DUKE UNIVERSITY HEALTH SYSTEM INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- DUKE UNIVERSITY HEALTH SYSTEM INC (EIN 56-2070036)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201721359349306152
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- 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 | 2017-05-15T12:38:49-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | 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 | 9196842006 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 324 BLACKWELL ST WASHIN BLDG NO 850 | AddressLine1Txt |
| City | DURHAM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KENNETH C MORRIS | PersonNm |
| Person Title | SVP, CFO, TREASURER | PersonTitleTxt |
| Phone | 9196842006 | PhoneNum |
| Signature | 2017-05-15 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | $4,702,996,158 | 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 | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 18416 | TotalEmployeeCnt |
| Total Volunteers | 1307 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,820,061 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,218,130 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,818,682,038 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,936,916,539 | CYProgramServiceRevenueAmt |
| PY Investment Income | $101,336,100 | PYInvestmentIncomeAmt |
| CY Investment Income | $97,734,118 | CYInvestmentIncomeAmt |
| PY Other Revenue | $104,331,321 | PYOtherRevenueAmt |
| CY Other Revenue | $90,308,683 | CYOtherRevenueAmt |
| PY Total Revenue | $3,030,169,520 | PYTotalRevenueAmt |
| CY Total Revenue | $3,133,177,470 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,263,620 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,823,541 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,202,472,908 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,271,861,355 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $165,340 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,373,610,219 | PYOtherExpensesAmt |
| CY Other Expenses | $1,472,089,701 | CYOtherExpensesAmt |
| PY Total Expenses | $2,577,346,747 | PYTotalExpensesAmt |
| CY Total Expenses | $2,745,774,597 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $452,822,773 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $387,402,873 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,807,967,846 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,933,202,039 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,801,917,400 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,714,201,164 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,006,050,446 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,219,000,875 | 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 | $2,010,129,790 | ExpenseAmt |
| Grant | $1,823,541 | GrantAmt |
| Revenue | $2,991,309,310 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $2,010,129,790 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | Yes (1) | 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 | 663 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 18416 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | 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 | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AK | StatesWhereCopyOfReturnIsFldCd |
| 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 | OK | 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 |
| 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 | LAURA ALVIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9196138993 | 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 (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| FARAD ALI | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| NANCY CATHERINE ANDREWS MD | ||||||||||
| DIRECTOR | 3.00 | 56.10 | Yes (X) | $0 | $966,113 | $88,273 | ||||
| LESLIE E BAINS | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JACK O BOVENDER JR | ||||||||||
| DIRECTOR | 3.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD H BRODHEAD | ||||||||||
| DIRECTOR | 10.00 | 50.20 | Yes (X) | $0 | $1,182,780 | $220,107 | ||||
| JAMES F GOODMON | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS M GORRIE | ||||||||||
| DIRECTOR | 3.00 | 9.10 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM HAWKINS | ||||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN M KANE | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARY KLOTMAN MD | ||||||||||
| DIRECTOR | 12.00 | 40.20 | Yes (X) | $0 | $373,247 | $46,671 | ||||
| MICHAEL MARSICANO | ||||||||||
| DIRECTOR | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN H MCARTHUR | ||||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| LLOYD B MORGAN | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK F NEWMAN | ||||||||||
| DIRECTOR | 1.00 | 50.20 | Yes (X) | $0 | $234,572 | $48,845 | ||||
| THEODORE NICK PAPPAS MD | ||||||||||
| DIRECTOR | 2.00 | 40.00 | Yes (X) | $0 | $294,641 | $46,074 | ||||
| DAVID M RUBENSTEIN | ||||||||||
| DIRECTOR | 1.00 | 16.10 | Yes (X) | $0 | $0 | $0 | ||||
| STEVEN SCOTT MD | ||||||||||
| DIRECTOR | 4.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| SUSAN M STALNECKER | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| PETER VAN ETTEN | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| G RICHARD WAGONER JR | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| A EUGENE WASHINGTON MD | ||||||||||
| PRESIDENT & CEO DUHS/DIRECTOR | 33.00 | 33.10 | Yes (X) | $0 | $1,138,182 | $91,368 | Yes (X) | |||
| JIM WHITEHURST | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MONTE D BROWN MD | ||||||||||
| VP FOR ADMINISTRATION/SECRETARY | 60.00 | 0.10 | $657,427 | $0 | $48,437 | Yes (X) | ||||
| WILLIAM J FULKERSON JR MD | ||||||||||
| EXECUTIVE VP, DUHS | 60.00 | 0.60 | $2,128,105 | $0 | $37,419 | Yes (X) | ||||
| KENNETH C MORRIS | ||||||||||
| SVP, CFO, TREASURER | 80.00 | 0.90 | $1,193,388 | $0 | $41,487 | Yes (X) | ||||
| MARY ANN FUCHS | ||||||||||
| VP-PATIENT CARE/CHIEF NURSE EXEC | 60.00 | 0.00 | $418,354 | $0 | $38,035 | Yes (X) | ||||
| KATHLEEN GALBRAITH | ||||||||||
| PRESIDENT, DUKE REGIONAL HOSPITAL | 65.00 | 0.10 | $494,981 | $0 | $48,549 | Yes (X) | ||||
| KEVIN W SOWERS | ||||||||||
| PRESIDENT, DUKE UNIVERSITY HOSPITAL | 50.00 | 0.00 | $682,473 | $0 | $42,803 | Yes (X) | ||||
| DAVID W ZAAS MD | ||||||||||
| PRESIDENT, DUKE RALEIGH HOSPITAL | 60.00 | 0.00 | $518,912 | $0 | $41,944 | Yes (X) | ||||
| SANDRA DANOFF | ||||||||||
| SVP, STRATEGIC PLANNING, BD, NS | 80.00 | 0.10 | $1,198,578 | $0 | $37,775 | Yes (X) | ||||
| JEFFREY M FERRANTI | ||||||||||
| VP, CIO, DHTS ADMINISTRATION | 44.50 | 5.50 | $516,463 | $62,544 | $46,643 | Yes (X) | ||||
| THOMAS A OWENS MD | ||||||||||
| CHIEF MEDICAL OFFICER | 60.00 | 0.10 | $608,407 | $0 | $43,510 | Yes (X) | ||||
| ANDREW T PICKENS | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $461,019 | $0 | $43,925 | Yes (X) | ||||
| STEPHEN R SMITH | ||||||||||
| CHIEF HR OFFICER | 40.00 | 0.00 | $472,945 | $0 | $45,236 | Yes (X) | ||||
| VICTOR J DZAU MD | ||||||||||
| FORMER DIRECTOR/OFFICER | 0.00 | 40.00 | $0 | $240,729 | $31,565 | Yes (X) | ||||
| PAUL NEWMAN | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 41.00 | $0 | $255,861 | $37,050 | Yes (X) | ||||
| KERRY R WATSON | ||||||||||
| FORMER KEY EMPLOYEE | 40.00 | 0.10 | $24,525 | $0 | $20,201 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,375,577 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,748,669 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,145,917 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1480 | 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 | |||||
| DUMC 3070 | DURHAM | NC | 27710 | PHYSICIAN SERVICES | $102,246,182 |
| DELOITTE LLP | |||||
| PO BOX 844708 | DALLAS | TX | 752844708 | CONSULTING SERVICES | $17,687,076 |
| ROBINS & MORTON GROUP | |||||
| 400 SHADES CREEK PKW | BIRMINGHAM | AL | 35209 | CONSTRUCTION SERVICE | $13,029,781 |
| PRISM HEALTHCARE PARTNERS LTD | |||||
| 190 SOUTH LA SALLE STREET | CHICAGO | IL | 60603 | CONSULTING SERVICES | $11,820,363 |
| ARAMARK SERVICES INC | |||||
| 25271 NETWORK PLACE | CHICAGO | IL | 606731252 | HEALTHCARE SERVICES | $10,524,887 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 279 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $51,066 | FundraisingAmt |
| Related Organizations | $6,300 | RelatedOrganizationsAmt |
| Government Grants | $401,882 | GovernmentGrantsAmt |
| All Other Contributions | $7,758,882 | AllOtherContributionsAmt |
| Noncash Contributions | $3,005,038 | NoncashContributionsAmt |
| Total Contributions | $8,218,130 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621990 | $2,905,650,825 | $2,905,650,825 |
| ANCILLARY MEDICAL | 621990 | $28,335,783 | $28,335,783 |
| MEDICAL SERVICES | 621990 | $2,929,931 | $2,929,931 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,936,916,539 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,410,546 | TotalRevenueColumnAmt |
| Exclusion | $27,410,546 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,155,359 | TotalRevenueColumnAmt |
| Exclusion | $10,155,359 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,672,544 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,863,696 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,808,848 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,808,848 | TotalRevenueColumnAmt |
| Exclusion | $1,808,848 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,627,572,359 | SecuritiesAmt |
| Other | $627,351 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,556,930,573 | SecuritiesAmt |
| Other | $945,565 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $70,641,786 | SecuritiesAmt |
| Other | -$318,214 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,323,572 | TotalRevenueColumnAmt |
| Exclusion | $70,323,572 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $73,408 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $51,066 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $78,854 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,446 | TotalRevenueColumnAmt |
| Exclusion | -$5,446 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| BILLING FEES | 621990 | $39,796,794 | $39,796,794 | |
| DEEMED DIVIDEND | 900003 | $16,360,810 | $16,360,810 | |
| MEANINGFUL USE REVENUE | 621990 | $4,341,380 | $4,341,380 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,850,938 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,595,977 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,254,961 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $78,349,922 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,133,177,470 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,991,309,310 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $133,650,030 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,622,966 | TotalAmt |
| Program Services | $1,622,966 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,804 | TotalAmt |
| Program Services | $41,804 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,771 | TotalAmt |
| Program Services | $158,771 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,691,919 | TotalAmt |
| Program Services | $666,688 | ProgramServicesAmt |
| Management And General | $4,947,336 | ManagementAndGeneralAmt |
| Fundraising | $77,895 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,459 | TotalAmt |
| Program Services | $143,559 | ProgramServicesAmt |
| Management And General | $106,625 | ManagementAndGeneralAmt |
| Fundraising | $275 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,008,493,552 | TotalAmt |
| Program Services | $692,680,569 | ProgramServicesAmt |
| Management And General | $315,762,274 | ManagementAndGeneralAmt |
| Fundraising | $50,709 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,339,409 | TotalAmt |
| Program Services | $31,690,381 | ProgramServicesAmt |
| Management And General | $18,645,366 | ManagementAndGeneralAmt |
| Fundraising | $3,662 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,718,199 | TotalAmt |
| Program Services | $67,672,139 | ProgramServicesAmt |
| Management And General | $70,042,019 | ManagementAndGeneralAmt |
| Fundraising | $4,041 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,367,817 | TotalAmt |
| Program Services | $47,432,344 | ProgramServicesAmt |
| Management And General | $21,932,004 | ManagementAndGeneralAmt |
| Fundraising | $3,469 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,173,614 | TotalAmt |
| Program Services | $9,555,447 | ProgramServicesAmt |
| Management And General | $618,167 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,220,412 | TotalAmt |
| Program Services | $65,316 | ProgramServicesAmt |
| Management And General | $1,155,096 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $517,400 | TotalAmt |
| Management And General | $517,400 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,745,646 | TotalAmt |
| Management And General | $2,745,646 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,819,308 | TotalAmt |
| Program Services | $121,703,745 | ProgramServicesAmt |
| Management And General | $112,115,563 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,058,323 | TotalAmt |
| Program Services | $194,441 | ProgramServicesAmt |
| Management And General | $1,863,882 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,255,833 | TotalAmt |
| Program Services | $21,174,433 | ProgramServicesAmt |
| Management And General | $11,059,090 | ManagementAndGeneralAmt |
| Fundraising | $22,310 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,348,172 | TotalAmt |
| Program Services | $2,466,203 | ProgramServicesAmt |
| Management And General | $46,881,969 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,957,491 | TotalAmt |
| Program Services | $42,422,249 | ProgramServicesAmt |
| Management And General | $20,535,225 | ManagementAndGeneralAmt |
| Fundraising | $17 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,953,860 | TotalAmt |
