DUKE UNIVERSITY HEALTH SYSTEM INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- DUKE UNIVERSITY HEALTH SYSTEM INC (EIN 56-2070036)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-16
- IRS object ID
- 202201369349303845
- Schema version
- 2020v4.2
- Note
- A later return for the same period supersedes this one.
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-16T11:27:35-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562070036 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DUKE UNIVERSITY HEALTH SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DUKE | BusinessNameControlTxt |
| Phone | 9196688910 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 324 BLACKWELL ST WASHIN BLDG N | AddressLine1Txt |
| City | DURHAM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN P MORDACH | PersonNm |
| Person Title | SVP, CFO, TREASURER | PersonTitleTxt |
| Phone | 9196688910 | PhoneNum |
| Signature | 2022-04-12 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JOHN | PersonFirstNm |
| Person Last | MORDACH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | A EUGENE WASHINGTON MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 DOUGLAS ST STE 700 | AddressLine1Txt |
| City | DURHAM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27705 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,566,202,965 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DUKEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O FOR ORGANIZATION'S MISSION STATEMENT | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 23808 | TotalEmployeeCnt |
| Total Volunteers | 334 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $86,121,174 | PYContributionsGrantsAmt |
| CY Contributions Grants | $91,140,534 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,599,916,767 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,871,854,414 | CYProgramServiceRevenueAmt |
| PY Investment Income | $67,357,034 | PYInvestmentIncomeAmt |
| CY Investment Income | $577,610,455 | CYInvestmentIncomeAmt |
| PY Other Revenue | $100,371,185 | PYOtherRevenueAmt |
| CY Other Revenue | $84,862,940 | CYOtherRevenueAmt |
| PY Total Revenue | $3,853,766,160 | PYTotalRevenueAmt |
| CY Total Revenue | $4,625,468,343 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,636,042 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,204,045 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,727,971,477 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,853,402,815 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $236,839 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,882,797,139 | PYOtherExpensesAmt |
| CY Other Expenses | $2,014,873,028 | CYOtherExpensesAmt |
| PY Total Expenses | $3,612,404,658 | PYTotalExpensesAmt |
| CY Total Expenses | $3,870,479,888 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $241,361,502 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $754,988,455 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,016,316,692 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,635,026,358 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,796,495,285 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,310,091,486 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,219,821,407 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,324,934,872 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,104,942,339 | ExpenseAmt |
| Grant | $2,204,045 | GrantAmt |
| Revenue | $3,928,176,060 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $3,104,942,339 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (1) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 553 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 23808 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | SW | ForeignCountryCd |
| Foreign Country | DA | ForeignCountryCd |
| Foreign Country | NO | ForeignCountryCd |
| Foreign Country | MY | ForeignCountryCd |
| Foreign Country | PL | ForeignCountryCd |
| Foreign Country | UK | ForeignCountryCd |
| Foreign Country | EI | ForeignCountryCd |
| Foreign Country | PO | ForeignCountryCd |
| Foreign Country | GR | ForeignCountryCd |
| Foreign Country | BD | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | HI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | KS | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MS | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | ND | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | UT | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETSY CASSIDY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9196688910 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | DUHS INC 615 DOUGLAS STREET SUITE | AddressLine1Txt |
| City | DURHAM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27705 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A EUGENE WASHINGTON MD | ||||||||||
| DIRECTOR/PRESIDENT & CEO | 33.00 | 33.20 | Yes (X) | Yes (X) | $0 | $1,996,038 | $48,232 | |||
| KENNETH C MORRIS | ||||||||||
| FORMER OFFICER | 40.00 | 0.00 | $1,678,892 | $0 | $39,487 | Yes (X) | ||||
| VINCENT E PRICE | ||||||||||
| DIRECTOR | 3.00 | 48.20 | Yes (X) | $0 | $1,476,476 | $52,016 | ||||
| WILLIAM J FULKERSON MD | ||||||||||
| EXECUTIVE VP, DUHS | 56.00 | 4.80 | Yes (X) | $1,053,842 | $0 | $40,396 | ||||
| JOHN P MORDACH | ||||||||||
| SVP, CFO, TREASURER | 40.00 | 0.60 | Yes (X) | $954,596 | $0 | $15,585 | ||||
| THOMAS A OWENS MD | ||||||||||
| PRESIDENT, DUH AND SVP, DUHS | 61.00 | 0.30 | $761,389 | $0 | $45,280 | Yes (X) | ||||
| RICHARD PATRICK SHANNON | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $728,492 | $0 | $48,599 | Yes (X) | ||||
| MARY E KLOTMAN MD | ||||||||||
| DIRECTOR | 11.00 | 42.50 | Yes (X) | $0 | $728,276 | $47,370 | ||||
| JEFFREY M FERRANTI | ||||||||||
| CIO/VP FOR MEDICAL INFORMATICS | 40.00 | 0.00 | $570,697 | $103,128 | $60,275 | Yes (X) | ||||
| KEITH STOVER | ||||||||||
| COO, PRMO | 40.00 | 0.00 | $520,046 | $0 | $53,425 | Yes (X) | ||||
| KATHLEEN GALBRAITH | ||||||||||
| PRESIDENT, DUKE REGIONAL HOSPITAL | 60.00 | 0.20 | $502,174 | $0 | $55,096 | Yes (X) | ||||
| ARLENE N CHUA | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $489,537 | $0 | $51,008 | Yes (X) | ||||
| ROBERT N WILLIS | ||||||||||
| VP FINANCE/CONTROLLER/CAO | 40.00 | 0.00 | $491,508 | $0 | $44,284 | Yes (X) | ||||
| MONTE D BROWN MD | ||||||||||
| VP FOR ADMINISTRATION/SECRETARY | 60.00 | 0.10 | Yes (X) | $458,400 | $0 | $47,911 | ||||
| MARY K MARTIN | ||||||||||
| CHIEF OPERATING OFFICER, DUH | 40.00 | 0.00 | $410,341 | $0 | $56,945 | Yes (X) | ||||
| MARY ANN FUCHS | ||||||||||
| VP-PATIENT CARE/CHIEF NURSE EXEC | 60.00 | 0.10 | $385,024 | $0 | $31,738 | Yes (X) | ||||
| ERIK PAULSON | ||||||||||
| DIRECTOR | 1.00 | 55.00 | Yes (X) | $0 | $361,724 | $48,163 | ||||
| ANN REED | ||||||||||
| DIRECTOR | 1.00 | 40.10 | Yes (X) | $0 | $303,218 | $24,537 | ||||
| LEIGH BLEECKER | ||||||||||
| INTERIM PRESIDENT, DUKE RALEIGH HOSPITAL | 50.00 | 0.00 | $298,626 | $0 | $26,749 | Yes (X) | ||||
| DAVID W ZAAS | ||||||||||
| PART YEAR PRESIDENT, DUKE RALEIGH HOSPITAL | 60.00 | 0.00 | $266,698 | $0 | $41,791 | Yes (X) | ||||
| LESLIE E BAINS | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| GAIL BELVETT MD DDS | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DHAMIAN BLUE | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JACK O BOVENDER JR | ||||||||||
| DIRECTOR | 3.00 | 8.10 | Yes (X) | $0 | $0 | $0 | ||||
| GERALD HASSELL | ||||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM HAWKINS | ||||||||||
| DIRECTOR | 8.00 | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| BARBARA M HENDRIX | ||||||||||
| DIRECTOR | 0.50 | 0.10 | Yes (X) | $0 | $0 | $0 | ||||
| ROSEMARY JACKSON MD | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CARMICHAEL S ROBERTS | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| NANCY M SCHLICHTING | ||||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVEN M SCOTT MD | ||||||||||
| DIRECTOR | 4.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| SUSAN M STALNECKER | ||||||||||
| DIRECTOR | 4.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| G RICHARD WAGONER JR | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JIM WHITEHURST | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,570,262 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,968,860 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $878,887 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2783 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PRIVATE DIAGNOSTIC CLINIC PLLC | |||||
| PO BOX 15000 | DURHAM | NC | 27710 | MEDICAL SERVICES | $188,636,860 |
| ROBINS & MORTON GROUP | |||||
| PO BOX 11407 DEPT 5870 | BIRMINGHAM | AL | 35209 | CONSTRUCTION SERVICES | $100,536,536 |
| SKANSKA USA BUILDING INC | |||||
| 4309 EMPEROR BLVD SUITE 200 | DURHAM | NC | 27703 | CONSTRUCTION SERVICES | $66,599,026 |
| RODGERS BUILDERS INC | |||||
| PO BOX 18446 | CHARLOTTE | NC | 28218 | CONSTRUCTION SERVICES | $48,114,625 |
| BALFOUR BEATTY CONSTRUCTION LLC | |||||
| 406 S MCDOWELL ST SUITE 200 | RALEIGH | NC | 27601 | CONSTRUCTION SERVICES | $39,580,141 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 364 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $87,223,998 | GovernmentGrantsAmt |
| All Other Contributions | $3,916,536 | AllOtherContributionsAmt |
| Noncash Contributions | $51,247 | NoncashContributionsAmt |
| Total Contributions | $91,140,534 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621990 | $3,841,273,372 | $3,841,273,372 |
| ANCILLARY MEDICAL SVCS | 621990 | $30,581,042 | $30,581,042 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,871,854,414 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,336,686 | TotalRevenueColumnAmt |
| Exclusion | $14,336,686 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,295,704 | TotalRevenueColumnAmt |
| Exclusion | $7,295,704 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,049,491 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,094,274 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,955,217 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,955,217 | TotalRevenueColumnAmt |
| Exclusion | $3,955,217 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,491,914,117 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,923,465,399 | SecuritiesAmt |
| Other | $5,174,949 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $568,448,718 | SecuritiesAmt |
| Other | -$5,174,949 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $563,273,769 | TotalRevenueColumnAmt |
| Exclusion | $563,273,769 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| BILLING FEES | 621990 | $49,209,143 | $49,209,143 | |
| DEEMED DIVIDEND | 900003 | $11,039,237 | $11,039,237 | |
| LAB SERVICES | 621990 | $5,815,503 | $5,815,503 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,548,136 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,297,000 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $6,251,136 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $73,612,019 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,625,468,343 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,928,176,060 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $606,151,749 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,044,316 | TotalAmt |
| Program Services | $2,044,316 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,988 | TotalAmt |
| Program Services | $12,988 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,741 | TotalAmt |
| Program Services | $146,741 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,090,883 | TotalAmt |
| Program Services | $523,586 | ProgramServicesAmt |
| Management And General | $7,515,280 | ManagementAndGeneralAmt |
| Fundraising | $52,017 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,095,826 | TotalAmt |
| Management And General | $2,095,826 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,446,824,535 | TotalAmt |
| Program Services | $1,042,003,137 | ProgramServicesAmt |
| Management And General | $404,702,950 | ManagementAndGeneralAmt |
| Fundraising | $118,448 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,246,071 | TotalAmt |
| Program Services | $98,951,403 | ProgramServicesAmt |
| Management And General | $19,290,175 | ManagementAndGeneralAmt |
| Fundraising | $4,493 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,949,491 | TotalAmt |
| Program Services | $115,057,999 | ProgramServicesAmt |
| Management And General | $54,868,180 | ManagementAndGeneralAmt |
| Fundraising | $23,312 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,196,009 | TotalAmt |
| Program Services | $77,420,767 | ProgramServicesAmt |
| Management And General | $30,766,460 | ManagementAndGeneralAmt |
| Fundraising | $8,782 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,089,952 | TotalAmt |
| Program Services | $16,036,221 | ProgramServicesAmt |
| Management And General | $53,731 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,717,676 | TotalAmt |
| Program Services | $58,839 | ProgramServicesAmt |
| Management And General | $1,658,837 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $601,100 | TotalAmt |
| Management And General | $601,100 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,799,466 | TotalAmt |
| Management And General | $4,799,466 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,437,911 | TotalAmt |
| Program Services | $183,740,794 | ProgramServicesAmt |
| Management And General | $131,697,117 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,476,774 | TotalAmt |
| Program Services | $52,250 | ProgramServicesAmt |
| Management And General | $4,424,524 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,346,033 | TotalAmt |
| Program Services | $17,708,031 | ProgramServicesAmt |
| Management And General | $15,608,215 | ManagementAndGeneralAmt |
| Fundraising | $29,787 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,925,764 | TotalAmt |
| Program Services | $5,317,792 | ProgramServicesAmt |
