DUKE UNIVERSITY HEALTH SYSTEM INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: DUKE UNIVERSITY HEALTH SYSTEM INC (EIN 56-2070036)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-15
IRS object ID: 201511359349303601
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-15T10:52:44-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	562070036	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	DUKE	BusinessNameControlTxt
Phone	9196138993	PhoneNum

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KENNETH C MORRIS	PersonNm
Person Title	SVP,CFO,TREASURER	PersonTitleTxt
Phone	9196138993	PhoneNum
Signature	2015-05-07	SignatureDt
Discuss With Paid Preparer	0	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	WILLIAM J FULKERSON MD	PrincipalOfficerNm

US Address USAddress

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	$3,498,473,549	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.DUKEHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O FOR ORGANIZATION'S MISSION STATEMENT	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	18169	TotalEmployeeCnt
Total Volunteers	2291	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,798,192	PYContributionsGrantsAmt
CY Contributions Grants	$14,054,772	CYContributionsGrantsAmt
PY Program Service Revenue	$2,361,852,708	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,396,909,183	CYProgramServiceRevenueAmt
PY Investment Income	$87,946,275	PYInvestmentIncomeAmt
CY Investment Income	$198,777,380	CYInvestmentIncomeAmt
PY Other Revenue	$76,648,843	PYOtherRevenueAmt
CY Other Revenue	$83,624,506	CYOtherRevenueAmt
PY Total Revenue	$2,535,246,018	PYTotalRevenueAmt
CY Total Revenue	$2,693,365,841	CYTotalRevenueAmt
PY Grants And Similar Paid	$937,726	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$911,323	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,151,447,618	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,173,834,491	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$101,050	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,087,556,573	PYOtherExpensesAmt
CY Other Expenses	$1,215,706,033	CYOtherExpensesAmt
PY Total Expenses	$2,239,941,917	PYTotalExpensesAmt
CY Total Expenses	$2,390,451,847	CYTotalExpensesAmt
PY Revenues Less Expenses	$295,304,101	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$302,913,994	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,327,827,970	TotalAssetsBOYAmt
Total Assets EOY	$4,643,137,100	TotalAssetsEOYAmt
Total Liabilities BOY	$1,882,057,686	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,802,551,366	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,445,770,284	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,840,585,734	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,748,613,331	ExpenseAmt
Grant	$911,323	GrantAmt
Revenue	$2,462,293,535	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$1,748,613,331	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (1)	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	492	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	18169	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	AK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	HI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	9196138993	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	DUHS INC 615 DOUGLAS STREET SUITE	AddressLine1
City	DURHAM	City
State	NC	State
ZIP Code	27705	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
NANCY CATHERINE ANDREWS MD
DIRECTOR	4.00	41.00	Yes (X)	$0	$742,900	$82,236
DANIEL T BLUE JR
DIRECTOR	6.00	0.00	Yes (X)	$0	$0	$0
JACK O BOVENDER JR
DIRECTOR	2.00	6.00	Yes (X)	$0	$0	$0
RICHARD H BRODHEAD
DIRECTOR	10.00	52.00	Yes (X)	$0	$1,093,650	$194,315
VICTOR J DZAU MD
PRESIDENT & CEO, DUHS/DIRECTOR	40.00	48.00	Yes (X)	$0	$2,040,018	$732,795	Yes (X)
JAMES F GOODMON
DIRECTOR	1.50	0.00	Yes (X)	$0	$0	$0
THOMAS M GORRIE
DIRECTOR	7.00	18.00	Yes (X)	$0	$0	$0
WILLIAM HAWKINS
DIRECTOR	2.00	4.00	Yes (X)	$0	$0	$0
CAROLYN E HENDERSON
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
MARY E KLOTMAN MD
DIRECTOR	5.00	41.00	Yes (X)	$0	$397,320	$42,008
MICHAEL MARSICANO
DIRECTOR	1.00	6.00	Yes (X)	$0	$0	$0
JOHN MCARTHUR
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
LLOYD B MORGAN
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
THEODORE NICK PAPPAS MD
DIRECTOR	2.00	40.00	Yes (X)	$0	$423,812	$44,229
CARL E RAVIN MD
DIRECTOR	15.00	41.00	Yes (X)	$0	$249,929	$42,341
DAVID M RUBENSTEIN
DIRECTOR	1.00	7.00	Yes (X)	$0	$0	$0
STEVEN M SCOTT MD