| Program Services | $4,229,232 | ProgramServicesAmt |
| Management And General | $2,724,453 | ManagementAndGeneralAmt |
| Fundraising | $175 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,105,369 | TotalAmt |
| Management And General | $5,103,404 | ManagementAndGeneralAmt |
| Fundraising | $1,965 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,941,137 | TotalAmt |
| Program Services | $250,236 | ProgramServicesAmt |
| Management And General | $40,690,901 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,454,094 | TotalAmt |
| Program Services | $112,674,863 | ProgramServicesAmt |
| Management And General | $37,779,231 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,901,684 | TotalAmt |
| Program Services | $5,901,684 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $692,471,279 | $692,471,279 | ||
| EQUIPMENT RENTAL & MAIN | $75,095,596 | $48,095,830 | $26,999,536 | $230 |
| MEDICAID ASSESSMENT | $68,032,391 | $68,032,391 | ||
| LOSS - DEBT EXTINGUISH. | $25,077,686 | $25,077,686 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,960,406 | TotalAmt |
| Program Services | $38,783,220 | ProgramServicesAmt |
| Management And General | -$31,823,406 | ManagementAndGeneralAmt |
| Fundraising | $592 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,745,774,597 | TotalAmt |
| Program Services | $2,010,129,790 | ProgramServicesAmt |
| Management And General | $735,479,467 | ManagementAndGeneralAmt |
| Fundraising | $165,340 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,380 | BOYAmt |
| EOY | $87,611 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $472,424,814 | BOYAmt |
| EOY | $329,162,546 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,844,516 | BOYAmt |
| EOY | $2,033,882 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $419,624,025 | BOYAmt |
| EOY | $385,991,772 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $845,659 | BOYAmt |
| EOY | $708,155 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,714,452 | BOYAmt |
| EOY | $80,843,829 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,304,455 | BOYAmt |
| EOY | $18,726,721 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,979,570,809 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,546,414,035 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,437,729,307 | BOYAmt |
| EOY | $1,433,156,774 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,794,906 | BOYAmt |
| EOY | $249,703,654 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,063,136,861 | BOYAmt |
| EOY | $2,396,723,865 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,109,824 | BOYAmt |
| EOY | $21,109,824 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,355,647 | BOYAmt |
| EOY | $14,953,406 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,807,967,846 | BOYAmt |
| EOY | $4,933,202,039 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $284,748,675 | BOYAmt |
| EOY | $310,640,992 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,707,181 | BOYAmt |
| EOY | $8,442,833 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,064,585,790 | BOYAmt |
| EOY | $1,078,059,351 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $446,875,754 | BOYAmt |
| EOY | $1,317,057,988 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,801,917,400 | BOYAmt |
| EOY | $2,714,201,164 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,948,471,628 | BOYAmt |
| EOY | $2,161,184,588 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,074,912 | BOYAmt |
| EOY | $44,116,648 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,503,906 | BOYAmt |
| EOY | $13,699,639 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,006,050,446 | BOYAmt |
| EOY | $2,219,000,875 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,807,967,846 | BOYAmt |
| EOY | $4,933,202,039 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $387,402,873 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$199,508,647 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$974,943,797 | OtherChangesInNetAssetsAmt |
| 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 | 0 | FederalGrantAuditRequiredInd |
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 | $121,357 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $191,606 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $312,963 | 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 | $57,578,816 | BeginningYearBalanceAmt |
| Contributions | $7,276,856 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,590,780 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,448,607 | OtherExpendituresAmt |
| End Year Balance | $57,816,285 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $59,083,195 | BeginningYearBalanceAmt |
| Contributions | $4,849,436 | ContributionsAmt |
| Investment Earnings Or Losses | -$29,888 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,323,927 | OtherExpendituresAmt |
| End Year Balance | $57,578,816 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $46,947,089 | BeginningYearBalanceAmt |
| Contributions | $13,413,723 | ContributionsAmt |
| Investment Earnings Or Losses | $2,988,057 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,265,674 | OtherExpendituresAmt |
| End Year Balance | $59,083,195 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $50,036,781 | BeginningYearBalanceAmt |
| Contributions | $8,190,873 | ContributionsAmt |
| Investment Earnings Or Losses | $1,409,233 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $12,689,798 | OtherExpendituresAmt |
| End Year Balance | $46,947,089 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $53,700,068 | BeginningYearBalanceAmt |
| Contributions | $11,126,530 | ContributionsAmt |
| Investment Earnings Or Losses | -$758,496 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $14,031,321 | OtherExpendituresAmt |
| End Year Balance | $50,036,781 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.43480 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.56520 | 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 | $27,304,086 | OtherCostOrOtherBasisAmt |
| Book Value | $27,304,086 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,771,686,215 | OtherCostOrOtherBasisAmt |
| Depreciation | $755,019,020 | DepreciationAmt |
| Book Value | $1,016,667,195 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $731,212,122 | OtherCostOrOtherBasisAmt |
| Depreciation | $507,508,350 | DepreciationAmt |
| Book Value | $223,703,772 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $449,368,386 | OtherCostOrOtherBasisAmt |
| Depreciation | $283,886,665 | DepreciationAmt |
| Book Value | $165,481,721 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,433,156,774 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (7 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| HEDGED STRATEGIES | $522,428,607 | F |
| SHORT-TERM INVESTMENTS | $224,888,307 | F |
| PRIVATE CAPITAL | $393,947,506 | F |
| REAL ASSETS | $265,065,489 | F |
| FIXED INCOME | $239,297,820 | F |
| EQUITIES | $219,584,630 | F |
| OTHER INVESTMENTS | $531,511,506 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $2,396,723,865 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLE | $524,283,969 |
| INTEREST PAYABLE | $10,773,449 |
| PROFESSIONAL LIABILITY COSTS | $7,272,021 |
| POST RETIREMENT BENEFIT OBLIGATION | $471,107,000 |
| CAPITAL LEASE OBLIGATION | $123,417,219 |
| DERIVATIVE INSTRUMENTS | $117,187,395 |
| OTHER NON-CURRENT LIABILITIES | $63,016,935 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,317,057,988 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE INTENDED USE FOR THE ORGANIZATION'S ENDOWMENT: FUNDS SUPPORT CAPITAL PURCHASES, OFFSET OPERATING COSTS, IMPROVE PATIENT SAFETY, AND SUPPORT THE NEEDS OF PATIENTS AND FAMILIES. |
| 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, 2016. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp (11 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|
| CENTRAL AMERICA AND THE CARIBBEAN | 0 | 0 | SEMINAR | $35,424 |
| EAST ASIA AND THE PACIFIC | 0 | 0 | SEMINAR | $10,895 |
| EUROPE | 0 | 0 | SEMINAR | $10,327 |
| MIDDLE EAST AND NORTH AFRICA | 0 | 0 | SEMINAR | $1,362 |
| SUB-SAHARAN AFRICA | 0 | 0 | SEMINAR | $5,458 |
| NORTH AMERICA | 0 | 0 | SEMINAR | $19,015 |
| SOUTH AMERICA | 0 | 0 | SEMINAR | $203 |
| CENTRAL AMERICA AND THE CARIBBEAN | 0 | 0 | INVESTMENTS | $190,296,686 |
| CENTRAL AMERICA AND THE CARIBBEAN | 0 | 0 | GRANTMAKING | $8,385 |
| SOUTH AMERICA | 0 | 0 | GRANTMAKING | $125,000 |
| SUB-SAHARAN AFRICA | 0 | 0 | GRANTMAKING | $25,386 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $190,379,370 | SubtotalSpentAmt |
| Continuation Spent | $158,771 | ContinuationSpentAmt |
| Total Spent | $190,538,141 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp (3 entries)
| RegionRegionTxt | Purpose Of GrantPurposeOfGrantTxt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Description Of Non Cash AsstDescriptionOfNonCashAsstTxt | Valuation Method UsedValuationMethodUsedDesc |
|---|---|---|---|---|---|
| CENTRAL AMERICA AND THE CARIBBEAN | GENERAL SUPPORT | $0 | $8,385 | MEDICAL EQUIPMENT | FMV |
| SOUTH AMERICA | GENERAL SUPPORT | $0 | $125,000 | MEDICAL EQUIPMENT | FMV |
| SUB-SAHARAN AFRICA | GENERAL SUPPORT | $0 | $20,201 | MEDICAL EQUIPMENT | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DUKE UNIVERSITY HEALTH SYSTEM, INC. PERIODICALLY APPROVES NONCASH ASSISTANCE AND 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 IN THE ORDINARY COURSE OF BUSINESS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $124,474 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $51,066 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $73,408 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $33,768 | NonCashPrizesEvent1Amt |
| Food And Beverage Event1 | $21,605 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $11,613 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $11,868 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $124,474 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $51,066 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $73,408 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $33,768 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $21,605 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $11,613 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $11,868 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $78,854 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$5,446 | NetIncomeSummaryAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE G, PART I, LINE 2B | FormAndLineReferenceDesc |
| Explanation | DUKE UNIVERSITY HEALTH SYSTEM, INC. SUPPORTS THE FUNDRAISING ACTIVITIES PERFORMED BY EMPLOYEES OF DUKE UNIVERSITY. SUCH ACTIVITIES ARE DESIGNED TO DEVELOP SUPPORT FOR BOTH THE UNIVERSITY AND THE DUKE UNIVERSITY HEALTH SYSTEM, INC.'S EDUCATIONAL, RESEARCH AND HEALTHCARE PURPOSES. DUKE UNIVERSITY RECEIVES AND DIRECTS THE CONTRIBUTIONS AS APPROPRIATE TO DUKE UNIVERSITY HEALTH SYSTEM, INC. THE AGREEMENT BETWEEN DUKE UNIVERSITY AND DUKE UNIVERSITY HEALTH SYSTEM, INC. DOES NOT DISTINGUISH BETWEEN PAYMENTS FOR PROFESSIONAL FUNDRAISING SERVICES AND EXPENSE PAYMENTS OR REIMBURSEMENTS. | ExplanationTxt |
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 | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| 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 | $81,503,714 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $81,503,714 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02970 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $86,398,287 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $86,398,287 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03150 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $167,902,001 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $167,902,001 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06120 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,207,718 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,372,392 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $62,835,326 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02290 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,592,329 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,592,329 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00420 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $88,800,047 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,372,392 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $74,427,655 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02710 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $256,702,048 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,372,392 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $242,329,656 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08830 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $19,250,745 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $535,717,278 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $613,567,452 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$77,850,174 | 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 | 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 | 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 | Yes (X) | Yes (X) | Yes (X) | CAMPUS | ||||
| DUKE REGIONAL HOSPITAL | |||||||||||||
| 3 | 3643 ROXBORO ROAD | DURHAM | NC | 27704 | HTTP://WWW.DUKEHEALTH.ORG | 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 | Information GapsInformationGapsInd | 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 | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | 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 | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | 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) | 15 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | HTTP://WWW.DUKEHEALTH.ORG | Yes (X) | HTTP://WWW.HEALTHYDURHAM.ORG | Yes (X) | Yes (X) | Yes (1) | 15 | Yes (1) | HTTP://WWW.DUKEHEALTH.ORG | 0 | 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 (1) | Yes (X) | 0 | Yes (X) | 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) | 15 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | HTTP://WWW.DUKEHEALTH.ORG | Yes (X) | HTTP://WWW.HEALTHYDURHAM.ORG | Yes (X) | Yes (X) | Yes (1) | 15 | Yes (1) | HTTP://WWW.DUKEHEALTH.ORG | 0 | 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 (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | 2 |
