$0$0$0$36,552$0$77,085$0$652,909$8,564$0$0
MOIRA RYNN MD
DIRECTOR$0$432,006$0$51,793$0$0$0$37,164$0$19,054$0$540,017$0$0
ERIK PAULSON
DIRECTOR$0$363,084$0$72,420$0$20,500$0$37,164$0$25,508$0$518,676$0$0
LEIGH BLEECKER
FORMER KEY EMPLOYEE$246,661$0$158,279$0$141$0$37,028$0$13,324$0$455,433$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ACRAIG T. ALBANESE, MD USED FIRST CLASS OR CHARTER TRAVEL SERVICES. SUCH TRAVEL WAS FOR BUSINESS PURPOSES AND NOT INCLUDED IN TAXABLE INCOME. BARBARA M GRIFFITH MD, KEITH STOVER, PRISCILLA RAMSEUR AND LEIGH BLEECKER RECEIVED A BENEFIT THAT WAS GROSSED UP TO COMPENSATE FOR WITHHOLDING OF TAXES.
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 (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingIndCUSIPCUSIPNum
NORTH CAROLINA MEDICAL CARE COMMISSION
A5213094022022-03-01$267,805,000SEE PART VI000
NORTH CAROLINA MEDICAL CARE COMMISSION
B5213094022022-02-14$121,620,000SEE PART VI000
NORTH CAROLINA MEDICAL CARE COMMISSION
C5213094022016-05-26$383,990,154SEE PART VI00065821DUD1
NORTH CAROLINA MEDICAL CARE COMMISSION
D5213094022016-08-11$140,200,389SEE PART VI00065821DVK4

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndSubstantial CompletionSubstantialCompletionYrRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A$18,650,000$267,805,000$267,805,000Yes (1)0Yes (1)Yes (1)
B$121,620,000$121,620,000Yes (1)0Yes (1)Yes (1)2009
C$255,625,000$383,990,154$180,000,000Yes (1)Yes (1)Yes (1)Yes (1)$201,888,819$2,101,335
D$140,200,3890Yes (1)Yes (1)Yes (1)$139,008,505$1,191,884

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
B00Yes (1)Yes (1)00.000000.000000.0000000Yes (1)
C00Yes (1)Yes (1)00.000000.000000.0000000Yes (1)
D00Yes (1)Yes (1)00.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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
A00Yes (1)0Yes (1)000Yes (1)
B00Yes (1)0Yes (1)000Yes (1)
C000Yes (1)Yes (1)000Yes (1)
D000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART I, COLUMN FFormAndLineReferenceDesc
ExplanationBOND ISSUE A: 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 (D) BELOW. BOND ISSUE B: 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. BOND ISSUE C: 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 D: 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 A(2): DRAW-DOWN FINANCING LEASE PROGRAM WITH TD EQUIPMENT FINANCE, OTHER THAN SCHEDULE 1, IN THE MAXIMUM PRINCIPAL AMOUNT OF $38,062,676 TO FINANCE MEDICAL, COMPUTER, OFFICE, AND CAPITAL EQUIPMENT. SCHEDULE K, PART II, LINE 3, BOND ISSUES A(2): PROCEEDS REFLECT ACTUAL PRINCIPAL DRAWN DOWN UNDER DRAW DOWN FINANCING LEASE PROGRAM. SCHEDULE K, PART III, LINES 4-6, BOND ISSUE C: RESPONSES REFLECT THE COMPUTATION OF THE PORTION OF THE ISSUE ALLOCABLE TO THE REFUNDING OF THE 2009A BONDS. SCHEDULE K, PART IV, LINE 2C, BOND ISSUES (C), (D), AND A(2): BOND ISSUE (C) COMPLETED 06/01/19; AND (D) COMPLETED 08/01/21. AS TO A(2), NO ARBITRAGE COMPUTATION WAS NECESSARY BECAUSE NO PROCEEDS WERE REINVESTED. BOND ISSUES (A) AND (B): THESE PROCEEDS WERE DISBURSED OR DEEMED DISBURSED UPON ISSUANCE TO CURRENTLY REFUND THE PRIOR BONDS. BOND ISSUES A(2): SALES PROCEEDS ALLOCATED UPON ISSUANCE AND NOT INVESTED.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NORTH CAROLINA MEDICAL CARE COMMISSIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN521309402BondIssuerEIN
Bond Issued2018-05-10BondIssuedDt
Issue Price$38,062,676IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$18,159,729RetiredAmt
Total Proceeds$22,841,278TotalProceedsAmt
Capital Expenditures$22,841,278CapitalExpendituresAmt
Substantial Completion2020SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
AGILITI HEALTH INC
SEE PART V$779,203SEE PART V0
GARRY BARTELS
SEE PART V$73,113SEE PART V0
XIOMARA BOYCE
SEE PART V$76,785SEE 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: $779,203(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: $73,113(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: $76,785(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR SALARY AND BENEFITS(E) SHARING OF ORGANIZATION REVENUE? = NOExplanationTxt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1NoncashContributionsRptF990Amt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$6,825NoncashContributionsRptF990Amt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$10,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesMARKET QUOTEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)ENTERTAINMENT21$21,150VARIOUS
Yes (X)SPORTS10$3,250VARIOUS
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 (15 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, PRIVATE DIAGNOSTIC CLINIC (DUKE PHYSICIANS 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, 2023. HOWEVER THE ORGANIZATION HAS FILED FORM 990-T FOR THE FISCAL YEAR ENDED JUNE 30, 2023 IN ORDER TO CARRY FORWARD THE NET OPERATING LOSS.