DIRECTOR	2.50	0.00	Yes (X)	$0	$0	$0
SUSAN M STALNECKER
DIRECTOR	2.00	6.00	Yes (X)	$0	$0	$0
KATHERINE KEITH THOMAS
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
PETER VAN ETTEN
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JAMES MOON WHITEHURST
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
MONTE D BROWN MD
VP OF ADMINISTRATION/SECRETARY	60.00	0.00		$600,069	$0	$47,520	Yes (X)
WILLIAM J FULKERSON MD
EXECUTIVE VP, DUHS	60.00	5.00		$1,209,478	$0	$36,003	Yes (X)
KENNETH C MORRIS
SVP, CFO, TREASURER	60.00	5.00		$1,051,238	$0	$39,631	Yes (X)
MARY ANN FUCHS
VP-PATIENT CARE/CHIEF NURSE EXEC	60.00	0.00		$405,639	$0	$36,476		Yes (X)
RICHARD GANNOTTA
PRESIDENT, DUKE RALEIGH HOSPITAL	40.00	0.00		$442,125	$0	$50,701		Yes (X)
KATHLEEN GALBRAITH
PRESIDENT, DUKE REGIONAL HOSPITAL	60.00	1.00		$199,318	$0	$40,117		Yes (X)
JEFFREY FERRANTI
VP, CIO, DHTS ADMINISTRATION	60.00	0.00		$402,031	$74,844	$44,229		Yes (X)
CARLA PARKER-HOLLIS
VP, DUKE RALEIGH HOSPITAL	60.00	0.00		$191,404	$0	$40,216		Yes (X)
KEVIN W SOWERS
PRESIDENT, DUKE UNIVERSITY HOSPITAL	70.00	0.00		$676,744	$0	$41,744		Yes (X)
DOUGLAS B VINSEL
PRESIDENT, DUKE RALEIGH HOSPITAL	60.00	0.00		$277,045	$0	$31,276		Yes (X)
KERRY R WATSON
PRESIDENT, DUKE REGIONAL HOSPITAL	40.00	1.00		$497,372	$0	$81,510		Yes (X)
MARC CALABRESE
PHYSICIAN	40.00	0.00		$420,430	$0	$51,901			Yes (X)
SANDRA DANOFF
SVP, STRATEGIC PLANNING, BD, NS	40.00	0.00		$690,358	$0	$42,881			Yes (X)
JOHN M KELSCH
PHYSICIAN	40.00	0.00		$410,875	$0	$47,768			Yes (X)
THOMAS OWENS MD
CHIEF MEDICAL OFFICER	55.00	5.00		$576,728	$0	$43,875			Yes (X)
JOSEPH G TAYLOR
PHYSICIAN	40.00	0.00		$435,862	$0	$52,647			Yes (X)
PAUL NEWMAN
FORMER KEY EMPLOYEE	0.00	41.00		$0	$244,434	$34,813				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,486,716	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,266,907	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,901,232	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1267	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
PRIVATE DIAGNOSTIC CLINIC PLLC
DUMC 3070	DURHAM	NC	27710	PHYSICIAN SERVICES	$83,523,514
KBR BUILDING GROUP INC
5605 CARNEGIE BLVD	CHARLOTTE	NC	28209	CONSTRUCTION SERVICE	$52,400,981
OPTIMUM HEALTHCARE IT LLC
PO BOX 741383	ATLANTA	GA	303841383	IT CONSULTING SERVICES	$12,303,119
ARAMARK HEALTHCARE SUPPORT SERVICES
25271 NETWORK PLACE	CHICAGO	IL	606731252	HEALTHCARE SERVICES	$10,468,540
BALFOUR BEATTY CONSTRUCTION LLC
5420 WADE PARK BLVD	RALEIGH	NC	27607	CONSTRUCTION SERVICE	$10,053,299

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	285	CntrctRcvdGreaterThan100KCnt
Fundraising	$43,181	FundraisingAmt
Related Organizations	$34,560	RelatedOrganizationsAmt
Government Grants	$582,207	GovernmentGrantsAmt
All Other Contributions	$13,394,824	AllOtherContributionsAmt
Noncash Contributions	$1,757,967	NoncashContributionsAmt
Total Contributions	$14,054,772	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	621990	$2,377,495,539	$2,377,495,539
ANCILLARY MEDICAL	621990	$16,536,909	$16,536,909
MEDICAL SERVICES	621990	$2,876,735	$2,876,735

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,396,909,183	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,449,744	TotalRevenueColumnAmt
Exclusion	$7,449,744	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$613	TotalRevenueColumnAmt
Exclusion	$613	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,138,372	TotalRevenueColumnAmt
Exclusion	$6,138,372	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$14,236,294	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$13,295,115	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$941,179	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$941,179	TotalRevenueColumnAmt
Exclusion	$941,179	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$982,477,333	SecuritiesAmt
Other	$615,687	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$791,340,047	SecuritiesAmt
Other	$425,950	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$191,137,286	SecuritiesAmt
Other	$189,737	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$191,327,023	TotalRevenueColumnAmt
Exclusion	$191,327,023	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$69,373	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$43,181	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$46,596	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,777	TotalRevenueColumnAmt
Exclusion	$22,777	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
BILLING FEES	621990	$42,158,020	$42,158,020
DEEMED DIVIDEND	900003	$7,646,449		$7,646,449