Supplemental Information SupplementalInformationGrp (9 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") COLLABORATED WITH THE PARTNERSHIP FOR A HEALTHY DURHAM (THE STATE CERTIFIED HEALTHY CAROLINIANS GROUP) AND THE DURHAM COUNTY HEALTH DEPARTMENT ON THE 2014 DURHAM COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ASSESSMENT PROCESS INCLUDED 354 CITIZEN SURVEYS FROM RANDOMLY SELECTED HOUSEHOLDS AND 8 COMMUNITY LISTENING SESSIONS WITH 205 COMMUNITY MEMBERS. REPRESENTATIVES FROM DUH AND DUKE REGIONAL HOSPITAL ("DRH") PARTICIPATED AS MEMBERS ON THE COMMUNITY HEALTH ASSESSMENT TEAM ALONG WITH REPRESENTATIVES FROM OTHER UNIVERSITIES, LOCAL GOVERNMENT, SCHOOLS, NON-PROFIT ORGANIZATIONS, AND BUSINESSES. THE COMMUNITY HEALTH ASSESSMENT TEAM 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 2016 (TAX YEAR 2015).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 7A: THE CHNA IS AVAILABLE ON THE WEBSITE BY NAVIGATING TO WWW.DUKEHEALTH.ORG, CLICK ON "PATIENTS & VISITORS", THEN "FINANCIAL ASSISTANCE", THEN "COMMUNITY HEALTH NEEDS ASSESSMENT; CLICK THE LINK FOR "DETAILS OF OUR COMMUNITY INVOLVEMENT CAN BE FOUND HERE; AND THEN CLICK ON "COMMUNITY HEALTH."GROUP A - FACILITY 1 - DUKE UNIVERSITY HOSPITALPART V, SECTION B, LINE 10A: THE IMPLEMENTATION STRATEGY AND PROGRESS REPORTS ARE AVAILABLE ON THE WEBSITE BY NAVIGATING TO HTTP://WWW.DUKEHEALTH.ORG, CLICK ON "PATIENTS & VISITORS", THEN "FINANCIAL ASSISTANCE", THEN "COMMUNITY HEALTH NEEDS ASSESSMENT; CLICK THE LINK FOR "DETAILS OF OUR COMMUNITY INVOLVEMENT CAN BE FOUND HERE; AND THEN CLICK ON "COMMUNITY HEALTH." CHOOSE ONE OF THE LINKS FOR THE DUKE UNIVERSITY HOSPITAL PROGRESS REPORT AND IMPLEMENTATION PLAN. GROUP A - FACILITY 1 - DUKE UNIVERSITY HOSPITALPART V, SECTION B, LINE 11: THE ASSESSMENT IDENTIFIED SIX HEALTH PRIORITIES FOR 2015 - 2017: 1. OBESITY AND CHRONIC ILLNESS 2. ACCESS TO MEDICAL AND DENTAL CARE 3. MENTAL HEALTH AND SUBSTANCE ABUSE 4. HIV AND SEXUALLY TRANSMITTED INFECTIONS 5. POVERTY 6. EDUCATIONACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA ARE AS FOLLOWS:1. OBESITY AND CHRONIC ILLNESS INITIATIVES:FOUR OF THE 10 LEADING CAUSES OF DEATH IN NORTH CAROLINA ARE RELATED TO OBESITY: HEART DISEASE, TYPE 2 DIABETES, STROKE AND SOME KINDS OF CANCER. OVERWEIGHT AND OBESITY WERE THE SECOND LEADING CAUSES OF PREVENTABLE DEATH IN NORTH CAROLINA IN 2010. OBESITY RATES CONTINUE TO RISE ACROSS ALL AGES, GENDERS AND RACIAL/ETHNIC GROUPS IN DURHAM COUNTY. THE MOST RECENT COMBINED OBESITY AND OVERWEIGHT RATES ARE: ADULTS, 65%; DURHAM PUBLIC SCHOOL HIGH SCHOOL STUDENTS, 32%, AND ENTERING KINDERGARTENERS, 19%. DIABETES IS THE 7TH LEADING CAUSE OF DEATH IN DURHAM COUNTY AND 8% OF ADULTS HAVE DIABETES. KOHL'S BULL CITY FIT IS A COMMUNITY-BASED WELLNESS PROGRAM AND IS PART OF 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 COLLABORATIONS. KOHL'S 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. KOHL'S 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. PARTICIPANTS 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.DUKE UNIVERSITY HOSPITAL (DUH) ALSO SUPPORTS INITIATIVES THROUGH THE NEIGHBORHOOD CLINICS, SCHOOL-BASED HEALTH CENTERS, JUST FOR US AND THE DUKE OUTPATIENT CLINIC THAT TARGET CHRONIC ILLNESS.IN FY16 DUH IDENTIFIED INCREASING RATES OF NON ALCOHOLIC FATTY LIVER DISEASE AMONG DURHAM'S HISPANIC PEDIATRIC POPULATION DUE PRIMARILY TO AN INCREASE IN "MILLENNIAL MORBIDITIES" - OBESITY, SUGARY DIET, SEDENTARY LIFESTYLE. 2. ACCESS TO MEDICAL AND DENTAL CARE INITIATIVES:ACCESS TO HEALTH CARE 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, DURHAM COUNTY IS PARTICULARLY HAMPERED BY A LACK OF HEALTH INSURANCE COVERAGE (WHETHER PRIVATE OR PUBLIC, SUCH AS MEDICAID) FOR MANY OF ITS RESIDENTS. IN DURHAM COUNTY, 19% OF ADULTS LESS THAN 65 YEARS OLD ARE UNINSURED.PROJECT ACCESS OF DURHAM COUNTY (PADC) LINKS ELIGIBLE LOW-INCOME, UNINSURED, DURHAM COUNTY RESIDENTS WITH ACCESS 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. IN FY16, PADC PROVIDED SERVICES TO 1,117 PATIENTS AND EXPANDED ITS MEDICAL RESPITE PROGRAM SERVICING A DOZEN PATIENTS.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 ORGANIZATIONS 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/SUPPLEMENTAL SECURITY INCOME (SSI)/SOCIAL SECURITY DISABILTY INSURANCE (SSDI)); BILLING STATEMENT ASSISTANCE; INTERPRETATION/TRANSLATION; AND, TRANSPORTATION COORDINATION. IN COORDINATION WITH OTHER COMMUNITY STAKEHOLDERS-HEALTH CARE AND SOCIAL SERVICE PROVIDERS, LOCAL GOVERNMENT AND COMMUNITY-BASED ORGANIZATIONS-LATCH MONITORS HEALTH CARE TRENDS, IDENTIFIES BARRIERS FACING UNINSURED PATIENTS, AND, WORKING AS A CONSORTIUM, ADDRESSES AND ELIMINATES BARRIERS. IN FY16 LATCH WORKED WITH THE GROWING REFUGEE COMMUNITY AND THE LOCAL OFFICES OF NATIONAL REFUGEE RESETTLEMENT PROGRAMS. LATCH CONTINUED TO PERFORM AWARENESS OUTREACH IN THE COMMUNITY TO ENCOURAGE RESIDENTS TO ENROLL IN THE HEALTH INSURANCE EXCHANGE; AND BEGAN ASSISTING MOTHERS WITH CHILDREN AGES 0-2 IN ENROLLING IN MEDICAID DUE TO LAPSES IN ELIGIBILITY WITH THE NC FAST PROGRAM. |
| THE DUKE CHILDRENS'S COMPLEX CARE SERVICE (CCS) 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 CCS CARE WAS VERY FRAGMENTED AND PATIENTS/FAMILIES HAD NO CENTRAL "QUARTERBACK" HELPING TO OVERSEE THE BIG PICTURE. THROUGH THE CCS PARENTS NOW HAVE DIRECT PHONE ACCESS TO A CCS PROVIDER OR REGISTERED NURSE 24/7. THE CCS 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 CCS 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). IN FY 16, CCS ESTABLISHED A LONGITUDINAL CLINICAL FOLLOW UP CONTINUUM THAT CONSISTS OF THE COMPLEX CARE CLINIC, INPATIENT ROUNDS, AND DIRECT COMMUNICATION WITH PRIMARY CARE PHYSICIAN, SPECIALIST AND PATIENT'S GUARDIAN. IN FY16 DUH FUNDED 1.0 FULL TIME EQUIVALENT MEDICAL DOCTOR (DIVIDED AMONGST 3 FULL TIME EQUIVALENT MEDICAL DOCTORS); 1.0 REGISTERED NURSE CLINICIAN AND 1.0 PROGRAM COORDINATOR. IN FY 16 CCS EXPANDED TO A STATEWIDE REPRESENTATION (SKEWED TOWARD CENTRAL AND EASTERN NC). CCS HAS EXPERIENCED A REDUCTION IN EMERGENCY DEPARTMENT VISITS AND SUBSTANTIAL HOSPITAL STAY REDUCTION AND COSTS AVOIDED FOR "UN-DISCHARGEABLE" PATIENTS. THE PATIENT EXPERIENCE INCLUDED HOME VISITS, CONCURRENT AND PALLIATIVE CARE AND FAMILY CARE CONFERENCES.DUKE-DURHAM FOSTER CARE CLINIC PROGRAM IS A HIGHLY EFFECTIVE EFFORT BETWEEN DUKE AND DURHAM COUNTY. IN SEPTEMBER OF 2013 THE DUKE CHILD ABUSE AND NEGLECT MEDICAL EVALUATION CLINIC (CANMEC) PARTNERED WITH DURHAM COUNTY DEPARTMENT OF SOCIAL SERVICES (DSS) TO FORMALIZE A FOSTER CARE CLINIC. THIS CLINIC PROVIDES THE INITIAL SCREENING AND COMPREHENSIVE HEALTH ASSESSMENT ACCORDING TO THE AMERICAN ACADEMY OF PEDIATRICS (AAP) STANDARDS FOR CHILDREN IN FOSTER CARE IN DURHAM. CHILDREN RECEIVE A COMPREHENSIVE MEDICAL EVALUATION INCLUDING COMPLETE PHYSICAL EXAM, MEDICAL RECORD REVIEW AS WELL AS SCREENING FOR DENTAL, DEVELOPMENTAL, MENTAL HEALTH, AND SOCIAL CONCERNS. UNMET MEDICAL NEEDS ARE IDENTIFIED AND THE CLINIC IDENTIFIES A MEDICAL HOME; ARRANGES MEDICAL, MENTAL HEALTH, AND SOCIAL REFERRALS; PROVIDES FOLLOW UP CARE UNTIL A MEDICAL HOME IS ESTABLISHED; AND SUPPORTS SOCIAL WORKERS WITH NAVIGATING THE COMPLEX HEALTH SYSTEM. CHILDREN IN DURHAM COUNTY FOSTER CARE WHO HAVE COMPLETED A COMPREHENSIVE ASSESSMENT AT THE DUKE FOSTER CARE CLINIC ARE CURRENT ON IMMUNIZATIONS, ARE ENROLLED IN A MEDICAL HOME, ARE REFERRED FOR MENTAL HEALTH TREATMENT IF NEEDED, AND ARE HAVING THEIR ONGOING MEDICAL, DEVELOPMENTAL AND SOCIAL NEEDS ADDRESSED. THE DUKE-DURHAM FOSTER CARE CLINIC SERVES ALL CHILDREN IN THE FOSTER CARE SYSTEM IN DURHAM COUNTY. IN FY16 THE DURHAM DEPARTMENT OF SOCIAL SERVICES UTILIZED DUKE'S CLINICAL DECISION SUPPORT AND ELECTRONIC ALERT SYSTEM (COACH) TO MANAGE OVER 300 CHILDREN'S MEDICAL APPOINTMENTS. THROUGH THE USE OF COACH'S TARGETED MESSAGING SOCIAL SERVICE WORKERS WERE ABLE TO RECEIVE ADVANCE NOTIFICATION OF EACH CHILD'S MEDICAL APPOINTMENT AND ASSIST THE FOSTER PARENT IN GETTING TO THE APPOINTMENT. SOUTHERN HIGH SCHOOL WELLNESS CENTER PROVIDES COMPREHENSIVE PRIMARY CARE AND MENTAL HEALTH SERVICES AT SOUTHERN HIGH SCHOOL TO STUDENTS AT THE SCHOOL AND IS OPEN TO ALL STUDENTS AND STAFF OF DURHAM PUBLIC SCHOOLS. OPERATED BY DUKE'S DIVISION OF COMMUNITY HEALTH ON BEHALF OF DUH, THE SOUTHERN HIGH SCHOOL WELLNESS CENTER CELEBRATED ITS 20TH ANNIVERSARY IN 2016. IN FY16 THE CENTER CONTINUED TO STRUGGLE WITH STAFFING ISSUES BUT IS CONTINUING TO INCREASE ITS ENROLLMENT AND REACHING OUT TO SCHOOL STAFF AND EMPLOYEES OF DURHAM PUBLIC SCHOOLS. DURHAM CHILD HEALTH ASSESSMENT AND PREVENTION PROGRAM (CHAPP) WAS CREATED TO CLOSE GAPS IN ACCESS FOR CHILDREN WHO HAVE MISSED PREVENTIVE VISITS. IN ADDITION, THE PROGRAM SEEKS TO RECONNECT THESE CHILDREN AND THEIR FAMILIES TO SUPPORTIVE MEDICAL HOMES. TOGETHER, DUH THROUGH THE DUKE DIVISION OF COMMUNITY HEALTH, THE DURHAM COUNTY DEPARTMENT OF PUBLIC HEALTH, AND DURHAM PUBLIC SCHOOLS CONVERTED THREE DUH ELEMENTARY SCHOOL BASED HEALTH CENTERS AND OPENED TWO ADDITIONAL ONES UTILIZING ENHANCED ROLE REGISTERED NURSES (ERRNS) TO DELIVER WELL-CHILD CARE TO CHILDREN WHO ARE OVERDUE FOR THEIR WELL-CHILD CHECKUPS. THE FIVE SCHOOLS ARE IN AREAS OF THE COUNTY THAT DEMONSTRATE SIGNIFICANT GAPS IN PEDIATRIC CARE AND THE CHAPP CLINICS OPERATE AS SATELLITES OF THE DURHAM COUNTY DEPARTMENT OF PUBLIC HEALTH. DUH CONTINUES TO SUPPORT MENTAL HEALTH SERVICES AT ALL FIVE OF THE SITES AND PROVIDES MEDICAL BACK UP. IN FY16 CHAAP WAS RENAMED HEALTHY FUTURES. IN THE FOURTH QUARTER OF FY 16, HEALTHY FUTURES WAS FULLY STAFFED AND OPERATIONAL. THE 3 FULL TIME EQUIVALENT (FTE) ENHANCED ROLE NURSES STAFFED FIVE DURHAM ELEMENTARY SCHOOL CLINICS AND PROVIDED THREE HUNDRED WELL CHILD VISITS OF WHICH 50% OF THE CHILDREN DID NOT HAVE A MEDICAL HOME PRIOR TO THEIR HEALTHY FUTURES VISIT. OTHER NOTABLE RESULTS INCLUDE: - 57% OF CHILDREN RECEIVED A VACCINE DURING THEIR VISIT AND 90% OF THOSE VACCINATIONS WERE A REQUIRED VACCINE TO CATCH UP. - 30% OF CLIENTS SAID THEIR MAIN REASON FOR CONTACTING HEALTHY FUTURES WAS THAT THEY WERE UNABLE TO GET AN APPOINTMENT WITH PEDIATRICS AND 15% STATED APPOINTMENT WAIT TIME WAS TOO LONG. - REASON FOR REFERRAL: 33% ACUTE CONCERN, 29% CHRONIC CARE, 14% DENTAL CONCERN, 10% FAILED VISION SCREEN, 9% BEHAVIORAL CONCERN. - REASON FOR CHRONIC CARE REFERRAL: OBESITY 20%, BLOOD PRESSURE 33%, DIABETES 7%, ASTHMA 7%.JUST FOR US (JFU) PROVIDES 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 JUST FOR US, 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 (PHYSICIAN ASSISTANT, NURSE PRACTITIONER OR MEDICAL DOCTOR), OCCUPATIONAL THERAPIST, REGISTERED DIETITIAN, SOCIAL WORKER, PHLEBOTOMIST, AND COMMUNITY HEALTH WORKER. IN FY16 JUST FOR US CONTINUED CHRONIC CARE AND TRANSITIONAL CARE HOME VISITS TO DISABLED AND LOW INCOME PATIENTS; MONTHLY ENROLLMENT AVERAGED 275 PATIENTS AND OVER 1,200 ENCOUNTERS.COMMUNITY CLINICS: DUH AND LINCOLN COMMUNITY HEALTH CENTER COLLABORATIVELY OPERATE THE FOLLOWING 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. IN FY16 THE CLINICS EXPERIENCED SOME STAFFING ISSUES, BUT WERE ABLE TO PROVIDE PRIMARY CARE TO 5,404 UNIQUE PATIENTS WITH 12,000 ENCOUNTERS. THE COMMUNITY CLINICS CONTINUE TO HOUSE A DURHAM HEALTH DEPARTMENT HIV/STD SCREENING PROGRAM. IN ADDITION, A PEDIATRIC/ADOLESCENT CLINIC WAS LAUNCHED AT HOLTON AND LYON PARK TWO DAYS A WEEK. THE CLINICS TRANSITIONED THE BREAST AND CERVICAL CANCER CONTROL PROGRAM TO LINCOLN COMMUNITY HEALTH CENTER TO STREAMLINE THE SERVICE FOR PATIENTS. |
| 3. MENTAL HEALTH AND SUBSTANCE ABUSE INITIATIVES: | AN ESTIMATED 17,000 RESIDENTS OF DURHAM COUNTY NEED MENTAL HEALTH TREATMENT AND 19,000 NEED SUBSTANCE ABUSE TREATMENT. ALCOHOL IS THE PRIMARY SUBSTANCE ABUSED BY DURHAM COUNTY RESIDENTS SEEKING CRISIS DETOXIFICATION SERVICES AND BY ADOLESCENTS IN DURHAM'S MIDDLE AND HIGH SCHOOLS. RESPONDENTS IN THE COMMUNITY HEALTH OPINION SURVEY IDENTIFIED ADDICTION TO ALCOHOL, DRUGS OR PRESCRIPTION PILLS AS THE NUMBER ONE COMMUNITY HEALTH PROBLEM. DUH SUPPORTS A NUMBER OF COLLABORATIVE INITIATIVES TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES AND REDUCE SUBSTANCE ABUSE.PROJECT LAZARUS IN CONJUNCTION WITH COMMUNITY CARE OF NORTH CAROLINA(CCNC) AND DUH SEEKS TO REDUCE OPIOID-RELATED OVERDOSES; OPTIMIZE TREATMENT OF CHRONIC PAIN; AND MANAGE SUBSTANCE ABUSE ISSUES RELATED TO OPIOIDS. THE CORE COMPONENTS OF THE PROJECT LAZARUS MODEL ARE: 1) PUBLIC AWARENESS, 2) COALITION ACTION, AND 3) DATA & EVALUATION. STRATEGIES OF THE MODEL INCLUDE: COMMUNITY EDUCATION; PROVIDER EDUCATION; HOSPITAL EMERGENCY DEPARTMENT POLICIES; DIVERSION CONTROL; PAIN PATIENT SUPPORT; HARM REDUCTION; ADDICTION TREATMENT. DUH SUPPORTS THE FOLLOWING ACTIVITIES: A) COMMUNITY COALITIONS: DURHAM CRISIS COLLABORATIVE; PARTNERSHIP FOR A HEALTHY DURHAM SUBSTANCE USE AND MENTAL HEALTH COMMITTEE AND DURHAM TOGETHER FOR RESILIENT YOUTH. B) 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. C) PROVIDER EDUCATION: PROVIDER TOOLKITS AND CME EDUCATION; USE OF PAIN AGREEMENTS; USE OF CONTROLLED SUBSTANCE REPORTING SYSTEM (CSRS); CHRONIC PAIN PROVIDER CONSULTATION CALLS. D) DIVERSION CONTROL: PERMANENT DROP BOXES IN 5 OF 6 COUNTIES (DURHAM, FRANKLIN, PERSON, GRANVILLE, & VANCE).E) CHRONIC PAIN PATIENT SUPPORT: CHRONIC PAIN SELF-MANAGEMENT WORKSHOPS; CHRONIC PAIN MANAGEMENT RESOURCES; KEY COMMUNITY PRESENTATIONS. IN FY16 NALOXONE DISTRIBUTION EFFORTS CONTINUED WITHIN THE COMMUNITY AND LOCAL PHARMACIES. IN JUNE 2016, THE STATE HEALTH DIRECTOR RANDALL WILLIAMS SIGNED A STATEWIDE STANDING ORDER FOR NALOXONE DISPENSING INTO LAW. NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES HAS SET UP A WEBSITE WHERE PHARMACISTS AND THE PUBLIC CAN ACCESS MORE INFORMATION ABOUT THE STANDING ORDER. THE WEBSITE IS WWW.NALOXONESAVES.ORG. PHARMACIES CAN GO TO THE WEBSITE AND SIGN ON TO DISPENSE UNDER STATEWIDE STANDING ORDER. THE CHRONIC PAIN COORDINATOR WORKED WITH NORTHERN PIEDMONT COMMUNITY CARE (NPCC)'S PHARMACY PROGRAM SPECIALIST, STEPHANIE YANG, TO REACH OUT TO LOCAL PHARMACIES IN THE NETWORK. APPROXIMATELY NINETY FIVE (95) PHARMACIES RECEIVED THE FAX THAT INCLUDED A COPY OF THE STANDING ORDER, A ONE-PAGER EXPLAINING THE STANDING ORDER FOR MEDICAID PHARMACIST AND PROVIDERS, AND THE CHRONIC PAIN COORDINATOR'S CONTACT INFORMATION. OUT OF THE 95 PHARMACIES, 78 WERE LISTED IN DURHAM. NPCC IN CONJUNCTION WITH THE SUBSTANCE USE/MENTAL HEALTH SUBCOMMITTEE OF THE PARTNERSHIP FOR A HEALTHY DURHAM WILL CONDUCT OUTREACH TO THE 78 PHARMACIES TO ASSIST THEM WITH REGISTERING ON WWW.NALOXONESAVES.ORG. |