| Management And General | $66,607,972 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,970 | TotalAmt |
| Program Services | $9,970 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,805,373 | TotalAmt |
| Program Services | $47,171,233 | ProgramServicesAmt |
| Management And General | $32,634,140 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,255,011 | TotalAmt |
| Program Services | $5,745,959 | ProgramServicesAmt |
| Management And General | $509,052 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,182,011 | TotalAmt |
| Program Services | $1,470,106 | ProgramServicesAmt |
| Management And General | $2,711,905 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,207,127 | TotalAmt |
| Program Services | $23,207,127 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,019,895 | TotalAmt |
| Program Services | $135,713,906 | ProgramServicesAmt |
| Management And General | $31,305,989 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,390,373 | TotalAmt |
| Program Services | $11,390,373 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,118,135,938 | $1,118,135,938 | |
| EQUIPMENT RENTAL & MAIN | $98,649,669 | $80,897,004 | $17,752,665 |
| MEDICAID ASSESSMENT | $72,540,346 | $72,540,346 | |
| LAUNDRY | $7,489,485 | $7,489,485 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$22,206,846 | TotalAmt |
| Program Services | $42,096,028 | ProgramServicesAmt |
| Management And General | -$64,302,874 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,870,479,888 | TotalAmt |
| Program Services | $3,104,942,339 | ProgramServicesAmt |
| Management And General | $765,300,710 | ManagementAndGeneralAmt |
| Fundraising | $236,839 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,367 | BOYAmt |
| EOY | $109,222 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $732,249,872 | BOYAmt |
| EOY | $925,443,335 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $892,030 | BOYAmt |
| EOY | $1,103,596 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $458,151,390 | BOYAmt |
| EOY | $541,369,859 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,797 | BOYAmt |
| EOY | $95,277 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,628,510 | BOYAmt |
| EOY | $136,779,868 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,032,217 | BOYAmt |
| EOY | $34,281,580 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,370,526,784 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,204,440,508 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,962,196,862 | BOYAmt |
| EOY | $2,166,086,276 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $693,258,312 | BOYAmt |
| EOY | $881,270,701 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,631,956,835 | BOYAmt |
| EOY | $3,539,945,524 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,465,755 | BOYAmt |
| EOY | $21,965,765 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $353,127,745 | BOYAmt |
| EOY | $386,575,355 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,016,316,692 | BOYAmt |
| EOY | $8,635,026,358 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $443,168,179 | BOYAmt |
| EOY | $481,940,282 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,931,847 | BOYAmt |
| EOY | $9,113,530 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $697,271,119 | BOYAmt |
| EOY | $667,130,765 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,649,124,140 | BOYAmt |
| EOY | $2,151,906,909 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,796,495,285 | BOYAmt |
| EOY | $3,310,091,486 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,160,261,793 | BOYAmt |
| EOY | $5,250,235,427 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,559,614 | BOYAmt |
| EOY | $74,699,445 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,219,821,407 | BOYAmt |
| EOY | $5,324,934,872 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,016,316,692 | BOYAmt |
| EOY | $8,635,026,358 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $754,988,455 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $995,112,757 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $355,012,253 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $83,318 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $156,655 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $239,973 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | DUKE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $59,559,614 | BeginningYearBalanceAmt |
| Contributions | $12,795,429 | ContributionsAmt |
| Investment Earnings Or Losses | $14,542,065 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $12,197,663 | OtherExpendituresAmt |
| End Year Balance | $74,699,445 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $60,648,900 | BeginningYearBalanceAmt |
| Contributions | $6,063,715 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,163,937 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,989,064 | OtherExpendituresAmt |
| End Year Balance | $59,559,614 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $58,627,787 | BeginningYearBalanceAmt |
| Contributions | $5,694,239 | ContributionsAmt |
| Investment Earnings Or Losses | $681,288 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,354,414 | OtherExpendituresAmt |
| End Year Balance | $60,648,900 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $57,177,730 | BeginningYearBalanceAmt |
| Contributions | $3,880,934 | ContributionsAmt |
| Investment Earnings Or Losses | $2,052,778 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,483,655 | OtherExpendituresAmt |
| End Year Balance | $58,627,787 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $57,816,285 | BeginningYearBalanceAmt |
| Contributions | $2,312,345 | ContributionsAmt |
| Investment Earnings Or Losses | $1,810,497 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,761,397 | OtherExpendituresAmt |
| End Year Balance | $57,177,730 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.59900 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.40100 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $69,557,247 | OtherCostOrOtherBasisAmt |
| Book Value | $69,557,247 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,868,644,931 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,087,511,741 | DepreciationAmt |
| Book Value | $1,781,133,190 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $943,515,850 | OtherCostOrOtherBasisAmt |
| Depreciation | $711,301,240 | DepreciationAmt |
| Book Value | $232,214,610 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $488,808,756 | OtherCostOrOtherBasisAmt |
| Depreciation | $405,627,527 | DepreciationAmt |
| Book Value | $83,181,229 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,166,086,276 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (6 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| OTHER INVESTMENTS | $94,955,753 | F |
| PRIVATE CAPITAL | $1,554,975,292 | F |
| CASH & CASH EQUIVALENTS | $191,239,902 | F |
| HEDGE FUNDS | $1,292,670,156 | F |
| REAL ESTATE | $157,690,193 | F |
| NATURAL RESOURCES | $248,414,228 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $3,539,945,524 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| POST RETIREMENT BENEFIT OBLIGATION | $310,119,000 |
| FINANCE LEASE LIABILITIES | $175,739,015 |
| DERIVATIVE INSTRUMENTS | $73,800,303 |
| TAXABLE BOND LIABILITY | $885,370,609 |
| RIGHT-OF-USE OPERATING LEASE LIABILITIES | $368,754,498 |
| MEDICARE ADVANCE PAYMENTS | $246,289,232 |
| OTHER NON-CURRENT LIABILITIES | $61,715,930 |
| NONCURRENT DEFERRED PAYROLL TAXES | $30,118,322 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,151,906,909 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 FIN 48 AND CONSIDERED ITS TAX POSITIONS. BASED ON THAT ANALYSIS, THE PROVISIONS OF FIN 48 ARE DEEMED IMMATERIAL TO THE DUKE UNIVERSITY HEALTH SYSTEM, INC. FINANCIAL STATEMENTS AND THEREFORE NO FIN 48 SPECIFIC DISCLOSURES ARE MADE IN THE AUDITED FINANCIAL STATEMENTS OF DUKE UNIVERSITY HEALTH SYSTEM, INC. AND ITS AFFILIATES FOR FISCAL YEAR ENDED JUNE 30, 2021. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|
| CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, | 0 | 0 | INVESTMENTS | $316,046,000 |
| SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, | 0 | 0 | GRANTMAKING | $2,000 |
| SOUTH ASIA | 0 | 0 | GRANTMAKING | $145,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $316,193,000 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $316,193,000 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)
| RegionRegionTxt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Description Of Non Cash AsstDescriptionOfNonCashAsstTxt | Valuation Method UsedValuationMethodUsedDesc |
|---|---|---|---|---|
| SOUTH AMERICA | GENERAL SUPPORT | $2,000 | MEDICAL EQUIPMENT | FMV |
| SOUTH ASIA | GENERAL SUPPORT | $144,741 | MEDICAL EQUIPMENT | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $140,911,724 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $140,911,724 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03640 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $144,222,821 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $144,222,821 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03730 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $285,134,545 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $285,134,545 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07370 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $528,131 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $528,131 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $100,398,064 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,814,873 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $82,583,191 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02130 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,878,365 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,878,365 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $113,804,560 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,814,873 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $95,989,687 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02470 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $398,939,105 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,814,873 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $381,124,232 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09840 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $626,628,526 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $786,945,659 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$160,317,133 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DUKE UNIVERSITY HOSPITAL | ||||||||||||||
| 1 | 2301 ERWIN ROAD PRIMARY CAMPUS | DURHAM | NC | 27710 | HTTP://WWW.DUKEHEALTH.ORG | H0015 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| DUKE RALEIGH HOSPITAL | ||||||||||||||
| 2 | 3400 WAKE FOREST ROAD PRIMARY | RALEIGH | NC | 27609 | HTTP://WWW.DUKEHEALTH.ORG | H0238 | Yes (X) | Yes (X) | Yes (X) | CAMPUS | ||||
| DUKE REGIONAL HOSPITAL | ||||||||||||||
| 3 | 3643 ROXBORO ROAD | DURHAM | NC | 27704 | HTTP://WWW.DUKEHEALTH.ORG | H0233 | Yes (X) | Yes (X) | Yes (X) | A | ||||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | FacilityFacilityNum |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DUKE UNIVERSITYDUKE REGIONAL HOSPITALS | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | HTTP://CORPORATE.DUKEHEALTH.ORG/COMMUNITY | Yes (X) | WWW.HEALTHYDURHAM.ORG | Yes (X) | Yes (1) | 18 | Yes (1) | HTTP://CORPORATE.DUKEHEALTH.ORG/COMMUNITY | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | HTTP://WWW.DUKEHEALTH.ORG | Yes (X) | HTTP://WWW.DUKEHEALTH.ORG | Yes (X) | HTTP://WWW.DUKEHEALTH.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | |
| DUKE RALEIGH HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 19 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | HTTP://CORPORATE.DUKEHEALTH.ORG/COMMUNITY | Yes (X) | HTTP://WWW.LIVEWELLWAKE.ORG | Yes (X) | Yes (1) | 19 | Yes (1) | HTTP://CORPORATE.DUKEHEALTH.ORG/COMMUNITY | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | HTTP://WWW.DUKEHEALTH.ORG | Yes (X) | HTTP://WWW.DUKEHEALTH.ORG | Yes (X) | HTTP://WWW.DUKEHEALTH.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | 2 |
