DUKE UNIVERSITY HEALTH SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: DUKE UNIVERSITY HEALTH SYSTEM INC (EIN 56-2070036)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201401359349303990
Schema version: 2012v2.1
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)
Timestamp	2014-05-15T10:49:34-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	562070036	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	DUKE UNIVERSITY HEALTH SYSTEM INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	DUKE	NameControl
Phone	9196138993	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	615 DOUGLAS STREET NO 700	AddressLine1
City	DURHAM	City
State	NC	State
ZIP Code	27705	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	KENNETH C MORRIS	Name
Title	SVP,CFO,TREASURER	Title
Phone	9196138993	Phone
Date Signed	2014-05-13	DateSigned
Authorize Third Party	0	AuthorizeThirdParty

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	VICTOR J DZAU MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	615 DOUGLAS ST STE 700	AddressLine1
City	DURHAM	City
State	NC	State
ZIP Code	27705	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	3462865893	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.DUKEHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	SEE SCHEDULE O FOR ORGANIZATION'S MISSION STATEMENT	ActivityOrMissionDescription
Nbr Voting Members Governing Body	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	17633	TotalNbrEmployees
Total Nbr Volunteers	2416	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	11631914	ContributionsGrantsPriorYear
Contributions Grants Current Year	8798192	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2304899882	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2361852708	ProgramServiceRevenueCY
Investment Income Prior Year	19726188	InvestmentIncomePriorYear
Investment Income Current Year	87946275	InvestmentIncomeCurrentYear
Other Revenue Prior Year	66110800	OtherRevenuePriorYear
Other Revenue Current Year	76648843	OtherRevenueCurrentYear
Total Revenue Prior Year	2402368784	TotalRevenuePriorYear
Total Revenue Current Year	2535246018	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2065384	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	937726	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1075745136	SalariesEtcPriorYear
Salaries Etc Current Year	1151447618	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	93557	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1066984072	OtherExpensePriorYear
Other Expenses Current Year	1087556573	OtherExpensesCurrentYear
Total Expenses Prior Year	2144794592	TotalExpensesPriorYear
Total Expenses Current Year	2239941917	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	257574192	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	295304101	RevenuesLessExpensesCY
Total Assets BOY	3972574812	TotalAssetsBOY
Total Assets EOY	4327827970	TotalAssetsEOY
Total Liabilities BOY	2025063125	TotalLiabilitiesBOY
Total Liabilities EOY	1882057686	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1947511687	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2445770284	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	DUHS IS COMMITTED TO EXCELLENCE, INNOVATION AND LEADERSHIP IN PROVIDING THE HEALTH CARE NEEDS OF THE PEOPLE WE SERVE, IMPROVING COMMUNITY HEALTH, AND FOSTERING THE VERY BEST MEDICAL EDUCATION.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	1652924011	Expense
Grants	937726	Grants
Revenue	2411472417	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	1652924011	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	1	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	578	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	17633	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	BD	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	21	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	AK	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	FL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	HI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	KS	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MS	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NJ	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OK	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	SC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	TN	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	UT	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	ND	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest
Other Explain In Sch O	X	OtherExplainInSchO

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	LAURA ALVIS	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	9196138993	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	DUKE UNIVERSITY HEALTH SYSTEM INC	AddressLine1
City	DURHAM	City
State	NC	State
ZIP Code	27705	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
NANCY C ANDREWS MD
DIRECTOR	2.00	66.00	X	0	789644	47984
THE HON DANIEL T BLUE JR
DIRECTOR	2.00	2.00	X	0	0	0
JACK O BOVENDER JR
DIRECTOR	1.20	6.00	X	0	0	0
RICHARD H BRODHEAD
DIRECTOR	1.00	71.00	X	0	1037439	193203
VICTOR J DZAU MD
PRESIDENT & CEO, DUHS/DIRECTOR	40.00	46.00	X	0	2146241	740263	X
JAMES F GOODMON
DIRECTOR	6.00	0.00	X	0	0	0
THOMAS M GORRIE
DIRECTOR	1.50	4.10	X	0	0	0
WILLIAM A HAWKINS III
DIRECTOR	1.90	2.30	X	0	0	0
CAROLYN E HENDERSON
DIRECTOR	1.00	0.00	X	0	0	0
DANNY O JACOBS MD
DIRECTOR	25.00	40.00	X	0	274904	41192
REBECCA TRENT KIRKLAND MD
DIRECTOR	8.60	0.00	X	0	0	0
RICHARD D KLAUSNER MD
DIRECTOR	1.00	0.00	X	0	0	0
MARY KLOTMAN MD
DIRECTOR	6.00	41.00	X	0	463750	38275
JOHN H MCARTHUR
DIRECTOR	3.90	0.00	X	0	0	0
LLOYD B MORGAN
DIRECTOR	2.00	0.00	X	0	0	0
THEODORE N PAPPAS MD
DIRECTOR	10.00	40.30	X	0	269080	54232
CARL E RAVIN MD
DIRECTOR	20.00	62.00	X	0	250170	41270
STEVEN SCOTT MD
DIRECTOR	1.70	40.00	X	0	0	0
SUSAN M STALNECKER
DIRECTOR	1.00	4.00	X	0	0	0
KATHERINE KEITH THOMAS
DIRECTOR	2.00	0.00	X	0	0	0
PETER VAN ETTEN
DIRECTOR	2.00	0.00	X	0	0	0
G RICHARD WAGONER JR
DIRECTOR	1.00	11.00	X	0	0	0
MONTE D BROWN MD
VP OF ADMINISTRATION/SECRETARY	47.50	2.50		571188	0	50987	X
WILLIAM J FULKERSON MD
EXECUTIVE VP, DUHS	55.00	5.00		1208909	0	35164	X
KENNETH C MORRIS
SVP, CFO, TREASURER	80.00	10.00		1086674	0	38388	X
MARY ANN FUCHS
VP-PATIENT CARE/CHIEF NURSE EXEC	60.00	5.00		361435	0	35638		X
RICHARD GANNOTTA
PRESIDENT, DUKE RALEIGH HOSPITAL	40.00	0.00		298054	0	48677		X
ARTHUR L GLASGOW
VP/CIO, DHTS	40.00	0.00		671119	0	44455		X
KEVIN W SOWERS
PRESIDENT, DUKE UNIVERSITY HOSPITAL	60.00	0.00		667579	0	37405		X
DOUGLAS B VINSEL
PRESIDENT, DUKE RALEIGH HOSPITAL	60.00	0.00		556255	0	47064		X
KERRY R WATSON
PRESIDENT, DUKE REGIONAL HOSPITAL	40.00	1.00		521507	0	90982		X
MARC CALABRESE
PHYSICIAN	40.00	0.00		398011	0	50077			X
SCOTT GERSH
PHYSICIAN	40.00	0.00		382622	0	49440			X
JOHN M KELSCH
PHYSICIAN	40.00	0.00		378330	0	45961			X
THOMAS A OWENS
CHIEF MEDICAL OFFICER	40.00	10.00		509056	0	44242			X
JOSEPH G TAYLOR
PHYSICIAN	40.00	0.00		431032	0	50588			X
MARK D GUSTAFSON
FORMER OFFICER	0.00	55.00		0	284429	46137				X
PAUL R NEWMAN
FORMER KEY EMPLOYEE	0.00	41.00		0	252298	35164				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8041771	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	5767955	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1906788	TotalOtherCompensation
Number Individuals GT100 K	1169	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
KBR BUILDING GROUP INC
5605 CARNEGIE BLVD	CHARLOTTE	NC	28209	CONSTRUCTION SERVICE	123721199
PRIVATE DIAGNOSTIC CLINIC PLLC
DUMC 3070	DURHAM	NC	27710	PHYSICIAN SERVICES	80357361
ARAMARK HEALTHCARE SUPPORT SERVICES
25271 NETWORK PLACE	CHICAGO	IL	606731252	HEALTHCARE SERVICES	11207363
LEND LEASE US CONSTRUCTION INC
324 BLACKWELL ST STE 130	DURHAM	NC	27701	CONSTRUCTION SERVICE	9354527
JP MORGAN
23928 NETWORK PLACE	CHICAGO	IL	606731252	BOND RATE LOCK	7601161

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	253	NumberOfContractorsGT100K
Fundraising Events	84968	FundraisingEvents
Related Organizations	30580	RelatedOrganizations
Government Grants	588297	GovernmentGrants
All Other Contributions	8094347	AllOtherContributions
Noncash Contributions	243926	NoncashContributions
Total Contributions	8798192	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE	621990	2334666124	2334666124
ANCILLARY MEDICAL	621990	24539879	24539879
MEDICAL SERVICES	621990	2646705	2646705

Field	Value	IRS element (for citing)
Total Program Service Revenue	2361852708	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	-6793436	TotalRevenueColumn
Exclusion	-$6,793,436	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	138100	TotalRevenueColumn
Exclusion	$138,100	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2581544	TotalRevenueColumn
Exclusion	$2,581,544	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	15813557	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	14685034	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1128523	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1128523	TotalRevenueColumn
Exclusion	$1,128,523	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1007370832	Securities
Other	86146	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	912345838	Securities
Other	509529	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	95024994	Securities
Other	-423383	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	94601611	TotalRevenueColumn
Exclusion	$94,601,611	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	49716	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	84968	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	79474	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-29758	TotalRevenueColumn
Exclusion	-$29,758	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
BILLING FEES	621990	40823754	40823754
DEEMED DIVIDEND	900003	19440994		$19,440,994
TUITION	900099	1728191	1728191