| IN ADDITION TO WORKING ON NALOXONE OUTREACH TO PHARMACIES, | SUBSTANCE USE AND MENTAL HEALTH COMMITTEE (SUMH) OF THE PARTNERSHIP FOR A HEALTHY DURHAM IS ALSO WORKING ON A PROVIDER RESOURCE MANUAL TO BE IN LINE WITH THE NETWORK OF CARE WEBSITE RESOURCES AS WELL AS A USER-FRIENDLY HARD COPY VERSION TO DISSEMINATE THROUGHOUT THE DUHS.PROJECT LAZARUS (PL) KITS CONTINUE TO BE DISSEMINATED IN THE COMMUNITY AT LOCAL PHARMACIES. TO DATE APPROXIMATELY 60 KITS HAVE BEEN PROVIDED TO PHARMACIES UPON REQUEST. NUMBERS MAY VARY NOW WITH THE STATEWIDE NALOXONE STANDING ORDER IN PLACE AND LOCAL PHARMACIES DISPENSING FDA APPROVED NASAL NARCAN 4MG INTRANASAL SPRAY. CHRONIC PAIN SELF-MANAGEMENT (CPSMP) WORKSHOPS CONTINUE TO TAKE PLACE AT LINCOLN COMMUNITY HEALTH CENTER AND CONTINUE TO BE SUCCESSFUL. THERE HAVE BEEN 9 -SIX WEEK WORKSHOPS WITH APPROXIMATELY 130 PEOPLE REACHED IN THE WORKSHOPS.COMMUNITY CARE OF NORTH CAROLINA (CCNC) CHRONIC PAIN INITIATIVE TASK FORCE THROUGH THE WORK OF THE CCNC CHRONIC PAIN INITIATIVE (CPI) TASK FORCE AND DR. LARRY GREENBLATT'S LEADERSHIP WE ARE IN THE PROCESS OF UPDATING THE CCNC PROVIDER TOOLKIT TO DEVELOP AN UPDATED VERSION WITH MORE RESOURCES AND TOOLS TO ASSIST WITH THE ACCESS AND OTHERS AT CCNC. IN ADDITION, WE ARE WORKING ON THE DEVELOPMENT OF A CONTINUING MEDICAL EDUCATION (CME) ON SAFE OPIOID PRESCRIBING FOR OR PROVIDERS TO EDUCATE THEM ON THE LATEST GUIDELINES FROM THE NC MEDICAL BOARD AND THE CENTERS FOR DISEASE CONTROL AND PREVENTIONS RELATING TO OPIOID SAFETY AND CHRONIC PAIN MANAGEMENT.CHRONIC PAIN TELEPHONE CONSULTATIONS WITH PAIN SPECIALIST (DR. STEVEN PRAKKEN) ARE CONTINUING WITH OUTREACH AND AWARENESS EFFORTS TO INFORM PROVIDERS OF THIS RESOURCE. TO DATE WE HAVE HAD APPROXIMATELY 15 OF 17 PHONE CONSULTS WITH 32 PROVIDERS PARTICIPATING ON THE CALL. WE HAVE HAD PRIMARY CARE PHYSICIANS, NURSE PRACTITIONERS, AND BEHAVIORAL HEALTH PROVIDERS PARTICIPATE. THE BEHAVIORAL HEALTH PARTICIPATION IS A NEW FACTOR IN THE CALLS AND SOMETHING WE WOULD LIKE TO CONTINUE TO EXPLORE TO ADDRESS INTEGRATED HEALTHCARE EFFORTS. |
| HOMEBASE IS AN INTEGRATED MODEL OF PRIMARY CARE AND MENTAL | HEALTH DELIVERED BY A DUALLY-TRAINED PHYSICIAN ASSISTANTS AND SUPPORTED BY IN THE DUH OUTPATIENT CLINIC (DOC). THE GOALS OF THE PROGRAM ARE TO IMPROVE CARE AND OUTCOMES FOR DOC PATIENTS WITH CO-MORBID MENTAL HEALTH CONDITIONS; ENCOURAGE AND ENABLE PATIENTS TO SEEK SERVICES AT THE DOC FIRST AND NOT THE EMERGENCY DEPARTMENT; REINVENT A CARE TEAM MODEL AT DOC TO INCREASE PATIENT-PROVIDER CONTINUITY, PROVIDER ACCOUNTABILITY FOR PATIENT OUTCOMES, USE OF BEST PRACTICES; AND IMPROVE TRANSITIONS OF CARE FROM HOSPITAL AND EMERGENCY DEPARTMENT SETTINGS TO CLINIC AND HOME, PARTICULARLY FOR HIGH UTILIZER (HU) PATIENTS. IN FY 16 HOMEBASE CONTINUED SERVING AN EXTREMELY MEDICALLY COMPLEX PANEL OF DOC PATIENTS SERVING OVER 150 WITH INTENSIVE COMPLEX CARE MANAGEMENT. IN THE SECOND HALF OF FY 16, HOMEBASE LAUNCHED AN INTEGRATED CARE SCREENING AND BRIEF COUNSELING PROGRAM WITH 2 FTE LICENSED CLINICAL SOCIAL WORKERS FUNDED BY NPCC. EVERY PATIENT WHO SCREENS POSITIVE ON PHQ 9 (DEPRESSION SCREEN) WILL ALSO RECEIVE ANXIETY, SUBSTANCE ABUSE AND TRAUMA SCREENS AND COUNSELING.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 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 HOSPITAL (DRH) AND DUKE RALEIGH HOSPITAL ("DRAH") SERVES AS A PIVOTAL PLAYER IN ALL ASPECTS OF THE WORK OF THE TASK FORCE. OVER THE LAST THREE YEARS, ALL THREE HOSPITALS ENGAGED IN THE STANDARDIZATION OF NC MEDICAL BOARD GUIDELINES; HELPED TO DEVELOP 12 SMARTPHRASES IN DUHS' ELECTRONIC HEALTH RECORD SYSTEM (MAESTRO CARE); CREATED 12 PATIENT EDUCATION VIDEOS; AND PROVIDED 35 ADVANCED PRACTITIONERS WITH EDUCATION ON PAIN MANAGEMENT & SAFE OPIOID PRESCRIBING. IN FY16 THE OPIOID TASK FORCE IS CONTINUING TO WORK ON UPDATING INTAKE AND CHRONIC PAIN FOLLOW UP FORMS IN MAESTRO CARE AND THE LIAISONS ARE CONTINUING OUTREACH TO THE IDENTIFIED 15 HIGH VOLUME CLINICS.4. HIV AND SEXUALLY TRANSMITTED INFECTIONS:SEXUALLY TRANSMITTED INFECTIONS (STI) MAY LEAD TO PREMATURE DEATH AND DISABILITY AND CAN RESULT IN SIGNIFICANT HEALTH CARE COSTS. CHLAMYDIA, GONORRHEA, AND SYPHILIS ARE THE THREE MOST COMMON STIS IN NORTH CAROLINA AND DURHAM COUNTY. ALTHOUGH HIV IS NOT AS COMMON, DURHAM RANKS FOURTH HIGHEST IN NORTH CAROLINA, WITH AN AVERAGE RATE OF HIV DISEASE (29.9 PER 100,000) WELL ABOVE THE STATE RATE (16.4 PER 100,000). WHILE DUH THROUGH THE PROGRAMS DESCRIBED IN THIS DOCUMENT SUPPORTS MECHANISMS TO ADDRESS HIV AND SEXUALLY TRANSMITTED INFECTIONS, IT DOES NOT INCLUDE SPECIFIC STRATEGIES IN THIS PLAN TO ADDRESS THE RATE OF HIV AND SEXUALLY TRANSMITTED INFECTIONS, BECAUSE CONSIDERABLE WORK IS ALREADY BEING DONE THROUGH ORGANIZATIONS WITHIN THE COMMUNITY. THROUGH THE PARTNERSHIP FOR A HEALTHY DURHAM, THE HIV/STI ADVISORY COUNCIL BRINGS TOGETHER COMMUNITY MEMBERS AND AGENCIES TO FOCUS ON STRATEGIES TO PREVENT THE SPREAD OF SYPHILIS AND HIV/AIDS. IN ADDITION, LINCOLN COMMUNITY HEALTH CENTER OPERATES AN EARLY INTERVENTION CLINIC FOR PATIENTS WITH HIV/AIDS AT THE DURHAM COUNTY HEALTH DEPARTMENT.IN FY16 DUH CONTINUED TO WORK WITH THE MANY ORGANIZATIONS WORKING ON ADDRESSING HIV AND SEXUALLY TRANSMITTED INFECTIONS AND INTRODUCED HIV SCREENING INTO THE COMMUNITY CLINICS AS NOTED EARLIER IN THE IMPLEMENTATION PLAN.5. POVERTY:PEOPLE WITH HIGHER INCOMES, MORE YEARS OF EDUCATION, AND A HEALTHY AND SAFE ENVIRONMENT TO LIVE IN HAVE BETTER HEALTH OUTCOMES AND GENERALLY HAVE LONGER LIFE EXPECTANCIES. IN DURHAM COUNTY, 16.6% OF INDIVIDUALS LIVE IN POVERTY. FEMALE SINGLE-PARENT FAMILIES ARE DISPROPORTIONATELY AT RISK FOR POVERTY THAN MARRIED COUPLE FAMILIES (41.5% TO 8.7%) AND 40.6% OF FEMALE SINGLE-PARENT FAMILIES WITH RELATED CHILDREN UNDER 18 YEARS ARE LIVING IN POVERTY. NEARLY ONE-HALF OF DURHAM'S RENTERS ARE PAYING 30% OR MORE OF THEIR INCOME FOR HOUSING.DURHAM'S BULL CITY CONNECTOR IS A FARE-FREE CONNECTOR BUS SERVICE THAT CONTINUOUSLY LOOPS THROUGH STOPS FROM DOWNTOWN DURHAM ALL THE WAY TO THE DUKE UNIVERSITY HOSPITAL, DUKE CLINICS, AND DUKE EYE CENTER CAMPUSES. ON AVERAGE, BULL CITY CONNECTOR BUSES ACCUMULATE 1,500 RIDERS EVERY WEEKDAY AND COMPLETE THEIR LOOPS IN 17 MINUTE INTERVALS. SAFE AND EFFECTIVE TRANSPORTATION IS A KEY CORRELATE IN HEALTH AND ECONOMIC WELL-BEING. THE BULL CITY CONNECTOR HAS PROVEN TO BE AN ASSET FOR DUKE EMPLOYEES, STUDENTS, AND PATIENTS.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. DUH CURRENTLY FUNDS TWO SOAR CASE MANAGERS WHO CONTINUE TO HELP PATIENTS. IN FY16, 152 INDIVIDUALS WERE ENROLLED IN SSI/SSDI OUTREACH, ACCESS AND RECOVERY SOAR. IN FY 16 LATCH LAUNCHED BEC (BENEFITS ENROLMENT COUNSELING). BEC STAFF TRAIN VOLUNTEERS TO ENROLL LOW INCOME SENIORS IN FOUR FEDERAL PROGRAMS: SNAP (FOOD ASSISTANCE), ENERGY ASSISTANCE, MEDICARE PRESCRIPTION LOW INCOME SUBSIDY, AND ASSISTANCE FOR DENTAL AND VISION CARE. THE BEC PROGRAM SERVES DURHAM, GRANVILLE AND PERSON COUNTIES' LOW INCOME SENIOR CITIZENS. DURHAM MEDICAL RESPITE PROGRAM IS A PILOT PROGRAM FOR HOMELESSPATIENTS THAT EMANATED OUT OF THE WORK OF PROJECT ACCESS OF DURHAM COUNTY (PADC) IN 2014. THE MEDICAL RESPITE PILOT PROGRAM OPERATES 24/7 AND PROVIDES PARTICIPANTS WITH CLEAN AND SAFE HOUSING WHICH WILL MEET THE STANDARDS THAT HOSPITALS USE WHEN PLANNING FOR DISCHARGE TO HOME. DEPENDING ON PARTICIPANT NEEDS AND DEMOGRAPHICS, POTENTIAL SITES INCLUDE TRANSITIONAL HOUSING (JUST A CLEAN HOUSE), MOTELS, OR HEALING WITH CAARE, INC. PER DIEM HOUSING. ROOM AND BOARD IS FUNDED BY DURHAM COUNTY DEPARTMENT OF PUBLIC HEALTH THROUGH A CONTRACT WITH PADC, ALONG WITH PRIVATE DONATIONS. AS THE PROGRAM BECOMES FULLY OPERATIONAL, EACH PROGRAM PARTICIPANT WILL WORK WITH A TRANSITIONAL NURSE CARE MANAGER (PROVIDED BY DUKE'S DIVISION OF COMMUNITY HEALTH) TO MAXIMIZE THEIR HEALTH AND CONNECT WITH APPROPRIATE COMMUNITY RESOURCES AND SERVICES. IN FY16 THE PROGRAM RECEIVED A HILLMAN GRANT TO COVER THE COST OF AN RN CARE MANAGER AND COMMUNITY HEALTH WORKERS. THE PROGRAM SERVED 29 PATIENTS OF WHOM 26 WERE MALE; 15 BLACK, 13 WHITE AND 1 HISPANIC. PRIOR TO MEDICAL RESPITE 10 LIVED IN SHELTERS AND 13 WERE UNSHELTERED AND POST-MEDICAL RESPITE 9 RECEIVED TRANSITIONAL HOUSING. SEVENTY FIVE PERCENT OF REFERRALS ORIGINATE FROM DUKE HOSPITAL, DUKE REGIONAL HOSPITAL AND DUKE OUTPATIENT CLINICS. |
| 6. EDUCATION: | QUALITY CHILD CARE AND EARLY EDUCATION PREDICT A CHILD'S FUTURE SUCCESS, AND THE ACADEMIC SUCCESS OF YOUNG ADULTS IS STRONGLY LINKED WITH THEIR HEALTH THROUGHOUT THEIR LIFETIME. THE IMPORTANCE OF A HIGH SCHOOL DIPLOMA AND HIGHER EDUCATION CANNOT BE OVERSTATED. COLLEGE GRADUATES AGE 25 AND OVER EARN NEARLY TWICE AS MUCH AS WORKERS WHO ONLY HAVE A HIGH SCHOOL DIPLOMA. THE UNEMPLOYMENT RATE FOR WORKERS WHO DROPPED OUT OF HIGH SCHOOL IS NEARLY FOUR TIMES THE RATE OF COLLEGE GRADUATES. IN DURHAM COUNTY, THE FOUR-YEAR HIGH SCHOOL GRADUATION RATE IS 79.6% COMPARED TO NORTH CAROLINA'S STATE RATE OF 82.5%. THE OVERALL 4-YEAR COHORT GRADUATION RATE HAS INCREASED BY NEARLY 10% SINCE 2010-11, BUT THERE IS STILL A DISPARITY IN THE PERCENTAGES OF WHITE VERSUS MINORITY STUDENTS WHO ARE GRADUATING FROM HIGH SCHOOL. FOR EXAMPLE, 84.7% OF WHITES GRADUATED IN 2011-2012 COMPARED TO 74.7% OF BLACKS AND 73% OF HISPANIC STUDENTS.LEARNING TOGETHER PROVIDES TRAINING AND OPPORTUNITIES FOR DUKE STUDENTS (LEARNERS) TO PARTICIPATE IN HEALTH-RELATED COMMUNITY SERVICE ACTIVITIES. SERVICE OPPORTUNITIES MAY INCLUDE PROVIDING HEALTH EDUCATION TO ELEMENTARY SCHOOL CHILDREN, HELPING FRAIL SENIORS COMPLETE THE APPLICATION PROCESS FOR FOOD STAMPS, AND CONDUCTING WORKSHOPS TO TEACH PATIENTS HOW TO EFFECTIVELY COMMUNICATE WITH THEIR DOCTOR. THROUGH LEARNING TOGETHER, LEARNERS WORK WITH A VARIETY OF POPULATIONS, EXPERIENCE THE INTERDISCIPLINARY NATURE OF COMMUNITY WORK, AND DEVELOP COMPETENCE FOR WORKING WITH DIVERSE COMMUNITIES AND CULTURES. LEARNERS WHO PARTICIPATE GAIN SKILLS THEY CAN USE TO WORK EFFECTIVELY WITH ANY COMMUNITY. IN FY16 THE LEARNING TOGETHER PROGRAM TRAINED 92 DUKE LEARNERS WHO IN TURN VOLUNTEERED FOR COMMUNITY SERVICES ACTIVITIES WHICH PROVIDED ASSISTANCE FOR 350 ADULTS AND 1,200 CHILDREN.GROUP A - FACILITY 1 - DUKE UNIVERSITY HOSPITALPART V, SECTION B, LINE 16I: DUHS 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 1 - DUKE UNIVERSITY HOSPITALPART V, SECTION B, LINE 22D: DUHS USED THE LOOK BACK METHOD AND SUMMED ALL CLAIMS SUBMITTED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS DURING THE PRIOR 12 MONTH PERIOD DIVIDED BY THE SUM OF THE ASSOCIATED GROSS CHARGES RELATED TO THOSE CLAIMS. |
| GROUP A - FACILITY 1 - DUKE UNIVERSITY HOSPITAL | PART V, SECTION B, LINE 24: CERTAIN ELECTIVE COSMETIC/AESTHETIC SERVICES, AND OTHER SERVICES NOT COVERED BY INSURANCE, WILL BE BILLED AT AN AMOUNT EQUAL TO GROSS CHARGES.DUKE RALEIGH HOSPITAL:PART V, SECTION B, LINE 5: DUKE RALEIGH HOSPITAL ("DRAH") COLLABORATED WITH WAKE COUNTY HUMAN SERVICES, WAKEMED HEALTH AND HOSPITALS, REX HEALTHCARE, WAKE HEALTH SERVICES, AND THE UNITED WAY OF THE GREATER TRIANGLE IN CONDUCTING THE 2013 WAKE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THE WAKE COUNTY ASSESSMENT INCLUDED INPUT FROM 281 COMMUNITY HEALTH OPINION SURVEYS, 76 FOCUS GROUPS, AND 95 COMMUNITY FORUMS. A STEERING COMMITTEE COMPRISED OF MEMBERS FROM HOSPITALS, LOCAL GOVERNMENTS, FAITH-BASED ORGANIZATIONS, SCHOOLS, MEDIA, NON-PROFIT ORGANIZATIONS, AND BUSINESSES WORKED TO DIRECT THE ACTIVITIES OF THE ASSESSMENT PROCESS AND PROVIDE INPUT. 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 2016 (TAX YEAR 2015).DUKE RALEIGH HOSPITAL:PART V, SECTION B, LINE 6A: REX HEALTHCARE, WAKEMED HEALTH AND HOSPITALSDUKE RALEIGH HOSPITAL:PPART V, SECTION B, LINE 6B: WAKE HEALTH SERVICES, UNITED WAY OF THE GREATER TRIANGLE AND WAKE COUNTY HUMAN SERVICES DUKE RALEIGH HOSPITAL:PART V, SECTION B, LINE 7A: THE CHNA IS AVAILABLE ON THE WEBSITE BY NAVIGATING TO WWW.DUKEHEALTH.ORG, CLICK ON "PATIENTS & VISITORS", THEN "FINANCIAL ASSISTANCE", THEN "COMMUNITY HEALTH NEEDS ASSESSMENT; CLICK THE LINK FOR "DETAILS OF OUR COMMUNITY INVOLVEMENT CAN BE FOUND HERE; AND THEN CLICK ON "COMMUNITY HEALTH."DUKE RALEIGH HOSPITAL:PART V, SECTION B, LINE 10A: THE IMPLEMENTATION STRATEGY AND PROGRESS REPORTS ARE AVAILABLE ON THE WEBSITE BY NAVIGATING TO HTTP://WWW.DUKEHEALTH.ORG, CLICK ON "PATIENTS & VISITORS", THEN "FINANCIAL ASSISTANCE", THEN "COMMUNITY HEALTH NEEDS ASSESSMENT; CLICK THE LINK FOR "DETAILS OF OUR COMMUNITY INVOLVEMENT CAN BE FOUND HERE; AND THEN CLICK ON "COMMUNITY HEALTH." CHOOSE ONE OF THE LINKS FOR THE DUKE RALEIGH HOSPITAL PROGRESS REPORT AND IMPLEMENTATION PLAN.DUKE RALEIGH HOSPITAL:PART V, SECTION B, LINE 11: THE WAKE COUNTY HEALTH ASSESSMENT EVALUATED HEALTH NEEDS IN THE AREAS OF HEALTHCARE ACCESS AND UTILIZATION; MENTAL HEALTH AND SUBSTANCE ABUSE AND NUTRITION, PHYSICAL ACTIVITY AND OBESITY PREVENTION. DUKE RALEIGH HOSPITAL'S RESOURCES HAVE THE BIGGEST IMPACT IN THE FOLLOWING AREAS WITH KEY DATA INCLUDED FROM THE 2013 WAKE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. NUTRITION, PHYSICAL ACTIVITY AND OBESITY PREVENTION:- THE THREE LEADING CAUSES OF DEATH IN WAKE COUNTY ARE CANCER, HEART DISEASE AND STROKE. PROMOTING HEALTHY LIFESTYLES GREATLY REDUCES THE RISK OF DEVELOPING THOSE DISEASES.