PROGRAM DEV. & SUPPORT	900099	$6,674,723	$6,674,723

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,042,986	TotalRevenueColumnAmt
Related Or Exempt Func Income	$16,551,609	RelatedOrExemptFuncIncomeAmt
Exclusion	$3,491,377	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$76,522,178	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,693,365,841	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,462,293,535	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$217,017,534	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$874,823	TotalAmt
Program Services	$874,823	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$36,500	TotalAmt
Program Services	$36,500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,194,307	TotalAmt
Program Services	$273,940	ProgramServicesAmt
Management And General	$5,916,176	ManagementAndGeneralAmt
Fundraising	$4,191	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$186,494	TotalAmt
Program Services	$66,701	ProgramServicesAmt
Management And General	$119,793	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$934,725,066	TotalAmt
Program Services	$645,285,829	ProgramServicesAmt
Management And General	$289,393,223	ManagementAndGeneralAmt
Fundraising	$46,014	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$47,898,417	TotalAmt
Program Services	$30,302,134	ProgramServicesAmt
Management And General	$17,592,569	ManagementAndGeneralAmt
Fundraising	$3,714	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$119,072,273	TotalAmt
Program Services	$83,271,771	ProgramServicesAmt
Management And General	$35,794,920	ManagementAndGeneralAmt
Fundraising	$5,582	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$65,757,934	TotalAmt
Program Services	$45,128,979	ProgramServicesAmt
Management And General	$20,625,461	ManagementAndGeneralAmt
Fundraising	$3,494	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$11,280,676	TotalAmt
Program Services	$10,622,143	ProgramServicesAmt
Management And General	$658,533	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,417,744	TotalAmt
Program Services	$74,671	ProgramServicesAmt
Management And General	$1,343,073	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$567,415	TotalAmt
Management And General	$567,415	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,960,218	TotalAmt
Management And General	$2,960,218	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$167,859,442	TotalAmt
Program Services	$96,083,485	ProgramServicesAmt
Management And General	$71,773,643	ManagementAndGeneralAmt
Fundraising	$2,314	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,011,021	TotalAmt
Program Services	$603,393	ProgramServicesAmt
Management And General	$1,407,298	ManagementAndGeneralAmt
Fundraising	$330	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,540,764	TotalAmt
Program Services	$19,165,643	ProgramServicesAmt
Management And General	$12,341,848	ManagementAndGeneralAmt
Fundraising	$33,273	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$65,729,066	TotalAmt
Program Services	$2,929,687	ProgramServicesAmt
Management And General	$62,799,379	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$57,512,384	TotalAmt
Program Services	$46,914,134	ProgramServicesAmt
Management And General	$10,598,250	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,090,092	TotalAmt
Program Services	$3,807,362	ProgramServicesAmt
Management And General	$2,281,901	ManagementAndGeneralAmt
Fundraising	$829	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,948,007	TotalAmt
Program Services	$455,384	ProgramServicesAmt
Management And General	$3,492,623	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$40,175,395	TotalAmt
Program Services	$223,711	ProgramServicesAmt
Management And General	$39,951,684	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$140,302,972	TotalAmt
Program Services	$105,010,014	ProgramServicesAmt
Management And General	$35,292,958	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,258,313	TotalAmt
Program Services	$4,414,657	ProgramServicesAmt
Management And General	$3,843,656	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$548,196,011	$548,196,011	$0
EQUIPMENT RENTAL & MAIN	$62,795,725	$42,120,409	$20,675,230	$86
MEDICAID ASSESSMENT	$54,141,735	$54,141,735	$0
LAUNDRY	$10,355,305	$10,314,319	$40,986

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$563,748	TotalAmt
Program Services	-$1,704,104	ProgramServicesAmt
Management And General	$2,266,629	ManagementAndGeneralAmt