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	10975595	TotalRevenueColumn
Related Or Exempt Function Income	7067764	RelatedOrExemptFunctionIncome
Exclusion	$3,907,831	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	72968534	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2535246018	TotalRevenueColumn
Related Or Exempt Function Income	2411472417	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$114,975,409	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	884701	Total
Program Services	884701	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	53025	Total
Program Services	53025	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	6215349	Total
Program Services	275680	ProgramServices
Management And General	5911936	ManagementAndGeneral
Fundraising	27733	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	240619	Total
Program Services	123539	ProgramServices
Management And General	117080	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	902895312	Total
Program Services	626348452	ProgramServices
Management And General	276524164	ManagementAndGeneral
Fundraising	22696	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	46049521	Total
Program Services	29023020	ProgramServices
Management And General	17024185	ManagementAndGeneral
Fundraising	2316	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	128690800	Total
Program Services	78846470	ProgramServices
Management And General	49841772	ManagementAndGeneral
Fundraising	2558	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	67356017	Total
Program Services	46439375	ProgramServices
Management And General	20913022	ManagementAndGeneral
Fundraising	3620	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	13444312	Total
Program Services	12815336	ProgramServices
Management And General	628976	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	231801	Total
Program Services	231801	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	477815	Total
Management And General	477815	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	2610734	Total
Management And General	2610734	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	157657402	Total
Program Services	93257659	ProgramServices
Management And General	64396773	ManagementAndGeneral
Fundraising	2970	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	4705831	Total
Program Services	846480	ProgramServices
Management And General	3859351	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	539900189	Total
Program Services	526488190	ProgramServices
Management And General	13387904	ManagementAndGeneral
Fundraising	24095	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	59086312	Total
Program Services	2146139	ProgramServices
Management And General	56939935	ManagementAndGeneral
Fundraising	238	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	51617168	Total
Program Services	41759700	ProgramServices
Management And General	9857465	ManagementAndGeneral
Fundraising	3	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	6179720	Total
Program Services	4223823	ProgramServices
Management And General	1954176	ManagementAndGeneral
Fundraising	1721	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	3219883	Total
Management And General	3216031	ManagementAndGeneral
Fundraising	3852	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	22713955	Total
Program Services	207428	ProgramServices
Management And General	22506527	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	102340454	Total
Program Services	81308477	ProgramServices
Management And General	21031977	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7840244	Total
Program Services	4220966	ProgramServices
Management And General	3619278	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
EQUIPMENT RENTAL & MAIN	50919306	42122049	8796145	1112
MEDICAID ASSESSMENT	47796902	47796902
LAUNDRY	8863759	8823775	39984
DUES & MEMBERSHIPS	2633019	799403	1833316	300

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	5317767	Total
Program Services	3881621	ProgramServices
Management And General	1435803	ManagementAndGeneral
Fundraising	343	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2239941917	Total
Program Services	1652924011	ProgramServices
Management And General	586924349	ManagementAndGeneral
Fundraising	93557	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	49073	BOY
EOY	76597	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	586721228	BOY
EOY	282318458	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	22132059	BOY
EOY	11269708	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	323603278	BOY
EOY	331741223	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1242411	BOY
EOY	1092758	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	66770331	BOY
EOY	68717773	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	14264968	BOY
EOY	15394082	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	2639687453	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1148615325	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1262266106	BOY
EOY	1491072128	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	2778265	BOY
EOY	2816358	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1674659624	BOY
EOY	2074420736	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	644069	BOY
EOY	644069	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	17443400	BOY
EOY	48264080	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3972574812	BOY
EOY	4327827970	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	318183821	BOY
EOY	362936700	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	9272886	BOY
EOY	3703031	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	1136143590	BOY
EOY	1107827649	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	561462828	BOY
EOY	407590306	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2025063125	BOY
EOY	1882057686	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1897474906	BOY
EOY	2398823195	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	40757961	BOY
EOY	36082851	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9278820	BOY
EOY	10864238	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1947511687	BOY
EOY	2445770284	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3972574812	BOY
EOY	4327827970	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	295304101	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	114390876	ReconciliationUnrealizedInvest
Reconcilation Other Changes	88563620	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Political Expenditures	0	PoliticalExpenditures
Volunteer Hours	0	VolunteerHours
Amt Of4955 Tax	0	AmtOf4955Tax
Amt Of4955 Tax On Managers	0	AmtOf4955TaxOnManagers
Form4720 Filed4955 Tax	0	Form4720Filed4955Tax
Correction Made	0	CorrectionMade
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$185,811	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$79,476	OtherActivitiesAmount
Total Lobbying Expenditures IIB	265287	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3
Form4720 Filed4912 Tax	0	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	DUKE UNIVERSITY HEALTH SYSTEM, INC. EMPLOYS STAFF WHO PERFORM SOME LOBBYING ACTIVITIES AS PART OF THEIR JOB RESPONSIBILITIES. THESE SAME EMPLOYEES AND SOME SENIOR LEADERS OF THE ORGANIZATION 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. DUKE UNIVERSITY HEALTH SYSTEM, INC. HAD 3% OWNERSHIP IN A PARTNERSHIP WHICH HAS MINIMAL LOBBYING EXPENSES. THIS 3% OWNERSHIP WAS ASSIGNED TO A SUPPORTING ORGANIZATION DURING THE FISCAL YEAR.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	50036781	BeginningOfYearBalance
Contributions	8190873	Contributions
Investment Earnings Or Losses	1409233	InvestmentEarningsOrLosses
Other Expenditures	12689798	OtherExpenditures
End Of Year Balance	46947089	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	53700068	BeginningOfYearBalance
Contributions	11126530	Contributions
Investment Earnings Or Losses	-758496	InvestmentEarningsOrLosses
Other Expenditures	14031321	OtherExpenditures
End Of Year Balance	50036781	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	55631465	BeginningOfYearBalance
Contributions	5340437	Contributions
Investment Earnings Or Losses	3639795	InvestmentEarningsOrLosses
Other Expenditures	10911629	OtherExpenditures
End Of Year Balance	53700068	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	44124232	BeginningOfYearBalance
Contributions	14138555	Contributions
Investment Earnings Or Losses	2461764	InvestmentEarningsOrLosses
Other Expenditures	5093086	OtherExpenditures
End Of Year Balance	55631465	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	52120961	BeginningOfYearBalance
Contributions	5465898	Contributions
Investment Earnings Or Losses	-6187893	InvestmentEarningsOrLosses
Other Expenditures	7274733	OtherExpenditures
End Of Year Balance	44124233	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.45000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.55000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	27307986	OtherCostOrOtherBasis
Book Value	27307986	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1665962327	OtherCostOrOtherBasis
Depreciation	567083323	Depreciation
Book Value	1098879004	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	570097769	OtherCostOrOtherBasis
Depreciation	372406435	Depreciation
Book Value	197691334	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	376319371	OtherCostOrOtherBasis
Depreciation	209125567	Depreciation
Book Value	167193804	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1491072128	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (7 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
HEDGED STRATEGIES	471372000	F
SHORT-TERM INVESTMENTS	119957000	F
PRIVATE CAPITAL	259476000	F
REAL ASSETS	302468000	F
FIXED INCOME	317146000	F
EQUITIES	577431000	F
OTHER INVESTMENTS	26570736	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	2074420736	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
INTERCOMPANY PAYABLE	$5,131,843
INTEREST PAYABLE	$12,195,152
PROFESSIONAL LIABILITY COSTS	$8,252,493
POST RETIREMENT BENEFIT OBLIGATION	$103,102,000
CAPITAL LEASE OBLIGATION	$126,889,618
DERIVATIVE INSTRUMENTS	$93,448,756
OTHER NON-CURRENT LIABILITIES	$58,570,444

Field	Value	IRS element (for citing)
Total Of Amounts	407590306	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	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: DUHS 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 DUHS FINANCIAL STATEMENTS AND THEREFORE NO FIN 48 SPECIFIC DISCLOSURES ARE MADE IN THE AUDITED FINANCIAL STATEMENTS OF DUHS, INC. AND ITS AFFILIATES FOR FISCAL YEAR ENDED JUNE 30, 2013.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (7 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Total ExpendituresTotalExpenditures	Specific Services ProvidedSpecificServicesProvided
CENTRAL AMERICA AND THE CARIBBEAN	SEND AGENTS TO SEMINAR	6297
EAST ASIA AND THE PACIFIC	SEND AGENTS TO SEMINAR	4280
EUROPE	SEND AGENTS TO SEMINAR	71807
MIDDLE EAST AND NORTH AFRICA	SEND AGENTS TO SEMINAR	160
NORTH AMERICA	PROGRAM SERVICES	1658	RESEARCH
SUB-SAHARAN AFRICA	PROGRAM SERVICES	3901	RESEARCH
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	177210143

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	177298246	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	177298246	TotalAmountSpent
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	1	BoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GALA	NameOfEvent1
Gross Receipts Event1	134684	GrossReceiptsEvent1
Charitable Contributions Event1	84968	CharitableContributionsEvent1
Gross Revenue Event1	49716	GrossRevenueEvent1
Non Cash Prizes Event1	38179	NonCashPrizesEvent1
Rent Facility Costs Event1	2000	RentFacilityCostsEvent1
Food And Beverage Event1	25453	FoodAndBeverageEvent1
Entertainment Event1	4400	EntertainmentEvent1
Other Direct Expenses Event1	9442	OtherDirectExpensesEvent1
Name Of Event2	NONE	NameOfEvent2
Gross Receipts Total	134684	GrossReceiptsTotal
Charitable Contributions Total	84968	CharitableContributionsTotal
Gross Revenue Total Events	49716	GrossRevenueTotalEvents
Non Cash Prizes Total Events	38179	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	2000	RentFacilityCostsTotalEvents
Food And Beverage Total Events	25453	FoodAndBeverageTotalEvents
Entertainment Total Events	4400	EntertainmentTotalEvents
Other Direct Expenses Total Events	9442	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	79474	DirectExpenseSummaryEvents
Net Income Summary	-29758	NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