Supplemental Information SupplementalInformationGrp (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NOTE: THIS SCHEDULE H CONTAINS REFERENCES TO DUKE AND DUKE HEALTH WHICH ARE | MEANT 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 MOST RECENT ASSESSMENT PROCESS CONDUCTED IN CALENDAR YEAR 2017 COMPILED VALID AND RELIABLE INFORMATION ABOUT THE HEALTH OF DURHAM. IT INCLUDED 358 CITIZEN SURVEYS FROM RANDOMLY SELECTED HOUSEHOLDS AND 3 COMMUNITY LISTENING SESSIONS WITH 42 COMMUNITY MEMBERS. THE SURVEY WAS ALSO CONDUCTED IN PERSON AT GROCERY STORES, LIBRARIES, DURHAM COUNTY DEPARTMENT OF PUBLIC HEALTH CLINICS, AND BUS STATIONS. THE COMMUNITY HEALTH ASSESSMENT TEAM - COMPRISED OF MEMBERS REPRESENTING, DUKE UNIVERSITY HEALTH SYSTEM, UNIVERSITIES, LOCAL GOVERNMENT, SCHOOLS, NON-PROFIT ORGANIZATIONS AND BUSINESSES - WORKED TO DIRECT THE ACTIVITIES OF THE ASSESSMENT AND PROVIDE WRITTEN CONTENT AND EXPERTISE ON ISSUES OF INTEREST. THIS JOINT CHNA AND RELATED IMPLEMENTATION PLAN WAS ADOPTED BY THE DUHS BOARD OF DIRECTORS AND PUBLISHED ON THE DUKE HEALTH WEBSITE IN FISCAL YEAR 2019 (TAX YEAR 2018).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 FIVE HEALTH PRIORITIES FOR 2018 - 2020: 1. AFFORDABLE HOUSING 2. ACCESS TO HEALTHCARE AND HEALTH INSURANCE3. POVERTY 4. MENTAL HEALTH 5. OBESITY, DIABETES AND FOOD ACCESS ALL OF THE PROGRAMS DESCRIBED IN THE FOLLOWING IMPLEMENTATION PLAN ARE ALIGNED WITH THE FIVE HEALTH PRIORITIES WITH MANY OF THE PROGRAMS ADDRESSING COMBINATIONS OF THE FIVE HEALTH PRIORITIES. A BRIEF EXCERPT FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT DESCRIBING EACH PRIORITY IS INCLUDED IN THIS IMPLEMENTATION PLAN. DUH CONSIDERS THIS 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. THIS 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. THIS IMPLEMENTATION PLAN IS INTENDED TO HIGHLIGHT DUKE HOSPITAL'S CONTINUALLY EVOLVING ACTIVITIES AND SUPPORT TO IMPROVE HEALTH WITH THE DURHAM COMMUNITY.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. AS SUCH THIS IMPLEMENTATION PLAN INCLUDES NEW AND LONG-STANDING PROGRAMS. 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. IN 2018, FUNDING FROM DUKE UNIVERSITY AND THE AJ FLETCHER FOUNDATION PROVIDED THE OPPORTUNITY TO DEVELOP TWO ACRES OF PRIME DOWNTOWN DURHAM LAND INTO MULTI-UNIT AFFORDABLE HOUSING. THE DEVELOPMENT BROKE GROUND IN JULY 2019, AND THE MULTI-UNIT HOUSING COMPLEX WAS FINISHED AND OCCUPIED IN 2021. THE LARGER DUKE UNIVERSITY ALSO COMMITTED $3 MILLION WITH THE CITY OF DURHAM TO DEVELOP AN AFFORDABLE HOUSING LOAN FUND. 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. ALTHOUGH THERE ARE MANY MEDICAL PROVIDERS, WHICH INCLUDE A NUMBER OF LOW COST AND FREE CLINICS IN DURHAM COUNTY, THERE ARE STILL MANY DURHAM RESIDENTS WHO HAVE TROUBLE ACCESSING CARE WHEN THEY NEED IT. BARRIERS TO OBTAINING HEALTHCARE INCLUDE ISSUES WITH TRANSPORTATION, LANGUAGE BARRIERS, OR DISTRUST OF THE HEALTHCARE SYSTEM. ACCORDING TO THE COMMUNITY HEALTH ASSESSMENT SURVEY, THE TOP REASONS IDENTIFIED BY DURHAM COUNTY RESIDENTS FOR WHY THEY OR SOMEONE IN THEIR HOUSEHOLD COULD NOT ACCESS NECESSARY HEALTHCARE INCLUDED INSURANCE DIDN'T COVER SERVICE, COPAY WAS TOO HIGH, LACK OF INSURANCE, COULDN'T GET AN APPOINTMENT, DIDN'T KNOW WHERE TO GO OR PROVIDER DIDN'T TAKE THEIR INSURANCE.A NUMBER OF LONG-STANDING PROGRAMS SUPPORTED BY DUH SEEK TO INCREASE ACCESS TO CARE FOR UNINSURED, UNDERINSURED, AND/OR VULNERABLE INDIVIDUALS AND FAMILIES. THOSE PROGRAMS INCLUDE: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.PLANS FOR FY2021: PADC WILL CONTINUE TO FOCUS ON COVID-19 RESPONSE EFFORTS AND PROVIDE AS MANY SPECIALTY SERVICES AS POSSIBLE GIVEN ONGOING COVID-19 DISRUPTIONS/DELAYS.PROGRESS IN FY2021: PADC CONTINUED TO FOCUS ON COVID-19 RESPONSE EFFORTS AND PARTNERED WITH NUMEROUS ORGANIZATIONS TO HELP INDIVIDUALS IMPACTED BY COVID-19. PADC CONTINUED TO LINK AS MANY UNINSURED INDIVIDUALS AS POSSIBLE TO SPECIALTY SERVICES IN SPITE OF DISRUPTIONS/DELAYS THAT CONTINUED AS A RESULT OF COVID-19 IN FY2021.LOCAL ACCESS TO COORDINATED HEALTHCARE (LATCH): WAS INITIATED IN 2002 WITH HEALTHY COMMUNITIES ACCESS PROGRAM (HCAP) FUNDING FROM THE US HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TO DUKE'S DIVISION OF COMMUNITY HEALTH, DEPARTMENT OF COMMUNITY AND FAMILY MEDICINE. THE FOUNDING AND SUSTAINING 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). THROUGH COMMUNITY-BASED, LINGUISTICALLY AND CULTURALLY-RELEVANT CARE MANAGEMENT, LATCH AIMS TO IMPROVE HEALTH KNOWLEDGE AND SELF-CARE, ACCESS TO HEALTH CARE AND HEALTH SERVICES UTILIZATION OUTCOMES AMONG DURHAM COUNTY'S UNINSURED. 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. |
| PLANS FOR FY2021: CONTINUE CARE MANAGEMENT SERVICES AND | COVID-19 RESPONSE EFFORTS.PROGRESS IN FY2021: LATCH CONTINUED TO PARTNER WITH VARIOUS DUKE AND COMMUNITY ORGANIZATIONS IN COVID-19 RESPONSE EFFORTS DURING FY2021. IN ADDITION, LATCH PROVIDED CARE MANAGEMENT SERVICES TO 772 INDIVIDUALS.THE COMPLEX CHILD PROGRAM (CCP): PROVIDES THE COORDINATION OF 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. BEFORE THE COMPLEX CHILD PROGRAM, CARE COULD SEEM FRAGMENTED AS PATIENTS/FAMILIES HAD NO CENTRAL "QUARTERBACK" HELPING TO OVERSEE THE BIG PICTURE.THROUGH THE CCP PARENTS NOW 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). PLANS FOR FY2021: CONTINUE THE CCP SERVING CHILDREN WITH MULTIPLE COMPLEX ISSUES AND THEIR FAMILIES.PROGRESS IN FY2021: AS IN FY2020, 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 AND CELEBRATED 25 YEARS OF SERVICE IN 2021. DURHAM PUBLIC SCHOOLS CLOSED TO IN-PERSON LEARNING IN MARCH 2020 AS A RESULT OF COVID-19. THE SOUTHERN HIGH SCHOOL WELLNESS CENTER PIVOTED TO PROVIDING TELEHEALTH SERVICES (VIA PHONE AND VIDEO VISITS) IN 2021. |
| JUST FOR US (JFU): PROVIDES AN IN-HOME CARE PROGRAM FOR LOW-INCOME, | FRAIL ELDERLY AND DISABLED. JFU WAS LAUNCHED IN 2002 AS 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. IN LATE DECEMBER 2019, REPORTS OF CARBON MONOXIDE POISONINGS BEGAN AT THE MCDOUGALD TERRACE APARTMENT COMPLEX. BY EARLY JANUARY 2020, THE DURHAM HOUSING AUTHORITY HAD RELOCATED HUNDREDS OF RESIDENTS TO 15 HOTELS ACROSS DURHAM. THE JFU TEAM DEPLOYED TO PROVIDE HEALTH CARE FOR THE RESIDENTS ACROSS THE 15 HOTEL SITES DURING JANUARY AND FEBRUARY. ALMOST ALL OF THE JFU IN HOME VISITS CEASED IN MARCH 2020 AS A RESULT OF COVID-19. AS A RESULT, THE JFU TEAM CONDUCTED FREQUENT WELL-CHECK CALLS AND PROVIDED TELEHEALTH SERVICES (VIA PHONE/VIDEO VISITS).NEIGHBORHOOD/COMMUNITY CLINICS: DUH IN PARTNERSHIP WITH LINCOLN COMMUNITY HEALTH CENTER COLLABORATIVELY OPERATES THREE COMMUNITY HEALTH CLINICS; THE LYON PARK COMMUNITY CLINIC, THE WALLTOWN NEIGHBORHOOD CLINIC AND THE HOLTON WELLNESS CENTER. THE CLINICS 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. THE LYON PARK CLINIC WAS THE FIRST OF THE COLLABORATIVE NEIGHBORHOOD CLINICS, OPENING ITS DOORS FOR PATIENT CARE IN APRIL 2003. THE WALLTOWN CLINIC OPENED IN JANUARY 2005 AND THE HOLTON CLINIC OPENED IN AUGUST 2009. EACH CLINIC RECEIVED START-UP FUNDS THROUGH A DUKE ENDOWMENT GRANT. CLINICS GENERATE REVENUE THROUGH A CONTRACT WITH LINCOLN COMMUNITY HEALTH CENTER AND RECEIVE SIGNIFICANT SUPPORT FROM DUH. THE CLINICS OPERATE AS FAMILY MEDICINE PRACTICES AND ARE OPEN 5 DAYS A WEEK. STAFFING INCLUDES PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND FAMILY PHYSICIANS, WHO SERVE AS SUPERVISING DOCTORS. EACH CLINIC IS SUPPORTED BY NURSING STAFF: CERTIFIED NURSING ASSISTANTS, LICENSED PRACTICAL NURSES, OR CERTIFIED MEDICAL ASSISTANTS AND A STAFF ASSISTANT. THE STAFF ASSISTANT PERFORMS ALL ADMINISTRATIVE TASKS FOR THE CLINIC INCLUDING ANSWERING INCOMING PHONE CALLS, REGISTRATION, SCHEDULING, ETC. PLANS FOR FY2021: THE SOUTHERN HIGH SCHOOL WELLNESS CENTER, JUST FOR US, AND THE NEIGHBORHOOD/COMMUNITY CLINICS HOPE TO RETURN TO PRE-PANDEMIC LEVELS OF CLINICAL ENCOUNTERS OF 13,000+. |
| PROGRESS IN FY2021: THE SOUTHERN HIGH SCHOOL WELLNESS CENTER, | THE MICRO-CLINICS AND JUST FOR US CONTINUED TO ADJUST TO THE IMPACTS OF COVID-19 AND PROVIDED 10,049 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. REASONS FOR THE ASSOCIATION BETWEEN ECONOMIC INSECURITY AND HEALTH INCLUDE THE HEALTH EFFECTS OF STRESS RESULTING FROM ECONOMIC INSECURITY, EFFECTS OF STRESS AND SPENDING LIMITATIONS ON FOOD CONSUMPTION, AND RESTRICTED USE OF HEALTH SERVICES.EFFECTIVE 7/1/2019, DU AND DUHS INCREASED THE MINIMUM WAGE TO $15 PER HOUR FOR ALL EMPLOYEES.SECOND CHANCES: SINCE SEPTEMBER 2018, DUKE NO LONGER REQUIRES JOB APPLICANTS TO DISCLOSE CRIMINAL HISTORY DURING THE APPLICATION PROCESS. THE FOLLOWING PROGRAMS ALSO HELP ADDRESS THE COMMUNITY HEALTH NEED OF POVERTY: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). THE HOMELESS POPULATION AND THOSE REENTERING THE COMMUNITY FROM AN INSTITUTION FACE NUMEROUS CHALLENGES IN ACCESSING SERVICES. APPROVAL ON INITIAL SSI AND SSDI APPLICATIONS FOR THESE AT-RISK POPULATIONS, WHO HAVE NO ONE TO ASSIST, IS ABOUT 10-15 PERCENT. FOR THOSE WITH MENTAL ILLNESS, SUBSTANCE ABUSE ISSUES, AND/OR CO-COGNITIVE IMPAIRMENT, THE APPLICATION PROCESS IS EVEN MORE DIFFICULT. EVEN WITH ASSISTANCE, THE APPLICATION PROCESS CAN TAKE UP TO SIX MONTHS. 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. DUKE HOSPITAL CURRENTLY FUNDS TWO SOAR CASE MANAGERS WHO HAVE SUCCESSFULLY HELPED MORE THAN 100 PATIENTS IN THE LAST 3 YEARS. PLANS FOR FY2021: RETURN TO PRE-PANDEMIC LEVELS OF REFERRALS AND COMPLETED APPLICATIONS. |
| PROGRESS IN FY2021: FY2021 DID NOT BRING THE RELIEF FROM | THE COVID-19 PANDEMIC THAT THE WORLD HAD HOPED FOR, BUT THE SOAR PROGRAM WAS ABLE TO SERVICE 20 CASES.BENEFITS ENROLLMENT COUNSELING (BEC): IN FY 16 THE DUKE DIVISION OF COMMUNITY HEALTH LAUNCHED THE BENEFITS ENROLLMENT COUNSELING PROGRAM (BEC) WITH GRANT FUNDING THROUGH THE NATIONAL COUNCIL ON AGING TO HELP SENIORS AND THOSE WITH DISABILITIES AND A LIMITED INCOME FIND AND ENROLL IN ALL THE BENEFIT PROGRAMS FOR WHICH THEY ARE ELIGIBLE. THE GOAL OF THE SERVICE IS TO ENABLE OLDER ADULTS TO ENJOY LIFE AND LIVE INDEPENDENTLY IN THEIR HOMES AND COMMUNITIES FOR AS LONG AS POSSIBLE. FOR THOSE WITH LIMITED INCOME AND RESOURCES, ADDITIONAL SUPPORT CAN BE CRITICAL IN MAINTAINING THEIR HEALTH AND AVOIDING COSTLY HOSPITALIZATIONS. THE BENEFITS PROVIDE CLIENTS SERVED WITH ACCESS TO HEALTHY FOOD, NEEDED MEDICAL CARE AND PRESCRIPTIONS, AS WELL AS OTHER SUPPORTIVE SERVICES. THE BENEFITS ALSO PROVIDE A COMMUNITY ECONOMIC STIMULUS, AS BENEFITS ARE SPENT LOCALLY IN PHARMACIES, GROCERY STORES, UTILITY COMPANIES, AND HEALTH CARE PROVIDERS. TO INCREASE THE REACH OF THE PROGRAM BEYOND GRANT FUNDING, BEC STAFF TRAIN VOLUNTEERS (FROM PARTNER COMMUNITY BASED ORGANIZATIONS AND DUKE) TO ASSIST CLIENTS IN DURHAM, GRANVILLE, AND PERSON COUNTIES. BEC CURRENTLY WORKS WITH 26 DUKE UNDERGRADUATES AND MEDICAL STUDENTS. THESE STUDENTS ENGAGE IN SERVICE, OUTREACH, AND ADVOCACY EFFORTS AS WELL AS BUILD MEANINGFUL INTERGENERATIONAL RELATIONSHIPS.IN 2019 BEC LAUNCHED 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.PLANS FOR FY2021: CONTINUE COVID-19 RESPONSE ASSISTANCE AND BEC. RETURN TO THE COMMUNITY GARDEN WORK WHEN ALLOWED. PROGRESS IN FY2021: AS COVID-19 CONTINUED TO UPEND NUMEROUS ACTIVITIES, WORK ON THE COMMUNITY GARDEN DID NOT CONTINUE IN 2021. BEC DID ASSIST IN COVID-19 RESPONSE EFFORTS AND CONTINUED TO CONNECT ELIGIBLE INDIVIDUALS TO RESOURCES. BEC ASSISTED 475 INDIVIDUALS WITH AN AVERAGE OF 1.29 APPLICATIONS PER PERSON FOR BENEFIT PROGRAMS. THE TOTAL VALUE OF BENEFITS WAS $1,957,098.4. MENTAL HEALTHMENTAL HEALTH AND SUBSTANCE USE DISORDERS HAVE DIRECT COSTS SUCH AS PREVENTION, TREATMENT, AND RECOVERY SUPPORTS. BUT, THERE ARE ALSO INDIRECT COSTS SUCH AS MOTOR VEHICLE ACCIDENTS, PREMATURE DEATH, COMORBID HEALTH CONDITIONS, DISABILITY, LOST PRODUCTIVITY, UNEMPLOYMENT, POVERTY, SCHOOL DIFFICULTIES, ENGAGEMENT WITH SOCIAL SERVICE, JUVENILE JUSTICE, CRIMINAL JUSTICE SYSTEMS, AND HOMELESSNESS, AMONG OTHER PROBLEMS. DUH PARTNERS WITH AND SUPPORTS A NUMBER OF COLLABORATIVE INITIATIVES TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES AND REDUCE SUBSTANCE ABUSE. DUH CONTINUES TO SERVE 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 SOUTH, 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. |
| PLANS FOR FY2021: CONTINUE TO SERVE AS A KEY PARTNER | IN THE COLLABORATIVE ACTIVITIES WITH THE ABOVE ORGANIZATIONS TO REDUCE SUBSTANCE MISUSE AND INCREASE ACCESS TO MENTAL HEALTH SERVICES.PROGRESS IN FY2021: DURHAM DETENTION CENTER MEDICATION-ASSISTED TREATMENT (MAT) PROGRAM NOW PROVIDES INDUCTION TREATMENT SERVICES (PHASE II OF MAT) FOR INDIVIDUALS WITH SUD (SUBSTANCE USE DISORDER). THEY ALSO RECEIVED APPROVAL FROM THE STATE TO BEGIN AN OPIOID TREATMENT PROGRAM WITHIN THE DETENTION CENTER. THE DETENTION CENTER HAS HIRED A LICENSED CLINICAL ADDICTIONS SPECIALIST (LCAS) AND PEER SUPPORT SPECIALIST TO CONTINUE CARE COORDINATION OF SERVICES.DURHAM DEPARTMENT OF PUBLIC HEALTH BY WAY OF ALLIANCE HEALTH PROVIDED AN OPIOID USE DISORDER (OUD) PROVIDER TRAINING SERIES IN MAY 2021. SEVERAL DUKE PROVIDERS WERE AMONG THE PRESENTERS FOR THE TRAINING. AN UPDATED SUBSTANCE USE DISORDER RESOURCE GUIDE WAS PUT ON THE DURHAM PUBLIC HEALTH'S WEBSITE UNDER THE DJT TASK FORCE SECTION. THIS WAS A COLLABORATION WITH THE DURHAM JOINS TOGETHER (DJT) PREVENTION EDUCATION COMMITTEE.ALLIANCE PURCHASED NALOXONE (NARCAN) AND DISSEMINATED TO PARTNERING ORGANIZATION TO HELP WITH THE SHORTAGE OF NALOXONE ACCESS. ALLIANCE PROVIDED ADDITIONAL FUNDING TO SUPPORT EFFORTS WITH DETENTION CENTER MAT AND PEER SUPPORT SPECIALISTS (PSS) SERVICES. |
| DUHS SAFE OPIOID TASK FORCE: WAS CREATED TO IMPROVE THE SAFETY OF PAIN | MANAGEMENT BY ENCOURAGING CLINICAL PRACTICE STANDARDIZATION, WHERE CLINICALLY APPROPRIATE, WHEN OPIOID THERAPY IS DESIGNATED FOR TREATMENT. THE OPIOID SAFETY TASK FORCE PROVIDES RECOMMENDATIONS FOR THE INITIATION AND MANAGEMENT OF OPIOID THERAPY ACROSS DUKE UNIVERSITY HEALTH SYSTEM (DUHS) TO IMPROVE PERSONAL AND COMMUNITY SAFETY AND REDUCE HARM ASSOCIATED WITH THE 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.PLANS FOR FY2021: CONTINUE THE WORK OF THE TASK FORCE.PROGRESS IN FY2021: ACTIVE DUKE MAT PROVIDERS ARE LISTED IN EPIC (DUKE ELECTRONIC HEALTH RECORD) FOR THE SCHEDULING OF PATIENTS REQUIRING MAT SERVICES. THIS GREATLY ENHANCES THE ABILITY TO GET PATIENTS QUICKLY SCHEDULED FOR MAT PROVIDERS.5. OBESITY, DIABETES, AND FOOD ACCESSAS OF 2016, 65% OF ADULTS IN THE PIEDMONT REGION, WHICH INCLUDES DURHAM, WERE OVERWEIGHT OR OBESE. ADDITIONALLY, 12% OF DURHAM HIGH SCHOOLERS WERE OBESE AS OF 2014. OBESITY IS A STRONG CONTRIBUTOR TO DIABETES. IN 2015, 14.1% OF DURHAM COUNTY RESIDENTS AGED 18 YEARS OR OLDER WHO RECEIVED SOME LEVEL OF CARE FROM DUKE HEALTH AND/OR LINCOLN COMMUNITY HEALTH CENTER HAD 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. IT IS ESTIMATED THAT 17.9% OF DURHAM RESIDENTS (51,710 PEOPLE) ARE FOOD INSECURE. |
| BULL CITY FIT: IS A COMMUNITY-BASED WELLNESS PROGRAM AND IS PART OF THE | THE 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 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.PLANS FOR FY2021: CONTINUE TO PROVIDE SERVICES VIA ZOOM AND OTHER REMOTE PLATFORMS. RETURN TO IN PERSON ACTIVITIES WHEN ALLOWED.PROGRESS IN FY2021: DUE TO THE ONGOING COVID-19 PRECAUTIONS, SERVICES CONTINUED VIA ZOOM AND OTHER REMOTE PLATFORMS, ALTERNATING BETWEEN FUN COOKING AND FITNESS ACTIVITIES.COVID-19 RESPONSEIN JULY OF 2020 DUKE UNIVERSITY HOSPITAL, THROUGH THE DUKE DIVISION OF COMMUNITY HEALTH, PARTNERED WITH THE DURHAM COUNTY HEALTH DEPARTMENT AND DURHAM PUBLIC SCHOOLS TO OPERATE A COVID-19 TESTING SITE IN EAST DURHAM. THIS AREA CONSISTED OF TWO ZIP CODES EXPERIENCING DURHAM'S HIGHEST BURDEN OF COVID-19. THE TESTING SITE WAS LOCATED AT A TRUSTED SITE, HOLTON WELLNESS CENTER, WHICH IS ONE OF THE DIVISION OF COMMUNITY HEALTH'S CLINICS NOTED EARLIER IN THIS REPORT. THE DURHAM COUNTY HEALTH DEPARTMENT'S CONTACT TRACERS HAD THE ABILITY TO DIRECTLY SCHEDULE TESTING APPOINTMENTS - A UNIQUE FEATURE THAT ENABLED INDIVIDUALS EXPOSED TO COVID-19 TO QUICKLY ACCESS TESTING. INDIVIDUALS WITHOUT APPOINTMENTS WERE ALSO WELCOME TO UTILIZE THE SITE. IT WAS THE FIRST COMMUNITY TESTING SITE IN DURHAM TO OFFER EVENING AND SATURDAY HOURS. THE MAJORITY OF THE SITE'S STAFF WERE BILINGUAL OR BILINGUAL-BICULTURAL. OVER A 9 MONTH PERIOD, MORE THAN 4 THOUSAND PEOPLE WERE TESTED, MOSTLY (94%) ESSENTIAL WORKERS AND PEOPLE OF COLOR. IN ADDITION TO TESTING, THE SITE OFFERED FOOD BOXES THROUGH PARTNERSHIPS WITH THE FOOD BANK, LOCAL FOOD PANTRIES, AND FARMERS' FOODSHARE AND CONNECTIONS TO OTHER RESOURCES TO HELP INDIVIDUALS AND FAMILIES IMPACTED BY COVID-19. |