Fundraising	$1,223	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,390,451,847	TotalAmt
Program Services	$1,748,613,331	ProgramServicesAmt
Management And General	$641,737,466	ManagementAndGeneralAmt
Fundraising	$101,050	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$76,597	BOYAmt
EOY	$79,127	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$282,318,458	BOYAmt
EOY	$205,430,693	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,269,708	BOYAmt
EOY	$5,801,289	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$331,741,223	BOYAmt
EOY	$389,980,571	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,092,758	BOYAmt
EOY	$941,907	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$68,717,773	BOYAmt
EOY	$72,410,897	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,394,082	BOYAmt
EOY	$16,057,510	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,764,598,998	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,276,437,440	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,491,072,128	BOYAmt
EOY	$1,488,161,558	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,816,358	BOYAmt
EOY	$2,997,068	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,074,420,736	BOYAmt
EOY	$2,440,754,778	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$644,069	BOYAmt
EOY	$3,944,084	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$48,264,080	BOYAmt
EOY	$16,577,618	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,327,827,970	BOYAmt
EOY	$4,643,137,100	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$362,936,700	BOYAmt
EOY	$277,431,401	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,703,031	BOYAmt
EOY	$5,934,683	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,107,827,649	BOYAmt
EOY	$1,086,392,745	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$407,590,306	BOYAmt
EOY	$432,792,537	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,882,057,686	BOYAmt
EOY	$1,802,551,366	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,398,823,195	BOYAmt
EOY	$2,781,502,537	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$36,082,851	BOYAmt
EOY	$47,826,350	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,864,238	BOYAmt
EOY	$11,256,847	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,445,770,284	BOYAmt
EOY	$2,840,585,734	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,327,827,970	BOYAmt
EOY	$4,643,137,100	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$302,913,994	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$173,574,633	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$81,673,177	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Political Expenditures	$0	PoliticalExpendituresAmt
Volunteer Hours	0	VolunteerHoursCnt
Section4955 Organization Tax	$0	Section4955OrganizationTaxAmt
Section4955 Managers Tax	$0	Section4955ManagersTaxAmt
Form4720 Filed Section4955 Tax	0	Form4720FiledSection4955TaxInd
Correction Made	0	CorrectionMadeInd
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$192,041	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$65,551	OtherActivitiesAmt
Total Lobbying Expenditures	$257,592	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	DUKE UNIVERSITY HEALTH SYSTEM, INC. EMPLOYS STAFF WHO PERFORM SOME LOBBYING ACTIVITIES AS PART OF THEIR JOB RESPONSIBILITIES. THESE SAME EMPLOYEES 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.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,947,089	BeginningYearBalanceAmt
Contributions	$13,413,723	ContributionsAmt
Investment Earnings Or Losses	$2,988,057	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,265,674	OtherExpendituresAmt
End Year Balance	$59,083,195	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$50,036,781	BeginningYearBalanceAmt
Contributions	$8,190,873	ContributionsAmt
Investment Earnings Or Losses	$1,409,233	InvestmentEarningsOrLossesAmt
Other Expenditures	$12,689,798	OtherExpendituresAmt
End Year Balance	$46,947,089	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$53,700,068	BeginningYearBalanceAmt
Contributions	$11,126,530	ContributionsAmt
Investment Earnings Or Losses	-$758,496	InvestmentEarningsOrLossesAmt
Other Expenditures	$14,031,321	OtherExpendituresAmt
End Year Balance	$50,036,781	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$55,631,465	BeginningYearBalanceAmt
Contributions	$5,340,437	ContributionsAmt
Investment Earnings Or Losses	$3,639,795	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,911,629	OtherExpendituresAmt
End Year Balance	$53,700,068	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$44,124,232	BeginningYearBalanceAmt