- CANCER IS THE LEADING CAUSE OF DEATH IN WAKE COUNTY. ACCORDING TO THE CENTER FOR DISEASE CONTROL (CDC), A PERSON'S CANCER RISK CAN BE REDUCED BY RECEIVING REGULAR MEDICAL CARE, MAINTAINING A HEALTHY WEIGHT AND MAKING LIFESTYLE CHANGES INCLUDING PHYSICAL ACTIVITY AND A DIET RICH IN FRUITS AND VEGETABLES. CANCER SCREENING HELPS FIND THE DISEASE EARLY AT AN OFTEN HIGHLY TREATABLE STAGE (CENTERS FOR DISEASE CONTROL AND PREVENTION, CANCER PREVENTION AND CONTROL WEBSITE).- WAKE COUNTY'S MORTALITY RATE FOR CEREBROVASCULAR DISEASE (STROKE) IS 15% HIGHER THAN THE NATIONAL RATE.- IN WAKE COUNTY, ALMOST 2 OUT OF 3 ADULTS ARE EITHER OVERWEIGHT OR OBESE (NC STATE CENTER FOR HEALTH STATISTICS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, 2009).HEALTHCARE ACCESS AND UTILIZATION:- AFRICAN AMERICANS AND HISPANICS IN WAKE COUNTY EXPERIENCE DISPROPORTIONATELY HIGHER MORTALITY RATES FROM CANCER, HEART DISEASE, STROKE AND DIABETES.- IN 2012, MORE THAN 1700 WAKE COUNTY PATIENTS WERE SEEN IN WAKE COUNTY EMERGENCY DEPARTMENTS FOR DIABETES (TYPES 1 AND 2) RELATED ISSUES, A 17% INCREASE SINCE 2010.- IN THREE FOCUS GROUPS, DIABETES WAS IDENTIFIED AS A HEALTH CONCERN FOR WAKE COUNTY.DUKE RALEIGH LIFESTYLE AND DISEASE MANAGEMENT CENTER: THE DUKE RALEIGH LIFESTYLE AND DISEASE MANAGEMENT CENTER IS DESIGNED TO SUPPORT PATIENTS WITH CHRONIC ILLNESSES IN IMPROVING THEIR QUALITY OF LIFE. THE CENTER INCLUDES CARDIAC AND PULMONARY REHABILITATION, DIABETES EDUCATION, MEDICAL NUTRITION THERAPY FOR BARIATRIC SURGERY PATIENTS AND GENERAL WELLNESS, NUTRITION AND FITNESS PROGRAMS TO SUPPORT INDIVIDUALS IN ACHIEVING BETTER OVERALL HEALTH. THE LOSE TO LIVE WEIGHT LOSS PROGRAM IS DESIGNED TO HELP PARTICIPANTS MAKE IMPORTANT LIFESTYLE MODIFICATIONS TO DIET AND PHYSICAL ACTIVITY TO ACHIEVE WEIGHT LOSS SUCCESS.WEIGHT LOSS SURGERY: DUKE RALEIGH HOSPITAL IS ACCREDITED AS A LEVEL 1 FACILITY BY THE BARIATRIC SURGERY CENTER NETWORK ACCREDITATION PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS. THE PROGRAM INCLUDES A SUPPORT PROGRAM FOR BARIATRIC SURGERY PATIENTS AFTER SURGERY AS WELL AS AN OPTIONAL MAINTENANCE WELLNESS PROGRAM OFFERED THROUGH THE DUKE RALEIGH LIFESTYLE AND DISEASE MANAGEMENT CENTER.COMMUNITY OUTREACH: HEALTHY FOCUS EDUCATIONAL SERIES: FOR MORE THAN EIGHT YEARS, DUKE RALEIGH HOSPITAL HAS HOSTED THE HEALTHY FOCUS COMMUNITY EDUCATION SERIES OF FREE PROGRAMS AVAILABLE TO COMMUNITY MEMBERS ON TOPICS SUCH AS:- LUNG CANCER- CARE OF THE AGING SHOULDER- NECK PAIN: HOW TO BEAT IT AND TREAT IT- ANKLE ARTHRITIS- MEN'S HEALTHTHE TRIANGLE STROKE EDUCATION OUTREACH INITIATIVE: DUKE RALEIGH HOSPITAL HAS JOINED WITH THE MINORITY WOMEN'S HEALTH PROJECT, INC., THE AMERICAN HEART ASSOCIATION AND REX HEALTHCARE TO PROMOTE THE SHARING OF SUPPORT, WELL-BEING, STRENGTHS, CHALLENGES AND RESOURCES FOR PEOPLE AFFECTED BY STROKE, THOSE WHO HAVE EXPERIENCED STROKE, AND THEIR FAMILY, FRIENDS, AND CARE PROVIDERS THROUGH A SUPPORT GROUP OFFERED AT AREA COMMUNITY CENTERS AND FAITH-BASED ORGANIZATIONS.DUKE RALEIGH HOSPITAL SUPPORTS THE DUKE HEART CENTER IN AN ANNUAL WOMEN AND HEART HEALTH INITIATIVE DURING THE MONTH OF FEBRUARY. EVENTS INCLUDE A WOMEN'S PRETTY PARTY IN RED OFFERING HEALTH SCREENINGS, HEART HEALTH EDUCATION AND A CELEBRATION OF HEART DISEASE SURVIVORSHIP. DUKE RALEIGH HOSPITAL IN CONJUNCTION WITH OTHERS WITHIN DUKE HEALTH WORK WITH THE AMERICAN HEART ASSOCIATION IN THE ANNUAL AMERICAN HEART WALK AT THE PNC ARENA. DUKE RALEIGH HOSPITAL DEPARTMENTS HOLD SEVERAL ON-CAMPUS FUNDRAISERS IN SUPPORT OF THE EVENT EACH YEAR.DUKE RALEIGH HOSPITAL'S EMPLOYEES ANNUALLY SUPPORT THE BACKPACK BUDDIES INITIATIVE COORDINATED THROUGH THE NC FOOD BANK.MIDTOWN FARMERS MARKET: DUKE RALEIGH HOSPITAL IS THE PRESENTING SPONSOR OF THE MIDTOWN FARMERS MARKET AND WELLNESS WEDNESDAYS LOCATED AT NORTH HILLS SHOPPING CENTER IN NORTH RALEIGH AND THE EXCLUSIVE HEALTH AND WELLNESS SUPPORTER. THE MARKET PROMOTES A HEALTHY LIFESTYLE FOR FAMILIES THROUGH THE PROVISION OF LOCAL PRODUCE, FRUITS, CHEESES AND OTHER PRODUCTS AVAILABLE EVERY SATURDAY MORNING FROM APRIL UNTIL NOVEMBER. DUKE RALEIGH HOSPITAL PROVIDES A WEEKLY BOOTH FOCUSING ON HEALTH AWARENESS AND EDUCATION. SOCIAL MEDIA: DUKE RALEIGH HOSPITAL'S SOCIAL MEDIA EFFORTS INCLUDE A COMMUNITY BLOG OFFERING HEALTHY RECIPES AND CONTENT TO SUPPORT A HEALTHY LIFESTYLE AND DELIVERED HEALTHY LIFESTYLE MESSAGES VIA SOCIAL MEDIA. CANCER: CANCER PATIENT NAVIGATOR PROGRAM: DUKE RALEIGH HOSPITAL'S PATIENT NAVIGATOR PROGRAM INCLUDES FOUR INDIVIDUALS WHO EACH HAVE A DISEASE-SPECIFIC FOCUS FOR THEIR PATIENT POPULATION. PATIENT NAVIGATORS PROVIDE IMPORTANT SUPPORT TO CANCER PATIENTS IN OBTAINING KNOWLEDGE AND RESOURCES TO HELP THEM COPE WITH THEIR CANCER DIAGNOSIS AND TO SERVE AS ADVOCATES FOR PATIENTS BY EMPOWERING THEM TO MAKE INFORMED DECISIONS ABOUT THEIR CARE.LUNG CANCER: DUKE CANCER CENTER RALEIGH'S LUNG CANCER CARE PROGRAM IS A MULTIDISCIPLINARY CLINIC COMPRISED OF LUNG CANCER SPECIALISTS WHO PROVIDE COMPREHENSIVE CARE. DUKE CANCER CENTER RALEIGH OFFERS A LUNG CANCER SCREENING CLINIC TO HELP THOSE AT RISK FOR LUNG CANCER AND A SURVIVORSHIP CLINIC TO EMPOWER LUNG CANCER SURVIVORS TO BE ENGAGED IN THEIR HEALTH. INDIVIDUALS AT HIGH RISK FOR DEVELOPING LUNG CANCER CAN PARTICIPATE IN THE LUNG CANCER SCREENING PROGRAM PROVIDING ACCESS TO THE MOST ADVANCED DIAGNOSTIC SCREENING TOOL: LOW-DOSE SPIRAL COMPUTED TOMOGRAPHY (CT) SCANS. IN ADDITION, SMOKING CESSATION EVALUATION AND COUNSELING IS PROVIDED AS WELL AS FOLLOW-UP TREATMENT IF NEEDED - ALL FROM A TEAM OF LUNG CANCER SPECIALISTS.COMMUNITY OUTREACH AND EDUCATION: DUKE RALEIGH HOSPITAL'S HEALTHY EDUCATION FOCUS EDUCATION SERIES INCORPORATED 2 CANCER-FOCUSED COMMUNITY PROGRAMS WHICH WERE ALSO RECORDED AND AVAILABLE ON YOU TUBE. |
| SUPPORT AND EDUCATION: | THE DUKE CANCER INSTITUTE IN WAKE COUNTY OFFERS A VARIETY OF SUPPORT SERVICES AVAILABLE AT NO COST TO CANCER CENTER PATIENTS AS WELL AS COMMUNITY MEMBERS.- CANCER SUPPORT GROUP: MONTHLY SUPPORT GROUP FOR PATIENTS LIVING WITH CANCER. THE GROUP IS OPEN TO PATIENTS WITH ANY TYPE OF CANCER, AND PATIENTS MAY BRING A FAMILY MEMBER IF THEY CHOOSE.- BREAST CANCER SUPPORT GROUP: PROVIDES A PLACE WHERE BREAST CANCER SURVIVORS CAN MEET OTHERS GOING THROUGH SIMILAR EXPERIENCES AND CAN ENJOY SUPPORT AND CAMARADERIE.- LOOK GOOD, FEEL BETTER: THIS SUPPORT GROUP WORKS WITH FEMALE CANCER PATIENTS TO IMPROVE THEIR APPEARANCE AND SELF-CONFIDENCE. MANY PATIENTS COMMENT ON THE MARKED IMPROVEMENT IN THEIR EMOTIONAL AND PHYSICAL HEALTH ONCE THEY FELT LIKE THEY LOOKED "NORMAL."- GYNECOLOGIC ONCOLOGY SUPPORT GROUP: THIS GROUP OFFERS A COMPASSIONATE AND UNDERSTANDING PLACE FOR PATIENTS WITH GYNECOLOGIC CANCER TO DISCUSS THEIR EXPERIENCES AND FIND SUPPORT THROUGH OTHERS.- SELF-HYPNOSIS TRAINING FOR CANCER PATIENTS: PATIENTS LEARN HOW TO USE SELF-HYPNOSIS TO HELP IN MANAGING ILLNESS AND SYMPTOMS, REDUCING PAIN AND STRESS, CONTROLLING THE SIDE EFFECTS OF MEDICATIONS AND RADIATION THERAPIES, AND GENERALLY ENHANCING QUALITY OF LIFE. THIS FOUR-WEEK COURSE IS AVAILABLE FREE OF CHARGE FOR CANCER PATIENTS.COMMUNITY OUTREACH:LUNG CANCER INITIATIVE OF NORTH CAROLINA: DUKE RALEIGH HOSPITAL HAS BEEN THE PRESENTING SPONSOR OF THE LUNG CANCER INITIATIVE OF NORTH CAROLINA LUNGE FORWARD 5K RUN/WALK SINCE ITS INCEPTION IN 2007. PROCEEDS FROM THIS ANNUAL EVENT SUPPORT LUNG CANCER RESEARCH AND ADVOCACY IN NORTH CAROLINA.OVARIAN CANCER AWARENESS WALK: THIS ANNUAL EVENT BENEFITS THE DUKE GYNECOLOGIC ONCOLOGY PROGRAM AND PROVIDES MUCH NEEDED FUNDING FOR RESEARCH AND EDUCATION FOR OVARIAN CANCER. DUKE RALEIGH HOSPITAL CANCER CENTER STAFFS A PATIENT RESOURCE AND EDUCATION BOOTH AT THIS EVENT EACH YEAR.ACCESS TO CARE:URBAN MINISTRIES OPEN DOOR CLINIC: DUKE RALEIGH HOSPITAL HAS WORKED WITH URBAN MINISTRIES SINCE THE INCEPTION OF THE OPEN DOOR CLINIC IN 1985. THE IN-KIND LAB SERVICES PROVIDED TO URBAN MINISTRIES BY DUKE RALEIGH HOSPITAL WAS VALUED AT $1.8 MILLION IN FY16. MANY DUKE RALEIGH STAFF INCLUDING NURSES AND PHYSICIANS HAVE ALSO CONTRIBUTED TIME TO THE OPEN DOOR CLINIC.ALLIANCE MEDICAL MINISTRIES (AAM): DUKE RALEIGH HOSPITAL CONTINUES TO PROVIDE MEDICAL AND FINIANCIAL SUPPORT THROUGH ITS RELATIONSHIP WITH AAM. AMM PROVIDES WORKING, UNINSURED PATIENTS, AGES 18-64 AND ADULT FAMILY MEMBERS WITH PRIMARY CARE AND ACCESS TO AFFORDABLE AND HIGH QUALITY HEALTH CARE.DUKE RALEIGH HOSPITAL PARTICIPATED IN THE 4TH CONGRESSIONAL DISTRICT HEALTH FAIR IN APRIL 2016, WHICH IS OPEN TO THE PUBLIC, WITH SPECIAL EMPHASIS ON HOMELESS, SENIORS, AND VETERAN POPULATIONS. DUKE RALEIGH STAFF WORKING WITH DUKE HEART CENTER PROVIDED HANDS ON CPR TRAINING.THE DUKE RALEIGH LIFESTYLE AND DISEASE MANAGEMENT CENTER PROVIDES A DIABETES EDUCATION PROGRAM OF TWO, THREE-HOUR CLASSES IN BOTH ENGLISH AND SPANISH FOR AAM PATIENTS. THROUGH THE CLASS, PARTICIPANTS LEARN HOW TO MANAGE THEIR DIABETES AS WELL AS HEALTHY COOKING AND DINING OPTIONS. DUKE RALEIGH HOSPITAL STAFF EVALUATE THREE, SIX AND 12-MONTH FOLLOW-UP DATA ON PARTICIPANTS TO MEASURE THE EFFECTIVENESS OF THE PROGRAM AND THE PARTICIPANT'S DIABETES METRICS INCLUDING GLUCOSE LEVEL, A1C, BMI AND WEIGHT.PROJECT ACCESS: DUKE RALEIGH HOSPITAL PROVIDED $2.2 MILLION OF IN-KIND SUPPORT IN FY16. MANY OF DUKE RALEIGH HOSPITAL'S MEDICAL STAFF SUPPORT THIS PROGRAM PROVIDING FREE CARE TO POOR, UNINSURED MEN, WOMEN AND CHILDREN IN WAKE COUNTY. THE PROGRAM OPERATES THROUGH THE COLLABORATION OF COMMUNITY HEALTH CLINICS, HOSPITALS AND PHYSICIANS. PATIENTS ARE REFERRED INTO THE PROGRAM IN ORDER TO BE ABLE TO ACCESS THE FREE MEDICAL SERVICES.WAKE COUNTY MEDICAL SOCIETY COMMUNITY HEALTH FOUNDATION: DUKE RALEIGH HOSPITAL IS AN ACTIVE PARTICIPANT IN THE WAKE COUNTY MEDICAL SOCIETY COMMUNITY HEALTH FOUNDATION WHICH SEEKS COLLABORATIVE WAYS TO ADDRESS THE NEEDS OF UNINSURED AND MEDICAID PATIENTS AND INCLUDES CAPITAL CARE COLLABORATIVE, COMMUNITY CARE OF NC, AND PROJECT ACCESS. DUKE RALEIGH HOSPITAL'S DIRECTOR OF CASE MANAGEMENT PROVIDES LEADERSHIP AS A MEMBER OF THE ADVISORY BOARD FOR THE COMMUNITY HEALTH FOUNDATION.NORTH CAROLINA-VIRGINIA HOSPITAL ENGAGEMENT NETWORK (HEN): DUKE RALEIGH HOSPITAL IS THE ONLY HOSPITAL IN WAKE COUNTY PARTICIPATING IN THIS INITIATIVE THROUGH THE NORTH CAROLINA HOSPITAL ASSOCIATION (NCHA) AND THE CAROLINAS CENTER FOR MEDICAL EXCELLENCE (CCME) AS A PART OF THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) $1 BILLION PARTNERSHIP FOR PATIENTS INITIATIVE. THE GOAL FOR THE INITIATIVE IS TO MAKE MEANINGFUL STRIDES IN ADVANCING THE QUALITY, SAFETY AND AFFORDABILITY OF HEALTH CARE. TEN AREAS OF FOCUS THROUGH THE HEN ARE ADVERSE DRUG EVENTS, CATHETER-ASSOCIATED URINARY TRACT INFECTIONS, CENTRAL LINE-ASSOCIATED BLOOD STREAM INFECTIONS, INJURIES FROM FALLS AND IMMOBILITY, OBSTETRICAL ADVERSE EVENTS, PRESSURE ULCERS, SURGICAL SITE INFECTIONS, VENOUS THROMBOEMBOLISM, VENTILATOR-ASSOCIATED PNEUMONIA AND PREVENTABLE READMISSIONS.DUKE RALEIGH HOSPITAL'S AREA OF FOCUS AS A PART OF THE HEN IS TO REDUCE READMISSIONS BY 20 PERCENT. DUKE RALEIGH HOSPITAL STAFF WORKED CLOSELY WITH PRIMARY CARE PHYSICIANS TO STREAMLINE COMMUNICATIONS AND IMPLEMENT A NEW PROTOCOL FOR PRIMARY CARE PHYSICIANS TO BE NOTIFIED WITHIN 48 HOURS OF A PATIENT'S ADMISSION. UPON DISCHARGE, A FOLLOW-UP APPOINTMENT IS SCHEDULED WITH THE PATIENT'S PRIMARY CARE PHYSICIAN WITHIN SEVEN DAYS.HOSPITAL LONG-TERM CARE COLLABORATION: DUKE RALEIGH HOSPITAL IS A PART OF THIS COLLABORATION THAT INCLUDES ALL THREE WAKE COUNTY HOSPITALS AND A PORTION OF SKILLED NURSING FACILITIES, ASSISTED LIVING FACILITIES AND HOME HEALTH ORGANIZATIONS. THE GOAL OF THE COLLABORATION IS TO BETTER UNDERSTAND THE REGULATORY REQUIREMENTS AND OTHER IMPORTANT PROCESSES THAT WOULD AFFECT A PATIENT BEING TRANSFERRED FROM THE HOSPITAL INTO THE CARE OF ANOTHER POST-ACUTE CARE PROVIDER. THE GROUP HAS ALREADY DEVELOPED LITERATURE PROVIDED TO PATIENTS UPON DISCHARGE THAT OUTLINES REALISTIC EXPECTATIONS IN A SKILLED NURSING FACILITY (SNF), HOME HOSPICE, HOME HEALTH OR AN ASSISTED LIVING FACILITY.DUKE RALEIGH HOSPITAL'S CASE MANAGEMENT TEAM VISITS NURSING HOMES AND OTHER POST-ACUTE CARE PROVIDERS TO BETTER COLLABORATE AND TO DETERMINE WHAT OPPORTUNITIES EXIST IN THE PATIENT TRANSITION PROCESS. THE DUKE RALEIGH HOSPITAL TEAM ALSO REVIEWS ALL READMISSIONS WITH THE POST-ACUTE PROVIDER TO DETERMINE WHAT OPPORTUNITIES MAY EXIST. AS A RESULT, THE DUKE RALEIGH HOSPITAL TEAM INSTITUTED A PROTOCOL TO MAKE A FOLLOW-UP CALL TO THE PATIENT'S POST-ACUTE CARE PROVIDER ONE DAY AFTER TRANSFER. THIS NEW PROCESS HAS PREVENTED READMISSIONS IN SEVERAL INSTANCES.WAKE CRISIS COOPERATIVE: THE COOPERATIVE INCLUDES ALL WAKE COUNTY HOSPITALS, REPRESENTATIVES FROM MENTAL HEALTH, LAW ENFORCEMENT AND OTHER STAKEHOLDERS IN CRISIS RESPONSE IN WAKE COUNTY. THE COOPERATIVE HAS:- STANDARDIZED THE MENTAL HEALTH ASSESSMENT TOOL FOR HEALTHCARE PROVIDERS IN WAKE COUNTY.- DEVELOPED MENTAL HEALTH AND SUBSTANCE ABUSE TRANSFER GUIDELINES FROM ACUTE TO INPATIENT TO BE USED ACROSS NORTH CAROLINA.- DEFINED HIGH ACUITY PATIENTS TO ASSIST IN PRIORITIZATION OF PATIENTS FROM THE EMERGENCY DEPARTMENT.- DEVELOPED A UNIFORM PROCESS FOR INVOLUNTARY COMMITMENT.- DESIGNED A ROTATION SCHEDULE FOR ACCEPTING PATIENTS WHEN THE MENTAL HEALTH CENTER GOES ON DIVERSION.DRAH DID NOT ADDRESS DENTAL CARE AS DENTAL CARE IS NOT OFFERED AS PART OF DRAH'S CONTINUUM OF SERVICES.FROM SEPTEMBER 2015 THROUGH JUNE 2016, DRAH COLLABORATED WITH WAKE COUNTY HUMAN SERVICES, WAKEMED HEALTH AND HOSPITALS, UNC REX HEALTHCARE, ADVANCE COMMUNITY HEALTH, UNITED WAY OF THE GREATER TRIANGLE, AND THE WAKE COUNTY MEDICAL SOCIETY COMMUNITY HEALTH FOUNDATION TO DEVELOP THE WAKE COUNTY 2016 COMMUNITY HEALTH NEEDS ASSESSMENT.DUKE RALEIGH HOSPITAL:PART V, SECTION B, LINE 16I: DUHS 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 22D: DUHS USED THE LOOK BACK METHOD AND SUMMED ALL CLAIMS SUBMITTED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS DURING THE PRIOR 12 MONTH PERIOD DIVIDED BY THE SUM OF THE ASSOCIATED GROSS CHARGES RELATED TO THOSE CLAIMS. |