| GROUP A - FACILITY 1 - DUKE UNIVERSITY HOSPITAL | PART 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, WILL BE BILLED AT AN AMOUNT EQUAL TO GROSS CHARGES.DUKE RALEIGH HOSPITAL:PART V, SECTION B, LINE 5: DUKE RALEIGH HOSPITAL COLLABORATED WITH ADVANCE COMMUNITY HEALTH, ALLIANCE HEALTH, UNC REX HEALTHCARE, UNITED WAY OF THE GREATER TRIANGLE, WAKE COUNTY HUMAN SERVICES, WAKE COUNTY MEDICAL SOCIETY COMMUNITY HEALTH FOUNDATION, WAKEMED HEALTH AND HOSPITALS, AND YOUTH THRIVE TO DEVELOP THE 2019 WAKE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE PROCESS OF DETERMINING THE PRIORITY HEALTH NEEDS FOR THE 2019 WAKE COUNTY CHNA BEGAN WITH THE COLLECTION AND ANALYSIS OF HUNDREDS OF DATA POINTS. ALL INDIVIDUAL DATA MEASURES FROM BOTH PRIMARY (NEW) AND SECONDARY (EXISTING) SOURCES WERE GATHERED, ANALYZED, AND INTERPRETED. IN ORDER TO COMBINE DATA POINTS INTO MORE EASILY DISCUSSABLE CATEGORIES, ALL INDIVIDUAL DATA MEASURES WERE GROUPED INTO SIX CATEGORIES AND TWENTY-ONE CORRESPONDING FOCUS AREAS BASED ON "COMMON THEMES". PRIMARY (NEW) DATA COLLECTION: COMMUNITY MEMBERS PROVIDED INPUT FOR THE ASSESSMENT THROUGH INTERNET-BASED AND TELEPHONE SURVEYS, FOCUS GROUPS, AND AN INTERNET-BASED PRIORITIZATION SURVEY. ADDITIONALLY, KEY LEADERS OF ORGANIZATIONS REPRESENTING BROAD INTERESTS OF THE COMMUNITY PROVIDED INPUT THROUGH AN INTERNET-BASED SURVEY, PARTICIPATION ON THE STEERING COMMITTEE, AND AN INTERNET-BASED PRIORITIZATION SURVEY. THE PROCESS ALSO HAD SIGNIFICANT INPUT AND DIRECTION FROM THE COMMUNITY HEALTH ASSESSMENT TEAM. CONSIDERING ALL OF THESE SOURCES, INPUT FROM NEARLY 5,900 WAKE COUNTY RESIDENTS AND ORGANIZATIONAL LEADERS IS INCLUDED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT. SECONDARY (EXISTING) DATA: KEY SOURCES FOR EXISTING DATA ON WAKE COUNTY INCLUDED NUMEROUS PUBLIC DATA SOURCES RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, ENVIRONMENTAL HEALTH, HEALTH STATUS AND DISEASE TRENDS, MENTAL/BEHAVIORAL HEALTH TRENDS, AND MODIFIABLE HEALTH RISKS. FURTHER, SOME LOCAL ORGANIZATIONS PROVIDED INTERNAL DATA THAT WERE ALSO INCORPORATED INTO THE ANALYSIS PROCESS.A PRIORITIZATION MATRIX WAS DEVELOPED TO IDENTIFY THE TOP PRIORITIES FOR THE OVERALL COUNTY AND DETERMINE FINDINGS FOR EACH OF THE SERVICE ZONES. THE PRIORITIZATION MATRIX INCLUDED THE FINDINGS FROM THE ANALYSIS OF THE PRIMARY (NEW) AND SECONDARY (EXISTING) DATA WHICH WERE PRESENTED TO THE STEERING COMMITTEE IN OCTOBER 2018 AND TO COMMUNITY MEMBERS DURING THE PRIORITIZATION MEETINGS HELD ON JANUARY 31, 2019 AND VIA THE WWW.WAKEGOV.COM/WELLBEING WEBSITE THROUGH MID-FEBRUARY 2019. ADDITIONALLY, STEERING COMMITTEE MEMBERS WERE PROVIDED THE OPPORTUNITY TO COMPLETE AN INTERNET-BASED SURVEY IN WHICH THEY WERE ASKED TO IDENTIFY THEIR TOP THREE AREAS OF NEED BASED ON THE LIST OF TWENTY-ONE FOCUS AREAS. COMMUNITY MEMBERS WERE ASKED TO PROVIDE THE SAME INFORMATION. THESE VARIOUS DATA COMPONENTS WERE THEN ANALYZED AND THE RESULTS WERE WEIGHTED AS FOLLOWS: SECONDARY (EXISTING) DATA - WEIGHTED 50 PERCENT; PRIMARY (NEW) DATA - WEIGHTED 50 PERCENT IN TOTAL, AS FOLLOWS: FOCUS GROUP FINDINGS, TELEPHONE SURVEY RESULTS, AND INTERNET-BASED COMMUNITY SURVEY RESULTS - WEIGHTED 20 PERCENT; COMMUNITY PRIORITIZATION MEETING RESULTS - WEIGHTED 20 PERCENT; AND, STEERING COMMITTEE PRIORITIZATION SURVEY RESULTS - WEIGHTED 10 PERCENT. THIS JOINT CHNA AND RELATED IMPLEMENTATION PLAN WERE ADOPTED BY THE DUHS BOARD OF DIRECTORS IN FISCAL YEAR 2020 AND PUBLISHED ON THE DUKE HEALTH WEBSITE IN OCTOBER 2020, PRIOR TO THE DECEMBER 31, 2020 DEADLINE PROVIDED IN IRS NOTICE 2020-56. 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 OF THE GREATER TRIANGLE, WAKE COUNTY HUMAN SERVICES, ADVANCE COMMUNITY HEALTH, ALLIANCE HEALTH, YOUTH THRIVE, AND THE WAKE COUNTY MEDICAL SOCIETY COMMUNITY HEALTH FOUNDATION. DUKE RALEIGH HOSPITAL:PART V, SECTION B, LINE 11:THE FOLLOWING FIVE PRIORITY AREAS WERE IDENTIFIED FOR 2020-2022:1. TRANSPORTATION OPTIONS AND TRANSIT2. EMPLOYMENT3. ACCESS TO CARE4. MENTAL HEALTH/SUBSTANCE USE DISORDERS5. HOUSING AND HOMELESSNESS |
| 1. TRANSPORTATION OPTIONS AND TRANSIT | MANY ASPECTS OF DAILY LIFE REQUIRE THE USE OF TRANSPORTATION SUCH AS EMPLOYMENT, EDUCATION, ACCESS TO NUTRITIONAL FOODS, AND ACCESS TO HEALTHCARE SERVICES AND EACH OF THESE AREAS IMPACTS ONE'S OVERALL HEALTH. THE TRANSPORTATION OPTIONS AND TRANSIT PRIORITY INCLUDES INFORMATION RELATED TO HOW PEOPLE GET AROUND FOR WORK, SCHOOL, AND PLAY AS WELL AS PUBLIC TRANSPORTATION AND OTHER TRANSPORTATION CHOICES. THROUGH THE FOLLOWING ACTIONS, DUKE RALEIGH HOSPITAL WILL WORK COLLABORATELY TO REDUCE BARRIERS TO TRANSPORTATION. * PROVIDE FINANCIAL SUPPORT TO COMMUNITY-BASED ORGANIZATIONS ADDRESSING TRANSPORTATION BARRIERS FOR HEALTHCARE SERVICES. * CONTINUE TO SUPPORT ORGANIZATIONS SUCH AS THE GREATER RALEIGH CHAMBER OF COMMERCE AND MIDTOWN RALEIGH ALLIANCE IN THEIR EFFORTS TO WORK TOWARDS A RELIABLE TRANSPORTATION SYSTEM FOR ALL. * CONTINUE TO IDENTIFY PATIENTS WITH TRANSPORTATION NEEDS AND CONNECT THEM WITH COMMUNITY RESOURCES SUCH AS THE LUNG CANCER INITIATIVE OF NC'S GAS CARD PROGRAM, AMERICAN CANCER SOCIETY'S ROAD TO RECOVERY, THE CARING COMMUNITY FOUNDATION, AND THE NCCARE360 NETWORK.DUKE RALEIGH HOSPITAL SUPPORTED ORGANIZATIONS SUCH AS THE GREATER RALEIGH CHAMBER OF COMMERCE AND MIDTOWN RALEIGH ALLIANCE, WHICH WORK TOWARDS AN ENHANCED TRANSIT AND TRANSPORTATION SYSTEM FOR ALL RESIDENTS. DUKE RALEIGH ALSO PROVIDED $20,000 OF SUPPORT IN FY2021 TO THE LUNG CANCER INITIATIVE OF NC WHICH FUNDS A GAS CARD PROGRAM TO LESSEN THE BURDEN OF LUNG CANCER PATIENTS SEEKING TREATMENT.2. EMPLOYMENT EMPLOYMENT IS ALSO A SOCIAL DETERMINANT OF HEALTH THAT ROSE TO THE TOP OF THE WAKE COUNTY PRIORITIZATION MATRIX. THE EMPLOYMENT PRIORITY INCLUDES INFORMATION RELATED TO HOW MANY PEOPLE HAVE JOBS, WHAT TYPES OF JOBS THEY HAVE, AND WHETHER PEOPLE FEEL THEY CAN GET A GOOD JOB IN WAKE COUNTY. A GOOD-PAYING JOB MAKES IT EASIER FOR WORKERS TO LIVE IN HEALTHIER NEIGHBORHOODS, PROVIDE QUALITY EDUCATION FOR THEIR CHILDREN, SECURE CHILD CARE SERVICES, AND BUY MORE NUTRITIOUS FOOD, ALL OF WHICH AFFECT HEALTH.TO ADDRESS THIS PRIORITY, DUKE RALEIGH HOSPITAL WILL EMPLOY THE FOLLOWING STRATEGY/ACTION ITEMS TO SUPPORT EFFORTS TO INCREASE EMPLOYMENT OPPORTUNITIES:* INCREASE IN MINIMUM WAGE: DUKE UNIVERSITY AND DUKE UNIVERSITY HEALTH SYSTEM INCREASED MINIMUM WAGE TO $15 EFFECTIVE JULY 1, 2019.* JOB GROWTH: AS A RESULT OF THE DUKE RALEIGH HOSPITAL SOUTH PAVILION ADDITION SCHEDULED TO OPEN IN 2021, WE WILL GROW BY A FEW HUNDRED NEW JOBS OVER THE NEXT FIVE YEARS WITH OVER TWO THIRDS OF THESE HIRES TO HAPPEN BY THE END OF FISCAL YEAR 2022. * SUPPORT COMMUNITY: EFFORTS TO PROMOTE ECONOMIC PROSPERITY FOR ALL. THIS INCLUDES CONTINUED COLLABORATION WITH THE GREATER RALEIGH CHAMBER OF COMMERCE AND WAKE COUNTY ECONOMIC DEVELOPMENT BY INVESTING IN THE COMPETITIVE EDGE INITIATIVES AND PARTICIPATING IN THE TRIANGLE DIVERSITY, EQUITY, AND INCLUSIVITY (DEI) ALLIANCE. THIS ALSO INCLUDES COLLABORATING WITH ECONOMIC VITALITY ORGANIZATIONS IN WAKE COUNTY INCLUDING THE CROSBY ADVOCACY GROUP.* PROVIDE OPPORTUNITIES TO PREPARE THE FUTURE HEALTHCARE WORKFORCE. THIS INCLUDES CONTINUED PARTNERSHIP WITH WAKE TECHNICAL COMMUNITY COLLEGE AND WAKE COUNTY PUBLIC SCHOOL SYSTEM (WCPSS). IN FY2020, WE PROVIDED THOUSANDS OF HOURS FOR CLINICAL ROTATIONS FOR STUDENTS OF WAKE TECH'S HEALTH SCIENCES PROGRAMS AS WELL AS ENGAGED WITH WCPSS CAREER ACADEMIES SUCH AS ENLOE HIGH SCHOOL'S MEDICAL BIOSCIENCE ACADEMY. |
| 3. ACCESS TO CARE | ACCESS TO CARE WAS INDENTIFIED AS A TOP PRIORITY IN THE 2013 AND 2016 WAKE COUNTY CHNAS AND REMAINS A TOP PRIORITY IN THE 2019 WAKE COUNTY CHNA. THIS PRIORITY 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 TO PREVENT OR MANAGE CHRONIC ILLNESSES AND THEREFORE IMPROVE THE HEALTH OF THE COMMUNITY. DUKE RALEIGH HOSPITAL IS ACTIVELY ENGAGED IN IMPROVING ACCESS TO HEALTH SERVICES FOR ALL THROUGH STRATEGIC INITIATIVES AND COMMUNITY PARTNERSHIPS. TO ADDRESS THIS PRIORITY DUKE RALEIGH HOSPITAL WILL EMPLOY THE FOLLOWING MAJOR ACTIONS/ACTIVITES: * CONTINUE TO PROVIDE FINANCIAL ASSISTANCE VIA DUKE UNIVERSITY HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICIES. IN FISCAL YEAR 2021, DUKE RALEIGH HOSPITAL PROVIDED APPROXIMATELY $18.6 MILLION IN CHARITY CARE AT ESTIMATED COST.* SUPPORT COMMUNITY PARTNERS WORKING TO PROVIDE CARE TO UNINSURED POPULATIONS. THIS INCLUDES ORGANIZATIONS SUCH AS ALLIANCE MEDICAL MINISTRY, URBAN MINISTRIES OF WAKE COUNTY, AND PROJECT ACCESS OF WAKE COUNTY. IN FY21, DUKE RALEIGH PROVIDED $30,000 IN FUNDING TO ALLIANCE MEDICAL MINISTRY TO SUPPORT THEIR EFFORTS TO PROVIDE COMPREHENSIVE, COMPASSIONATE AND AFFORDABLE HEALTHCARE TO WORKING, UNINSURED ADULTS IN WAKE COUNTY. BETWEEN FY17-21, DUKE RALEIGH DONATED AND PACKED OVER 4,000 POUNDS OF RICE AND BEANS FOR URBAN MINISTRIES OF WAKE COUNTY'S CLIENT CHOICE PANTRY, WHICH ENGAGED 50+ EMPLOYEES.* CONTINUE TO PROVIDE IN-KIND LAB SERVICES TO URBAN MINISTRIES OF WAKE COUNTY'S OPEN DOOR CLINIC. IN FY2021, DUKE RALEIGH HOSPITAL PROVIDED LAB TESTS IN-KIND FOR URBAN MINISTRIES OF WAKE COUNTY OPEN DOOR CLINIC WORTH MORE THAN $2 MILLION. * CONTINUE TO PROVIDE MONTHLY DIABETES EDUCATION CLASSES AT ALLIANCE MEDICAL MINISTRY IN-KIND.* CONTINUE TO PROVIDE DONATED CARE TO PROJECT ACCESS OF WAKE COUNTY, A PRIVATE, NON-PROFIT PROGRAM THAT CONNECTS ELIGIBLE UNINSURED CLIENTS TO HIGH QUALITY MEDICAL SERVICES. IN FY2021, DUKE RALEIGH HOSPITAL PROVIDED APPROXIMATELY $7.4 MILLION OF DONATED CARE TO PROJECT ACCESS OF WAKE COUNTY CLIENTS.* EXPAND CAPACITY TO CONDUCT SOCIAL SCREENINGS AND SUPPORT LINKAGES TO COMMUNITY RESOURCES. THIS INCLUDES PILOTING NCCARE360 IN FY2021 AS WELL AS WORKING WITH THE DUKE BENEFITS ENROLLMENT CENTER. * CONTINUE TO EXPAND THE DUKE ELDER FAMILY/CAREGIVING TRAINING (DEFT) PROGRAM AT DUKE RALEIGH HOSPITAL. THE DEFT CENTER PROVIDES SKILLS-TRAINING, EDUCATION AND SUPPORT TO CAREGIVERS DISCHARGING HOME AFTER A HOSPITAL STAY. * CONTINUE TO PROVIDE THE HEALTH LITERACY COURSE AS PART OF THE NURSE RESIDENCY CURRICULUM THROUGH OUR CLINICAL EDUCATION DEPARTMENT. IN FY2021, ONE HEALTH LITERACY CLASS WAS TAUGHT AS PART OF THE CURRICULUM WITH A TOTAL OF 155 GRADUATE NURSES EDUCATED.* EXPAND COMMUNITY OUTREACH AND EDUCATION EFFORTS AROUND STROKE, CARDIOVASCULAR DISEASE, DIABETES, CANCER, ORTHOPEDICS, SPORTS MEDICINE AND MORE THROUGH PARTNERING WITH LOCAL ORGANIZATIONS, AGENCIES, AND BUSINESSES. EACH YEAR, DUKE RALEIGH SPONSORS THE MIDTOWN FARMERS MARKET, WHICH PROMOTES A HEALTHY LIFESTYLE AS WELL AS PROVIDES A VENUE FOR DUKE RALEIGH TO SHARE HEALTHY EDUCATION FROM APRIL THROUGH NOVEMBER. IN THE FALL OF 2020, DUKE RALEIGH PROVIDED MORE THAN 1,500 EDUCATION RESOURCES TO EL PUEBLO IN SUPPORT OF THEIR ANNUAL EVENT, Y SIGUE LA FESTA, AND PROVIDED $2,500 IN SPONSORSHIPS IN FY21. DUKE RALEIGH DEVELOPED PROGRAMMING AND PROVIDED FINANCIAL SUPPORT TO INCREASE CHILDREN'S ACCESS TO NUTRITIOUS FOOD. IN FY21, DUKE RALEIGH PROVIDED $2,500 TO MEALS ON WHEELS OF WAKE COUNTY TO SUPPORT A VARIETY OF NEEDS. COVID-19 RESPONSEDUKE RALEIGH PROVIDED OVER 1,300 COVID-19 CARE PACKAGES CONTAINING EDUCATIONAL RESOURCES, MASKS, AND HAND SANITIZER TO COMMUNITY MEMBERS IN ZIP CODE 27604 IN THE SUMMER OF 2020.IN FY2021, DUKE RALEIGH HOSTED 5 COVID-19 VACCINATION EVENTS OFFERED TO MORE THAN 3,000 RESIDENTS ACROSS THE COUNTY WITH A PARTICULAR FOCUS ON LATINX AND AFRICAN-AMERICAN COMMUNITIES, IDENTIFIED AS THE MOST VULNERABLE POPULATIONS IN RELATION TO VACCINATION.4. MENTAL HEALTH/SUBSTANCE USE DISORDERSMENTAL HEALTH/SUBSTANCE USE DISORDERS WAS AN IDENTIFIED PRIORITY IN BOTH THE 2013 AND 2016 WAKE COUNTY CHNAS. WAKE COUNTY HAS EXPERIENCED AN INCREASE IN THE PREVALENCE AND SEVERITY OF MENTAL HEALTH AND SUBSTANCE USE PROBLEMS. THIS PRIORITY INCLUDES MENTAL HEALTH DISEASE (LIKE DEPRESSION, ALZHEIMER'S AND SCHIZOPHRENIA), POOR MENTAL HEALTH DAYS, AND HURTING ONESELF AS WELL AS ALCOHOL, OPIOID, AND ILLEGAL DRUG USE AND DATA RELATED TO OVERDOSES. DUE TO THE SCOPE AND COMPLEXITY OF MENTAL HEALTH AND SUBSTANCE USE, A COLLECTIVE AND COLLABORATIVE APPROACH IS NEEDED. DUKE RALEIGH HOSPITAL WILL CONTINUE TO WORK COLLABORATIVELY AND SUPPORT OPPORTUNITIES TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES AND REDUCE SUBSTANCE USE BY ENGAGING IN THE FOLLOWING MAJOR ACTIONS/ACTIVITIES: * FURTHER DEVELOP BEHAVIORAL HEALTH SERVICE LINE CAPABILITIES AT DUKE RALEIGH HOSPITAL WITH DEDICATED SERVICE LINE LEADERSHIP, ROUNDING NURSES, SOCIAL WORKERS, AND LEVERAGE THE USE OF NCCARE360 RESOURCES. * CONTINUE TO SERVE ON THE FOLLOWING COMMUNITY COALITIONS/WORKGROUPS: NORTH CAROLINA ASSOCIATION (NCHA) BEHAVIORAL HEALTH WORKGROUP, WAKE COUNTY DRUG OVERDOSE PREVENTION COALITION, AND WAKEBROOK COMMUNITY PARTNERSHIP.* CONTINUE TO SUPPORT EFFORTS TO INCREASE COMMUNITY-BASED RESOURCES THROUGH GRANTS AND SPONSORSHIPS. PAST ORGANIZATIONS SUPPORTED HAVE INCLUDED TRIANGLE FAMILY SERVICES AND NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) WAKE COUNTY. * CONTINUE TO PARTICIPATE IN THE DUKE UNIVERSITY HEALTH SYSTEM OPIOID TASK FORCE. THIS TASK FORCE PROVIDES RECOMMENDATIONS FOR THE INITIATION AND MANAGEMENT OF OPIOID THERAPY ACROSS THE HEALTH SYSTEM TO IMPROVE PERSONAL AND COMMUNITY SAFETY AND REDUCE HARM ASSOCIATED WITH THE HIGH RISK TREATMENTS WHILE ENGAGING PATIENTS IN THEIR OWN CARE.* INCREASE CAPABILITIES TO PROVIDE MENTAL HEALTH FIRST AID TRAINING AND INCREASE COMMUNITY AWARENESS.5. HOUSING AND HOMELESSNESSHOUSING AND HOMELESSNESS ARE ALSO SOCIAL DETERMINANTS OF HEALTH THAT ROSE TO THE TOP OF THE WAKE COUNTY PRIORITIZATION MATRIX TO BECOME A PRIORITY AREA FOR THE COUNTY TO FOCUS ON OVER THE COMING YEARS. THE HOUSING AND HOMELESSNESS PRIORITY INCLUDES COST OF HOUSING, HOUSING CHOICES, AND HOW MANY PEOPLE ARE HOMELESS. HEALTHY HOMES PROMOTE GOOD PHYSICAL AND MENTAL HEALTH, AFFECTING THE OVERALL ABILITY OF FAMILIES TO MAKE HEALTHY CHOICES. DUKE RALEIGH HOSPITAL WILL SUPPORT EFFORTS TO INCREASE ACCESS TO SAFE AND HEALTHY HOUSING THROUGH THE FOLLOWING ACTIONS:* EXPAND CAPABILITIES TO IDENTIFY PATIENTS WITH HOUSING/SHELTER NEEDS AND CONNECT THEM WITH COMMUNITY RESOURCES.* SUPPORT EFFORTS TO INCREASE COMMUNITY-BASED ORGANIZATIONS' CAPACITY TO PROVIDE SAFE, QUALITY, AFFORDABLE HOUSING AND SHELTER. IN FY2017-FY2021, DUKE RALEIGH HOSPITAL PROVIDED SUPPORT FOR HABITAT FOR HUMANITY OF WAKE COUNTY THROUGH FINANCIAL CONTRIBUTIONS AND EMPLOYEE VOLUNTEERISM. * CONTINUE SUPPORT FOR TRIANGLE FAMILY SERVICES, WHICH PROVIDES EMERGENCY HOUSING ASSISTANCE, RENTAL ASSISTANCE, AND STREET OUTREACH.* CONTINUE SUPPORT FOR RALEIGH WAKE PARTNERSHIP TO END AND PREVENT HOMELESS (THE PARTNERSHIP) EFFORTS. IN FY2020, DUKE RALEIGH DONATED THERMAL BLANKETS IN SUPPORT.* CONTINUE SUPPORT FOR URBAN MINISTRIES OF WAKE COUNTY, WHICH RUNS THE HELEN WRIGHT CENTER FOR WOMEN, A PROGRAM FOR SINGLE, HOMELESS WOMEN.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, WILL BE BILLED AT AN AMOUNT EQUAL TO GROSS CHARGES. |