Contributions	$14,138,555	ContributionsAmt
Investment Earnings Or Losses	$2,461,764	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,093,086	OtherExpendituresAmt
End Year Balance	$55,631,465	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.41240	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.58760	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,304,086	OtherCostOrOtherBasisAmt
Book Value	$27,304,086	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,656,274,789	OtherCostOrOtherBasisAmt
Depreciation	$627,485,387	DepreciationAmt
Book Value	$1,028,789,402	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$648,470,163	OtherCostOrOtherBasisAmt
Depreciation	$414,987,026	DepreciationAmt
Book Value	$233,483,137	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$432,549,960	OtherCostOrOtherBasisAmt
Depreciation	$233,965,027	DepreciationAmt
Book Value	$198,584,933	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,488,161,558	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (7 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HEDGED STRATEGIES	$531,286,000	F
SHORT-TERM INVESTMENTS	$178,848,000	F
PRIVATE CAPITAL	$321,707,000	F
REAL ASSETS	$306,549,000	F
FIXED INCOME	$386,194,000	F
EQUITIES	$602,304,000	F
OTHER INVESTMENTS	$113,866,778	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,440,754,778	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLE	$23,990,363
INTEREST PAYABLE	$11,122,498
PROFESSIONAL LIABILITY COSTS	$8,590,420
POST RETIREMENT BENEFIT OBLIGATION	$120,209,000
CAPITAL LEASE OBLIGATION	$125,986,871
DERIVATIVE INSTRUMENTS	$90,011,951
OTHER NON-CURRENT LIABILITIES	$52,881,434

Field	Value	IRS element (for citing)
Total Liability	$432,792,537	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE INTENDED USE FOR THE ORGANIZATION'S ENDOWMENT: FUNDS SUPPORT CAPITAL PURCHASES, OFFSET OPERATING COSTS, IMPROVE PATIENT SAFETY, AND SUPPORT THE NEEDS OF PATIENTS AND FAMILIES.

PART X, LINE 2:

DUKE UNIVERSITY HEALTH SYSTEM, INC. ADOPTED THE REQUIREMENTS OF FIN 48 AND CONSIDERED ITS TAX POSITIONS. BASED ON THAT ANALYSIS, THE PROVISIONS OF FIN 48 ARE DEEMED IMMATERIAL TO THE DUKE UNIVERSITY HEALTH SYSTEM, INC. FINANCIAL STATEMENTS AND THEREFORE NO FIN 48 SPECIFIC DISCLOSURES ARE MADE IN THE AUDITED FINANCIAL STATEMENTS OF DUKE UNIVERSITY HEALTH SYSTEM, INC. AND ITS AFFILIATES FOR FISCAL YEAR ENDED JUNE 30, 2014.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (12 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	EDUCATION	$2,618
CENTRAL AMERICA AND THE CARIBBEAN	SEMINAR		$5,246
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS		$197,259,834
EAST ASIA AND THE PACIFIC	SEMINAR		$840
EUROPE	SEMINAR		$35,544
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	EDUCATION	$717
MIDDLE EAST AND NORTH AFRICA	SEMINAR		$21,962
SOUTH AMERICA	SEMINAR		$7,470
SOUTH ASIA	PROGRAM SERVICES	EDUCATION	$16,844
SOUTH ASIA	SEMINAR		$1,325
SUB-SAHARAN AFRICA	PROGRAM SERVICES	EDUCATION	$12,255
SUB-SAHARAN AFRICA	SEMINAR		$1,887

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$197,334,231	SubtotalSpentAmt
Continuation Spent	$32,311	ContinuationSpentAmt
Total Spent	$197,366,542	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	Yes (1)	BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	GALA	NameOfEvent1Amt
Gross Receipts Event1	$112,554	GrossReceiptsEvent1Amt
Charitable Contri Event1	$43,181	CharitableContriEvent1Amt
Gross Revenue Event1	$69,373	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$25,895	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$0	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$10,890	FoodAndBeverageEvent1Amt
Entertainment Event1	$4,400	EntertainmentEvent1Amt
Other Direct Expenses Event1	$5,411	OtherDirectExpensesEvent1Amt
Name Of Event2	NONE	NameOfEvent2Amt
Gross Receipts Total	$112,554	GrossReceiptsTotalAmt
Charitable Contributions Tot	$43,181	CharitableContributionsTotAmt
Gross Revenue Total Events	$69,373	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$25,895	NonCashPrizesTotalEventsAmt
Food And Beverage Total Events	$10,890	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$4,400	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$5,411	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$46,596	DirectExpenseSummaryEventsAmt
Net Income Summary	$22,777	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE G, PART I, LINE 2B	FormAndLineReferenceDesc