| DUKE RALEIGH HOSPITAL: | PART V, SECTION B, LINE 24: CERTAIN ELECTIVE COSMETIC/AESTHETIC SERVICES, AND OTHER SERVICES NOT COVERED BY INSURANCE, WILL BE BILLED AT AN AMOUNT EQUAL TO GROSS CHARGES.SCHEDULE H, PART V, SECTION B.GROUP A - FACILITY 3 - DUKE REGIONAL HOSPITAL:PART V, SECTION B, LINE 5: DUKE REGIONAL HOSPITAL ("DRH") WAS A PARTICIPANT IN THE 2014 DURHAM COMMUNITY HEALTH ASSESSMENT, LED BY PARTNERSHIP FOR A HEALTHY DURHAM. THE ASSESSMENT PROCESS INCLUDED 354 CITIZEN SURVEYS FROM RANDOMLY SELECTED HOUSEHOLDS AND 8 COMMUNITY LISTENING SESSIONS WITH 205 COMMUNITY MEMBERS. REPRESENTATIVES FROM DUKE UNIVERSITY HOSPITAL (DUH) AND DRH PARTICIPATED AS MEMBERS ON THE COMMUNITY HEALTH ASSESSMENT TEAM ALONG WITH REPRESENTATIVES FROM OTHER UNIVERSITIES, LOCAL GOVERNMENT, SCHOOLS, NON-PROFIT ORGANIZATIONS, AND BUSINESSES. THE COMMUNITY HEALTH ASSESSMENT TEAM 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 2016 (TAX YEAR 2015).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 7A: THE CHNA IS AVAILABLE ON THE WEBSITE BY NAVIGATING TO WWW.DUKEHEALTH.ORG, CLICK ON "PATIENTS & VISITORS", THEN "FINANCIAL ASSISTANCE", THEN "COMMUNITY HEALTH NEEDS ASSESSMENT; CLICK THE LINK FOR "DETAILS OF OUR COMMUNITY INVOLVEMENT CAN BE FOUND HERE; AND THEN CLICK ON "COMMUNITY HEALTH."GROUP A - FACILITY 3 - DUKE REGIONAL HOSPITAL:PART V, SECTION B, LINE 10ATHE IMPLEMENTATION STRATEGY AND PROGRESS REPORTS ARE AVAILABLE ON THE WEBSITE BY NAVIGATING TO HTTP://WWW.DUKEHEALTH.ORG, CLICK ON "PATIENTS & VISITORS", THEN "FINANCIAL ASSISTANCE", THEN "COMMUNITY HEALTH NEEDS ASSESSMENT; CLICK THE LINK FOR "DETAILS OF OUR COMMUNITY INVOLVEMENT CAN BE FOUND HERE; AND THEN CLICK ON "COMMUNITY HEALTH." CHOOSE ONE OF THE LINKS FOR THE DUKE REGIONAL HOSPITAL PROGRESS REPORT AND IMPLEMENTATION PLAN.GROUP A - FACILITY 3 - DUKE REGIONAL HOSPITAL:PPART V, SECTION B, LINE 11: DRH CHNA IDENTIFIED SIX HEALTH PRIORITIES FOR 2015 - 2017:1. OBESITY AND CHRONIC ILLNESS2. POVERTY3. EDUCATION4. ACCESS TO MEDICAL AND DENTAL CARE5. MENTAL HEALTH AND SUBSTANCE ABUSE6. HIV AND SEXUALLY TRANSMITTED INFECTIONSACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA ARE AS FOLLOWS:1. OBESITY AND CHRONIC ILLNESS:LOOK GOOD FEEL BETTER: THE AMERICAN CANCER SOCIETY'S LOOK GOOD FEEL BETTER PROGRAM PROVIDES SUPPORT FOR FEMALE CANCER TREATMENT PATIENTS WHO HAVE EXPERIENCED HAIR LOSS OR OTHER PHYSICAL APPEARANCE CHANGES DUE TO CHEMOTHERAPY OR RADIATION TREATMENTS.STROKE AWARENESS: DUKE REGIONAL HOSPITAL OFFERS A MONTHLY STROKE SUPPORT GROUP TO EDUCATE STROKE SURVIVORS, CARE GIVERS AND PEOPLE IN THE COMMUNITY ABOUT STROKE PREVENTION AND STROKE DISABILITIES. APPROXIMATELY 25 PEOPLE ATTEND THE GROUP EACH MONTH.2. POVERTY:FILL THAT BUS: EMPLOYEES DONATED BINS OF SCHOOL SUPPLIES TO FILL THAT BUS IN AUGUST TO SUPPORT DURHAM PUBLIC SCHOOLS. TEACHERS FROM THE HIGHEST POVERTY SCHOOLS WERE INVITED TO PICK OUT SUPPLIES NEEDED IN THEIR CLASSROOMS.SALVATION ARMY ANGEL TREE: EACH DECEMBER, EMPLOYEES ADOPT APPROXIMATELY 100 ANGELS FROM DUKE REGIONAL'S SALVATION ARMY ANGEL TREE. CHILDREN IN DURHAM HAVE RECEIVED BIKES, CLOTHING, DOLLS AND TOYS THANKS TO THE GENEROUS DONATIONS. EXTRA GIFTS ARE ALSO DONATED TO THE SALVATION ARMY FOR OTHER NEEDY FAMILIES IN THE AREA.3. EDUCATION:BYSTANDER CPR: TO CELEBRATE HEART MONTH IN FEBRUARY, DUKE REGIONAL OFFERS A FREE SEMINAR CALLED AND THE BEAT GOES ON...." PARTICIPANTS LEARN BYSTANDER CPR FROM DUKE REGIONAL EDUCATION SERVICES AND THE WARNING SIGNS AND TREATMENTS FOR ATRIAL FIBRILLATION. EDUCATION SERVICES ALSO PROVIDES A HEART SAVER CPR CLASS FOR A LOCAL YOUTH ORGANIZATION.HEALTH PROFESSIONS EDUCATION: DUKE REGIONAL HOSPITAL IS COMMITTED TO HELPING TRAIN THE HEALTHCARE WORKERS OF THE FUTURE. IN FY 2016, DRH CONTRIBUTED $3.4 MILLION TOWARD THE TRAINING AND TEACHING OF TOMORROW'S HEALTHCARE PROFESSIONALS.PROJECT SEARCH: DUKE REGIONAL HOSPITAL IS THE HOST BUSINESS FOR PROJECT SEARCH, AN EFFORT WITH DURHAM PUBLIC SCHOOLS, OE ENTERPRISES, VOCATIONAL REHAB AND DURHAM CENTER ACCESS THAT PROVIDES CAREER DEVELOPMENT EXPERIENCES TO SENIOR HIGH SCHOOL STUDENTS WITH DEVELOPMENTAL DISABILITIES. THE STUDENTS, ACCOMPANIED BY A TEACHER, TEACHER'S ASSISTANT AND JOB COACHES, COMPLETE INTERNSHIPS IN SEVERAL HOSPITAL DEPARTMENTS.CITY OF MEDICINE ACADEMY: DRH HAS WORKED IN CONJUNCTION WITH CITY OF MEDICINE ACADEMY (CMA) AND DURHAM PUBLIC SCHOOLS SINCE THE PROGRAM'S INCEPTION AT SOUTHERN HIGH SCHOOL IN THE 1990S. AS PART OF THAT EFFORT, DUKE REGIONAL HOSTS STUDENTS FOR CLINICAL ROTATIONS AND INTERNSHIPS, PROVIDES CPR TRAINING AND HOSTS THE ANNUAL SENIOR AWARDS NIGHT.4. ACCESS TO MEDICAL AND DENTAL CARE:LINCOLN COMMUNITY HEALTH CENTER: 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 80 PERCENT OF LCHC PATIENTS ARE UNINSURED AND LIVING AT OR BELOW THE POVERTY LEVEL. IN ADDITION TO GENEROUS FINANCIAL SUPPORT, DUKE REGIONAL PROVIDES ENGINEERING, ENVIRONMENTAL, LABORATORY, PHARMACY, RADIOLOGY AND INFORMATION TECHNOLOGY SERVICES. THE TOTAL DUKE REGIONAL HOSPITAL CONTRIBUTION TO LCHC IN FY 2016, INCLUDING MONETARY AND IN-KIND SERVICES, WAS MORE THAN $7.4 MILLION. DURHAM COUNTY EMERGENCY MEDICAL SERVICES: DURHAM COUNTY EMERGENCY MEDICAL SERVICES (EMS) SERVES AS THE PRIMARY PROVIDER OF EMERGENCY AMBULANCE SERVICES AND ALTERNATIVE MEDICAL TRANSPORTATION IN DURHAM COUNTY. IN FY 2016, DUKE REGIONAL HOSPITAL PAID THE COUNTY MORE THAN $2.4 MILLION TO SUPPORT DURHAM EMS. PROJECT ACCESS DURHAM COUNTY: 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.CHARITY CARE: 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 2016 DUKE REGIONAL PROVIDED $21.4 MILLION AT ESTIMATED COST IN CHARITY CARE.5. MENTAL HEALTH AND SUBSTANCE ABUSE:DURHAM CENTER ACCESS (OAKLEIGH) EACH YEAR DUKE REGIONAL HOSPITAL PROVIDES $100,000 TO SUPPORT DURHAM CENTER ACCESS, AN INPATIENT TREATMENT FACILITY FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITY AND SUBSTANCE ABUSE SERVICES.6. HIV AND SEXUALLY TRANSMITTED INFECTIONS: DRH DOES NOT HAVE A SPECIFIC GOAL TO ADDRESS THE RATE OF HIV AND SEXUALLY TRANSMITTED INFECTIONS BECAUSE CONSIDERABLE WORK IS ALREADY BEING DONE THROUGH ORGANIZATIONS WITHIN THE COMMUNITY. THROUGH THE PARTNERSHIP FOR A HEALTHY DURHAM, THE HIV/STI ADVISORY COUNCIL BRINGS TOGETHER COMMUNITY MEMBERS AND AGENCIES TO FOCUS ON STRATEGIES TO PREVENT THE SPREAD OF SYPHILIS AND HIV/AIDS. IN ADDITION, LINCOLN COMMUNITY HEALTH CENTER, WHICH DUKE REGIONAL HOSPITAL SUPPORTS, OPERATES AN EARLY INTERVENTION CLINIC FOR PATIENTS WITH HIV/AIDS AT THE DURHAM COUNTY HEALTH DEPARTMENT.GROUP A - FACILITY 3 - DUKE REGIONAL HOSPITALPART V, SECTION B, LINE 16I: DUHS 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 HOSPITAL:PART V, SECTION B, LINE 22D: DUHS USED THE LOOK BACK METHOD AND SUMMED ALL CLAIMS SUBMITTED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS DURING THE PRIOR 12 MONTH PERIOD DIVIDED BY THE SUM OF THE ASSOCIATED GROSS CHARGES RELATED TO THOSE CLAIMS.PART V, SECTION B, LINE 24: CERTAIN ELECTIVE COSMETIC/AESTHETIC SERVICES, AND OTHER SERVICES NOT COVERED BY INSURANCE, WILL BE BILLED AT AN AMOUNT EQUAL TO GROSS CHARGES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - HOSPICE OF MEADOWLANDS | ||||
| 1001 CORPORATE DRIVE | HILLSBOROUGH | NC | 27278 | HOSPICE |
| 2 - HOCK FAMILY PAVILION | ||||
| 4023 NORTH ROXBORO ROAD | DURHAM | NC | 27704 | HOSPICE |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | NOT APPLICABLEPART I, LINE 6A:NOT APPLICABLEPART I, LINE 7G:NOT APPLICABLEPART I, LINE 7, COLUMN F:TOTAL GROSS COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSES IS 9.35%.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.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 2:BAD DEBT AT COST IS DETERMINED USING THE COST-TO-CHARGE RATIO CALCULATION FROM WORKSHEET 2.PART III, LINE 3:A PORTION OF 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 THOSE PATIENTS 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. BAD DEBT IS FURTHER COMPLICATED BY DOCUMENTATION REQUIRED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) FOR REPORTING CHARITY CARE. THEREFORE, PATIENTS WHO MAY QUALIFY FOR CHARITY CARE ARE REPORTED AS BAD DEBT EXPENSE INSTEAD BECAUSE OF THOSE PATIENTS' INABILITY OR UNWILLINGNESS TO PROVIDE THE NECESSARY DOCUMENTATION REQUIRED TO DETERMINE CHARITY CARE CLASSIFICATION.PART III, LINE 4:PAGES 16-18 IN THE FY2016 AUDITED FINANCIAL STATEMENT FOOTNOTES DESCRIBE BAD DEBT EXPENSE.PART III, LINE 7:TOTAL UNREIMBURSED COSTS ATTRIBUTABLE TO PROVIDING SERVICES UNDER MEDICARE AS REPORTED IN THE JUNE 30, 2016 DUHS CONSOLIDATED FINANCIAL STATEMENTS ARE $183,077,000 AS COMPARED TO $77,850,174 AS REPORTED IN SECTION B, LINE 7 OF SCHEDULE H. THE DUHS TOTAL MEDICARE SHORTFALL OF $183,077,000 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 HEALTH CAROLINIAN'S 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 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 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) 2015 DATA. APPROXIMATELY 70% OF INPATIENT DISCHARGES FROM DUHS FACILITIES IN FFY 2015 WERE PATIENTS FROM ITS PRIMARY SERVICE AREA. 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 RELATIONS, 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 CHARITABLE GRANTS AND GOODWILL 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 RELATIONS AND MEMBERS OF THE DUHS COMMUNITY HEALTH PLANNING GROUP CREATED A FORMAL PRINCIPLES OF COMMUNITY ENGAGEMENT POLICY THAT COMMITS DUHS AND ITS COMMUNITY COLLABORATES 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 CHARITABLE 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 RELATIONS, 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 RELATIONS 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 DURHAM PROJECT HOMELESS CONNECT 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.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). 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 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 HEALTHY LIFESTYLES IN THE DIET & FITNESS CENTER, CENTER FOR LIVING, AND DUKE INTEGRATIVE MEDICINE. THESE OPERATIONS FOCUS LARGELY ON PREVENTION AND EDUCATION TO AVOID OR MITIGATE THE POTENTIAL FOR FUTURE ILLNESS.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 (36 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| AMERICAN HEART ASSOCIATION | ||||||||||
| PO BOX 50045 | PRESCOTT | AZ | 863045045 | 560529996 | 501(C)(3) | $53,000 | GENERAL SUPPORT | |||
| CEO ROUNDTABLE ON CANCER INC | ||||||||||
| 101 SAS CAMPUS DR | CARY | NC | 27513 | 651230448 | 501(C)(3) | $80,000 | GENERAL SUPPORT | |||
| BOYS CLUB OF WAKE COUNTY INC | ||||||||||
| 701 N RALEIGH BLVD | RALEIGH | NC | 27610 | 560863051 | 501(C)(3) | $17,500 | GENERAL SUPPORT | |||
| DURHAM ACADEMY INC | ||||||||||
| 3130 PICKETT RD | DURHAM | NC | 277055599 | 560538019 | 501(C)(3) | $25,000 | GENERAL SUPPORT | |||
| ALLIANCE FOR NC NONPROFITS INC | ||||||||||
| 530 N BLOUNT STREET | RALEIGH | NC | 27604 | 461358968 | 501(C)(6) | $25,000 | GENERAL SUPPORT | |||
| EL CENTRO HISPANO INC | ||||||||||
| 2000 CHAPEL HILL RD | DURHAM | NC | 277071197 | 562011661 | 501(C)(3) | $13,500 | GENERAL SUPPORT | |||
| FAMILY VIOLENCE PREVENTION CENTER | ||||||||||
| 1012 OBERLINE RD SUITE 100 | RALEIGH | NC | 27605 | 581320613 | 501(C)(3) | $40,000 | GENERAL SUPPORT | |||
| ALLIANCE MEDICAL MINISTRY INC | ||||||||||
| 101 DONALD ROSS DR | RALEIGH | NC | 27610 | 562168673 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |||
| GREAT 100 INC | ||||||||||
| PO BOX 4875 | GREENSBORO | NC | 274044875 | 561705456 | 501(C)(3) | $15,000 | GENERAL SUPPORT | |||
| BLUFORD HEALTHCARE LEADERSHIP | ||||||||||
| 7900 LEES SUMMIT RD | KANSAS CITY | MO | 64139 | 463328194 | 501(C)(3) | $30,000 | GENERAL SUPPORT | |||
| DURHAM TECHNICAL COMMUNITY COLLEGE | ||||||||||
| 1637 LAWSON STREET | DURHAM | NC | 27703 | 561423848 | 501(C)(3) | $9,000 | GENERAL SUPPORT | |||
| MEDICAL FOUNDATION OF NC INC | ||||||||||
| CB7120 | CHAPEL HILL | NC | 275997120 | 566057494 | 501(C)(3) | $50,000 | GENERAL SUPPORT | |||
| MIDTOWN RALEIGH ALLIANCE | ||||||||||
| 134 MINE LAKE CT | RALEIGH | NC | 27615 | 452559048 | 501(C)(6) | $12,000 | GENERAL SUPPORT | |||
| NC CENTER FOR NONPROFIT ORG INC | ||||||||||
| 1110 NAVAHO DR SUITE 200 | RALEIGH | NC | 276097322 | 561729407 | 501(C)(3) | $10,000 | GENERAL SUPPORT | |||
| NORTH CAROLINA INSTITUTE OF MEDICINE | ||||||||||
| 630 DAVIS DR STE 100 | MORRISVILLE | NC | 27560 | 561506066 | NC GOVERNMENT | $6,000 | GENERAL SUPPORT | |||
| NORTH CAROLINA SYMPHONY SOCIETY | ||||||||||
| 3700 GLENWOOD AVE SUITE 130 | RALEIGH | NC | 27612 | 560556755 | 501(C)(3) | $28,750 | GENERAL SUPPORT | |||
| PROJECT CURE | ||||||||||
| PO BOX 651 | EVERGREEN | CO | 80437 | 841568566 | 501(C)(3) | $0 | GENERAL SUPPORT | $67,018 | FMV | MEDICAL SUPPLY |
| RALEIGH SCHOOL OF NURSE ANESTHESIA | ||||||||||
| 3900 BARRETT DR SUITE 200 | RALEIGH | NC | 27609 | 561684241 | 501(C)(3) | $18,151 | GENERAL SUPPORT | |||
| SENIOR PHARMASSIST INC | ||||||||||
| 406 RIGSBEE AVE STE 201 | DURHAM | NC | 277012186 | 562084639 | 501(C)(3) | $19,500 | GENERAL SUPPORT | |||
| UNITED WAY OF THE GREATER TRIANGLE | ||||||||||
| 2400 PERIMETER PARK DR 150 | MORRISVILLE | NC | 27560 | 561949103 | 501(C)(3) | $548,853 | GENERAL SUPPORT | |||
| SUSAN G KOMEN FOR THE CURE NC | ||||||||||
| 600 AIRPORT BLVD SUITE 100 | MORRISVILLE | NC | 27560 | 752845066 | 501(C)(3) | $65,000 | GENERAL SUPPORT | |||
| SAMARITAN HEALTH CENTER INC | ||||||||||
| PO BOX 51339 | DURHAM | NC | 27717 | 263770762 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |||
| REINVESTMENT PARTNERS | ||||||||||
| PO BOX 1929 | DURHAM | NC | 277021929 | 311587628 | 501(C)(3) | $21,000 | GENERAL SUPPORT FOR PEACH - LEAD HAZARDS PREVENTION PROGRAM | |||
| RADIO ONE INC | ||||||||||
| 8001-101 CREEDMOOR RD | RALEIGH | NC | 27613 | 521166660 | $25,000 | GENERAL SUPPORT FOR "TAKE A LOVED ONE TO THE DOCTOR AND "WOMEN'S EMPOWERMENT" | ||||