FORM 990, PART VI, SECTION A, LINE 2DIRECTORS WILLIAM HAWKINS, GERALD HASSELL, VINCENT E. PRICE, CARMICHAEL S. ROBERTS, NANCY M. SCHLICHTING, AND LAURENE M. SPERLING ARE TRUSTEES OF DUKE UNIVERSITY. DIRECTOR AND PRESIDENT, A. EUGENE WASHINGTON, MD, IS AN OFFICER OF DUKE UNIVERSITY. DIRECTOR MARY E. KLOTMAN, MD IS A KEY EMPLOYEE OF DUKE UNIVERSITY. THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF DUKE UNIVERSITY: MOIRA RYNN, MD AND ERIK PAULSON, MD. DIRECTOR AND PRESIDENT, A. EUGENE WASHINGTON, MD, OFFICERS CRAIG T. ALBANESE, MD, ROBERT N. WILLIS, JOHN P. MORDACH AND THOMAS A. OWENS, MD SERVED AS DIRECTORS AND OFFICERS OF DURHAM CASUALTY COMPANY, LTD. DURING FISCAL YEAR ENDED JUNE 30, 2023. DIRECTOR AND PRESIDENT, A. EUGENE WASHINGTON, MD, AND DIRECTORS MORIA RYNN, MD AND ERIK PAULSON SERVED AS BOARD MEMBERS OF PRIVATE DIAGNOSTIC CLINIC, PLLC. DURING FISCAL YEAR ENDED JUNE 30, 2023. OFFICERS CRAIG T. ALBANESE, MD, ROBERT N. WILLIS, JOHN P. MORDACH AND THOMAS A. OWENS, MD SERVED AS DIRECTORS AND OFFICERS OF HEALTH SYSTEM MEDICAL STRATEGIES, INC. DURING FISCAL YEAR ENDED JUNE 30, 2023. WILLIAM HAWKINS AND SUSAN STALNECKER ARE BOTH DIRECTORS OF BIOVENTUS, LLC. LAURENE SPERLING IS A DIRECTOR OF AGILITI HEALTH, 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 4THE ORGANIZATION AMENDED THE ARTICLES OF INCORPORATION EFFECTIVE JULY 1, 2023 STATING THE FOLLOWING REPORTABLE UPDATE TO ARTICLE IX: THE BOARD OF DIRECTORS SHALL INCLUDE FOUR (4) EX OFFICIO MEMBERS, WHO SHALL BE THE INDIVIDUALS SERVING AS PRESIDENT OF DUKE UNIVERSITY, THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION, THE CHAIR OF THE BOARD OF TRUSTEES OF DUKE UNIVERSITY, AND THE EXECUTIVE VICE PRESIDENT FOR HEALTH AFFAIRS/DEAN OF THE DUKE UNIVERSITY SCHOOL OF MEDICINE. THE ORGANIZATION AMENDED THE BYLAWS EFFECTIVE JULY 1, 2023 STATING THE FOLLOWING REPORTABLE UPDATES: THE BOARD OF DIRECTORS SHALL INCLUDE FOUR (4) EX OFFICIO MEMBERS, WHO SHALL BE THE INDIVIDUALS SERVING AS PRESIDENT OF DUKE UNIVERSITY, THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION, THE CHAIR OF THE BOARD OF TRUSTEES OF DUKE UNIVERSITY, AND THE EXECUTIVE VICE PRESIDENT FOR HEALTH AFFAIRS/DEAN OF THE DUKE UNIVERSITY SCHOOL OF MEDICINE. THE CEO SHALL BE NOMINATED BY THE PRESIDENT OF DUKE UNIVERSITY AND APPOINTED BY THE BOARD OF DIRECTORS OF THE CORPORATION. THE CEO SHALL REPORT TO THE PRESIDENT OF DUKE UNIVERSITY; AND TO THE BOARD OF DIRECTORS OF THE CORPORATION. ONLY THE PRESIDENT OF DUKE UNIVERSITY HAS THE POWER TO REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION, AFTER APPROPRIATE CONSULTATION.