Field	Value	IRS element (for citing)
Return Reference	FORM 990, SCHEDULE G, PART I, LINE 2B	ReturnReference
Explanation	DUKE UNIVERSITY HEALTH SYSTEM 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'S EDUCATIONAL, RESEARCH AND HEALTHCARE PURPOSES. DUKE UNIVERSITY RECEIVES AND DIRECTS THE CONTRIBUTIONS AS APPROPRIATE TO THE HEALTH SYSTEM. THE AGREEMENT BETWEEN DUKE UNIVERSITY AND DUKE UNIVERSITY HEALTH SYSTEM DOES NOT DISTINGUISH BETWEEN PAYMENTS FOR PROFESSIONAL FUNDRAISING SERVICES AND EXPENSE PAYMENTS OR REIMBURSEMENTS.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	78116985	TotalCommunityBenefitExpense
Net Community Benefit Expense	78116985	NetCommunityBenefitExpense
Percent Of Total Expense	0.03490	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	63824282	TotalCommunityBenefitExpense
Net Community Benefit Expense	63824282	NetCommunityBenefitExpense
Percent Of Total Expense	0.02850	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	141941267	TotalCommunityBenefitExpense
Net Community Benefit Expense	141941267	NetCommunityBenefitExpense
Percent Of Total Expense	0.06340	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	68260625	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14448678	DirectOffsettingRevenue
Net Community Benefit Expense	53811947	NetCommunityBenefitExpense
Percent Of Total Expense	0.02400	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10211317	TotalCommunityBenefitExpense
Net Community Benefit Expense	10211317	NetCommunityBenefitExpense
Percent Of Total Expense	0.00460	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	78471942	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14448678	DirectOffsettingRevenue
Net Community Benefit Expense	64023264	NetCommunityBenefitExpense
Percent Of Total Expense	0.02860	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	220413209	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14448678	DirectOffsettingRevenue
Net Community Benefit Expense	205964531	NetCommunityBenefitExpense
Percent Of Total Expense	0.09200	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$21,634,262	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	489524012	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	586483825	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-96959813	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	0	ProvisionForCharityCare
Number Of Hospital Facilities	3	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Website AddressWebsiteAddress	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	Facility Reporting GroupFacilityReportingGroup
DUKE UNIVERSITY HOSPITAL
1	2301 ERWIN ROAD PRIMARY CAMPUS	DURHAM	NC	27710	WWW.DUKEMEDICINE.ORG	X	X	X	X	X	X	A
DUKE RALEIGH HOSPITAL
2	3400 WAKE FOREST ROAD	RALEIGH	NC	27609	WWW.DUKEMEDICINE.ORG	X	X				X
DUKE REGIONAL HOSPITAL
3	3643 ROXBORO ROAD	DURHAM	NC	27704	WWW.DUKEMEDICINE.ORG	X	X				X	A

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Information GapsInformationGaps	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Develop Community PlanDevelopCommunityPlan	Participate Community PlanParticipateCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	State RegulationStateRegulation	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges	Hospital Facility NumberHospitalFacilityNumber
DUKE UNIVERSITYDUKE REGIONAL HOSPITALS
1	X	X	X	X	X	X	X	X	X	13	1	1	1	X	X	X	X	X	X	X	X	X	X	0	0	1	1	200.000000000000	1	300.000000000000	1	X	X	X	X	X	X	1	1	X	X	X	X	X	1	0	X	X	X	X	1	X	0	1
DUKE RALEIGH HOSPITAL
1	X	X	X	X	X	X	X	X	X	13	1	1	1	X	X	X	X	X	X	X	X	X	X	0	0	1	1	200.000000000000	1	300.000000000000	1	X	X	X	X	X	X	1	1	X	X	X	X	X	1	0	X	X	X	X	1	X	0	1	2

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	4	NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
HOSPICE OF MEADOWLANDS
1001 CORPORATE DRIVE	HILLSBOROUGH	NC	27278	HOSPICE
HOCK FAMILY PAVILION
4023 NORTH ROXBORO ROAD	DURHAM	NC	27704	HOSPICE
DIET & FITNESS CENTER
501 DOUGLAS STREET	DURHAM	NC	27705	HEALTHY WEIGHT LOSS TREATMENT CENTER
DUKE INTEGRATIVE MEDICINE
3475 ERWIN ROAD	DURHAM	NC	27705	CLINICAL AND THERAPEUTIC SERVICES CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (4 entries)