| GROUP A - FACILITY 3 - DUKE REGIONAL HOSPITAL: | PART V, SECTION B, LINE 5: DUKE REGIONAL HOSPITAL ("DRH") WAS A PARTICIPANT IN THE 2017 DURHAM COMMUNITY HEALTH ASSESSMENT, LED BY PARTNERSHIP FOR A HEALTHY DURHAM. THE ASSESSMENT PROCESS INCLUDED 358 CITIZEN SURVEYS FROM RANDOMLY SELECTED HOUSEHOLDS AND THREE COMMUNITY LISTENING SESSIONS WITH 42 COMMUNITY MEMBERS. THE SURVEY WAS ALSO CONDUCTED IN PERSON AT GROCERY STORES, LIBRARIES, DURHAM COUNTY DEPARTMENT OF PUBLIC HEALTH CLINICS AND BUS STATIONS. THE COMMUNITY HEALTH ASSESSMENT TEAM COMPRISED OF REPRESENTATIVES FROM DUKE UNIVERSITY HEALTH SYSTEM, UNIVERSITIES, LOCAL GOVERNMENT, SCHOOLS, NON-PROFIT ORGANIZATIONS, AND BUSINESSES - WORKED TO DIRECT THE ACTIVITIES OF THE ASSESSMENT AND PROVIDE WRITTEN CONTENT AND EXPERTISE ON ISSUES OF INTEREST. THIS JOINT CHNA AND RELATED IMPLEMENTATION PLAN WAS ADOPTED BY THE DUHS BOARD OF DIRECTORS AND PUBLISHED ON THE DUKE HEALTH WEBSITE IN FISCAL YEAR 2019 (TAX YEAR 2018).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 2018-2020:1. AFFORDABLE HOUSING2. ACCESS TO HEALTHCARE AND HEALTH INSURANCE3. POVERTY4. MENTAL HEALTH5. OBESITY, DIABETES AND FOOD ACCESSDUKE 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. THIS IMPLEMENTATION PLAN DOES NOT CONTAIN DESCRIPTIONS OF THE COMMUNITY HEALTH IMPROVEMENT WORK CARRIED OUT BY OTHER COMPONENTS OF DUKE HEALTH OR DUKE UNIVERSITY. THIS IMPLEMENTATION PLAN REPRESENTS ONLY DUKE REGIONAL HOSPITAL'S CONTINUALLY EVOLVING VARIETY OF PROGRAMS AND ACTIVITIES IN THE FIVE PRIORITY AREAS TO IMPROVE HEALTH WITH THE DURHAM COMMUNITY.1 AND 3. AFFORDABLE HOUSING AND POVERTYMINIMUM WAGE: EFFECTIVE 7/1/2019, DU AND DUHS INCREASED THE MINIMUM WAGE TO $15 PER HOUR FOR ALL EMPLOYEES.FILL THAT BUS AND SALVATION ARMY ANGEL TREE: EMPLOYEES HAVE DONATED BINS OF SCHOOL SUPPLIES TO CRAYONS2CALCULATORS AND FILL THAT BUS! CAMPAIGN ANNUALLY 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.2021 GOAL: DUKE REGIONAL HOSPITAL WILL AGAIN HOST AT LEAST ONE DRIVE TO BENEFIT UNDERSERVED CHILDREN OR FAMILIES IN OUR COMMUNITY.2021 PROGRESS: 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 PREVENT POVERTY. DUKE REGIONAL HOSPITAL IS COMMITTED TO HELP TRAIN THE HEALTHCARE WORKERS OF THE FUTURE. IN FY20, DRH INVESTED $4.7 MILLION IN TEACHING AND TRAINING HEALTHCARE PROFESSIONALS. 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 JUNIOR VOLUNTEER PROGRAM FOR AREA HIGH SCHOOL STUDENTS TO GAIN CLERICAL AND CUSTOMER SERVICE WORK EXPERIENCES IN A HEALTH CARE SETTING.FY2021 GOAL: DRH WILL CONTINUE THE SAME LEVEL OF SUPPORT.FY2021 PROGRESS: DRH INVESTED $4.7 MILLION IN TEACHING AND TRAINING HEALTHCARE PROFESSIONALS. DUE TO COVID-19, IN-PERSON SHADOWING AND VOLUNTEER OPPORTUNITIES WERE HALTED IN MARCH 2020, BUT THE HOSPITAL 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, MORE CLINICAL STUDENTS HAVE RETURNED AND CONTINUE TO FOLLOW ALL DUHS RESTRICTIONS AS NEEDED. 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.2021 GOAL: DUKE REGIONAL HOSPITAL WILL CONTINUE ITS PARTNERSHIP WITH CMA.2021 PROGRESS: DUKE REGIONAL CONTINUED TO PARTNER WITH CMA.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 BEHAVIORAL HEALTH THAT PROVIDES CAREER DEVELOPMENT EXPERIENCES TO SENIOR HIGH SCHOOL STUDENTS WITH DEVELOPMENTAL DISABILITIES. 2021 GOAL: DUKE REGIONAL HOSPITAL WILL CONTINUE TO SERVE AS A HOST SITE FOR PROJECT SEARCH.2021 PROGRESS: DUKE REGIONAL HOSPITAL CONTINUED TO SERVE AS A HOST SITE FOR PROJECT SEARCH ADDING 7 NEW GRADUATES BRINGING THE TOTAL NUMBER OF GRADUATES TO 77 TO DATE. APPROXIMATELY HALF ARE EMPLOYED IN THE COMMUNITY, WITH THREE GRADUATES WORKING AT DUKE REGIONAL HOSPITAL. |
| 2. ACCESS TO HEALTHCARE AND HEALTH INSURANCE | LINCOLN COMMUNITY HEALTH CENTER (LCHC): IS A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER THAT PROVIDES PRIMARY CARE SERVICES FOR ABOUT 40,000 PATIENTS EACH YEAR. APPROXIMATELY 70 PERCENT OF LCHC PATIENTS ARE UNINSURED AND 84% ARE LIVING AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO GENEROUS FINANCIAL SUPPORT, DUKE REGIONAL HOSPITAL PROVIDES ENGINEERING, ENVIRONMENTAL, LABORATORY, PHARMACY AND RADIOLOGY SERVICES. THE TOTAL DUKE REGIONAL HOSPITAL CONTRIBUTION TO LCHC IN FY 2021, INCLUDING MONETARY AND IN-KIND SERVICES, WAS $8.1 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 2021, DUKE REGIONAL HOSPITAL CONTRIBUTED MORE THAN $2.6 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. DRH HAS PROVIDED OFFICE SPACE AND TECHNOLOGICAL SUPPORT FOR PADC AS WELL AS EPISODES OF CARE FOR PADC PATIENTS.2021 GOAL: CONTINUE A SIMILAR LEVEL OF SUPPORT.2021 PROGRESS: DUKE REGIONAL HOSPITAL CONTINUED TO PROVIDE OFFICE SPACE, TECHNOLOGICAL SUPPORT AND EPISODES OF CARE IN FY2021 UNTIL PROJECT ACCESS RELOCATED TO A NON-HOSPITAL BUILDING. IN DECEMBER 2020, DRH PROVIDED FINANCIAL SUPPORT ($11,667) IN LIEU OF PROVIDING SPACE.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 2021 DUKE REGIONAL PROVIDED $30.5 MILLION (AT ESTIMATED COST) IN FINANCIAL ASSISTANCE.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 DURING FY2021. 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. DUKE REGIONAL CONTINUED THE MONTHLY STROKE SUPPORT PROGRAM IN A VIRTUAL FORMAT DURING FY2021.COVID-19: WITH STRONG COMMUNITY PARTNERSHIPS, DUKE REGIONAL COORDINATED THE HEALTH SYSTEM EFFORTS TO PROVIDE COVID-19 VACCINATIONS EQUITABLY IN DURHAM BY MANAGING THE DAILY OPERATIONS FOR THE CLINICS FOCUSED ON SERVING OUR MOST VULNERABLE COMMUNITY MEMBERS. THE HOSPITAL OPENED AN ON-SITE CLINIC IN DECEMBER 2020 TO VACCINATE COMMUNITY PROVIDERS AND, ONCE ELIGIBLE, EDUCATORS. IT PARTNERED WITH DURHAM PUBLIC SCHOOLS AND DURHAM COUNTY HEALTH DEPARTMENT IN JANUARY 2021 TO OPEN A VACCINATION SITE AT SOUTHERN SCHOOL OF ENERGY AND SUSTAINABILITY, LOCATED IN ONE OF THE ZIP CODES MOST DISPROPORTIONATELY IMPACTED BY COVID-19. WHEN STUDENTS RETURNED TO CAMPUS IN APRIL 2021, THE HOSPITAL PARTNERED WITH THE CITY OF DURHAM TO MOVE THE CLINIC TO THE OLD WHEELS SKATE PARK. THE HOSPITAL PARTNERED WITH NUMEROUS COMMUNITY ORGANIZATIONS TO BRING "POP-UP OR "MOBILE" VACCINATIONS WHERE THEY WERE MOST NEEDED, CONDUCTING MORE THAN 30 EVENTS IN FY2021. IN TOTAL, THE HOSPITAL DISTRIBUTED MORE THAN 44,000 DOSES OF COVID-19 VACCINE WITH THESE EFFORTS CONTINUING IN FY2022.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, AMERICAN HEART ASSOCIATION HEART WALK, AND MARCH OF DIMES. IN FY2021, DUKE REGIONAL RAISED $29,035 FOR 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 FY2021, DRH PARTNERED WTH THE AMERICAN RED CROSS TO HOST FOUR BLOOD DRIVES, COLLECTING 79 UNITS OF BLOOD. |
| GROUP A - FACILITY 3 - DUKE REGIONAL HOSPITAL | PART 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, WILL BE BILLED AT AN AMOUNT EQUAL TO GROSS CHARGES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - DUKE PTOT MEADOWMONT CHAPEL HILL | ||||
| 801 W BARBEE CHAPEL ROAD SUITE 100 | CHAPEL HILL | NC | 27517 | SPECIALTY |
| 2 - DUKE HEALTH CENTER ARRINGDON | ||||
| 5601 ARRINGDON PARK DRIVE | MORRISVILLE | NC | 27560 | SPECIALTY |
| 3 - DUKE IMAGING SERVICES | ||||
| 3700 NW CARY PARKWAY SUITE 120 | CARY | NC | 27513 | INDEPENDENT DIAGNOSTIC TESTING FACILITY |
| 4 - HOCK FAMILY PAVILION | ||||
| 4023 NORTH ROXBORO ROAD | DURHAM | NC | 27704 | HOSPICE |
| 5 - DUKE PTOT HILLSBOROUGH | ||||
| 267 SOUTH CHURTON | HILLSBOROUGH | NC | 27278 | SPECIALTY |
| 6 - DUKE PTOT BRIER CREEK | ||||
| 10211 ALM ST | RALEIGH | NC | 27617 | SPECIALTY |
| 7 - DUKE PTOT KNIGHTDALE | ||||
| 162 LEGACY OAKS DR SUITE 1221A | KNIGHTDALE | NC | 27545 | SPECIALTY |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | NOT APPLICABLEPART I, LINE 5A, 5B, AND 5C:DUE TO COVID-19, DUKE UNIVERSITY HEALTH SYSTEM (DUHS) DID NOT BUDGET BY SPECIFIC PATIENT REVENUE DEDUCTIONS IN FY2021 TO BE ABLE TO SEPARATELY IDENTIFY THE BUDGET AMOUNT FOR FREE OR DISCOUNTED CARE. INSTEAD, DUHS FORECASTED NET PATIENT REVENUE AND PROVIDED FREE OR DISCOUNTED CARE TO THE MEDICALLY INDIGENT DURING FY2021 REGARDLESS OF BUDGET OR FORECAST CONSIDERATIONS.PART I, LINE 6A:NOT APPLICABLEPART I, LINE 7, COLUMN F:TOTAL GROSS COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSES IS 10.3%.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 AND DUKE INTEGRATED NETWORK, 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 $16.9 MILLION IN FY2021.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:THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) REVISED ITS ACCOUNTING GUIDANCE RELATED TO UNCOMPENSATED CARE IN JUNE 2019 TO REFLECT CHANGES IN BAD DEBT REPORTING RESULTING FROM FINANCIAL ACCOUNTING STANDARDS BOARD ACCOUNTING STANDARDS UPDATE 2014-09, "REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606)" (ASU 2014-09). DUHS ADOPTED ASU 2014-09 ON JULY 1, 2018. UPON ADOPTION OF ASU 2014-09 AND CONSISTENT WITH THE REVISED HFMA STATEMENT NO. 15, THE ESTIMATED UNCOLLECTIBLE AMOUNTS FROM SELF-PAY PATIENTS THAT WERE PREVIOUSLY REPORTED AS BAD DEBT EXPENSE PRIOR TO ADOPTION OF ASU 2014-09 ARE NOW CONSIDERED IMPLICIT PRICE CONCESSIONS DIRECTLY REDUCING NET PATIENT SERVICE REVENUE.DUHS PROVIDED UNCOMPENSATED CARE AT ESTIMATED COSTS IN THE FORM OF IMPLICIT PRICE CONCESSIONS (FORMERLY CONSIDERED BAD DEBT EXPENSE) ASSOCIATED WITH UNCOLLECTIBLE PATIENT ACCOUNTS AT AN ESTIMATED COST OF $29,205,000 IN FISCAL YEAR 2021. 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 ASISTANCE CLASSIFICATION.PART III, LINE 4:PAGES 19-21 IN THE FY2021 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, 2021 DUHS CONSOLIDATED FINANCIAL STATEMENTS ARE $412,603,000 AS COMPARED TO $160,317,133 AS REPORTED IN SECTION B, LINE 7 OF SCHEDULE H. THE DUHS TOTAL MEDICARE SHORTFALL OF $412,603,000 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. IN DURHAM COUNTY, DUHS AND THE DUKE UNIVERSITY SCHOOL OF MEDICINE FACULTY ARE ACTIVELY INVOLVED IN THE PARTNERSHIP FOR A HEALTHY DURHAM. THE PARTNERSHIP IS A COALITION OF LOCAL ORGANIZATIONS AND COMMUNITY MEMBERS WITH THE GOAL OF COLLABORATIVELY IMPROVING THE PHYSICAL, MENTAL, SOCIAL, HEALTH, AND WELL-BEING OF DURHAM COUNTY'S RESIDENTS. THE NETWORK IS A CERTIFIED HEALTHY CAROLINIANS WORKGROUP. THE PARTNERSHIP EVALUATES COMMUNITY HEALTH CARE INFORMATION, THEN IDENTIFIES AND PRIORITIZES COMMUNITY-IDENTIFIED HEALTH CARE NEEDS AMONG SUBCOMMITTEES THAT FOCUS ON A DURHAM COUNTY HEALTH PRIORITY. SINCE 2002, DUHS' OFFICE OF COMMUNITY HEALTH (FORMERLY KNOWN AS OFFICE OF COMMUNITY RELATIONS) HAS PLAYED A CENTRAL ROLE IN CONDUCTING A DURHAM HEALTH SUMMIT. THIS IS AN EVENT THAT ATTRACTS HUNDREDS OF COMMUNITY MEMBERS, HEALTH OFFICIALS, ELECTED OFFICIALS, AND DUHS EXECUTIVES AND PHYSICIANS TO RAISE AWARENESS OF KEY HEALTH ISSUES IN THE COMMUNITY AND SEEK COLLABORATIVE SOLUTIONS TO THESE ISSUES. THE SUMMIT HAS PRODUCED A NUMBER OF COMMUNITY-DRIVEN HEALTH CARE PROGRAMS AND INITIATIVES, INCLUDING SPECIALTY PROJECT ACCESS, IN WHICH PHYSICIANS WHO PRACTICE AT DUHS FACILITIES AND OTHER DURHAM COUNTY PHYSICIANS OFFER FREE SPECIALTY CARE SERVICES TO RESIDENTS WHO OTHERWISE COULD NOT AFFORD SPECIALTY CARE. DUHS ALSO PLAYS A CENTRAL ROLE IN REGIONAL AND STATE HEALTH CARE SUMMITS USING THE SUMMITS' INFORMATION AND DATA TO ADDRESS THE HEALTH CARE NEEDS OF THOSE BROADER COMMUNITIES.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 CHARITY CARE 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 CHARITY CARE 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. THIS 7-COUNTY REGION REPRESENTS APPROXIMATELY 18% OF NC'S POPULATION BASED ON FEDERAL FISCAL YEAR (FFY) 2020 DATA. THE WEIGHTED AVERAGE MEDIAN HOUSEHOLD INCOME IN ITS PSA IS $71,807. APPROXIMATELY 67% OF INPATIENT DISCHARGES FROM DUHS FACILITIES IN FFY 2020 WERE PATIENTS FROM ITS PSA. THE POPULATION IN DUHS' PSA IS EXPECTED TO GROW AT A HIGHER RATE OVER THE NEXT 5 YEARS FROM 2020 TO 2025 COMPARED TO NC'S OVERALL EXPECTED POPULATION GROWTH RATE. THE PSA 5-YEAR CAGR IS EXPECTED TO BE 1.8% COMPARED TO THE OVERALL ESTIMATED NC RATE OF 1.1%. 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, WHOSE ASSOCIATE VICE PRESIDENT REPORTS DIRECTLY TO DUHS' CEO AND SERVES AS A FULL-TIME LIAISON WITH THE DURHAM COMMUNITY. THE OFFICE SPONSORS AND FACILITATES COMMUNITY EVENTS SUCH AS THE ANNUAL DURHAM 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 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 HEALTH CARE-RELATED COMMUNITY BOARDS AND HEALTH-RELATED COMMITTEES. STAFF FROM THE OFFICE OF COMMUNITY HEALTH AND MEMBERS OF THE DUHS COMMUNITY HEALTH PLANNING GROUP CREATED A FORMAL PRINCIPLES OF COMMUNITY ENGAGEMENT POLICY THAT COMMITS DUHS AND ITS COMMUNITY PARTNERS TO DEVELOPING PROPOSED PROJECTS AND INITIATIVES ON TRUST, RESPECT, DIVERSITY, SAFETY AND COMMUNITY-IDENTIFIED NEEDS. THESE PRINCIPLES HAVE BEEN INCORPORATED INTO COMMUNITY-BASED HEALTH CARE PROJECTS SUCH AS THE DEVELOPMENT OF THE HOLTON WELLNESS CENTER AND DURHAM HEALTH INNOVATIONS, A MULTIDISCIPLINARY COMMUNITY BASED JOINT EFFORT BETWEEN DUHS AND THE DURHAM COMMUNITY THAT FOCUSES ON IMPROVING HEALTH OUTCOMES THROUGH NEW AND CREATIVE APPROACHES TO HEALTH CARE DELIVERY. |