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 XI, LINE 9:NONPERIODIC CHANGES IN DEFINED BENEFIT PLANS: -119,082,320. NET TRANSFERS TO THE UNIVERSITY AND AFFILIATES: -192,134,361.
FORM 990, PART XII, LINE 3B:FEDERAL AWARDS RECEIVED BY THE ORGANIZATION ARE INCLUDED IN THE DUKE UNIVERSITY FY2023 SINGLE AUDIT. ITS AUDIT UNDER THE UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS WAS ISSUED BY THE DUE DATE OF MARCH 31, 2024.

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$187,573,782$470,416DUKE 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 (35 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndEINEINDirect Controlling NADirectControllingNACd
AMER ASSOC FOR GIFTED CHILDREN - 56-1686219
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
ASSOCIATED HEALTH SVCS INC
2200 W MAIN STREET STE 300DURHAMNC27705HEALTHCARENC501(C)(3)12 TYPE 1DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)561845329
DU SPECIAL VENTURES FUND INC
280 S MANGUM STREET STE 210DURHAMNC27701INVESTMENTSNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0561465177
DUKE ALUMNI ASSOCIATION INC
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0561594088
DUKE CORPORATE EDUCATION
310 BLACKWELL STDURHAMNC27701EDUCATIONNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0421672476
DUKE GIFT PROPERTIES INC
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0571211078
DUKE GLOBAL INC
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0611588319
DUKE INTEGRATED NETWORK INC
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)463129771
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 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)461340679
DUKE SCHOLARLY EXHIBITS INC
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0561701245
DUKE UNIV AFFILIATED PHYSICIANS
2200 W MAIN STREET STE 300DURHAMNC27705HEALTHCARENC501(C)(3)12 TYPE 1DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)561902501
DUKE UNIV PHILANTHROPIES INC
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0571211099
DUKE UNIV SCH OF MED RESEARCH FDN 56-2247203
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0
DUKE UNIVERSITY
2200 W MAIN STREET STE 300DURHAMNC27705EDUCATIONNC501(C)(3)LINE 20560532129N/A
DUMAC INC
280 S MANGUM STREET STE 210DURHAMNC27701SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0900754895
DURHAM ASSET MGMT COMPANY INC
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0561757238
DURHAM REALTY INC
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0561917936
GOTHIC CORPORATION
280 S MANGUM STREET STE 210DURHAMNC27701INVESTMENTSNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0561776668
GOTHIC HSP CORPORATION
280 S MANGUM STREET STE 210DURHAMNC27701INVESTMENTSNC501(C)(3)12 TYPE 1DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)271325761
HIGH POINT REALTY ASSOCIATES INC
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0561917939
INNOVATIONS IN HEALTHCARE INC
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0320358709
RUTH K BROAD BIOMED RES FDN
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0650045051
THE CTR FOR DOCUMENTARY STUDIES
1317 PETTIGREW STREETDURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0561655039
THE LORD FDN OF NORTH CAROLINA
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0561415423
DUKE JANJUN SERVICES INC
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0471150667
DUKE JULDEC SERVICES INC
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0471143245
DUKE ALLMO SERVICES INC
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY0471133466