ExplanationExplanation
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 9.84%.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 THIS PORTION THAT IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY IS INDETERMINABLE BECAUSE THEY 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 DUE TO PATIENTS' INABILITY OR UNWILLINGNESS TO PROVIDE THE NECESSARY DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE.PART III, LINE 4PAGES 16-17 IN THE FY2013 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, 2013 DUHS CONSOLIDATED FINANCIAL STATEMENTS ARE $153,207,000 AS COMPARED TO $96,959,813 AS REPORTED IN SECTION B, LINE 7 OF SCHEDULE H. THE DUHS TOTAL MEDICARE SHORTFALL OF $153,207,000 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 8MEDICARE 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 V, LINE 14G FOR HOSPITAL FACILITY REPORTING GROUP A AND HOSPITAL FACILITY #2: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 BY OUR FINANCIAL CARE COUNSELORS.PART V, LINE 22 FOR HOSPITAL FACILITY REPORTING GROUP A AND HOSPITAL FACILITY #2:CERTAIN ELECTIVE COSMETIC/AESTHETIC SERVICES, AND OTHER SERVICES NOT TYPICALLY COVERED BY INSURANCE, WILL BE BILLED AT AN AMOUNT EQUAL TO GROSS CHARGES.PART V, SECTION B, LINE 3 FOR HOSPITAL FACILITY REPORTING GROUP A:DUKE UNIVERSITY HOSPITAL ("DUH") AND DUKE REGIONAL HOSPITAL ("DRH") COLLABORATED WITH THE PARTNERSHIP FOR A HEALTHY DURHAM AND THE DURHAM COUNTY HEALTH DEPARTMENT ON THE 2011 DURHAM COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ASSESSMENT PROCESS INCLUDED 207 CITIZEN SURVEYS FROM RANDOMLY SELECTED HOUSEHOLDS AND 10 COMMUNITY LISTENING SESSIONS WITH 283 COMMUNITY MEMBERS. REPRESENTATIVES FROM 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.PART V, SECTION B, LINE 4 FOR HOSPITAL FACILITY REPORTING GROUP A:DUKE UNIVERSITY HOSPITAL ("DUH") AND DUKE REGIONAL HOSPITAL ("DRH")PART V, SECTION B, LINE 7 FOR HOSPITAL FACILITY REPORTING GROUP A:DUH AND DRH DID NOT SPECIFICALLY ADDRESS THE HIV AND SEXUALLY TRANSMITTED INFECTIONS NEED IDENTIFIED IN THE CHNA BECAUSE CONSIDERABLE WORK IS ALREADY BEING DONE THROUGH OTHER 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 DRH SUPPORTS, OPERATES AN EARLY INTERVENTION CLINIC FOR PATIENTS WITH HIV/AIDS AT THE DURHAM COUNTY HEALTH DEPARTMENT.PART V, SECTION B, LINE 3 FOR HOSPITAL FACILITY #2:DUKE RALEIGH HOSPITAL ("DRAH") USED THE 2010 WAKE COUNTY COMMUNITY ASSESSMENT IN DEVELOPING ITS CHNA AND IMPLEMENTATION PLAN. THE WAKE COUNTY ASSESSMENT INCLUDED INPUT FROM 1,349 CITIZEN SURVEYS, 34 FOCUS GROUPS, 8 WORKGROUPS, AND 3 COMMUNITY MEETINGS. A STEERING COMMITTEE, CO-CHAIRED BY DRAH'S PRESIDENT, COMPRISED OF 50 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.PART V, SECTION B, LINE 4 FOR HOSPITAL FACILITY #2:REX HEALTHCARE, HOLLY HILL HOSPITAL, WAKEMED HEALTH AND HOSPITALSPART V, SECTION B, LINE 7 FOR HOSPITAL FACILITY #2:DRAH DID NOT ADDRESS DENTAL CARE AS DENTAL CARE IS NOT OFFERED AS PART OF DRAH'S CONTINUUM OF SERVICES.PART V, SECTION B, LINE 20 FOR HOSPITAL FACILITY REPORTING GROUP A AND HOSPITAL FACILITY #2:DUHS USED THE WEIGHTED AVERAGE RATE OF ACTUAL CLAIMS PAID BY MEDICARE AND ALL PRIVATE HEALTH INSURERS DURING THE PRIOR 12 MONTH PERIOD.
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 COLLABORATELY 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 FOUR SUBCOMMITTEES THAT EACH FOCUS ON A DURHAM COUNTY HEALTH PRIORITY: MENTAL HEALTH AND SUBSTANCE ABUSE, ACCESS TO MEDICAL AND DENTAL CARE, OBESITY AND CHRONIC ILLNESS, POVERTY, AND HIV/STI'S. POVERTY AND EDUCATION ARE NEW HEALTH PRIORITIES FOR THE COALITION. NEW STANDING COMMITTEES HAVE NOT BEEN ESTABLISHED YET FOR THESE PRIORITIES. THE COALITION IS ADDRESSING THESE ISSUES THROUGH THE FOUR HEALTH COMMITTEES AND BY WORKING COLLABORATELY WITH EXISTING COMMUNITY WORK GROUPS. 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 MOST RECENTLY 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 IT. 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. DUHS ALSO USES DATA FROM THE ANNUAL DURHAM STATE OF THE COUNTY HEALTH REPORT AND THE DURHAM COUNTY HEALTH ASSESSMENT (SEEWWW.HEALTHYDURHAM.ORG) CONDUCTED EVERY 3 YEARS TO ENSURE DUHS IS ADDRESSING IMPORTANT HEALTH CARE ISSUES IDENTIFIED BY THE COMMUNITY.DUKE RALEIGH HOSPITAL WORKED CLOSELY WITH THE WAKE COUNTY HUMAN SERVICES AGENCIES AND OTHER COMMUNITY STAKEHOLDERS ON THE 2010 WAKE COUNTY COMMUNITY HEALTH ASSESSMENT.PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:PART VI, LINE 3:DUHS EMPLOYS NUMEROUS MEANS TO EDUCATE PATIENTS ABOUT THEIR ELIGIBILITYFOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS ORUNDER THE DUHS CHARITY CARE POLICY. DETAILED INFORMATION IS POSTED ONDUKEHEALTH.ORG (DUHS' WEBSITE) ALONG WITH HARDCOPY BROCHURES THAT AREAVAILABLE IN ENGLISH OR SPANISH AT ALL OF OUR PATIENT REGISTRATIONLOCATIONS. ALL INPATIENTS AND EMERGENCY DEPARTMENT PATIENTS ARE ALSOPROVIDED WITH A HARDCOPY, ONE-PAGE SUMMARY OF THE WAYS DUHS CAN ASSISTPATIENTS 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. DURHAM, WAKE AND ORANGE COUNTIES - WHICH FORM THE TRIANGLE - REPRESENT ABOUT TWO-THIRDS OF INPATIENT DISCHARGES FROM DUHS FACILITIES. DUHS' SECONDARY SERVICE AREA COVERS 21 COUNTIES IN NORTH CAROLINA AND SOUTHERN VIRGINIA WITH A POPULATION OVER 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 PARTNERS TO DEVELOPING PROPOSED PROJECTS AND INITIATIVES ON TRUST, RESPECT, DIVERSITY, SAFETY AND COMMUNITY-IDENTIFIED NEEDS. THESE PRINCIPLES HAVE BEEN INCORPORATED INTO COMMUNITY-BASED HEALTH CARE PROJECTS SUCH AS THE DEVELOPMENT OF THE HOLTON WELLNESS CENTER AND DURHAM HEALTH INNOVATIONS, A MULTIDISCIPLINARY COMMUNITY BASED PARTNERSHIP 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. THE OFFICE OF COMMUNITY RELATIONS LAUNCHED A NEW INITIATIVE WITH MEMBERS OF THE DURHAM FAITH COMMUNITY. APPROXIMATELY 50 LOCAL LEADERS IN THE FAITH COMMUNITY ARE WORKING WITH DUKE MEDICINE (DUHS, DUKE UNIVERSITY SCHOOL OF MEDICINE, AND DUKE UNIVERSITY SCHOOL OF NURSING) 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 HAVE BEEN HELD TO DETERMINE HOW DUKE MEDICINE CAN PARTNER WITH 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 MEDICINE PROVIDES VARIOUS OPPORTUNITIES FOR STUDENTS TO INTERACT WITH DIFFERENT HEALTH CARE PROFESSIONALS ACROSS THE SYSTEM. THE OFFICE OF COMMUNITY RELATIONS, DUKE REGIONAL HOSPITAL, AND OTHER KEY COMMUNITY PARTNERS BEGAN A PILOT 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 WITH THE NEW SCHOOLS PROJECT TO HELP THE CMA BECOME THE PREMIER HEALTH SCIENCE HIGH SCHOOL IN NORTH CAROLINA. IN 2011, CMA MOVED INTO A NEW BUILDING ON THE DUKE REGIONAL HOSPITAL CAMPUS ON LAND DUHS RELEASED BACK TO DURHAM COUNTY. THE OCR PROGRAM MANAGER COORDINATED HEALTH CARE SERVICES AT THE ANNUAL DURHAM PROJECT HOMELESS CONNECT. DUHS, INC. IS A KEY PARTNER IN THIS 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, DUKE UNIVERSITY HOSPITAL (DUH) AND DUKE REGIONAL HOSPITAL (DRH) WORK TOGETHER TO MAXIMIZE FACILITY UTILIZATION PROVIDING ROUTINE AND ADVANCED LEVELS OF CARE. DUH ALSO OPERATES A TRAUMA CENTER WITH AIR AMBULANCE SERVICE. DUKE RALEIGH HOSPITAL (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 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)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (33 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
ALLIANCE MEDICAL MINISTRY INC
101 DONALD ROSS DRIVE	RALEIGH	NC	27610	562168673	501(C)(3)	37500	GENERAL SUPPORT
AMERICAN CANCER SOCIETY
8300 HEALTH PARK SUITE 10	RALEIGH	NC	27615	580659875	501(C)(3)	15000	GENERAL SUPPORT
CARING HOUSE INC
2625 PICKETT RD	DURHAM	NC	277055603	561647154	501(C)(3)	13500	GENERAL SUPPORT
CEO ROUNDTABLE ON CANCER INC
940 NW CARY PKWY SUITE 102	CARY	NC	27513	651230448	501(C)(3)	40000	GENERAL SUPPORT
CITY OF MEDICINE ACADEMY
4100 N ROXBORO ST	DURHAM	NC	27704	566001021	NC GOVERNMENT	15000	GENERAL SUPPORT
DUKE SCHOOL FOR CHILDREN
3716 OLD ERWIN RD	DURHAM	NC	27705	581521494	501(C)(3)	25000	GENERAL SUPPORT
DURHAM ACADEMY DEVELOPMENT OFC
3601 RIDGE ROAD	DURHAM	NC	277055599	560538019	501(C)(3)	25000	GENERAL SUPPORT
DURHAM AT RISK YOUTH COLLABORATIVE
107 N DIVER ST	DURHAM	NC	27703	320263133	501(C)(3)	15000	GENERAL SUPPORT
DURHAM CHAMBER OF COMMERCE
300 W MORGAN ST	DURHAM	NC	27701	560207530	501(C)(6)	10000	GENERAL SUPPORT
EL CENTRO HISPANO INC
600 E MAIN STREET	DURHAM	NC	27701	562011661	501(C)(3)	10000	GENERAL SUPPORT
FAMILY VIOLENCE PREVENTION CENTER
1012 OBERLINE RD SUITE 100	RALEIGH	NC	27605	581320613	501(C)(3)	15000	GENERAL SUPPORT
FOUNDATION FOR NURSING EXCELLENCE
PO BOX 31824	RALEIGH	NC	27622	300105241	501(C)(3)	20000	GENERAL SUPPORT
GREAT 100 INC
PO BOX 4875	GREENSBORO	NC	274044875	561705456	501(C)(3)	15000	GENERAL SUPPORT
GREATER RALEIGH CHAMBER OF COMMERCE
PO BOX 2978	RALEIGH	NC	276022978	560370850	501(C)(6)	28375	GENERAL SUPPORT
HUMAN RIGHTS CAMPAIGN
1640 RHODE ISLAND AVE NW	WASHINGTON	DC	20036	521243458	501(C)(4)	12000	GENERAL SUPPORT
JOHN AVERY BOYS AND GIRLS CLUB
PO BOX 446	DURHAM	NC	27702	566001906	501(C)(3)	10000	GENERAL SUPPORT
MDC INC
300 W MAIN ST	DURHAM	NC	27701	560894222	501(C)(3)	20000	GENERAL SUPPORT
MIDTOWN EVENTS
4818 SIX FORKS ROAD SUITE 204	RALEIGH	NC	27609	208998537	-	110000	GENERAL SUPPORT FOR LOCAL FARMER'S MARKET
MIDTOWN RALEIGH ALLIANCE
4441 SIX FORKS RD SUITE 106-24	RALEIGH	NC	27609	452559048	501(C)(6)	12000	GENERAL SUPPORT
MUSEUM OF DURHAM HISTORY
PO BOX 362	DURHAM	NC	27702	943455685	501(C)(3)	10000	GENERAL SUPPORT
NC LUNG CANCER PARTNERSHIP INC
4000 BLUE RIDGE RD SUITE 170	RALEIGH	NC	27612	262300885	501(C)(3)	30550	GENERAL SUPPORT
NORTH CAROLINA INSTITUTE OF MEDICINE
630 DAVIS DR STE 100	MORRISVILLE	NC	27560	561506066	NC GOVERNMENT	6000	GENERAL SUPPORT
NORTH CAROLINA NEW SCHOOLS PROJECT
4600 MARRIOTT DRIVE STE 510	RALEIGH	NC	27612	204031703	501(C)(3)	10000	GENERAL SUPPORT
PIVOT POINT MEDIA
1107 WELLS ST	DURHAM	NC	27707	272018508	-	15250	GENERAL SUPPORT
RALEIGH SCHOOL OF NURSE ANESTHESIA
3900 BARRETT DR SUITE 200	RALEIGH	NC	27609	561684241	501(C)(3)	72606	GENERAL SUPPORT
RESEARCH AMERICA
PO BOX 222451	CHINTILLY	VA	201532451	521609875	501(C)(3)	20000	GENERAL SUPPORT
RONALD MCDONALD HOUSE
506 ALEXANDER AVE	DURHAM	NC	27705	561220376	501(C)(3)	15000	GENERAL SUPPORT
SAMARITAN HEALTH CENTER
PO BOX 51339	DURHAM	NC	27717	263770762	501(C)(3)	20000	GENERAL SUPPORT
SENIOR PHARMASSIST INC
406 RIGSBEE AVE STE 201	DURHAM	NC	277012186	562084639	501(C)(3)	15000	GENERAL SUPPORT
WAKE COUNTY MEDICAL SOCIETY
2500 BLUE RIDGE RD STE 330	RALEIGH	NC	27616	562205175	501(C)(3)	20000	GENERAL SUPPORT
WAKE EDUCATION PARTNERSHIP
706 HILLSBOROUGH ST SUITE A	RALEIGH	NC	27603	581518182	501(C)(3)	10000	GENERAL SUPPORT
WAKE TECHNICAL COMMUNITY COLLEGE
9101 FAYETTEVILLE RD	RALEIGH	NC	276035696	237017752	501(C)(3)	15000	GENERAL SUPPORT
DUKE UNIVERSITY
324 BLACKWELL ST STE 850	DURHAM	NC	27701	560532129	501(C)(3)	0	GENERAL SUPPORT	6308	FMV	DONATION OF MEDICAL EQUIPMENT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	27	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	6	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (12 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
BILL BAKER SCHOLARSHIP	1	500
FINANCIAL ASSISTANCE	33	39000
JUDY WAGONER SCHOLARSHIP	2	500
KINGS DAUGHTERS SHELTERING HOME SCHOLARSHIP	2	6000
MARTHA WHITWORTH LASATER AWARD	2	2000
MEGAN WALKER SCHOLARSHIP	2	1000
MELANIE TAYLOR SCHOLARSHIP	1	1000
NAP PRIZE	2	75
NANCY WALTERS SCHOLARSHIP	2	1000
RUBY BAILEY PIERCE SCHOLARSHIP	2	500
SCHOLARSHIP	1	1000
SGA AWARD	3	450