| 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. MEETINGS ARE HELD TO DETERMINE HOW DUKE HEALTH CAN ASSIST THE FAITH COMMUNITY TO SUPPORT HEALTH MINISTRY ACTIVITIES IN THEIR COMMUNITY AND PLACES OF WORSHIP.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, LOCAL PHYSICIANS, THE 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. 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 THE HEALTHCARE FIELD. THE OFFICE OF COMMUNITY HEALTH WORKS WITH THE 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. IN ADDITION, THE HEALTH SYSTEM CEO IS WORKING TO HELP THE CMA BECOME THE PREMIER HEALTH SCIENCE HIGH SCHOOL IN NORTH CAROLINA. 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.COVID-19 RESPONSE:COVID-19 CONTINUED TO IMPACT OUR COMMUNITY'S HEALTH IN 2021. FORTUNATELY, VACCINATIONS TO PREVENT SERIOUS ILLNESS AND DEATH BECAME AVAILABLE. AT DUKE, WE VACCINATED 153,555 PATIENTS AND TEAM MEMBERS. FOR THE 5,765 PATIENTS WHO NEEDED COVID-19 TREATMENT AT DUKE HOSPITALS, WE COMMITTED OURSELVES TO ACHIEVING EQUITABLE HEALTH OUTCOMES. DUE TO THE IMPACT OF SYSTEMIC RACISM, PEOPLE OF COLOR ARE DISPROPORTIONATELY HOSPITALIZED WITH SEVERE CASES OF COVID-19. BUT ONCE WITHIN OUR WALLS, WE ENSURED THAT THERE WERE NO DISPARITIES IN CARE, TREATMENT, OR OUTCOME AMONG WHITE, AFRICAN AMERICAN, OR LATINX PATIENTS. AT DUKE WE ARE PROUD THAT PATIENTS WHO WERE HOSPITALIZED WITH COVID-19 RECEIVED THE HIGHEST QUALITY CARE.ALL THREE DUHS HOSPITALS PROVIDED EXTENSIVE OUTREACH, STAFFING AND RESOURCES TO ADVANCE EQUITABLE ACCESS TO COVID-19 TESTING AND THE DISTRIBUTION OF VACCINES. BETWEEN AUGUST OF 2020 AND MAY 2021, DUKE UNIVERSITY HEALTH SYSTEM (DUHS) SERVED AS LEAD ENTITY FOR REGION 3 OF THE NC DHHS COVID-19 SUPPORT SERVICES PROGRAM (SSP). LOCAL COMMUNITY BASED ORGANIZATIONS (CBOS) PROVIDED SERVICES ACROSS A 7 COUNTY REGION, INCLUDING DURHAM, FRANKLIN, GRANVILLE, NASH, VANCE, WAKE AND WARREN. DUHS CONTRACTED WITH NOT ONLY ORGANIZATIONS WITH THE BEST OVERALL REACH, BUT ALSO WITH THOSE WHO COULD GENERATE IMPACT WITHIN HIGHLY MARGINALIZED POPULATIONS (HMP) DISPROPORTIONALLY AFFECTED BY THE PANDEMIC. THE ACCOMPLISHMENTS WERE THE RESULT OF AN INTENTIONALITY OF PARTNERSHIPS MADE TO MOST EFFECTIVELY REACH THESE AREAS. AS OF THE PROGRAM'S CONCLUSION, OUR NETWORK OF CBOS SERVED OVER 14,500 FOOD BOXES, OVER 65,000 MEALS AND MORE THAN 13,000 PACKAGES OF COVID-19 SUPPLIES TO HOUSEHOLDS IN OUR 7 COUNTIES. ADDITIONALLY, NEARLY $4 MILLION IN RELIEF PAYMENTS WERE DISPERSED TO JUST UNDER 5,000 HOUSEHOLDS. IN TOTAL THE PROGRAM SERVED 8,199 UNIQUE HOUSEHOLDS REACHING APPROXIMATELY 35 THOUSAND INDIVIDUALS. SURVEY RESULTS INDICATED THAT 88% OF PARTICIPANTS WERE ABLE TO QUARANTINE SAFELY FROM COVID-19 AS A DIRECT RESULT OF THESE SERVICES.ADDITIONAL HOSPITAL-SPECIFIC COVID-19 COMMUNITY RESPONSE ACTIVITIES CAN BE FOUND IN THE RESPECTIVE HOSPITAL PART V, SECTION C SUPPLEMENTAL INFORMATION.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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (58 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| A PLACE AT THE TABLE | |||||||
| PO BOX 26205 | RALEIGH | NC | 27611 | 472959935 | 501(C)(3) | $6,000 | GENERAL SUPPORT |
| ALLIANCE FOR NC NONPROFITS INC | |||||||
| 530 N BLOUNT ST | RALEIGH | NC | 27604 | 461358968 | 501(C)(6) | $10,000 | GENERAL SUPPORT |
| ALLIANCE MEDICAL MINISTRY INC | |||||||
| 101 DONALD ROSS DR | RALEIGH | NC | 27610 | 562168673 | 501(C)(3) | $45,000 | COMMUNITY SUPPORT |
| AMERICAN NATIONAL RED CROSS | |||||||
| 4737 UNIVERSITY DR | DURHAM | NC | 27707 | 530196605 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| BIG BROTHERS BIG SISTERS OF THE TRIANGLE | |||||||
| 808 AVIATION PKWY SUITE 900 | MORRISVILLE | NC | 27560 | 562109717 | 501(C)(3) | $10,000 | COMMUNITY SUPPORT |
| BOYS CLUB OF WAKE COUNTY INC | |||||||
| 701 N RALEIGH BLVD | RALEIGH | NC | 27610 | 560863051 | 501(C)(3) | $40,000 | SPONSORSHIP |
| BRIDGES POINTE HOUSING CORP | |||||||
| PO BOX 11531 | DURHAM | NC | 27703 | 562085686 | 501(C)(3) | $12,500 | GENERAL SUPPORT |
| CAPSTONE EVENT GROUP LLC | |||||||
| 3803-B COMPUTER DR SUITE 205 | RALEIGH | NC | 27609 | 464157559 | $12,000 | SPONSORSHIP | |
| CENTER FOR VOLUNTEER CAREGIVING | |||||||
| 1150 SE MAYNARD RD STE 210 | CARY | NC | 27511 | 582067482 | 501(C)(3) | $10,000 | COMMUNITY SUPPORT |
| CHILD CARE SERVICES ASSOCIATION | |||||||
| PO BOX 901 | CHAPEL HILL | NC | 27514 | 561514058 | 501(C)(3) | $7,500 | GENERAL SUPPORT |
| CHILDRENS CANCER PARTNERSHIP | |||||||
| 900 S PINE ST | SPARTANBURG | SC | 29302 | 202511033 | 501(C)(3) | $15,000 | COMMUNITY SUPPORT |
| CHILDRENS FLIGHT OF HOPE INC | |||||||
| 1005 DRESSER CT | RALEIGH | NC | 27609 | 561762824 | 501(C)(3) | $15,000 | COMMUNITY SUPPORT |
| CITY OF DURHAM | |||||||
| 807 E MAIN ST 2-300 ATTN C ST | DURHAM | NC | 27701 | 566000225 | $25,000 | COMMUNITY SUPPORT | |
| COMMUNITIES IN PARTNERSHIP | |||||||
| PO BOX 11247 | DURHAM | NC | 27703 | 475567396 | 501(C)(3) | $30,000 | COMMUNITY SUPPORT |
| COMMUNITY HEALTH COALITION INC | |||||||
| PO BOX 15176 | DURHAM | NC | 277042755 | 562269385 | 501(C)(3) | $25,000 | COMMUNITY SUPPORT |
| DUKE REGIONAL HOSPITAL AUXILIARY | |||||||
| 3643 NORTH ROXBORO STREET | DURHAM | NC | 27704 | 581781247 | 501(C)(3) | $10,800 | GENERAL SUPPORT |
| DUKE SCHOOL FOR CHILDREN | |||||||
| 3716 ERWIN RD | DURHAM | NC | 27705 | 581521494 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| DURHAM ACADEMY INC | |||||||
| 3601 RIDGE RD | DURHAM | NC | 27705 | 560538019 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| DURHAM CRISIS RESPONSE CENTER | |||||||
| 206 N DILLARD ST | DURHAM | NC | 277013404 | 581496427 | 501(C)(3) | $38,350 | COMMUNITY SUPPORT |
| EL CENTRO HISPANO INC | |||||||
| 2000 CHAPEL HILL RD 26A | DURHAM | NC | 27707 | 562011661 | 501(C)(3) | $20,800 | COMMUNITY SUPPORT |
| EL FUTURO INC | |||||||
| 2020 E CHAPEL HILL ROAD SUITE | DURHAM | NC | 27707 | 800122334 | 501(C)(3) | $35,000 | COMMUNITY SUPPORT |
| EMILY KRZYZEWSKI FAMILY LIFE CENTER | |||||||
| 904 W CHAPEL HILL ST | DURHAM | NC | 27701 | 562230469 | 501(C)(3) | $10,000 | SPONSORSHIP |
| FAMILIES MOVING FORWARD | |||||||
| 300 N QUEEN ST | DURHAM | NC | 27701 | 561633998 | 501(C)(3) | $20,000 | COMMUNITY SUPPORT |
| FAMILY VIOLENCE PREVENTION CTR | |||||||
| 1012 OBERLINE RD SUITE 100 | RALEIGH | NC | 27605 | 581320613 | 501(C)(3) | $30,000 | GENERAL SUPPORT |
| GREAT 100 INC | |||||||
| PO BOX 4875 | GREENSBORO | NC | 274044875 | 561705456 | 501(C)(3) | $30,000 | GENERAL SUPPORT |
| HABITAT FOR HUMANITY OF DURHAM | |||||||
| 215 N CHURCH ST | DURHAM | NC | 27701 | 581674794 | 501(C)(3) | $75,000 | COMMUNITY SUPPORT |
| HABITAT FOR HUMANITY OF WAKE COUNTY | |||||||
| 2420 RALEIGH BLVD | RALEIGH | NC | 27604 | 561492703 | 501(C)(3) | $10,000 | COMMUNITY SUPPORT |
| HOUSING FOR NEW HOPE INC | |||||||
| 18 W COLONY PLACE SUITE 250 | DURHAM | NC | 27705 | 582089068 | 501(C)(3) | $20,000 | COMMUNITY SUPPORT |
| LIFE SKILLS FOUNDATION | |||||||
| PO BOX 51129 | DURHAM | NC | 27712 | 203676000 | 501(C)(3) | $10,000 | COMMUNITY SUPPORT |
| LUCY DANIELS CTR FOR EARLY CHILDHOOD | |||||||
| 9003 WESTON PKWY | CARY | NC | 27513 | 581863104 | 501(C)(3) | $16,000 | COMMUNITY SUPPORT |
| LUNG CANCER INITIATIVE | |||||||
| 5171 GLENWOOD AVE 401 | RALEIGH | NC | 27612 | 262300885 | 501(C)(3) | $20,000 | SPONSORSHIP |
| MEDICAL FOUNDATION OF NC INC | |||||||
| SUITE 4100 BONDURANT HALL CB 7 | CHAPEL HILL | NC | 275997145 | 566057494 | 501(C)(3) | $50,000 | GENERAL SUPPORT |
| MIDTOWN EVENTS LLC | |||||||
| PO BOX 19107 | RALEIGH | NC | 27619 | 271832351 | $50,000 | SPONSORSHIP | |
| MIDTOWN RALEIGH ALLIANCE | |||||||
| 920 PAVERSTONE DR ST G | RALEIGH | NC | 27615 | 452559048 | 501(C)(6) | $12,000 | SPONSORSHIP |
| NATIONAL HUMANITIES CENTER | |||||||
| 7 T W ALEXANDER DR | RTP | NC | 27709 | 591735367 | 501(C)(3) | $10,000 | SPONSORSHIP |
| NC PHYSICIANS HEALTH PROGRAM INC | |||||||
| 220 HORIZON DRIVE 201 | RALEIGH | NC | 27615 | 561846599 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| NORTH CAROLINA INSTITUTE OF MEDICINE | |||||||
| 630 DAVIS DR STE 100 | MORRISVILLE | NC | 27560 | 561506066 | $10,000 | GENERAL SUPPORT | |
| NORTH CAROLINA SYMPHONY SOCIETY | |||||||
| 3700 GLENWOOD AVE SUITE 130 | RALEIGH | NC | 27612 | 560556755 | 501(C)(3) | $12,500 | SPONSORSHIP |
| ORANGE COUNTY RAPE CRISIS CENTER | |||||||
| 1506 E FRANKLIN ST 200 | CHAPEL HILL | NC | 275142825 | 581356356 | 501(C)(3) | $15,000 | COMMUNITY SUPPORT |
| PARTNERSHIP EFFORT FOR THE ADVANCEMENT OF CHILDRENS HEALTH | |||||||
| 800 N MANGUM ST SUITE 105 | DURHAM | NC | 27701 | 204317882 | 501(C)(3) | $25,000 | COMMUNITY SUPPORT |
| PEDIATRIC BRAIN TUMOR FOUNDATION OF THE UNITED STATES INC | |||||||
| 6065 ROSWELL RD STE 505 | ATLANTA | GA | 30328 | 581966822 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| PROJECT ACCESS OF DURHAM COUNTY | |||||||
| 4206 N ROXBORO ST STE 100 | DURHAM | NC | 27704 | 261925378 | 501(C)(3) | $11,667 | GENERAL SUPPORT |
| RECOVERY COMMUNITITES OF NORTH CAROLINA INC | |||||||
| 824 N BLOODWORTH ST | RALEIGH | NC | 27604 | 463288242 | 501(C)(3) | $20,000 | COMMUNITY SUPPORT |
| RESCUE MISSIONS MINISTRIES INC | |||||||
| PO BOX 11368 | DURHAM | NC | 27703 | 581482590 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| RONALD MCDONALD HOUSE OF DURHAM | |||||||
| 506 ALEXANDER AVE | DURHAM | NC | 27705 | 561220376 | 501(C)(3) | $50,000 | COMMUNITY SUPPORT |
| SAMARITAN HEALTH CENTER | |||||||
| PO BOX 51339 | DURHAM | NC | 27717 | 263770762 | 501(C)(3) | $20,000 | COMMUNITY SUPPORT |
| SENIOR PHARMASSIST INC | |||||||
| 406 RIGSBEE AVE STE 201 | DURHAM | NC | 277012186 | 562084639 | 501(C)(3) | $51,000 | GENERAL SUPPORT |
| SOUTHEASTERN EFFORTS DEVELOPING SUSTAINABLE SPACES INC | |||||||
| 706 GILBERT ST | DURHAM | NC | 27701 | 561876445 | 501(C)(3) | $10,000 | COMMUNITY SUPPORT |
| SOUTHLIGHT HEALTHCARE | |||||||
| 3125 POPLARWOOD CT SUITE 203 | RALEIGH | NC | 27604 | 560988422 | 501(C)(3) | $10,000 | SPONSORSHIP |
| STEPUP DURHAM | |||||||
| 112 BROADWAY ST SUITE B | DURHAM | NC | 27701 | 474578727 | 501(C)(3) | $15,000 | COMMUNITY SUPPORT |
| SUSAN G KOMEN BREAST CANCER FOUNDATION | |||||||
| PO BOX 801889 | DALLAS | TX | 75380 | 751835298 | 501(C)(3) | $55,000 | SPONSORSHIP |
| TROSA INC | |||||||
| 1820 JAMES ST | DURHAM | NC | 277072024 | 561861158 | 501(C)(3) | $53,350 | COMMUNITY SUPPORT |
| UNITING NC INC | |||||||
| 201 W MAIN ST 100 | DURHAM | NC | 27701 | 263275886 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| UPSTREAM WORKS | |||||||
| 106 DRAYTON COURT | CHAPEL HILL | NC | 27516 | 825298960 | 501(C)(3) | $15,000 | GENERAL SUPPORT |
| URBAN MINISTRIES OF DURHAM | |||||||
| 410 LIBERTY ST | DURHAM | NC | 27701 | 581505891 | 501(C)(3) | $25,000 | COMMUNITY SUPPORT |
| URBAN MINISTRIES OF WAKE COUNTY | |||||||
| 1390 CAPITAL BLVD | RALEIGH | NC | 27603 | 581422700 | 501(C)(3) | $27,500 | COMMUNITY SUPPORT |
| WAKE TECH COMM COLL FOUNDATION | |||||||
| 9101 FAYETTEVILLE RD | RALEIGH | NC | 276035696 | 237017752 | 501(C)(3) | $31,600 | SPONSORSHIP |
| WOMENS CENTER OF WAKE COUNTY | |||||||
| 400 S WEST STREET | RALEIGH | NC | 27601 | 581316004 | 501(C)(3) | $20,000 | COMMUNITY SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 54 | Total501c3OrgCnt |
| Total Other Org | 4 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | FINANCIAL ASSISTANCE | GrantTypeTxt |
| Recipient | 17 | RecipientCnt |
| Cash Grant | $12,988 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | DUKE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A EUGENE WASHINGTON MD | ||||||||||||||
| DIRECTOR/PRESIDENT & CEO | $0 | $1,327,996 | $0 | $648,542 | $0 | $19,500 | $0 | $34,741 | $0 | $17,828 | $0 | $2,048,607 | $0 | $550,000 |
| KENNETH C MORRIS | ||||||||||||||
| FORMER OFFICER | $603,401 | $0 | $75,491 | $0 | $1,000,000 | $0 | $34,741 | $0 | $6,735 | $0 | $1,720,368 | $0 | $0 | $0 |
| VINCENT E PRICE | ||||||||||||||
| DIRECTOR | $0 | $1,456,976 | $0 | $0 | $0 | $19,500 | $0 | $34,741 | $0 | $22,040 | $0 | $1,533,257 | $0 | $0 |
| WILLIAM J FULKERSON MD | ||||||||||||||
| EXECUTIVE VP, DUHS | $958,995 | $0 | $0 | $0 | $94,847 | $0 | $34,741 | $0 | $8,767 | $0 | $1,097,350 | $0 | $0 | $0 |
| JOHN P MORDACH | ||||||||||||||
| SVP, CFO, TREASURER | $450,546 | $0 | $486,050 | $0 | $18,000 | $0 | $0 | $0 | $17,095 | $0 | $971,691 | $0 | $0 | $0 |
| THOMAS A OWENS MD | ||||||||||||||
| PRESIDENT, DUH AND SVP, DUHS | $641,889 | $0 | $100,000 | $0 | $19,500 | $0 | $34,741 | $0 | $12,598 | $0 | $808,728 | $0 | $0 | $0 |
| RICHARD PATRICK SHANNON | ||||||||||||||
| PHYSICIAN | $673,800 | $0 | $35,192 | $0 | $19,500 | $0 | $34,741 | $0 | $16,029 | $0 | $779,262 | $0 | $0 | $0 |
| MARY E KLOTMAN MD | ||||||||||||||
| DIRECTOR | $0 | $708,776 | $0 | $0 | $0 | $19,500 | $0 | $34,741 | $0 | $14,910 | $0 | $777,927 | $0 | $0 |
| JEFFREY M FERRANTI | ||||||||||||||
| CIO/VP FOR MEDICAL INFORMATICS | $477,697 | $103,128 | $73,500 | $0 | $19,500 | $0 | $34,741 | $0 | $27,412 | $0 | $632,850 | $103,128 | $0 | $0 |
| KEITH STOVER | ||||||||||||||
| COO, PRMO | $460,546 | $0 | $40,000 | $0 | $19,500 | $0 | $30,790 | $0 | $24,113 | $0 | $574,949 | $0 | $0 | $0 |
| KATHLEEN GALBRAITH | ||||||||||||||
| PRESIDENT, DUKE REGIONAL HOSPITAL | $409,544 | $0 | $74,630 | $0 | $18,000 | $0 | $27,624 | $0 | $28,759 | $0 | $558,557 | $0 | $0 | $0 |
| ARLENE N CHUA | ||||||||||||||