| EAST DURHAM CHILDRENS INITIATIVE | ||||||||||
| 107 N DRIVER ST 3RD FLOOR | DURHAM | NC | 27703 | 320263133 | 501(C)(3) | $10,000 | GENERAL SUPPORT | |||
| FAMILIES MOVING FORWARD | ||||||||||
| PO BOX 25426 | DURHAM | NC | 27702 | 561633998 | 501(C)(3) | $50,000 | GENERAL SUPPORT | |||
| HABITAT FOR HUMANITY OF DURHAM | ||||||||||
| 215 N CHURCH ST | DURHAM | NC | 27701 | 581674794 | 501(C)(3) | $82,000 | GENERAL SUPPORT | |||
| HABITAT FOR HUMANITY OF WAKE | ||||||||||
| 2420 RALEIGH BLVD | RALEIGH | NC | 27604 | 561492703 | 501(C)(3) | $10,000 | GENERAL SUPPORT | |||
| HEALING WITH CAARE INC | ||||||||||
| 214 BROADWAY ST | DURHAM | NC | 27701 | 561963988 | 501(C)(3) | $18,000 | GENERAL SUPPORT | |||
| HOLT BROTHERS FOUNDATION INC | ||||||||||
| 421 FAYETTEVILLE ST STE 1300 | RALEIGH | NC | 27601 | 566570426 | 501(C)(3) | $5,500 | GENERAL SUPPORT | |||
| HUMAN RIGHTS CAMPAIGN INC | ||||||||||
| 1640 RHODE ISLAND AVE NW | WASHINGTON | DC | 20036 | 521243457 | 501(C)(4) | $15,000 | GENERAL SUPPORT | |||
| LGBT CENTER OF RALEIGH INC | ||||||||||
| 324 S HARRINGTON COURT | RALEIGH | NC | 27603 | 262998186 | 501(C)(3) | $10,000 | GENERAL SUPPORT | |||
| MARCH OF DIMES FOUNDATION | ||||||||||
| 1275 MAMARONECK AVE | WHITE PLAINS | NY | 10605 | 131846366 | 501(C)(3) | $10,000 | GENERAL SUPPORT | |||
| MUSEUM OF DURHAM HISTORY | ||||||||||
| PO BOX 362 | DURHAM | NC | 27702 | 943455685 | 501(C)(3) | $11,000 | GENERAL SUPPORT | |||
| NC LUNG CANCER PARTNERSHIP | ||||||||||
| 4000 BLUE RIDGE RD SUITE 170 | RALEIGH | NC | 27612 | 262300885 | 501(C)(3) | $25,000 | GENERAL SUPPORT | |||
| NC MUSEUM OF ART FOUNDATION INC | ||||||||||
| 4630 MAIL SERVICE CENTER | RALEIGH | NC | 276994630 | 237071511 | 501(C)(3) | $12,500 | GENERAL SUPPORT | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 32 | Total501c3OrgCnt |
| Total Other Org | 4 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| FINANCIAL ASSISTANCE | 32 | $38,935 |
| STUDENT SCHOLARSHIPS AND AWARDS | 7 | $2,869 |
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 CHARITABLE GRANTS COMMITTEE THAT REVIEWS COMMUNITY REQUESTS FOR PHILANTHROPIC ASSISTANCE THAT PROMOTE HEALTH AND WELLNESS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| 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 | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 (21 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NANCY CATHERINE ANDREWS MD | ||||||||||||||
| DIRECTOR | $0 | $580,216 | $0 | $367,897 | $0 | $18,000 | $0 | $32,443 | $0 | $57,358 | $0 | $1,055,914 | $0 | $0 |
| RICHARD H BRODHEAD | ||||||||||||||
| DIRECTOR | $0 | $950,754 | $0 | $0 | $0 | $232,026 | $0 | $147,443 | $0 | $75,200 | $0 | $1,405,423 | $0 | $105,500 |
| MARY KLOTMAN MD | ||||||||||||||
| DIRECTOR | $0 | $296,683 | $0 | $58,564 | $0 | $18,000 | $0 | $32,443 | $0 | $14,985 | $0 | $420,675 | $0 | $0 |
| MARK F NEWMAN | ||||||||||||||
| DIRECTOR | $0 | $180,294 | $0 | $0 | $0 | $54,278 | $0 | $29,353 | $0 | $19,951 | $0 | $283,876 | $0 | $0 |
| THEODORE NICK PAPPAS MD | ||||||||||||||
| DIRECTOR | $0 | $261,641 | $0 | $33,000 | $0 | $0 | $0 | $32,443 | $0 | $14,358 | $0 | $341,442 | $0 | $0 |
| A EUGENE WASHINGTON MD | ||||||||||||||
| PRESIDENT & CEO DUHS/DIRECTOR | $0 | $856,489 | $0 | $271,917 | $0 | $9,776 | $0 | $82,443 | $0 | $11,227 | $0 | $1,231,852 | $0 | $0 |
| MONTE D BROWN MD | ||||||||||||||
| VP FOR ADMINISTRATION/SECRETARY | $359,829 | $0 | $272,141 | $0 | $25,457 | $0 | $32,443 | $0 | $16,922 | $0 | $706,792 | $0 | $0 | $0 |
| WILLIAM J FULKERSON JR MD | ||||||||||||||
| EXECUTIVE VP, DUHS | $787,915 | $0 | $1,322,190 | $0 | $18,000 | $0 | $32,443 | $0 | $7,069 | $0 | $2,167,617 | $0 | $0 | $0 |
| KENNETH C MORRIS | ||||||||||||||
| SVP, CFO, TREASURER | $710,180 | $0 | $413,949 | $0 | $69,259 | $0 | $32,443 | $0 | $10,925 | $0 | $1,236,756 | $0 | $0 | $0 |
| MARY ANN FUCHS | ||||||||||||||
| VP-PATIENT CARE/CHIEF NURSE EXEC | $302,576 | $0 | $115,778 | $0 | $0 | $0 | $32,443 | $0 | $6,365 | $0 | $457,162 | $0 | $0 | $0 |
| KATHLEEN GALBRAITH | ||||||||||||||
| PRESIDENT, DUKE REGIONAL HOSPITAL | $378,065 | $0 | $103,463 | $0 | $13,453 | $0 | $32,443 | $0 | $17,093 | $0 | $544,517 | $0 | $0 | $0 |
| KEVIN W SOWERS | ||||||||||||||
| PRESIDENT, DUKE UNIVERSITY HOSPITAL | $467,154 | $0 | $197,319 | $0 | $18,000 | $0 | $32,443 | $0 | $11,580 | $0 | $726,496 | $0 | $0 | $0 |
| DAVID W ZAAS MD | ||||||||||||||
| PRESIDENT, DUKE RALEIGH HOSPITAL | $361,435 | $0 | $139,477 | $0 | $18,000 | $0 | $32,443 | $0 | $15,033 | $0 | $566,388 | $0 | $0 | $0 |
| SANDRA DANOFF | ||||||||||||||
| SVP, STRATEGIC PLANNING, BD, NS | $174,410 | $0 | $1,006,168 | $0 | $18,000 | $0 | $32,443 | $0 | $5,756 | $0 | $1,236,777 | $0 | $0 | $0 |
| JEFFREY M FERRANTI | ||||||||||||||
| VP, CIO, DHTS ADMINISTRATION | $388,150 | $62,544 | $110,313 | $0 | $18,000 | $0 | $32,443 | $0 | $15,222 | $0 | $564,128 | $62,544 | $0 | $0 |
| THOMAS A OWENS MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $419,260 | $0 | $171,147 | $0 | $18,000 | $0 | $32,443 | $0 | $12,173 | $0 | $653,023 | $0 | $0 | $0 |
| ANDREW T PICKENS | ||||||||||||||
| PHYSICIAN | $360,561 | $0 | $65,480 | $0 | $34,978 | $0 | $32,443 | $0 | $14,721 | $0 | $508,183 | $0 | $0 | $0 |
| STEPHEN R SMITH | ||||||||||||||
| CHIEF HR OFFICER | $328,927 | $0 | $126,018 | $0 | $18,000 | $0 | $32,443 | $0 | $13,654 | $0 | $519,042 | $0 | $0 | $0 |
| VICTOR J DZAU MD | ||||||||||||||
| FORMER DIRECTOR/OFFICER | $0 | $0 | $0 | $240,729 | $0 | $0 | $0 | $31,565 | $0 | $0 | $0 | $272,294 | $0 | $0 |
| PAUL NEWMAN | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $255,861 | $0 | $0 | $0 | $0 | $0 | $31,506 | $0 | $6,240 | $0 | $293,607 | $0 | $0 |
| KERRY R WATSON | ||||||||||||||
| FORMER KEY EMPLOYEE | $24,525 | $0 | $0 | $0 | $0 | $0 | $3,026 | $0 | $17,257 | $0 | $44,808 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | FIRST-CLASS OR CHARTER TRAVEL: JOHN H. MCARTHUR TRAVELED FIRST CLASS FOR BUSINESS PURPOSES WHEN LOWER LEVEL CLASSES WERE NOT AVAILABLE. THIS TRAVEL WAS FOR NECESSARY BUSINESS PURPOSES. TAX INDEMNIFICATION: MONTE D. BROWN, MD RECEIVED A BENEFIT THAT WAS GROSSED UP TO COMPENSATE FOR WITHHOLDING OF TAXES. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUAL PARTICIPATED IN AND RECEIVED PAYMENTS UNDER A DEFERRED COMPENSATION PLAN DESCRIBED UNDER SECTION 457(F) OF THE INTERNAL REVENUE CODE: RICHARD H. BRODHEAD $211,000. SUCH AMOUNT WAS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE AS DEFINED UNDER IRC SECTION 457(F). 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. | 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 | 2012-03-22 | $322,140,000 | 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 | 2010-04-28 | $120,836,075 | SEE PART VI | 0 | 0 | 0 | 65821DDX6 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Substantial CompletionSubstantialCompletionYr | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $221,525,000 | $322,140,000 | $322,140,000 | Yes (1) | 0 | Yes (1) | Yes (1) | |||
| B | $182,190,000 | $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 | $121,162,021 | 0 | 0 | Yes (1) | Yes (1) | 2013 | $1,460,854 | $119,701,167 |
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 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 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 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. 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: HOSPITAL IMPROVEMENTS INCLUDE THE DUKE MEDICINE PAVILION AND THE DUKE NORTH CONCOURSE AT DUKE UNIVERSITY HOSPITAL. BOND ISSUE A (2): HOSPITAL IMPROVEMENTS INCLUDE THE DUKE MEDICINE PAVILION AND THE DUKE NORTH CONCOURSE AT DUKE UNIVERSITY HOSPITAL. BOND ISSUE B (2): 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 C (2): THE PURPOSE OF THE BONDS ISSUED 05/26/2016 WAS TO REFUND THE ORIGINAL 2009A BONDS ISSUED ON 10/22/2009 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 05/30/2012 AND TO PARTIALLY REFUND THE 2005B BONDS ISSUED ON 05/30/2012. THE PURPOSE OF THE BONDS ISSUED 05/30/2012 WAS TO PARTIALLY REFUND THE 2005ABC BONDS ISSUED ON 03/22/2012, WHICH REFUNDED THE 2005ABC BONDS ISSUED ON 08/21/2009, WHICH REFUNDED THE ORIGINAL 2005ABC BONDS ISSUED ON 05/19/2005. THE PURPOSE OF THE BONDS ISSUED 05/19/2005 WAS TO PARTIALLY REFUND THE 1996C BONDS ISSUED ON 10/24/1996, 1998A BONDS ISSUED ON 08/27/1998, AND THE 1998B BONDS ISSUED ON 10/13/1998. BOND ISSUE D (2): DRAW-DOWN FINANCING LEASE PROGRAM WITH BANC OF AMERICA PUBLIC CAPITAL CORP. IN THE MAXIMUM PRINCIPAL AMOUNT OF $40,000,000 TO FINANCE MEDICAL, COMPUTER, OFFICE, AND CAPITAL EQUIPMENT. BOND ISSUE A (3): DRAW-DOWN FINANCING LEASE PROGRAM WITH SUNTRUST EQUIPMENT FINANCE AND LEASING CORP. IN THE MAXIMUM PRINCIPAL AMOUNT OF $40,000,000 TO FINANCE MEDICAL, COMPUTER, OFFICE, AND CAPITAL EQUIPMENT. 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. BOND ISSUES D AND A (2): PROCEEDS INCLUDE INVESTMENT EARNINGS. BOND ISSUES D (2) AND A (3): PROCEEDS REFLECT ACTUAL PRINCIPAL DRAWN DOWN UNDER DRAW DOWN FINANCING LEASE PROGRAM. 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, A (2), AND B (2): BOND ISSUE A AND B ARBITRAGE REPORT COMPLETED 3/22/13, BOND ISSUE C COMPLETED 9/30/2013, BOND ISSUE D COMPLETED 04/01/2015, A (2) COMPLETED 05/31/2013, B (2) COMPLETED 5/31/2013. AS TO D (2) AND A (3) NO ARBITRAGE COMPUTATION WAS NECESSARY BECAUSE NO PROCEEDS WERE REINVESTED. BOND ISSUES A, B, C AND B (2): THESE PROCEEDS WERE DISBURSED OR DEEMED DISBURSED UPON ISSUANCE TO CURRENTLY REFUND THE PRIOR BONDS. BOND ISSUES D (2), AND A (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 | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| A | 521309402 | 65821DLJ8 | 2012-06-28 | $326,853,753 | SEE PART VI | 0 | 0 | 0 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| B | 521309402 | 2012-08-28 | $48,225,000 | SEE PART VI | 0 | 0 | 0 | |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| C | 521309402 | 65821DUD1 | 2016-05-26 | $383,990,154 | SEE PART VI | 0 | 0 | 0 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| D | 521309402 | 2012-03-06 | $40,000,000 | SEE PART VI | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt | Refunding EscrowRefundingEscrowAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $20,430,000 | $326,995,394 | $14,871,185 | $2,737,864 | $309,386,345 | 2013 | 0 | 0 | Yes (1) | Yes (1) | ||
| B | $19,575,000 | $48,225,000 | Yes (1) | 0 | Yes (1) | Yes (1) | $48,225,000 | |||||
| C | $383,990,154 | $2,101,335 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | $180,000,000 | $201,888,819 | ||||
| D | $10,943,503 | $30,861,504 | 2014 | 0 | 0 | Yes (1) | Yes (1) | $30,861,504 |
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 | 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) |
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 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 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA MEDICAL CARE COMMISSION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521309402 | BondIssuerEIN |
| Bond Issued | 2015-04-21 | BondIssuedDt |
| Issue Price | $40,000,000 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $252,050 | RetiredAmt |
| Total Proceeds | $5,218,847 | TotalProceedsAmt |
| Capital Expenditures | $5,218,847 | CapitalExpendituresAmt |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| THE DURHAM BULLS BASEBALL CLUB INC | |||
| SEE PART V | $50,741 | SEE PART V | 0 |
| GENESE NEWMAN | |||
| SEE PART V | $68,767 | SEE PART V | 0 |
| DANIEL J SCOTT MD | |||
| SEE PART V | $54,808 | SEE PART V | 0 |
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: THE DURHAM BULLS BASEBALL CLUB, INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: THE DURHAM BULLS BASEBALL CLUB, INC. CEO IS A DUHS, INC. DIRECTOR.(C) AMOUNT OF TRANSACTION: $50,741(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR GOODS OR SERVICES(E) SHARING OF ORGANIZATION REVENUE? = NO(A) NAME OF INTERESTED PERSON: GENESE NEWMAN(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: GENESE NEWMAN IS A FAMILY MEMBER OF A DUHS, INC. FORMER KEY EMPLOYEE(C) AMOUNT OF TRANSACTION: $68,767(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR SALARY AND BENEFITS(E) SHARING OF ORGANIZATION REVENUE? = NO(A) NAME OF INTERESTED PERSON: DANIEL J. SCOTT, MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DANIEL J. SCOTT IS A FAMILY MEMBER OF A DUHS, INC. DIRECTOR(C) AMOUNT OF TRANSACTION: $54,808(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR SALARY AND BENEFITS(E) SHARING OF ORGANIZATION REVENUE? = NO | ExplanationTxt |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $50 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | MARKET QUOTE | MethodOfDeterminingRevenuesTxt |
Books And Publications BooksAndPublicationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $1 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | THRIFT STORE VALUE | MethodOfDeterminingRevenuesTxt |
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $541 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | THRIFT STORE VALUE | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 11 | ContributionCnt |
| Noncash Contributions Rpt F990 | $2,970,431 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | MARKET QUOTE | MethodOfDeterminingRevenuesTxt |
Collectibles CollectiblesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $345 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | MARKET QUOTE | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $297 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | VARIOUS | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | ENTERTAINMENT | 11 | $1,793 | MARKET QUOTE |
| Yes (X) | SPORTS | 4 | $925 | MARKET QUOTE |