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE I, PART I, LINE 2	Identifier
Return Reference	PROCEDURES FOR MONITORING USE OF GRANT FUNDS	ReturnReference
Explanation	DUHS, INC. PROVIDES GENERAL SUPPORT TO LOCAL ORGANIZATIONS BASED ON OUR AWARENESS OF THEIR ACTIVITIES WITHIN THE LOCAL COMMUNITY. DUHS, INC. ALSO MAINTAINS A CHARITABLE GRANTS COMMITTEE THAT REVIEWS COMMUNITY REQUESTS FOR PHILANTHROPIC ASSISTANCE THAT PROMOTE HEALTH AND WELLNESS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Written Policy Re T And E Expenses	0	WrittenPolicyReTAndEExpenses
Substantiation Required	0	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
NANCY C ANDREWS MD
DIRECTOR	0	499856	0	249301	0	40487	0	30635	0	18918	0	839197	0	0
RICHARD H BRODHEAD
DIRECTOR	0	817140	0	0	0	220299	0	130635	0	65169	0	1233243	0	100000
VICTOR J DZAU MD
PRESIDENT & CEO, DUHS/DIRECTOR	0	1064538	0	1069441	0	12262	0	722437	0	21274	0	2889952	0	0
DANNY O JACOBS MD
DIRECTOR	0	211303	0	63601	0	0	0	30635	0	11221	0	316760	0	0
MARY KLOTMAN MD
DIRECTOR	0	275713	0	93265	0	94772	0	30635	0	8481	0	502866	0	0
THEODORE N PAPPAS MD
DIRECTOR	0	248580	0	20500	0	0	0	30635	0	24423	0	324138	0	0
CARL E RAVIN MD
DIRECTOR	0	250170	0	0	0	0	0	30635	0	11415	0	292220	0	0
MONTE D BROWN MD
VP OF ADMINISTRATION/SECRETARY	327644	0	204679	0	38865	0	30635	0	21362	0	623185	0	0	0
WILLIAM J FULKERSON MD
EXECUTIVE VP, DUHS	731697	0	460212	0	17000	0	30635	0	6852	0	1246396	0	0	0
KENNETH C MORRIS
SVP, CFO, TREASURER	666267	0	384850	0	35557	0	30635	0	9863	0	1127172	0	0	0
MARY ANN FUCHS
VP-PATIENT CARE/CHIEF NURSE EXEC	283889	0	77546	0	0	0	30635	0	5871	0	397941	0	0	0
RICHARD GANNOTTA
PRESIDENT, DUKE RALEIGH HOSPITAL	238556	0	59498	0	0	0	30635	0	18764	0	347453	0	0	0
ARTHUR L GLASGOW
VP/CIO, DHTS	442470	0	222649	0	6000	0	30635	0	15221	0	716975	0	0	0
KEVIN W SOWERS
PRESIDENT, DUKE UNIVERSITY HOSPITAL	438446	0	212133	0	17000	0	30635	0	8140	0	706354	0	0	0
DOUGLAS B VINSEL
PRESIDENT, DUKE RALEIGH HOSPITAL	361201	0	175121	0	19933	0	30635	0	17548	0	604438	0	0	0
KERRY R WATSON
PRESIDENT, DUKE REGIONAL HOSPITAL	335868	0	168639	0	17000	0	30635	0	61383	0	613525	0	0	0
MARC CALABRESE
PHYSICIAN	346225	0	29560	0	22226	0	30635	0	20530	0	449176	0	0	0
SCOTT GERSH
PHYSICIAN	198858	0	179427	0	4337	0	30635	0	19410	0	432667	0	0	0
JOHN M KELSCH
PHYSICIAN	326530	0	34800	0	17000	0	30635	0	16332	0	425297	0	0	0
THOMAS A OWENS
CHIEF MEDICAL OFFICER	404185	0	104871	0	0	0	30635	0	14876	0	554567	0	0	0
JOSEPH G TAYLOR
PHYSICIAN	271107	0	142925	0	17000	0	30635	0	20797	0	482464	0	0	0
MARK D GUSTAFSON
FORMER OFFICER	0	275429	0	0	0	9000	0	30635	0	16342	0	331406	0	0
PAUL R NEWMAN
FORMER KEY EMPLOYEE	0	238922	0	13376	0	0	0	30635	0	14182	0	297115	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	PART III	ReturnReference
Explanation	SCHEDULE J, PART I, LINE 1A PETER VAN ETTEN TRAVELED FIRST CLASS FOR BUSINESS PURPOSES WHEN LOWER LEVEL CLASSES WERE NOT AVAILABLE. BECAUSE THIS TRAVEL WAS FOR NECESSARY BUSINESS PURPOSES, IT WAS NOT INCLUDED IN TAXABLE INCOME. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B VICTOR J. DZAU MD PARTICIPATES IN A PLAN DESCRIBED UNDER SECTION 457(F) OF THE INTERNAL REVENUE CODE, HOWEVER HE DID NOT RECEIVE ANY PAYMENTS DURING THE REPORTING PERIOD. RICHARD H. BRODHEAD PARTICIPATED IN AND RECEIVED PAYMENTS OF $200,000 UNDER A DEFERRED COMPENSATION PLAN DESCRIBED UNDER SECTION 457(F) OF THE INTERNAL REVENUE CODE. SUCH AMOUNTS WERE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE AS DEFINED UNDER IRC SECTION 457(F). NON-FIXED PAYMENTS SCHEDULE J, PART I, LINE 7 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.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing	CUSIP NumberCUSIPNumber
NORTH CAROLINA MEDICAL CARE COMMISSION
A	521309402	2012-03-22	322140000	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
B	521309402	2012-05-30	214598930	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
C	521309402	2011-10-06	145715000	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
D	521309402	2009-11-10	178598850	SEE PART VI	0	0	0	65821DDB4

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Other Spent ProceedsOtherSpentProceeds	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Year Of Subst CompletionYearOfSubstCompletion	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures
A	214760000	322140000	322140000	1	1	1
B		214760000	214760000	1	1	1
C	11030000	145715000	145715000	1	1	1	2009
D		179713706		0	1	1	2012	15924326	2472104	161317276

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Prcntge Bond Financed PropPrcntgeBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
C	0	0	1	1	0	0.00000	0.00000	0.00000	0	1	0.00070	0	1
D	0	0	1	1	0	0.00000	0.00000	0.00000	0	0			1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
NA
A	0	0	1	1	1	0	0	0	0	NA	0	0	1
NA
B	0	0	1	1	1	0	0	0	0	NA	0	0	1
NA
C	0	0	1	1	1	0	0	0	0	NA	0	0	1
NA
D	0	0	0	1	0	0	0	0	0	NA	0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1
D	1