| PHYSICIAN | $384,360 | $0 | $61,012 | $0 | $44,165 | $0 | $30,800 | $0 | $21,412 | $0 | $541,749 | $0 | $0 | $0 |
| ROBERT N WILLIS | ||||||||||||||
| VP FINANCE/CONTROLLER/CAO | $432,008 | $0 | $40,000 | $0 | $19,500 | $0 | $28,777 | $0 | $16,869 | $0 | $537,154 | $0 | $0 | $0 |
| MONTE D BROWN MD | ||||||||||||||
| VP FOR ADMINISTRATION/SECRETARY | $425,800 | $0 | $0 | $0 | $32,600 | $0 | $30,263 | $0 | $18,989 | $0 | $507,652 | $0 | $0 | $0 |
| MARY K MARTIN | ||||||||||||||
| CHIEF OPERATING OFFICER, DUH | $385,154 | $0 | $25,187 | $0 | $0 | $0 | $27,601 | $0 | $30,572 | $0 | $468,514 | $0 | $0 | $0 |
| MARY ANN FUCHS | ||||||||||||||
| VP-PATIENT CARE/CHIEF NURSE EXEC | $385,024 | $0 | $0 | $0 | $0 | $0 | $24,217 | $0 | $8,727 | $0 | $417,968 | $0 | $0 | $0 |
| ERIK PAULSON | ||||||||||||||
| DIRECTOR | $0 | $342,224 | $0 | $0 | $0 | $19,500 | $0 | $23,391 | $0 | $25,860 | $0 | $410,975 | $0 | $0 |
| ANN REED | ||||||||||||||
| DIRECTOR | $0 | $303,218 | $0 | $0 | $0 | $0 | $0 | $18,766 | $0 | $6,762 | $0 | $328,746 | $0 | $0 |
| LEIGH BLEECKER | ||||||||||||||
| INTERIM PRESIDENT, DUKE RALEIGH HOSP | $221,626 | $0 | $77,000 | $0 | $0 | $0 | $13,353 | $0 | $14,081 | $0 | $326,060 | $0 | $0 | $0 |
| DAVID W ZAAS | ||||||||||||||
| PART YEAR PRESIDENT, DUKE RALEIGH HO | $256,948 | $0 | $0 | $0 | $9,750 | $0 | $34,111 | $0 | $8,515 | $0 | $309,324 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 4A | KENNETH C. MORRIS RECEIVED A TOTAL OF $3,000,000 RELATED TO HIS SEPARATION FROM EMPLOYMENT, ISSUED IN TWO PAYMENTS. $1,000,000 IS INCLUDED ON THE CURRENT SCHEDULE J DETAILS. $2,000,000 WILL BE INCLUDED ON FORM 990, SCHEUDLE J, FYE 06/30/2022. |
| SCHEDULE J, PART I, LINE 7 | NON-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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| A | 521309402 | 2018-04-24 | $273,320,000 | SEE PART VI | 0 | 0 | 0 | |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| B | 521309402 | 2012-05-30 | $214,598,930 | SEE PART VI | 0 | 0 | 0 | |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| C | 521309402 | 2015-03-19 | $128,325,000 | SEE PART VI | 0 | 0 | 0 | |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| D | 521309402 | 2012-06-28 | $326,853,753 | SEE PART VI | Yes (1) | 0 | 0 | 65821DLB5 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Substantial CompletionSubstantialCompletionYr | Bond DefeasedBondDefeasedAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $26,985,000 | $273,320,000 | $273,320,000 | Yes (1) | 0 | Yes (1) | Yes (1) | |||||
| B | $193,290,000 | $214,760,000 | $214,760,000 | Yes (1) | 0 | Yes (1) | Yes (1) | |||||
| C | $6,705,000 | $128,325,000 | $128,325,000 | Yes (1) | 0 | Yes (1) | Yes (1) | 2009 | ||||
| D | $25,705,000 | $326,995,394 | 0 | 0 | Yes (1) | Yes (1) | 2013 | $273,285,000 | $14,871,185 | $2,737,864 | $309,386,345 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | Yes (1) | 0.00070 | Yes (1) | Yes (1) |
| D | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART I, COLUMN F | FormAndLineReferenceDesc |
| Explanation | BOND ISSUE A: THE PURPOSE OF THE BONDS ISSUED 04/24/18 WAS TO CONVERT THE 2005A REVENUE REFUNDING BONDS TO BEAR INTEREST AT A NEW BANK-BOUGHT INDEX FLOATING RATE. 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 04/24/18 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 B(2) BELOW. BOND ISSUE B: 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 C: THE PURPOSE OF THE BONDS ISSUED 03/19/2015 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 D: THE PURPOSE OF THE BONDS ISSUED 06/28/12 WAS TO FINANCE PART OF THE COST OF 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 609,000 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): THE ISSUANCE OF THE BONDS ON 7/25/2018 WAS A DEEMED CURRENT REFUNDING OF THE 2012B BONDS DUE TO THE CONVERSION OF THE 2012B BONDS TO BEAR INTEREST AT A NEW BANK-BOUGHT INDEX FLOATING RATE. THE PURPOSE OF THE BONDS ISSUED 08/28/2012 WAS TO REFUND THE ORIGINAL 1985B BONDS ISSUED ON 10/02/1985 FOR THE ACQUISITION OF A MAINTENANCE BUILDING, PARKING, AND A DEBT SERVICE FUND, AND TO REFUND THE ORIGINAL 1993A BONDS ISSUED ON 08/12/1993. THE PURPOSE OF THE BONDS ISSUED 08/12/1993 WAS TO PARTIALLY REFUND THE 1991D BONDS ISSUED ON 7/1/1991 AND THE 1985A BONDS ISSUED ON 10/02/1985. THE 2012C BONDS WERE PAID OFF EFFECTIVE JUNE 1, 2015. BOND ISSUE B (2): THE 2016B AND 2016C REVENUE REFUNDING BONDS WERE CONVERTED TO BEAR INTEREST AT A NEW BANK-BOUGHT INDEX FLOATING RATE ON 04/24/18. 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 ON 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 C (2): THE PURPOSE OF THE BONDS ISSUED 08/11/16 WAS TO REFUND THE ORIGINAL 2010A BONDS ISSUED ON 04/2/10 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 D (2): DRAW-DOWN FINANCING LEASE PROGRAM WITH SUNTRUST EQUIPMENT FINANCE & LEASING CORP. IN THE MAXIMUM PRINCIPAL AMOUNT OF $40,000,000 TO FINANCE MEDICAL, COMPUTER, OFFICE, AND CAPITAL EQUIPMENT. BOND ISSUE A (3): SCHEDULE NO. 1 OF THE FINANCING LEASE PROGRAM WITH TD EQUIPMENT FINANCE IN THE PRINCIPAL AMOUNT OF $1,937,324 TO FINANCE MEDICAL, COMPUTER, OFFICE, AND CAPITAL EQUIPMENT ISSUE PRICE DIFFERS FROM THAT SHOWN ON FORM 8038 BECAUSE FORM 8038 ASSUMED ALL SCHEDULES UNDER THE PROGRAM WOULD BE DRAWN DOWN AS ONE ($40,000,000) ISSUE, BUT NOW SCHEDULE NO. 1 IS SINGLE ISSUE. BOND ISSUE B (3): 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 2, BOND ISSUE (D): ON 01/14/20, PROCEEDS OF THE SERIES 2020 TAXABLE BONDS WERE USED IN PART TO REFUND $273,285,000 OF THE 2012A BONDS, WHICH WAS ALL OF THE 2012A BONDS MATURING AFTER JUNE 1, 2022. SCHEDULE K, PART II, LINE 3, BOND ISSUE (B): PROCEEDS INCLUDE ISSUE PRICE PLUS ORIGINAL ISSUE DISCOUNT / UPFRONT FEE PAID DIRECTLY BY DUHS TO THE BANK UPON ISSUANCE. SCHEDULE K, PART II, LINE 3, BOND ISSUE (D): PROCEEDS INCLUDE INVESTMENT EARNINGS. SCHEDULE K, PART II, LINE 3, BOND ISSUES D (2), A (3), AND B (3): PROCEEDS REFLECT ACTUAL PRINCIPAL DRAWN DOWN UNDER DRAW DOWN FINANCING LEASE PROGRAM. SCHEDULE K, PART III, B (2), LINES 4-6: RESPONSES REFLECT THE COMPUTATION OF THE PORTION OF THE ISSUE ALLOCABLE TO THE REFUNDING OF THE 2009A BONDS. SCHEDULE K, PART III, LINE 8C, BOND ISSUE (C) : DISPOSITION WAS THE SUBJECT OF A CLOSING AGREEMENT ACCEPTED AND CLOSED WITH THE IRS IN OCTOBER 2014 THROUGH THE TAX EXEMPT BONDS VOLUNTARY CLOSING AGREEMENT PROGRAM. SCHEDULE K, PART IV, LINE 2C, BOND ISSUES (A), (B), (C), (D), B (2), AND C (2): BOND ISSUE (A) COMPLETED 06/01/19; (B) COMPLETED 05/30/17; (C) COMPLETED 09/30/16; (D) COMPLETED 05/31/17; B(2) COMPLETED 06/01/19; AND C(2) COMPLETED 08/01/17. AS TO D(2), A(3), AND B(3), NO ARBITRAGE COMPUTATION WAS NECESSARY BECAUSE NO PROCEEDS WERE REINVESTED. BOND ISSUES (A), (B), AND A (2): THESE PROCEEDS WERE DISBURSED OR DEEMED DISBURSED UPON ISSUANCE TO CURRENTLY REFUND THE PRIOR BONDS. BOND ISSUES D (2), A (3), AND B (3): SALES PROCEEDS ALLOCATED UPON ISSUANCE AND NOT INVESTED. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| A | 521309402 | 2018-07-25 | $28,650,000 | SEE PART VI | 0 | 0 | 0 | |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| B | 521309402 | 2016-05-26 | $383,990,154 | SEE PART VI | 0 | 0 | 0 | 65821DUD1 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| C | 521309402 | 2016-08-11 | $140,200,389 | SEE PART VI | 0 | 0 | 0 | 65821DVK4 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| D | 521309402 | 2015-04-21 | $40,000,000 | SEE PART VI | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $16,305,000 | $28,650,000 | $28,650,000 | Yes (1) | 0 | Yes (1) | Yes (1) | ||||
| B | $233,310,000 | $383,990,154 | $180,000,000 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | $201,888,819 | $2,101,335 | ||
| C | $140,200,389 | 0 | Yes (1) | Yes (1) | Yes (1) | $139,008,505 | $1,191,884 | ||||
| D | $14,402,255 | $19,035,078 | 0 | 0 | Yes (1) | Yes (1) | $19,035,078 | 2017 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | |||
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | 0.00000 | 0.00000 | 0.00000 |
| D | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | 0.00000 | 0.00000 | 0.00000 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| NORTH CAROLINA MEDICAL CARE COMMISSION | |||||||
| A | 521309402 | 2017-10-26 | $1,937,324 | SEE PART VI | 0 | 0 | 0 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | |||||||
| B | 521309402 | 2018-05-10 | $38,062,676 | SEE PART VI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $1,404,483 | $1,937,324 | $1,937,324 | 2018 | 0 | 0 | Yes (1) | Yes (1) |
| B | $8,974,399 | $9,262,883 | $9,262,883 | 2020 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BIOVENTUS LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $296,839 | TransactionAmt |
| Transaction | SEE PART V | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: | FormAndLineReferenceDesc |
| Explanation | (A) NAME OF INTERESTED PERSON: BIOVENTUS, LLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TWO DUHS, INC. DIRECTORS ARE ALSO DIRECTORS OF BIOVENTUS, LLC(C) AMOUNT OF TRANSACTION: $296,839(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR GOODS OR SERVICES(E) SHARING OF ORGANIZATION REVENUE? = NO | ExplanationTxt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 6 | ContributionCnt |
| Noncash Contributions Rpt F990 | $47,676 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | MARKET QUOTE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | CARE PACKAGES | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $3,571 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (1) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 32B: | FormAndLineReferenceDesc |
| Explanation | DUKE 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 4A | STATEMENT 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 3B | THE ORGANIZATION DID NOT HAVE UNRELATED BUSINESS GROSS INCOME OF $1,000 OR MORE DURING THE FISCAL YEAR ENDED JUNE 30, 2021. HOWEVER THE ORGANIZATION HAS FILED FORM 990-T FOR THE FISCAL YEAR ENDED JUNE 30, 2021 IN ORDER TO CARRY FORWARD THE NET OPERATING LOSS. |
| FORM 990, PART VI, SECTION A, LINE 2 | DIRECTORS JACK O. BOVENDER, JR., WILLIAM HAWKINS, GERALD HASSELL, VINCENT E. PRICE, CARMICHAEL ROBERTS, NANCY M. SCHLICHTING, AND STEVEN M. SCOTT, MD ARE TRUSTEES OF DUKE UNIVERSITY. DIRECTOR AND PRESIDENT/CEO, 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: ANN M. REED AND ERIK PAULSON. DIRECTOR AND PRESIDENT/CEO, A. EUGENE WASHINGTON, MD, AND OFFICERS WILLIAM J. FULKERSON, MD, AND JOHN P. MORDACH ARE DIRECTORS AND OFFICERS OF DURHAM CASUALTY COMPANY, LTD. DIRECTOR AND PRESIDENT/CEO, A. EUGENE WASHINGTON, MD, AND OFFICERS WILLIAM J. FULKERSON, MD, ANN M. REED, AND ERIK PAULSON ARE BOARD MEMBERS OF PRIVATE DIAGNOSTIC CLINIC, PLLC. OFFICERS WILLIAM J. FULKERSON, MD AND JOHN P. MORDACH ARE BOTH DIRECTORS AND OFFICERS OF HEALTH SYSTEM MEDICAL STRATEGIES, INC. WILLIAM HAWKINS AND SUSAN STALNECKER ARE BOTH DIRECTORS OF BIOVENTUS, LLC. |
| FORM 990, PART VI, SECTION A, LINE 3 | DUHS DELEGATES CONTROL TO A SUPPORTING ORGANIZATION FOR THE MANAGEMENT OF INVESTMENTS. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION AMENDED THE ARTICLES OF INCORPORATION EFFECTIVE JULY 1, 2020 STATING THE FOLLOWING REPORTABLE UPDATE TO ARTICLE IX: THE BOARD OF DIRECTORS SHALL INCLUDE FIVE (5) EX OFFICIO MEMBERS, WHO SHALL BE THE INDIVIDUALS SERVING AS PRESIDENT OF DUKE UNIVERSITY, THE CHANCELLOR FOR HEALTH AFFAIRS OF DUKE UNIVERSITY/PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION, THE CHAIR OF THE BOARD OF TRUSTEES OF DUKE UNIVERSITY, THE DEAN OF THE DUKE UNIVERSITY SCHOOL OF MEDICINE AND THE CHAIR OF THE BOARD OF THE DUKE UNIVERSITY SCHOOL OF MEDICINE FACULTY PRACTICE PLAN. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE 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 7B | THE 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 11B | AFTER 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 12C | DUHS 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 15 | THE 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 HAS ALWAYS PUT TERMS AND SAFEGUARDS IN AGREEMENTS WITH THIRD PARTIES TO PROTECT THE ASSETS AND EXEMPT STATUS OF THE ORGANIZATION, EVEN THOUGH A WRITTEN POLICY WAS NOT IN PLACE. DURING FYE 06/30/2022, DUHS APPROVED AND DISSEMINATED 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. |
| FORM 990, PART VI, SECTION C, LINE 18 | IN 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 19 | DUKE 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: 563,080,004. NET TRANSFERS TO THE UNIVERSITY AND AFFILIATES: -223,325,859. CHANGE IN MARKET VALUE OF DERIVATIVES: 26,297,345. DEEMED DIVIDEND: -11,039,237. |
| FORM 990, PART XII, LINE 3B: | FEDERAL AWARDS RECEIVED BY THE ORGANIZATION ARE INCLUDED IN THE DUKE UNIVERSITY FY2021 SINGLE AUDIT, AND THE ASSOCIATED REPORT WILL BE ISSUED BY THE EXTENDED DEADLINE OF SEPTEMBER 30, 2022. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| DUKE PRMO LLC | ||||||||
| 615 DOUGLAS STREET SUITE 700 | DURHAM | NC | 27705 | MEDICAL BILLING | NC | $170,019,389 | $2,002,986 | DUKE UNIVERSITY HEALTH SYSTEM INC |
| DUHS GLOBAL LLC | ||||||||
| 310 BLACKWELL STREET 4TH FLOOR BOX | DURHAM | NC | 27710 | SUPPORT | NC | $0 | $0 | DUKE UNIVERSITY HEALTH SYSTEM INC |
| SAME DAY SURGERY CENTER FRANKLIN LLC | ||||||||
| 310 BLACKWELL STREET 4TH FLOOR BOX | DURHAM | NC | 27710 | SUPPORT | NC | $0 | $0 | DUKE UNIVERSITY HEALTH SYSTEM INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (38 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | EINEIN | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| AMER ASSOC FOR GIFTED CHILDREN - 56-1686219 | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | ||
| ASSOCIATED HEALTH SVCS INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | HEALTHCARE | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY HEALTH SYSTEM INC | Yes (1) | 561845329 | |
| DU SPECIAL VENTURES FUND INC | |||||||||||
| 280 S MANGUM STREET STE 210 | DURHAM | NC | 27701 | INVESTMENTS | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 561465177 | |