| 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 (13 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. BELOW ARE EXCERPTS FROM THE ANNUAL DUHS REPORT ON COMMUNITY BENEFIT. THE COST OF THESE ACTIVITIES CAN BE DIFFICULT TO MEASURE. SOMETIMES THEY INCLUDE THE PARTICIPATION OF DUKE UNIVERSITY SO REFERENCES TO "DUKE" ARE MEANT TO INCLUDE DUHS AND DUKE UNIVERSITY IN THEIR RESPECTIVE MISSION CAPACITIES. DUKE: A PARTNER IN CARE FOR PEOPLE, COMMUNITIES ACROSS NORTH CAROLINA WHEN ITS MEDICAL SCHOOL AND FIRST HOSPITAL OPENED MORE THAN 85 YEARS AGO, DUKE DEDICATED ITSELF TO IMPROVING THE HEALTH OF PEOPLE ACROSS NORTH CAROLINA. TODAY, IN WHAT HAS EVOLVED INTO DUKE UNIVERSITY HEALTH SYSTEM, THAT PROUD COMMITMENT TO CARE CONTINUES. THIS EDITION OF OUR ANNUAL REPORT ON COMMUNITY BENEFIT TELLS HOW. FOR THE FISCAL YEAR THAT ENDED JUNE 30, 2016, DUKE PROVIDED A TOTAL COMMUNITY BENEFIT AND INVESTMENT OF $445 MILLION. OF THAT FIGURE, $82 MILLION REPRESENTS CHARITY CARE AT ESTIMATED COST PROVIDED TO 221,000 PATIENTS, WITH 95% FROM NORTH CAROLINA. INCLUDING THE $445 MILLION FOR FY2016, DUKE'S TOTAL COMMUNITY BENEFIT AND INVESTMENT OVER THE PAST 10 YEARS EXCEEDS $3 BILLION. THIS YEAR'S REPORT ON COMMUNITY BENEFIT IS AVAILABLE ONLINE AT: HTTPS://CORPORATE.DUKEHEALTH.ORG/WHO-WE-ARE/COMMUNITY. CLICK ON "WHO WE ARE" AT THE TOP LEFT, THEN ON "COMMUNITY HEALTH" IN THE DROP-DOWN MENU. SCROLL DOWN THE PAGE AND CLICK ON "2017 REPORT ON COMMUNITY BENEFIT" IN THE BLUE AND WHITE BOX. MORE THAN 6,700 DUKE-TRAINED HEALTHCARE PROFESSIONALS MAKE THEIR HOME IN NORTH CAROLINA: * PHYSICIANS 3,172 * NURSES 2,635 * PHYSICIAN ASSISTANTS 612 * PHYSICAL THERAPISTS 276 * PATHOLOGY ASSISTANTS 28 FOR A TOTAL OF 6,723 DUKE PROVIDED $82 MILLION IN CHARITY CARE AT ESTIMATED COST TO 220,698 PATIENTS DURING THE FISCAL YEAR THAT ENDED ON JUNE 30, 2016. NEARLY 95 PERCENT OF THESE PATIENTS (210,721) WERE RESIDENTS OF NORTH CAROLINA. MORE THAN 85 PERCENT (188,662) RESIDED IN DUKE'S PRIMARY SERVICE AREA OF ALAMANCE, DURHAM, GRANVILLE, ORANGE, PERSON, VANCE AND WAKE COUNTIES. HIGHLIGHTS OF DUKE'S CHARITY CARE AND DISCOUNTED CARE POLICIES: * DUKE PROVIDES WORLD-CLASS, EFFECTIVE CARE WITH A CONSISTENTLY HIGH LEVEL OF DIGNITY, RESPECT AND SKILL TO ALL PATIENTS IT SERVES, REGARDLESS OF THEIR ABILITY TO PAY. * DUKE PROVIDES ELIGIBLE CARE AT A DISCOUNT OR WITHOUT CHARGE TO ALL QUALIFYING PATIENTS WHO DO NOT HAVE HEALTH INSURANCE, OR WHO BECAUSE OF FINANCIAL HARDSHIP CANNOT PAY FOR THE CARE THEY RECEIVE. (COSMETIC PROCEDURES ARE NOT ELIGIBLE.) * IN ADDITION TO PROVIDING EMERGENCY AND PRIMARY CARE AT NO CHARGE, DUKE PHYSICIANS DONATE SPECIALTY CARE SERVICES TO ELIGIBLE UNINSURED PATIENTS THROUGH PROJECT ACCESS, A PROGRAM IN DURHAM AND WAKE COUNTIES. * DUKE HELPS PATIENTS NAVIGATE THROUGH GOVERNMENT-SPONSORED FINANCIAL-ASSISTANCE PROGRAMS FOR WHICH THEY MAY QUALIFY. * WHEN GOVERNMENT PROGRAMS SUCH AS MEDICAID DO NOT COMPLETELY COVER DUKE'S COST OF CARE, DUKE ABSORBS THE DIFFERENCE IN ACCORDANCE WITH ITS POLICIES. DUKE WORKS WITH COMMUNITIES TO PROMOTE HEALTH, WELLNESS, AND ACCESS DUKE UNIVERSITY HEALTH SYSTEM, AS WELL AS THE OVER-ARCHING DUKE HEALTH, JOINS WITH MANY OTHER ORGANIZATIONS IN COMMUNITIES IT SERVES. WORKING TOGETHER, WE IDENTIFY AND ADDRESS THE HEALTHCARE NEEDS OF THOSE COMMUNITIES. IN ADDITION, THROUGH ITS TWO HOSPITALS IN DURHAM AND ONE IN RALEIGH, DUKE COLLABORATES WITH THE PUBLIC HEALTH DEPARTMENTS IN DURHAM AND WAKE COUNTIES, COMMUNITY MEMBERS, AND NUMEROUS COMMUNITY PARTNER ORGANIZATIONS TO CONDUCT REGULAR ASSESSMENTS OF COMMUNITY HEALTH NEEDS. IN ACCORDANCE WITH FEDERAL REQUIREMENTS, LINKS ARE AVAILABLE TO THE ASSESSMENTS FOR DURHAM AND WAKE COUNTIES, AND TO EACH OF THE DUKE HOSPITALS' REPORTS. GO TO HTTPS://CORPORATE.DUKEHEALTH.ORG/WHO-WE-ARE/COMMUNITY. CLICK ON "WHO WE ARE" AT THE TOP LEFT, THEN ON "COMMUNITY HEALTH" IN THE DROP-DOWN MENU. SCROLL DOWN THE PAGE TO "COMMUNITY HEALTH NEEDS ASSESSMENT AND CLICK ON ACCOMPANYING LINKS. SUPPORTING THE WORK OF COMMUNITY GROUPS: DUKE AND ITS COMMUNITY PARTNERS CONTINUE THEIR LONGSTANDING COLLABORATIVE EFFORT TO ELIMINATE HEALTHCARE DISPARITIES AND IMPROVE RESIDENTS' ACCESS TO HIGH-QUALITY MEDICAL CARE. IN THE 2016 FISCAL YEAR, DUKE PROVIDED MORE THAN $12 MILLION IN CASH AND IN-KIND SUPPORT FOR COMMUNITY GROUPS, INCLUDING: (1) $7.37 MILLION FOR LINCOLN COMMUNITY HEALTH CENTER AND ITS SATELLITE COMMUNITY CLINICS, WHICH SERVE A MAJORITY POOR AND UNINSURED POPULATION; (2) $2.41 MILLION FOR DURHAM COUNTY'S EMERGENCY MEDICAL SERVICES PROGRAM; (3) $1.8 MILLION IN CASH CONTRIBUTIONS TO OTHER COMMUNITY ORGANIZATIONS. INVESTING IN HEALTH PROFESSIONS EDUCATION: EDUCATING THE NEXT GENERATION OF PHYSICIANS, NURSES, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND PHYSICAL THERAPISTS, AND PATHOLOGY ASSISTANTS IS CENTRAL TO DUKE'S MISSION TO IMPROVE HEALTHCARE FOR PATIENTS AND THE COMMUNITY. IN THE 2016 FISCAL YEAR, DUKE INVESTED ALMOST $63 MILLION IN ITS HEALTH PROFESSIONS EDUCATION PROGRAM. THE PROGRAM REMAINS AMONG THE MOST CHALLENGING AND INNOVATIVE IN THE COUNTRY AS NEW MODELS OF COMMUNITY-FOCUSED CARE EMERGE THAT EMPHASIZE HEALTH, WELLNESS, AND INDIVIDUAL SELF-CARE, AS WELL AS POPULATION HEALTH MANAGEMENT. |
| 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, 2016. AS A RESULT, FORM 990-T IS NOT REQUIRED FOR THE FISCAL YEAR ENDED JUNE 30, 2016. |
| FORM 990, PART VI, SECTION A, LINE 2 | DIRECTORS JACK O. BOVENDER, JR., RICHARD H. BRODHEAD, THOMAS M. GORRIE, WILLIAM HAWKINS, MICHAEL MARSICANO, DAVID M. RUBENSTEIN, AND STEVEN SCOTT, MD ARE TRUSTEES OF DUKE UNIVERSITY. DIRECTOR AND PRESIDENT/CEO, A. EUGENE WASHINGTON, MD, IS AN OFFICER OF DUKE UNIVERSITY. THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF DUKE UNIVERSITY: NANCY CATHERINE ANDREWS, MD, MARY KLOTMAN, MD, MARK F. NEWMAN, AND THEODORE N. PAPPAS, MD. DIRECTOR AND PRESIDENT/CEO, A. EUGENE WASHINGTON, MD, DIRECTOR MARK F. NEWMAN, AND OFFICERS WILLIAM J. FULKERSON, JR., MD, AND KENNETH C. MORRIS ARE DIRECTORS OF DURHAM CASUALTY COMPANY, LTD. DIRECTOR AND PRESIDENT/CEO, A. EUGENE WASHINGTON, MD, DIRECTORS MARY KLOTMAN, MD, MARK F. NEWMAN, AND OFFICER WILLIAM J. FULKERSON, JR., MD, ARE BOARD MEMBERS OF PRIVATE DIAGNOSTIC CLINIC, PLLC. OFFICERS WILLIAM J. FULKERSON, MD AND KENNETH C. MORRIS ARE BOTH DIRECTORS AND OFFICERS OF HEALTH SYSTEM MEDICAL STRATEGIES, INC. |
| 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 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 11 | 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 EMAILED 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, 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 ALL 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 C, LINE 18 | DUKE UNIVERSITY HEALTH SYSTEM, INC.'S FORM 990 IS AVAILABLE TO THE PUBLIC ON WWW.GUIDESTAR.ORG. GUIDESTAR INDEPENDENTLY POSTS TAX-EXEMPT ORGANIZATIONS' FORM 990'S ON THEIR WEBSITE, OBTAINED FROM THE INTERNAL REVENUE SERVICE. |
| 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. FINANCIAL STATEMENTS ARE ALSO AVAILABLE TO THE PUBLIC ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE. NAVIGATE TO HTTP://EMMA.MSRB.ORG AND ENTER "DUKE UNIVERSITY HEALTH SYSTEM" IN THE SEARCH BOX, CHOOSE "SERIES 2016". ACCEPT THE TERMS OF THE WEBSITE, AND CLICK ON "CONTINUING DISCLOSURE". |
| FORM 990, PART XI, LINE 9: | NONPERIODIC CHANGES IN DEFINED BENEFIT PLANS: -308,489,942. NET TRANSFERS TO THE UNIVERSITY AND AFFILIATES: -622,263,615. CHANGE IN MARKET VALUE OF DERIVATIVES: -27,829,430. DEEMED DIVIDEND: -16,360,810. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 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 | $145,160,808 | $2,280,680 | 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 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (32 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) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | ||
| ASSOCIATED HEALTH SVCS INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | HEALTHCARE | NC | 501(C)(3) | 11 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) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 561465177 | |
| DUKE ALUMNI ASSOCIATION INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 561594088 | |
| DUKE CORPORATE EDUCATION | |||||||||||
| 310 BLACKWELL ST | DURHAM | NC | 27701 | EDUCATION | NC | 501(C)(3) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 421672476 | |
| DUKE GIFT PROPERTIES INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 571211078 | |
| DUKE GLOBAL INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 611588319 | |
| DUKE HOSPITAL AUXILIARY INC | |||||||||||
| PO BOX 2895 | DURHAM | NC | 27710 | SUPPORT | NC | 501(C)(3) | 11 TYPE III-O | 0 | 561825604 | N/A | |
| DUKE INTEGRATED NETWORK INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 11 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) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | ||
| DUKE QUALITY NETWORK INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 11 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) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 561701245 | |
| DUKE UNIV AFFILIATED PHYSICIANS | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | HEALTHCARE | NC | 501(C)(3) | 11 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) | 11 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) | 11 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) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 900754895 | |
| DURHAM ASSET MGMT COMPANY INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 561757238 | |
| DURHAM REALTY INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 561917936 | |
| GOTHIC CORPORATION | |||||||||||
| 280 S MANGUM STREET STE 210 | DURHAM | NC | 27701 | INVESTMENTS | NC | 501(C)(3) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 561776668 | |
| GOTHIC HSP CORPORATION | |||||||||||
| 280 S MANGUM STREET STE 210 | DURHAM | NC | 27701 | INVESTMENTS | NC | 501(C)(3) | 11 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) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 561917939 | |
| INNOVATIONS IN HEALTHCARE INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 11 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) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 650045051 | |
| THE CTR FOR DOCUMENTARY STUDIES | |||||||||||
| 1317 PETTIGREW STREET | DURHAM | NC | 27705 | SUPPORT | NC | 501(C)(3) | 11 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) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 561415423 | |
| DUKE JANJUN SERVICES INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 471150667 | |
| DUKE JULDEC SERVICES INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 471143245 | |
| DUKE ALLMO SERVICES INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 471133466 | |
| DUKE INVESTMENT EDUCATION INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 475555092 | |
| FSB REALTY INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 11 TYPE 1 | DUKE UNIVERSITY | 0 | 811309454 | |
| DUKE AFFILIATIONS NETWORK INC | |||||||||||
| 324 BLACKWELL STREET STE 850 | DURHAM | NC | 27701 | SUPPORT | NC | 501(C)(3) | 11 TYPE 1 | DUKE UNIVERSITY HEALTH SYSTEM INC | Yes (1) | 812623775 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (19 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |||||
| LIQUID REALTY PTR 05-0537755 | ||||||||||||||
| LINDA MESA | DANVILLE | CA | 94526 | INVESTMENTS | DE | 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 | |||||
| OCTAVIAN BLUE FD 27-2408711 | ||||||||||||||
| 5TH AVENUE | NY | NY | 10151 | 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 | |||||
| TAIYO BLUE FUND LP 80-0613746 | ||||||||||||||
| 5300 CARILLON POINT | KIRKLAND | WA | 98033 | INVESTMENTS | DE | 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 - 47-3996176 | ||||||||||||||
| 2882 SAND HILL ROAD SUITE 100 | MENLO PARK | CA | 94025 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | |||||
| GPE HOLDCO LLC - 47-5652832 | ||||||||||||||
| 2000 AVE OF THE STARS 11TH FL | LOS ANGELES | CA | 90067 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | |||||
| BLACKWELL PARTNERS LLC - SERIES C - 81-1264533 | ||||||||||||||
| 280 S MANGUM ST STE 210 | DURHAM | NC | 27701 | INVESTMENTS | DE | N/A | N/A | 0 | 0 | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (22 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 | SING | SN | 0688 | SN | |||||||||||
| DURHAM CASUALTY COMPANY LTD | |||||||||||||||||||
| 980113277 | INSURANCE | C | Yes (1) | AON HOUSE 30 WOODBOURNE AVE | PEMBROKE | BD | HM 08 | BD | DUHS INC | $5,384,321 | $190,296,686 | 1.00000 | |||||||
| DUSVF EUROPEAN LP | |||||||||||||||||||
| 980346042 | INVESTMENTS | N/A | C | 0 | 7 CAVENDISH SQUARE | LONDON | UK | W1G 0PE | UK | ||||||||||
| 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 | $130,775 | $11,137 | 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 | ||||||||||||
| QUORUM FUND LIMITED | |||||||||||||||||||
| INVESTMENTS | N/A | C | 0 | PO BOX 1043 GEORGE TOWN | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||||||||
| MCP PRIVATE CAPITAL (FEEDER) FUND I LP | |||||||||||||||||||
| INVESTMENTS | N/A | C | 0 | 6 RUE GABRIEL LIPPMAN | 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 | ||||||||||
| CPP OFFICE PORTFOLIO (FEEDER) LP | |||||||||||||||||||
| 981152490 | REAL ESTATE | N/A | C | 0 | 50 LOTHIAN ROAD FESTIVAL SQUARE | EDINBURGH | UK | EH3 9WJ | UK | ||||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | 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 | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | 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 | $9,334,106 | FMV |
| DUKE UNIVERSITY AFFILIATED PHYSICIANS INC | ||
| S | $248,260 | FMV |
| ASSOCIATED HEALTH SERVICES INC | ||
| S | $5,367,050 | FMV |
| ASSOCIATED HEALTH SERVICES INC | ||
| O | $4,149,506 | FMV |
| DURHAM CASUALTY COMPANYINC | ||
| R | $10,400,301 | FMV |
| DURHAM CASUALTY COMPANYINC | ||
| S | $5,542,485 | FMV |
| GOTHIC HSP CORPORATION | ||
| B | $330,800,280 | FMV |
| GOTHIC HSP CORPORATION | ||
| C | $290,827,510 | FMV |
| DUKE INTEGRATED NETWORK INC | ||
| R | $2,316,039 | FMV |
| DUKE INTEGRATED NETWORK INC | ||
| O | $731,310 | FMV |
| DUKE AFFILIATIONS NETWORK INC | ||
| R | $1,739,565 | FMV |