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K, PART I, COLUMN F	Identifier
Return Reference	PURPOSE OF TAX-EXEMPT BONDS	ReturnReference
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 10/06/2011 WAS TO REFUND THE ORIGINAL 2006ABC BONDS ISSUED ON 11/15/2006 FOR HOSPITAL IMPROVEMENTS FINANCED OR REFINANCED 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 FINANCED INCLUDE: THE AMBULATORY CANCER CENTER AT DUKE UNIVERSITY HOSPITAL AND OTHER RENOVATION AND IMPROVEMENT PROJECTS AT DUKE UNIVERSITY HOSPITAL AND DUKE RALEIGH HOSPITAL. BOND ISSUE A (2): HOSPITAL IMPROVEMENTS INCLUDE THE DUKE MEDICINE PAVILION AT DUKE UNIVERSITY HOSPITAL. BOND ISSUE B (2): HOSPITAL IMPROVEMENTS INCLUDE THE DUKE MEDICINE PAVILION AND THE DUKE NORTH CONCOURSE AT DUKE UNIVERSITY HOSPITAL. BOND ISSUE C (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. 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 BANC OF AMERICA PUBLIC CAPITAL 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), A (2), AND B (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): VCAP REQUEST SUBMITTED TO THE IRS. SCHEDULE K, PART IV, LINE 2C BOND ISSUES (A), (B), (C), (D), A (2) AND B (2): BOND ISSUE (A/B) ARBITRAGE REPORT COMPLETED 3/22/13, (C) COMPLETED 9/30/2012, (D) COMPLETED 11/1/2012, A (2) COMPLETED 4/1/13, B (2) COMPLETED 6/28/2013. BOND ISSUES (A), (B), (C) AND C (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.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
NORTH CAROLINA MEDICAL CARE COMMISSION
A	521309402	65821DDX6	2010-04-28	120836075	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
B	521309402	65821DLJ8	2012-06-28	326853753	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
C	521309402		2012-08-28	48225000	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
D	521309402		2008-12-04	40000000	SEE PART VI	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount RetiredAmountRetired	Capitalized InterestCapitalizedInterest	Amount UnspentAmountUnspent	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion
A	121162021	1460854	119701167	0	1	1
B	326993152	2737864	243717213	0	0	1	6640000	12609388	67928687
C	48225000			1	1	1	8700000			48225000
D	16484844		16484844	0	1	1					2011

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	1	1	1
B	1	1	1
D	1	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
NA
A	0	0	0	1	0	0	0	0	0	NA	0	0	1
NA
B	0	0	0	1	0	0	0	0	0	NA	0	0	1
NA
C	0	0	1	0	1	0	0	0	0	NA	0	0	1
NA
D	0	0	0	0	0	0	0	0	0	NA	0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1
D	1

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	521309402	IssuerEIN
Date Issued	2012-03-06	DateIssued
Issue Price	40000000	IssuePrice
Description Of Purpose	SEE PART VI	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	23472970	TotalProceeds
Capital Expenditures	23472970	CapitalExpenditures
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	1	EngageBondCounselContracts
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	0	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	1	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiled
Rebate Not Due Yet	0	RebateNotDueYet
Exception To Rebate	0	ExceptionToRebate
No Rebate Due	0	NoRebateDue
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Superintegrated Hedge	0	SuperintegratedHedge
Hedge Terminated	0	HedgeTerminated
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Regulatory Safe Harbor Satisfied	0	RegulatorySafeHarborSatisfied
Gross Proceeds Invested	0	GrossProceedsInvested
Written Proc To Monitor Reqs	1	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	1	ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MEDTRONIC
SEE PART V	27043187	SEE PART V	0
PRIVATE DIAGNOSTIC CLINIC
SEE PART V	108863250	SEE PART V	0
CBC NEW MEDIA GROUP LLC
SEE PART V	176000	SEE PART V	0
THE DURHAM BULLS BASEBALL CLUB INC
SEE PART V	57917	SEE PART V	0
IMMUCOR INC
SEE PART V	693751	SEE PART V	0
THORATEC CORPORATION
SEE PART V	9524171	SEE PART V	0
GENESE NEWMAN
SEE PART V	117080	SEE PART V	0
TAMELA VINSEL
SEE PART V	59489	SEE PART V	0
JACQUELINE DZAU
SEE PART V	64050	SEE PART V	0

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	Identifier
Explanation	(A) NAME OF INTERESTED PERSON: MEDTRONIC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MEDTRONIC BOARD MEMBER IS DUHS, INC. DIRECTOR.(C) AMOUNT OF TRANSACTION: $27,043,187(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR GOODS OR SERVICES(E) SHARING OF ORGANIZATION REVENUE? = NO(A) NAME OF INTERESTED PERSON: PRIVATE DIAGNOSTIC CLINIC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: PRIVATE DIAGNOSTIC CLINIC BOARD MEMBERS ARE DUHS, INC. DIRECTOR AND FORMER KEY EMPLOYEE.(C) AMOUNT OF TRANSACTION: $108,863,250(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR GOODS OR SERVICES(E) SHARING OF ORGANIZATION REVENUE? = NO(A) NAME OF INTERESTED PERSON: CBC NEW MEDIA GROUP, LLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: CBC NEW MEDIA GROUP, LLC. CEO IS DUHS, INC. DIRECTOR.(C) AMOUNT OF TRANSACTION: $176,000(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR GOODS OR SERVICES(E) SHARING OF ORGANIZATION REVENUE? = NO(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 DUHS, INC. DIRECTOR.(C) AMOUNT OF TRANSACTION: $57,917(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR GOODS OR SERVICES(E) SHARING OF ORGANIZATION REVENUE? = NO(A) NAME OF INTERESTED PERSON: IMMUCOR, INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: IMMUCOR, INC. CEO IS DUHS, INC. DIRECTOR.(C) AMOUNT OF TRANSACTION: $693,751(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR GOODS OR SERVICES(E) SHARING OF ORGANIZATION REVENUE? = NO(A) NAME OF INTERESTED PERSON: THORATEC CORPORATION(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: THORATEC CORPORATION BOARD MEMBER IS DUHS, INC. DIRECTOR.(C) AMOUNT OF TRANSACTION: $9,524,171(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 DUHS, INC. FORMER KEY EMPLOYEE(C) AMOUNT OF TRANSACTION: $117,080(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR SALARY AND BENEFITS(E) SHARING OF ORGANIZATION REVENUE? = NO(A) NAME OF INTERESTED PERSON: TAMELA VINSEL(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TAMELA VINSEL IS A FAMILY MEMBER OF DUHS, INC. KEY EMPLOYEE(C) AMOUNT OF TRANSACTION: $59,489(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR SALARY AND BENEFITS(E) SHARING OF ORGANIZATION REVENUE? = NO(A) NAME OF INTERESTED PERSON: JACQUELINE DZAU(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JACQUELINE DZAU IS A FAMILY MEMBER OF DUHS, INC. DIRECTOR/OFFICER(C) AMOUNT OF TRANSACTION: $64,050(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR SALARY AND BENEFITS(E) SHARING OF ORGANIZATION REVENUE? = NO	Explanation

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	5	NumberOfContributions
Noncash Contribs Rptd F990	1500	NoncashContribsRptdF990
Method Of Determining Revenues	VARIOUS	MethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	1850	NoncashContribsRptdF990
Method Of Determining Revenues	VARIOUS	MethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	13	NumberOfContributions
Noncash Contribs Rptd F990	192359	NoncashContribsRptdF990
Method Of Determining Revenues	MARKET QUOTE	MethodOfDeterminingRevenues

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	5	NumberOfContributions
Noncash Contribs Rptd F990	671	NoncashContribsRptdF990
Method Of Determining Revenues	VARIOUS	MethodOfDeterminingRevenues

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	7	NumberOfContributions
Noncash Contribs Rptd F990	21	NoncashContribsRptdF990
Method Of Determining Revenues	VARIOUS	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (6 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	EVENT TICKETS	8	1299	FACE VALUE OF TICKET
X	GIFT CARDS	55	20156	VARIOUS
X	JEWELRY	13	6875	VARIOUS
X	MISCELLANEOUS	85	3494	VARIOUS
X	ELECTRONICS	2	12501	VARIOUS
X	AIRLINE TICKETS	1	3200	FACE VALUE OF TICKET