Explanation	DUKE UNIVERSITY HEALTH SYSTEM, INC. SUPPORTS THE FUNDRAISING ACTIVITIES PERFORMED BY EMPLOYEES OF DUKE UNIVERSITY. SUCH ACTIVITIES ARE DESIGNED TO DEVELOP SUPPORT FOR BOTH THE UNIVERSITY AND THE DUKE UNIVERSITY HEALTH SYSTEM, INC.'S EDUCATIONAL, RESEARCH AND HEALTHCARE PURPOSES. DUKE UNIVERSITY RECEIVES AND DIRECTS THE CONTRIBUTIONS AS APPROPRIATE TO DUKE UNIVERSITY HEALTH SYSTEM, INC. THE AGREEMENT BETWEEN DUKE UNIVERSITY AND DUKE UNIVERSITY HEALTH SYSTEM, INC. DOES NOT DISTINGUISH BETWEEN PAYMENTS FOR PROFESSIONAL FUNDRAISING SERVICES AND EXPENSE PAYMENTS OR REIMBURSEMENTS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$92,698,626	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$92,698,626	NetCommunityBenefitExpnsAmt
Total Expense	0.03880	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,137,354	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$90,137,354	NetCommunityBenefitExpnsAmt
Total Expense	0.03770	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$182,835,980	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$182,835,980	NetCommunityBenefitExpnsAmt
Total Expense	0.07650	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,510,623	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,661,744	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,848,879	NetCommunityBenefitExpnsAmt
Total Expense	0.02500	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,666,224	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,666,224	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$85,176,847	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,661,744	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$70,515,103	NetCommunityBenefitExpnsAmt
Total Expense	0.02950	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$268,012,827	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,661,744	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$253,351,083	NetCommunityBenefitExpnsAmt
Total Expense	0.10600	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$21,652,702	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$460,302,175	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$585,615,880	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$125,313,705	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
DUKE UNIVERSITY HOSPITAL
1	2301 ERWIN ROAD PRIMARY CAMPUS	DURHAM	NC	27710	WWW.DUKEMEDICINE.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
DUKE RALEIGH HOSPITAL
2	3400 WAKE FOREST ROAD	RALEIGH	NC	27609	WWW.DUKEMEDICINE.ORG	Yes (X)	Yes (X)				Yes (X)
DUKE REGIONAL HOSPITAL
3	3643 ROXBORO ROAD	DURHAM	NC	27704	WWW.DUKEMEDICINE.ORG	Yes (X)	Yes (X)				Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Rpt Available Upon RequestRptAvailableUponRequestInd	Adopt Implementation StrategyAdoptImplementationStrategyInd	Exec Implementation StrategyExecImplementationStrategyInd	Develop Community Wide PlanDevelopCommunityWidePlanInd	Exec Community Wide PlanExecCommunityWidePlanInd	Include Operational PlanIncludeOperationalPlanInd	Adopt BudgetAdoptBudgetInd	Prioritize Health NeedsPrioritizeHealthNeedsInd	Prioritize ServicesPrioritizeServicesInd	Other Needs AddressedOtherNeedsAddressedInd	All Needs AddressedAllNeedsAddressedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Explained BasisExplainedBasisInd	Income LevelIncomeLevelInd	Asset LevelAssetLevelInd	Medical IndigencyMedicalIndigencyInd	Insurance StatusInsuranceStatusInd	Uninsured DiscountUninsuredDiscountInd	State RegulationStateRegulationInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	Posted On WebsitePostedOnWebsiteInd	Posted In Emergency RoomPostedInEmergencyRoomInd	Posted In Admission OfficePostedInAdmissionOfficeInd	Available On RequestAvailableOnRequestInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	FacilityFacilityNum
DUKE UNIVERSITYDUKE REGIONAL HOSPITALS
Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTP://WWW.DUKEMEDICINE.ORG	Yes (X)	HTTP://WWW.HEALTHYDURHAM.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (1)	Yes (1)	200.000000000000	Yes (1)	300.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
DUKE RALEIGH HOSPITAL
Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTP://WWW.DUKEMEDICINE.ORG	Yes (X)	HTTP://WWW.HEALTHYDURHAM.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (1)	Yes (1)	200.000000000000	Yes (1)	300.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)	2

Supplemental Information SupplementalInformationGrp (26 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DUKE RALEIGH HOSPITAL	PART V, SECTION B, LINE 3: 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.