DUKE AFFILIATIONS NETWORK INC
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)812623775
DUKE UNIV FED CRED UNION
2200 WEST MAIN STREETDURHAMNC27705BANKINGNC501(C)(1)0561632379N/A
WATTS COLLEGE OF NURSING INC
2200 W MAIN STREET STE 300DURHAMNC27705SUPPORTNC501(C)(3)12 TYPE 1DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)833076664
DUKE HEALTH INTEGRATED PRACTICE INC
2200 W MAIN STREET STE 300DURHAMNC27705HEALTHCARENC501(C)(3)LINE 3DUKE UNIVERSITY0862109896
DONALD R WATSON FOUNDATION INC
601 SOUTH COLLEGE ROADWILMINGTONNC28403SUPPORTNC501(C)(3)12 TYPE 10561861816N/A
FAMILY HEALTH MINISTRIES INC
PO BOX 16783CHAPEL HILLNC27516HEALTH CLINICSNC501(C)(3)LINE 10DUKE UNIVERSITY0562206165
LENOX BAKER CHILDREN'S HOSPITAL FOUNDATION INC
1513 TYONEK DRIVEDURHAMNC27703FINANCIAL SUPPORTNC501(C)(3)LINE 4DUKE UNIVERSITY HEALTH SYSTEM INCYes (1)561550944

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (33 entries)

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BLACKWELL PARTNERS LLC - SERIES A - 20-8075455
280 S MANGUM ST STE 210DURHAMNC27701INVESTMENTSDEN/AN/A00
CANYON BLUE INV FD 27-0186996
AVE OF STARSLACA90067INVESTMENTSDEN/AN/A00
LYRICAL BLUE RL PT 27-2994514
32 N DEAN STENGLEWOODNJ07631INVESTMENTSDEN/AN/A00
LYRICAL-BLUE RGNT 45-3626577
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
STRATUS SCP COINVESTMENT II - FIP-M
INVESTMENTSN/AN/A00RUA FUNCHAL 418 28 ANDAR VILA OLISAO PAULOBR04551-060BR
MANGUM LLC
280 S MANGUM STREET STE 210DURHAMNC27701INVESTMENTSNCN/AN/A00461275587
CPF HEARTBEAT HEALTH INVES B LLC
980 N MICHIGAN AVE STE 1998CHICAGOIL60611INVESTMENTSDEN/AN/A00881256134
CPF TRIAS INVESTMENT LLC
980 N MICHIGAN AVE STE 1998CHICAGOIL60611INVESTMENTSDEN/AN/A00874202934
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
THRIVE CAPITAL PARTNERS IV SEGMENT LLC
295 LAFAYETTE STREETNEW YORKNY10012INVESTMENTSDEN/AN/A00474031040
MANGUM III LLC
280 S MANGUM STREET STE 210DURHAMNC27701INVESTMENTSDEN/AN/A00923565585
MANGUM III LLC - SERIES A
280 S MANGUM STREET STE 210DURHAMNC27701INVESTMENTSDEN/AN/A00923592240

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (22 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 CORP EDU INDIA PRIVATE
421672476CONSULTINGN/AC0ACADEMIC BLOCK NEW CAMPUSVASTRAPURIN380015INAHMEDABAD
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
DUKE MEDICINE ASIA PTE LTD
MEDICAL RESEARCHN/AC05 SHENTON WAY 07-00 UIC BLDSINGAPORESN068808SN
DURHAM CASUALTY COMPANY LTD
980113277INSURANCECYes (1)AON HOUSE 30 WOODBOURNE AVEPEMBROKEBDHM 08BDDUHS INC$44,300,589$318,039,2721.00000
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-$21,147$14,4521.00000
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
VITA BELLAVISTA CASA 84 SRL
REAL ESTATEN/AC0EDIFICIO BLP CENTRO EMPRESARIAL VISAN JOSECSKM3CSSANTA ANA/BELLEN
VITA BELLAVISTA CASA DIECINUEVE SRL
REAL ESTATEN/AC0EDIFICIO BLP CENTRO EMPRESARIAL VISAN JOSECSKM3CSSANTA ANA/BELLEN
DUKE GLOBAL GERMANY GMBH
EDUCATIONN/AC0ESCHERSHEIMER LANDSTR 14FRANKFURTGM60322GM
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 (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DUKE UNIVERSITY AFFILIATED PHYSICIANS INC
R$57,833,668FMV
ASSOCIATED HEALTH SERVICES INC
S$9,191,043FMV
DUKE AFFILIATIONS NETWORK INC
R$434,702FMV
DUKE INTERGRATED NETWORK INC
R$9,597,900FMV
WATTS COLLEGE OF NURSING INC
R$387,113FMV
DURHAM CASUALTY COMPANY INC
S$14,629,560FMV
DURHAM CASUALTY COMPANY INC
R$11,185,116FMV
DUKE TRIANGLE ENDOSCOPY CENTER LLC
L$171,031FMV
DUKE TRIANGLE ENDOSCOPY CENTER LLC
Q$174,456FMV
GOTHIC HSP CORPORATION
B$294,940,146FMV
GOTHIC HSP CORPORATION
C$431,930,716FMV