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	1	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	THIRD PARTY USE:	Identifier
Return Reference	PART I, LINE 32B:	ReturnReference
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.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION MISSION STATEMENT	FORM 990, PART I, LINE 1	DUHS IS COMMITTED TO EXCELLENCE, INNOVATION AND LEADERSHIP IN PROVIDING THE HEALTH CARE NEEDS OF THE PEOPLE WE SERVE, IMPROVING COMMUNITY HEALTH, AND FOSTERING THE VERY BEST MEDICAL EDUCATION.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4A	HISTORY AND ORGANIZATION IN 1925, JAMES B. DUKE WILLED $4 MILLION TO ESTABLISH DUKE 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 TO ENHANCE AND IMPROVE HEALTH CARE THROUGHOUT NORTH CAROLINA AND SOUTHERN VIRGINIA. THE DUHS MISSION IS CLINICAL CARE AND IS ENHANCED BY THE RESEARCH AND EDUCATION MISSIONS OF DUKE UNIVERSITY (THE DUKE UNIVERSITY SCHOOL OF MEDICINE AND SCHOOL OF NURSING). TOGETHER THEY SERVE THE COMMUNITY AS DUKE MEDICINE. MANY PROGRAM SERVICE ACCOMPLISHMENTS ARE INCLUDED IN SCHEDULE H TO 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. COLLABORATION FOR COMMUNITY HEALTH DUKE UNIVERSITY HEALTH SYSTEM REMAINS FIRMLY COMMITTED TO WORKING COLLABORATIVELY WITH ITS COMMUNITY PARTNERS TO IDENTIFY, UNDERSTAND AND ADDRESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. THROUGH ITS TWO HOSPITALS IN DURHAM AND ONE IN RALEIGH, DUKE WORKS WITH THE HEALTH DEPARTMENTS IN DURHAM AND WAKE COUNTIES, COMMUNITY MEMBERS, AND NUMEROUS COMMUNITY PARTNER ORGANIZATIONS TO CONDUCT REGULAR COMMUNITY HEALTH NEEDS ASSESSMENTS. UNDER FEDERAL REQUIREMENTS THAT TOOK EFFECT IN THE 2013 FISCAL YEAR, THE ASSESSMENT, REPORTING AND IMPLEMENTATION PLANNING PROCESS WAS FORMALIZED. LINKS TO THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR DURHAM AND WAKE COUNTIES, AND TO EACH DUKE HOSPITAL'S REPORT, ARE POSTED ON WWW.DUKEMEDICINE.ORG. SEARCH FOR "COMMUNITY HEALTH NEEDS ASSESSMENT". CONTRIBUTIONS TO COMMUNITY GROUPS/ $10 MILLION DUKE AND ITS COMMUNITY PARTNERS CONTINUE TO WORK TOWARD THE COMMON GOAL OF ELIMINATING HEALTH DISPARITIES AND IMPROVING RESIDENTS' ACCESS TO HIGH-QUALITY MEDICAL CARE. IN THE 2013 FISCAL YEAR, DUKE PROVIDED A TOTAL OF $10 MILLION IN CASH AND IN-KIND SUPPORT FOR COMMUNITY GROUPS, INCLUDING $7 MILLION FOR LINCOLN COMMUNITY HEALTH CENTER IN DURHAM AND ITS SATELLITE COMMUNITY CLINICS, WHICH SERVE AN OVERWHELMINGLY POOR AND UNINSURED POPULATION; $2 MILLION FOR DURHAM COUNTY'S EMERGENCY MEDICAL SERVICES OPERATION; AND $1 MILLION IN CASH CONTRIBUTIONS TO OTHER ORGANIZATIONS. HEALTH PROFESSIONS EDUCATION/ $54 MILLION IN ADDITION TO THE VALUABLE EXPERIENCE THAT DUKE HEALTH PROFESSIONS STUDENTS GAIN IN ITS THREE HOSPITALS, DUKE REQUIRES THAT THE STUDENTS PARTICIPATE IN ROTATIONS IN COMMUNITY CLINICS, SCHOOL WELLNESS CENTERS AND IN-HOME CARE PROGRAMS FOR ELDERLY OR HOME-BOUND PEOPLE. THIS COMMUNITY OUTREACH PREPARES DOCTORS, NURSES, ADVANCED PRACTICE PROVIDERS, PHYSICAL THERAPISTS, AND OTHER HEALTH PROFESSIONALS TO WORK AND LEAD IN AN INCREASINGLY COMMUNITY-FOCUSED HEALTHCARE DELIVERY SYSTEM. IN THE 2013 FISCAL YEAR, DUKE INVESTED $54 MILLION IN ITS HEALTH PROFESSIONS EDUCATION PROGRAMS. $317 MILLION CHARITY CARE, UNREIMBURSED MEDICAID AND MEDICARE, AND UNRECOVERABLE PATIENT DEBT DUKE PROVIDES URGENT AND EMERGENT CARE REGARDLESS OF A PATIENT'S ABILITY TO PAY. DUKE PROVIDED CHARITY CARE AT COST TOTALING MORE THAN $78 MILLION TO 180,295 PATIENTS DURING THE FISCAL YEAR THAT ENDED ON JUNE 30, 2013. NEARLY 96 PERCENT WERE NORTH CAROLINIANS FROM 98 OF THE STATE'S 100 COUNTIES. DUKE PROVIDES ELIGIBLE CARE AT A DISCOUNT OR WITHOUT CHARGE TO ALL QUALIFYING PATIENTS WHO DO NOT HAVE INSURANCE, OR WHO BECAUSE OF FINANCIAL HARDSHIP CANNOT PAY FOR THE URGENT OR EMERGENT MEDICAL CARE THEY RECEIVE. IN ADDITION TO PROVIDING PRIMARY CARE AT NO CHARGE, DUKE PHYSICIANS DONATE SPECIALTY CARE SERVICES TO ELIGIBLE UNINSURED PATIENTS THROUGH A PROGRAM IN DURHAM AND WAKE COUNTIES CALLED PROJECT ACCESS. NEARLY 15 PERCENT OF ALL DISCHARGED PATIENTS, 8 PERCENT OF HOSPITAL OUTPATIENT SURGERY AND CLINIC VISITS, AND NEARLY 77 PERCENT OF ALL VISITS TO DUKE EMERGENCY DEPARTMENTS RECEIVED SOME LEVEL OF CHARITY CARE. DUKE IS COMMITTED TO PROVIDING HIGH-QUALITY, EFFECTIVE CARE WITH A CONSISTENTLY HIGH LEVEL OF DIGNITY, RESPECT AND SKILL TO ALL PATIENTS IT SERVES, REGARDLESS OF THEIR ABILITY TO PAY. DUKE WORKS WITH PATIENTS BY INFORMING THEM ABOUT AND HELPING THEM ACCESS THE FINANCIAL ASSISTANCE TO WHICH THEY ARE ENTITLED. WHEN GOVERNMENT PROGRAMS DO NOT COMPLETELY COVER DUKE'S COST OF CARE, DUKE ABSORBS THE DIFFERENCE. HIGHLIGHTS OF DUKE'S CHARITY CARE AND DISCOUNTED CARE POLICIES * DUKE PROVIDES A DISCOUNT TO ALL UNINSURED PATIENTS OF LIMITED MEANS FOR EVERY MEDICAL SERVICE EXCEPT COSMETIC PROCEDURES. * DUKE PROVIDES ASSISTANCE TO PATIENTS WHOSE MEDICAL HARDSHIP MAKES IT DIFFICULT FOR THEM TO PAY BASIC LIVING EXPENSES. * DUKE ASSISTS PATIENTS IN APPLYING FOR ANY ADDITIONAL FINANCIAL PROGRAMS FOR WHICH THEY MAY QUALIFY. * DUKE'S COMPLETE CHARITY CARE AND UNINSURED DISCOUNTED CARE POLICIES ARE AVAILABLE AT WWW.DUKEHEALTH.ORG. CLICK ON "PATIENT AND VISITOR INFO", THEN "FINANCIAL ASSISTANCE". COSTS DUKE COVERS FOR CHARITY CARE AND OTHER UNREIMBURSED EXPENSES $78 MILLION CHARITY CARE $64 MILLION UNREIMBURSED MEDICAID $153 MILLION UNREIMBURSED MEDICARE $22 MILLION UNRECOVERABLE PATIENT DEBT
EXPLANATION FOR NOT FILING FORM 990-T	FORM 990, PART V, LINE 3B	THE ORGANIZATION DID NOT HAVE ANY UNRELATED BUSINESS GROSS INCOME DURING THE FISCAL YEAR ENDED JUNE 30, 2013, AS A RESULT, FORM 990-T IS NOT REQUIRED FOR THE FISCAL YEAR ENDED JUNE 30, 2013.
	FORM 990, PART VI, SECTION A, LINE 2	DIRECTORS JACK O. BOVENDER, JR., RICHARD H. BRODHEAD, THOMAS M. GORRIE, WILLIAM A. HAWKINS, III, SUSAN STALNECKER, AND G. RICHARD WAGONER ARE TRUSTEES OF DUKE UNIVERSITY. PRESIDENT/CEO VICTOR J. DZAU, MD IS AN OFFICER OF DUKE UNIVERSITY. THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF DUKE UNIVERSITY: NANCY A. ANDREWS, MD, MARY KLOTMAN, MD, THEODORE N. PAPPAS, MD, CARL E. RAVIN, MD., AND DANNY O. JACOBS, MD. DIRECTOR AND PRESIDENT/CEO VICTOR J. DZAU, MD, DIRECTOR CARL E. RAVIN, MD, AND OFFICERS WILLIAM J. FULKERSON, JR., MD AND KENNETH C. MORRIS ARE DIRECTORS OF DURHAM CASUALTY COMPANY, LTD. DIRECTOR AND PRESIDENT/CEO VICTOR J. DZAU, MD, DIRECTORS CARL E. RAVIN, MD, MARY KLOTMAN, MD, THEODORE N. PAPPAS, MD, AND OFFICER WILLIAM J. FULKERSON, MD ARE BOARD MEMBERS OF PRIVATE DIAGNOSTIC CLINIC, PLLC. DIRECTOR AND PRESIDENT/CEO VICTOR J. DZAU MD AND OFFICER KENNETH C. MORRIS ARE DIRECTORS OF DUKE MEDICAL STRATEGIES, INC. 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. BOARD LEVEL COMMENT AND DISCUSSION ARE INCORPORATED INTO THE FORM AS APPROPRIATE PRIOR TO FILING. A FINAL VERSION OF THE FORM IS POSTED TO THE BOARD OF DIRECTORS COMMUNICATION PORTAL ON THE INTERNET FOR FURTHER REVIEW AND COMMENT BEFORE FILING.
	FORM 990, PART VI, SECTION B, LINE 12C	DUKE UNIVERSITY HEALTH SYSTEM 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	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 ORGANIZATION FORM 990'S ON THEIR WEBSITE, OBTAINED FROM THE INTERNAL REVENUE SERVICE.
	FORM 990, PART VI, SECTION C, LINE 19	FORM 990, PART VI, SECTION C, LINE 19: DUKE UNIVERSITY HEALTH SYSTEM'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 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 MUNI SEARCH BOX.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	NONPERIODIC CHANGES IN DEFINED BENEFIT PLANS: 136,589,741. NET TRANSFERS TO PARENT & AFFILIATES: -74,024,899. CHANGE IN MARKET VALUE OF DERIVATIVES: 45,577,872. INTEREST EARNED ON BOND PROCEEDS - CAPITALIZED FOR BOOK PURPOSES: -138,100. INCOME NOT REPORTED ON BOOKS, BUT INCLUDED FOR 990 REPORTING PURPOSES: DEEMED DIVIDEND: -19,440,994.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
DUKE PRMO LLC
615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	562070036	MEDICAL BILLING	NC	133672935	25410261	DUKE UNIVERSITY HEALTH SYSTEM INC
DUHS GLOBAL LLC
310 BLACKWELL STREET 4TH FLOOR BOX	DURHAM	NC	27701		SUPPORT	NC			DUKE UNIVERSITY HEALTH SYSTEM INC