| DUKE ALUMNI ASSOCIATION INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 561594088 | |
| DUKE CORPORATE EDUCATION | |||||||||||
| 310 BLACKWELL ST | DURHAM | NC | 27701 | EDUCATION | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 421672476 | |
| DUKE GIFT PROPERTIES INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 571211078 | |
| DUKE GLOBAL INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 611588319 | |
| DUKE INTEGRATED NETWORK INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY HEALTH SYSTEM INC | Yes (1) | 463129771 | |
| DUKE MEDICINE GLOBAL SUPP CORP- 61-1593721 | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | ||
| DUKE QUALITY NETWORK INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY HEALTH SYSTEM INC | Yes (1) | 461340679 | |
| DUKE SCHOLARLY EXHIBITS INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 561701245 | |
| DUKE UNIV AFFILIATED PHYSICIANS | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | HEALTHCARE | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY HEALTH SYSTEM INC | Yes (1) | 561902501 | |
| DUKE UNIV PHILANTHROPIES INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 571211099 | |
| DUKE UNIV SCH OF MED RESEARCH FDN 56-2247203 | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | ||
| DUKE UNIVERSITY | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | EDUCATION | NC | 501(C)(3) | LINE 2 | 0 | 560532129 | N/A | |
| DUMAC INC | |||||||||||
| 280 S MANGUM STREET STE 210 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 900754895 | |
| DURHAM ASSET MGMT COMPANY INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 561757238 | |
| DURHAM REALTY INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 561917936 | |
| GOTHIC CORPORATION | |||||||||||
| 280 S MANGUM STREET STE 210 | DURHAM | NC | 27701 | INVESTMENTS | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 561776668 | |
| GOTHIC HSP CORPORATION | |||||||||||
| 280 S MANGUM STREET STE 210 | DURHAM | NC | 27701 | INVESTMENTS | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY HEALTH SYSTEM INC | Yes (1) | 271325761 | |
| HIGH POINT REALTY ASSOCIATES INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 561917939 | |
| INNOVATIONS IN HEALTHCARE INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 320358709 | |
| RUTH K BROAD BIOMED RES FDN | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 650045051 | |
| THE CTR FOR DOCUMENTARY STUDIES | |||||||||||
| 1317 PETTIGREW STREET | DURHAM | NC | 27705 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 561655039 | |
| THE LORD FDN OF NORTH CAROLINA | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 561415423 | |
| DUKE JANJUN SERVICES INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 471150667 | |
| DUKE JULDEC SERVICES INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 471143245 | |
| DUKE ALLMO SERVICES INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 471133466 | |
| DUKE INVESTMENT EDUCATION INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 475555092 | |
| FSB REALTY INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 811309454 | |
| DUKE AFFILIATIONS NETWORK INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY HEALTH SYSTEM INC | Yes (1) | 812623775 | |
| TRIANGLE FIBER GROUP | |||||||||||
| 310 BLACKWELL STREET 4TH FLOOR | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY | 0 | 815328550 | |
| DUKE UNIV FED CRED UNION | |||||||||||
| 2200 WEST MAIN STREET | DURHAM | NC | 27705 | BANKING | NC | 501(C)(1) | 0 | 561632379 | N/A | ||
| WATTS COLLEGE OF NURSING INC | |||||||||||
| 324 BLACKWELL STEET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | DUKE UNIVERSITY HEALTH SYSTEM INC | Yes (1) | 833076664 | |
| DUKE FACULTY PRACTICE INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | DUKE UNIVERSITY | 0 | 862109896 | |
| DONALD R WATSON FOUNDATION INC | |||||||||||
| 601 SOUTH COLLEGE ROAD | WILMINGTON | NC | 28403 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | 0 | 561861816 | N/A | |
| FAMILY HEALTH MINISTRIES INC | |||||||||||
| PO BOX 16783 | CHAPEL HILL | NC | 27516 | HEALTH CLINICS | NC | 501(C)(3) | LINE 10 | DUKE UNIVERSITY | 0 | 562206165 | |
| SUSAN H & WILBUR H MARCY TRUST | |||||||||||
| PO BOX 1328 | WINTER PARK | FL | 32790 | SUPPORT | NC | 501(C)(3) | 12 TYPE 1 | 0 | 591932547 | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (35 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | EINEIN |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLACKWELL PARTNERS LLC - SERIES A - 20-8075455 | |||||||||||||||
| 280 S MANGUM ST STE 210 | DURHAM | NC | 27701 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | ||||||
| CANYON BLUE INV FD 27-0186996 | |||||||||||||||
| AVE OF STARS | LA | CA | 90067 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | ||||||
| CD FUND LP - 27-0130641 | |||||||||||||||
| MCKINNEY AVE | DALLAS | TX | 75201 | INVESTMENTS | TX | N/A | N/A | 0 | 0 | ||||||
| LYRICAL BLUE RL PT 27-2994514 | |||||||||||||||
| 32 N DEAN ST | ENGLEWOOD | NJ | 07631 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | ||||||
| LYRICAL-BLUE RGNT 45-3626577 | |||||||||||||||
| 32 N DEAN ST | ENGLEWOOD | NJ | 07631 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | ||||||
| SBER LUCKY STRIKE 20-3891303 | |||||||||||||||
| 310 BLACKWELL ST | DURHAM | NC | 27701 | REAL ESTATE | NC | N/A | N/A | 0 | 0 | ||||||
| MANGUM II LLC - 46-5135858 | |||||||||||||||
| 280 S MANGUM STREET STE 210 | DURHAM | NC | 27701 | INVESTMENTS | NC | N/A | N/A | 0 | 0 | ||||||
| LS INVESTOR LLC 20-3891381 | |||||||||||||||
| 310 BLACKWELL ST | DURHAM | NC | 27701 | REAL ESTATE | NC | N/A | N/A | 0 | 0 | ||||||
| DILWEG BLUE PF LP 47-1225569 | |||||||||||||||
| 5310 S ALSTON AVE STE 210 | DURHAM | NC | 27713 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | ||||||
| LYRICAL BLUE RL PT IV 47-2172270 | |||||||||||||||
| 32 N DEAN ST | ENGLEWOOD | NJ | 07631 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | ||||||
| LYRICAL BLUE CHP PT 35-2503856 | |||||||||||||||
| 32 N DEAN ST | ENGLEWOOD | NJ | 07631 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | ||||||
| LIQUID RLT PTR II TE - 20-4362819 | |||||||||||||||
| INVESTMENTS | DE | N/A | N/A | 0 | 0 | 10 MARKET ST 769 CAMANA BAY | GRAND CAYMAN | CJ | KY1-9006 | ||||||
| STRATUS CAPITAL PARTNERS C LP | |||||||||||||||
| INVESTMENTS | N/A | N/A | 0 | 0 | 50 LOTHIAN ROAD FESTIVAL SQUARE | EDINBURGH | UK | EH3 9WJ | UK | ||||||
| ALTOS HYBRID D LLC | |||||||||||||||
| 2882 SAND HILL ROAD SUITE 100 | MENLO PARK | CA | 94025 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 473996176 | |||||
| GPE HOLDCO LLC | |||||||||||||||
| 2000 AVE OF THE STARS 11TH FL | LOS ANGELES | CA | 90067 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 475652832 | |||||
| BLACKWELL PARTNERS LLC - SERIES C | |||||||||||||||
| 280 S MANGUM ST STE 210 | DURHAM | NC | 27701 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 811264533 | |||||
| BLACKWELL PARTNERS LLC - SERIES B | |||||||||||||||
| 280 S MANGUM ST STE 210 | DURHAM | NC | 27701 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 472530719 | |||||
| BLACKWELL PARTNERS LLC - SERIES D | |||||||||||||||
| 280 S MANGUM ST STE 210 | DURHAM | NC | 27701 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 813385353 | |||||
| BLACKWELL PARTNERS LLC - SERIES E | |||||||||||||||
| 280 S MANGUM ST STE 210 | DURHAM | NC | 27701 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 811511048 | |||||
| ALTOS HYBRID 2D LLC - 81-5176567 | |||||||||||||||
| 2882 SAND HILL ROAD STE 100 | MENLO PARK | CA | 94025 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | ||||||
| GILEAD CAPITAL PARTNERS LP | |||||||||||||||
| 157 COLUMBUS AVE SUITE 403 | NEW YORK | NY | 10023 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 320520146 | |||||
| TOWER VIEW LIMITED | |||||||||||||||
| INVESTMENTS | N/A | N/A | 0 | 0 | 89 NEXUS WAY CAMANA BAY | GRAND CAYMAN | CJ | KY1-9007 | CJ | ||||||
| ENIAC SPECIAL GAMMA LLC | |||||||||||||||
| 604 MISSION STREET 10TH FL | SAN FRANCSICO | CA | 94105 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 855033123 | |||||
| LYRICAL-BLUE 100 KINGSHIGHWAY PARTNERS LP | |||||||||||||||
| 32 N DEAN ST | ENGLEWOOD | NJ | 07631 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 823708328 | |||||
| LYRICAL-BLUE SOTP PARTNERS LP | |||||||||||||||
| 32 N DEAN ST | ENGLEWOOD | NJ | 07631 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 814468378 | |||||
| WASHINGTON GOTHIC LP | |||||||||||||||
| 593 WASHINGTON STREET | WELLESLEY | MA | 02482 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 834516893 | |||||
| DUKE TRIANGLE ENDOSCOPY CENTER LLC | |||||||||||||||
| 1A BURTON HILLS BLVD | NASHVILLE | TN | 37215 | HEALTHCARE | NC | N/A | N/A | 0 | 0 | 204257024 | |||||
| COLONY INVESTORS III LP | |||||||||||||||
| 515 S FLOWER ST 44TH FL | LOS ANGELES | CA | 90071 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 954665622 | |||||
| DWELLWORKS CO-INVESTMENT LLC | |||||||||||||||
| 7 TIMES SQUARE STE 4307 | NEW YORK | NY | 10036 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 832165945 | |||||
| BEP LEGACY 1C LLC | |||||||||||||||
| 1001 FANNIN ST STE 800 | HOUSTON | TX | 77002 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 273871932 | |||||
| WELLINGTON TRUST CO NA - CTF OPP FIXED INC ALLOC II POR | |||||||||||||||
| 280 CONGRESS STREET | BOSTON | MA | 02210 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 831264831 | |||||
| ENIAC SPECIAL DELTA LLC | |||||||||||||||
| 604 MISSION STREET 10TH FL | SAN FRANCISCO | CA | 94105 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | 842355221 | |||||
| STRATUS SCP III INVESTORS - GAMMA LP | |||||||||||||||
| INVESTMENTS | N/A | N/A | 0 | 0 | 50 LOTHIAN ROAD FESTIVAL SQUARE | EDINBURGH | UK | EH3 9WJ | UK | ||||||
| STRATUS SCP COINVESTMENT II - FIP-M | |||||||||||||||
| INVESTMENTS | N/A | N/A | 0 | 0 | RUA FUNCHAL 418 28 ANDAR VILA OLI | SAO PAULO | BR | 04551-060 | BR | ||||||
| MANGUM LLC | |||||||||||||||
| 280 S MANGUM STREET STE 210 | DURHAM | NC | 27701 | INVESTMENTS | NC | N/A | N/A | 0 | 0 | 461275587 | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Province Or StateForeignAddress/ProvinceOrStateNm | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DUKE CE LS INC | |||||||||||||||||||
| 310 BLACKWELL STREET | DURHAM | NC | 27701 | 202004016 | REAL ESTATE | NC | N/A | C | 0 | ||||||||||
| DUKE CE (SEA) PRIVATE LIMITED | |||||||||||||||||||
| SUPPORT | N/A | C | 0 | 1 RAFFLES PLACE TOWER 2 | SINGAPORE | SN | 048616 | SN | |||||||||||
| DUKE CORP EDU INDIA PRIVATE | |||||||||||||||||||
| 421672476 | CONSULTING | N/A | C | 0 | ACADEMIC BLOCK NEW CAMPUS | VASTRAPUR | IN | 380015 | IN | AHMEDABAD | |||||||||
| DUKE CORPORATE EDUCATION LIM | |||||||||||||||||||
| 421672476 | EDUCATION CONSULTING | N/A | C | 0 | 165 FLEET STREET | LONDON | UK | EC4A 2DY | UK | ||||||||||
| DUKE CORPORATE EDUCATION RSA | |||||||||||||||||||
| 421672476 | CONSULTING | N/A | C | 0 | GROUND FLOOR TWICKEHNHAM BLDG | BRYANSTON | SF | 02021 | SF | JOHANNESBURG | |||||||||
| DUKE GLOBAL CONSULTING (KUNSHAN) | |||||||||||||||||||
| CONSULTING | N/A | C | 0 | 1666 WEI CHEN NAN RD | KUNSHAN PR | CH | 215300 | CH | KUNSHAN | ||||||||||
| DUKE MEDICAL STRATEGIES INC | |||||||||||||||||||
| 2200 WEST MAIN STREET STE 920 | DURHAM | NC | 27705 | 561993799 | HEALTHCARE | NC | N/A | C | 0 | ||||||||||
| DUKE MEDICINE ASIA PTE LTD | |||||||||||||||||||
| MEDICAL RESEARCH | N/A | C | 0 | 5 SHENTON WAY 07-00 UIC BLD | SINGAPORE | SN | 068808 | SN | |||||||||||
| DURHAM CASUALTY COMPANY LTD | |||||||||||||||||||
| 980113277 | INSURANCE | C | Yes (1) | AON HOUSE 30 WOODBOURNE AVE | PEMBROKE | BD | HM 08 | BD | DUHS INC | $85,519,140 | $316,045,515 | 1.00000 | |||||||
| GOTHIC INTERNATIONAL LTD | |||||||||||||||||||
| INVESTMENTS | N/A | C | 0 | 113 S CHURCH STREET QUEENSGATE HOU | GRAND CAYMAN | CJ | KY1-1108 | CJ | |||||||||||
| HEALTH SYSTEM MEDICAL STRATEGIES INC | |||||||||||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | 562222444 | HEALTH CARE | NC | C | Yes (1) | DUHS INC | $138,686 | $11,326 | 1.00000 | |||||||
| MARATHON BLUE CAYMAN FUND | |||||||||||||||||||
| INVESTMENTS | N/A | C | 0 | 89 NEXUS WAY PO BOX 31106 | GRAND CAYMAN | CJ | KY1-1205 | CJ | |||||||||||
| GHI HOLDINGS MAURITIUS | |||||||||||||||||||
| INVESTMENTS | N/A | C | 0 | 9TH FL ORANGE TOWER CYBERCITY | EBENE | MP | MP | ||||||||||||
| GHI ERP LTD | |||||||||||||||||||
| INVESTMENTS | N/A | C | 0 | 9TH FL ORANGE TOWER CYBERCITY | EBENE | MP | MP | ||||||||||||
| GHI HSP LTD | |||||||||||||||||||
| INVESTMENTS | N/A | C | 0 | 9TH FL ORANGE TOWER CYBERCITY | EBENE | MP | MP | ||||||||||||
| GHI JBD LTD | |||||||||||||||||||
| INVESTMENTS | N/A | C | 0 | 9TH FL ORANGE TOWER CYBERCITY | EBENE | MP | MP | ||||||||||||
| GHI LTP LTD | |||||||||||||||||||
| INVESTMENTS | N/A | C | 0 | 9TH FL ORANGE TOWER CYBERCITY | EBENE | MP | MP | ||||||||||||
| MCP PRIVATE CAPITAL (FEEDER) FUND I LP | |||||||||||||||||||
| INVESTMENTS | N/A | C | 0 | 6 RUE GABRIEL LIPPMANN | LUXEMBOURG | LU | L-5365 | LU | |||||||||||
| DUKE INDIA SERVICES PRIVATE LIMITED | |||||||||||||||||||
| MEDICAL RESEARCH | N/A | C | 0 | 302 PRIDE ELITE 10 MUSEUM ROAD | BANGALORE | IN | 560001 | IN | KARNATAKA | ||||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DUKE UNIVERSITY AFFILIATED PHYSICIANS INC | ||
| R | $54,570,500 | FMV |
| ASSOCIATED HEALTH SERVICES INC | ||
| R | $14,523,886 | FMV |
| DUKE AFFILIATIONS NETWORK INC | ||
| S | $148,525 | FMV |
| DUKE INTERGRATED NETWORK INC | ||
| R | $10,517,473 | FMV |
| WATTS COLLEGE OF NURSING INC | ||
| R | $469,337 | FMV |
| DURHAM CASUALTY COMPANY INC | ||
| S | $19,250,123 | FMV |
| DURHAM CASUALTY COMPANY INC | ||
| R | $9,958,854 | FMV |
| DUKE TRIANGLE ENDOSCOPY CENTER LLC | ||
| L | $162,446 | FMV |
| DUKE TRIANGLE ENDOSCOPY CENTER LLC | ||
| Q | $174,456 | FMV |
| GOTHIC HSP CORPORATION | ||
| B | $783,214,448 | FMV |
| GOTHIC HSP CORPORATION | ||
| C | $725,391,476 | FMV |