DUKE RALEIGH HOSPITAL	PART V, SECTION B, LINE 4: REX HEALTHCARE, HOLLY HILL HOSPITAL, WAKEMED HEALTH AND HOSPITALS
DUKE RALEIGH HOSPITAL	PART V, SECTION B, LINE 5D: THE CHNA IS AVAILABLE ON THE WEBSITE BY NAVIGATING TO WWW.DUKEMEDICINE.ORG, CLICKING ON "PATIENTS & VISITORS", THEN "FINANCIAL ASSISTANCE", THEN "COMMUNITY HEALTH NEEDS ASSESSMENT AND CHARITY CARE".
DUKE RALEIGH HOSPITAL	PART V, SECTION B, LINE 6I: REFER TO HTTP://WWW.DUKEMEDICINE.ORG/PATIENTS-AND-VISITORS/GENERAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT AND CLICK ON THE LINK FOR THE DUKE RALEIGH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSSMENT REPORT. THIS REPORT DESCRIBES ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA.
DUKE RALEIGH HOSPITAL	PART V, SECTION B, LINE 7: DRAH DID NOT ADDRESS DENTAL CARE AS DENTAL CARE IS NOT OFFERED AS PART OF DRAH'S CONTINUUM OF SERVICES.
DUKE RALEIGH HOSPITAL	PART V, SECTION B, LINE 14G: 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.
DUKE RALEIGH HOSPITAL	PART V, SECTION B, LINE 20D: DUHS USED THE LOOK BACK METHOD AND TOOK THE SUM OF ALL CLAIMS THAT HAVE BEEN SUBMITTED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS DURING THE PRIOR 12 MONTH PERIOD DIVIDED BY THE SUM OF THE ASSOCIATED GROSS CHARGES RELATED TO THOSE CLAIMS.
DUKE RALEIGH HOSPITAL	PART V, SECTION B, LINE 22: 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	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: DUKE UNIVERSITY HOSPITAL, - FACILITY 3: DUKE REGIONAL HOSPITAL
FACILITY 3 -- DUKE REGIONAL HOSPITAL PART V, SECTION B, LINE 3:	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.
FACILITY 3 -- DUKE REGIONAL HOSPITAL PART V, SECTION B, LINE 4:	DUKE UNIVERSITY HOSPITAL ("DUH")
FACILITY 3 -- DUKE REGIONAL HOSPITAL PART V, SECTION B, LINE 5D:	THE CHNA IS AVAILABLE ON THE WEBSITE BY NAVIGATING TO WWW.DUKEMEDICINE.ORG, CLICKING ON "PATIENTS & VISITORS", THEN "FINANCIAL ASSISTANCE", THEN "COMMUNITY HEALTH NEEDS ASSESSMENT AND CHARITY CARE".
FACILITY 3 -- DUKE REGIONAL HOSPITAL PART V, SECTION B, LINE 6I:	REFER TO HTTP://WWW.DUKEMEDICINE.ORG/PATIENTS-AND-VISITORS/GENERAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT AND CLICK ON THE LINK FOR THE DUKE REGIONAL HOSPITAL COMMUNITY HEALTH NEEDS ASSESSSMENT REPORT. THIS REPORT DESCRIBES ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA.
FACILITY 3 -- DUKE REGIONAL HOSPITAL PART V, SECTION B, LINE 7:	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 COMMITTEE 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.
FACILITY 3 -- DUKE REGIONAL HOSPITAL PART V, SECTION B, LINE 14G:	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.
FACILITY 3 -- DUKE REGIONAL HOSPITAL PART V, SECTION B, LINE 20D:	DUHS USED THE LOOK BACK METHOD AND TOOK THE SUM OF ALL CLAIMS THAT HAVE BEEN SUBMITTED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS DURING THE PRIOR 12 MONTH PERIOD DIVIDED BY THE SUM OF THE ASSOCIATED GROSS CHARGES RELATED TO THOSE CLAIMS.
FACILITY 3 -- DUKE REGIONAL HOSPITAL PART V, SECTION B, LINE 22:	CERTAIN ELECTIVE COSMETIC/AESTHETIC SERVICES, AND OTHER SERVICES NOT TYPICALLY COVERED BY INSURANCE, WILL BE BILLED AT AN AMOUNT EQUAL TO GROSS CHARGES.
FACILITY 1 -- DUKE UNIVERSITY HOSPITAL PART V, SECTION B, LINE 3:	DUKE UNIVERSITY HOSPITAL ("DUH") 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.