Form990 Schedule R Part II Form990ScheduleRPartII (26 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	EINEIN	Direct Controlling Entity NADirectControllingEntityNA
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
615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	HEALTHCARE	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY HEALTH SYSTEM INC	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
614 CHAPEL DRIVE	DURHAM	NC	27708	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		0	561825604	N/A
DUKE INTEGRATED NETWORK INC
615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY HEALTH SYSTEM INC	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
615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY HEALTH SYSTEM INC	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
615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	HEALTHCARE	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY HEALTH SYSTEM INC	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	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
IPIHD INC
310 BLACKWELL ST	DURHAM	NC	27710	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
305 TEER BLDG	DURHAM	NC	27708	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561415423

Form990 Schedule R Part III Form990ScheduleRPartIII (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner
AVENUE BLUE TC FD 27-4011571
PARK AVENUE	NEW YORK	NY	10022	INVESTMENTS	DE	N/A	N/A	0	0
BLACKWELL PTR LLC 20-8075455
280 S MANGUM STREET STE 210	DURHAM	NC	27701	INVESTMENTS	GA	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
GMO FORESTRY 6B LP 48-1294791
FRANKLIN STREET	BOSTON	MA	02110	INVESTMENTS	DE	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
MANGUM LLC - 46-1275587
280 S MANGUM STREET STE 210	DURHAM	NC	27701	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
TVV CAPITAL III-A 90-0909850
4TH AVE	NASHVILLE	TN	37219	INVESTMENTS	DE	N/A	N/A	0	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (24 entries)

Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Primary ActivityPrimaryActivity	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	Postal CodeAddressForeign/PostalCode	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Legal Domicile StateLegalDomicileState	Province Or StateAddressForeign/ProvinceOrState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
COLCHESTER ALPHA FUND (BERMUDA) LTD
59-62 TOWNSEND ST 2	DUBLIN	EI	INVESTMENTS	BD	N/A	C	0
COLCHESTER BETA THREE FUND LTD
CENTURY HOUSE 16 PAR-LA VILLE RD	HAMILTON	BD	INVESTMENTS	BD	N/A	C	0	HM HX
DUKE CE LS INC
			REAL ESTATE		N/A	C	0		310 BLACKWELL STREET	DURHAM	NC	27701	202004016	NC
DUKE CE (SEA) PRIVATE LIMITED
1 RAFFLES PLACE TOWER 2	SINGAPORE	SN	SUPPORT	SN	N/A	C	0	048616
DUKE CORP EDU INDIA PRIVATE
ACADEMIC BLOCK NEW CAMPUS	VASTRAPUR	IN	CONSULTING	IN	N/A	C	0	380015					421672476		AHMEDABAD
DUKE CORPORATE EDUCATION LIM
165 FLEET STREET	LONDON	UK	EDUCATION CONSULTING	UK	N/A	C	0	EC4A 2DY					421672476
DUKE CORPORATE EDUCATION RSA
GROUND FLOOR TWICKEHNHAM BLDG	BRYANSTON	SF	CONSULTING	SF	N/A	C	0	02021					421672476		JOHANNESBURG
DUKE GLOBAL CONSULTING (KUNSHAN)
1666 WEI CHEN NAN RD	KUNSHAN PR	CH	CONSULTING	CH	N/A	C	0	215300							KUNSHAN
DUKE MEDICAL STRATEGIES INC
			HEALTHCARE		N/A	C	0		2200 WEST MAIN STREET STE 920	DURHAM	NC	27705	561993799	NC
DUKE MEDICINE ASIA PTE LTD
5 SHENTON WAY 07-00 UIC BLD	SING	SN	MEDICAL RESEARCH	SN	N/A	C	0	0688
DUKE UNIV QUADRANGLE FUND
			INVESTMENTS		N/A	T	0		PO BOX 185	PITTSBURGH	PA	152300185	566218971	PA
DUKE UNIVERSITY TOWER FUND
			INVESTMENTS		N/A	T	0		PO BOX 185	PITTSBURGH	PA	152300185	566147362	PA
DURHAM CASUALTY COMPANY LTD
AON HOUSE 30 WOODBOURNE AVE	PEMBROKE	BD	INSURANCE	BD		C	1	HM 08					980113277			DUHS INC	31514783	177210143	1.00000
DUSVF EUROPEAN LP
7 CAVENDISH SQUARE	LONDON	UK	INVESTMENTS	UK	N/A	C	0	W1G 0PE					980346042
GOTHIC INTERNATIONAL LTD
113 S CHURCH STREET QUEENSGATE HOU	GRAND CAYMAN	CJ	INVESTMENTS	CJ	N/A	C	0	KY1-1108
HEALTH SYSTEM MEDICAL STRATEGIES INC
			HEALTH CARE			C	1		615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	562222444	NC		DUHS INC	152461		1.00000
JOHN & PATRICIA KOSKINEN CLUT
			INVESTMENTS		N/A	T	0		PO BOX 185	PITTSBURGH	PA	152300185	566532340	PA
MARATHON BLUE CAYMAN FUND
89 NEXUS WAY PO BOX 31106	GRAND CAYMAN	CJ	INVESTMENTS	CJ	N/A	C	0	KY1-1205
GHI HOLDINGS MAURITIUS
9TH FL ORANGE TOWER CYBERCITY	EBENE	MP	INVESTMENTS	MP	N/A	C	0
GHI ERP LTD
9TH FL ORANGE TOWER CYBERCITY	EBENE	MP	INVESTMENTS	MP	N/A	C	0
GHI HSP LTD
9TH FL ORANGE TOWER CYBERCITY	EBENE	MP	INVESTMENTS	MP	N/A	C	0
GHI JBD LTD
9TH FL ORANGE TOWER CYBERCITY	EBENE	MP	INVESTMENTS	MP	N/A	C	0
GHI LTP LTD
9TH FL ORANGE TOWER CYBERCITY	EBENE	MP	INVESTMENTS	MP	N/A	C	0
QUORUM FUND LIMITED
PO BOX 1043 GEORGE TOWN	GRAND CAYMAN	CJ	INVESTMENTS	CJ	N/A	C	0	KY1-1102

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
DUKE UNIVERSITY AFFILIATED PHYSICIANS INC
R	9046249	FMV
DUKE UNIVERSITY AFFILIATED PHYSICIANS INC
S	244178	FMV
ASSOCIATED HEALTH SERVICES INC
S	3247097	FMV
ASSOCIATED HEALTH SERVICES INC
O	5074474	FMV
DURHAM CASUALTY COMPANYINC
R	23883521	FMV
DURHAM CASUALTY COMPANYINC
S	7974848	FMV
GOTHIC HSP CORPORATION
B	381349904	FMV
GOTHIC HSP CORPORATION
C	163221550	FMV
DUKE QUALITY NETWORK INC
R	707928	FMV
HEALTH SYSTEM MEDICAL STRATEGIES INC
R	55222	FMV

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
NA
A	0	0	1	1	1	0	0	0	0	NA	0	0	1
NA
B	0	0	1	1	1	0	0	0	0	NA	0	0	1
NA
C	0	0	1	1	1	0	0	0	0	NA	0	0	1
NA
D	0	0	0	1	0	0	0	0	0	NA	0	0	1

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
NA
A	0	0	0	1	0	0	0	0	0	NA	0	0	1
NA
B	0	0	0	1	0	0	0	0	0	NA	0	0	1
NA
C	0	0	1	0	1	0	0	0	0	NA	0	0	1
NA
D	0	0	0	0	0	0	0	0	0	NA	0	0	1

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
NA
A	0	0	1	1	1	0	0	0	0	NA	0	0	1
NA
B	0	0	1	1	1	0	0	0	0	NA	0	0	1
NA
C	0	0	1	1	1	0	0	0	0	NA	0	0	1
NA
D	0	0	0	1	0	0	0	0	0	NA	0	0	1

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
NA
A	0	0	0	1	0	0	0	0	0	NA	0	0	1
NA
B	0	0	0	1	0	0	0	0	0	NA	0	0	1
NA
C	0	0	1	0	1	0	0	0	0	NA	0	0	1
NA
D	0	0	0	0	0	0	0	0	0	NA	0	0	1

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
NA
A	0	0	1	1	1	0	0	0	0	NA	0	0	1
NA
B	0	0	1	1	1	0	0	0	0	NA	0	0	1
NA
C	0	0	1	1	1	0	0	0	0	NA	0	0	1
NA
D	0	0	0	1	0	0	0	0	0	NA	0	0	1

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
NA
A	0	0	0	1	0	0	0	0	0	NA	0	0	1
NA
B	0	0	0	1	0	0	0	0	0	NA	0	0	1
NA
C	0	0	1	0	1	0	0	0	0	NA	0	0	1
NA
D	0	0	0	0	0	0	0	0	0	NA	0	0	1