FACILITY 1 -- DUKE UNIVERSITY HOSPITAL PART V, SECTION B, LINE 4:	DUKE REGIONAL HOSPITAL ("DRH")
FACILITY 1 -- DUKE UNIVERSITY HOSPITAL PART V, SECTION B, LINE 5D:	THE CHNA IS AVAILABLE ON THE WEBSITE BY NAVIGATING TO WWW.DUKEMEDICINE.ORG, CLICKING ON "PATIENTS & VISITORS", THEN "FINANCIAL ASSISTANCE", THEN "COMMUNITY HEALTH NEEDS ASSESSMENT AND CHARITY CARE".
FACILITY 1 -- DUKE UNIVERSITY HOSPITAL PART V, SECTION B, LINE 6I:	REFER TO HTTP://WWW.DUKEMEDICINE.ORG/PATIENTS-AND-VISITORS/GENERAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT AND CLICK ON THE LINK FOR THE DUKE UNIVERSITY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSSMENT REPORT. THIS REPORT DESCRIBES ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA.
FACILITY 1 -- DUKE UNIVERSITY HOSPITAL PART V, SECTION B, LINE 7:	DUH 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 COMMITTEE BRINGS TOGETHER COMMUNITY MEMBERS AND AGENCIES TO FOCUS ON STRATEGIES TO PREVENT THE SPREAD OF SYPHILIS AND HIV/AIDS.
FACILITY 1 -- DUKE UNIVERSITY HOSPITAL PART V, SECTION B, LINE 14G:	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.
FACILITY 1 -- DUKE UNIVERSITY HOSPITAL PART V, SECTION B, LINE 20D:	DUHS USED THE LOOK BACK METHOD AND TOOK THE SUM OF ALL CLAIMS THAT HAVE BEEN SUBMITTED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS DURING THE PRIOR 12 MONTH PERIOD DIVIDED BY THE SUM OF THE ASSOCIATED GROSS CHARGES RELATED TO THOSE CLAIMS.
FACILITY 1 -- DUKE UNIVERSITY HOSPITAL PART V, SECTION B, LINE 22:	CERTAIN ELECTIVE COSMETIC/AESTHETIC SERVICES, AND OTHER SERVICES NOT TYPICALLY COVERED BY INSURANCE, WILL BE BILLED AT AN AMOUNT EQUAL TO GROSS CHARGES.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	NOT APPLICABLEPART I, LINE 6A:NOT APPLICABLEPART I, LINE 7G:NOT APPLICABLEPART I, LINE 7, COLUMN F:TOTAL GROSS COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSES IS 11.23%.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 FY2014 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, 2014 DUHS CONSOLIDATED FINANCIAL STATEMENTS ARE $172,840,000 AS COMPARED TO $125,313,705 AS REPORTED IN SECTION B, LINE 7 OF SCHEDULE H. THE DUHS TOTAL MEDICARE SHORTFALL OF $172,840,000 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.
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, EDUCATION, 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 EDUCATION AND POVERTY 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 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 ONDUKEMEDICINE.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 - REPRESENTS APPROXIMATELY 23% OF NC'S POPULATION BASED ON FEDERAL FISCAL YEAR (FFY) 2013 DATA. APPROXIMATELY 73% OF INPATIENT DISCHARGES FROM DUHS FACILITIES IN FFY 2013 WERE PATIENTS WHO RESIDED IN THE GREATER TRIANGLE REGION. DUHS' SECONDARY SERVICE AREA COVERS 21 COUNTIES IN NORTH CAROLINA AND SOUTHERN VIRGINIA WITH A POPULATION OVER 2 MILLION. APPROXIMATELY 14% OF INPATIENT DISCHARGES FROM DUHS FACILITIES IN FFY 2013 WERE PATIENTS WHO RESIDE IN THE SECONDARY SERVICE AREA.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, DRH, 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 DRH 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, DUH AND DRH WORK TOGETHER TO MAXIMIZE FACILITY UTILIZATION PROVIDING ROUTINE AND ADVANCED LEVELS OF CARE. DUH ALSO OPERATES A TRAUMA CENTER WITH AIR AMBULANCE SERVICE. DRAH SERVES THE WAKE COUNTY AREA AS A COMMUNITY HOSPITAL. THE DRAH CAMPUS HAS SEVERAL MEDICAL OFFICE BUILDINGS ENHANCING CONVENIENCE FOR THE PATIENT IN NON-EMERGENT CASES AND PROVIDES STREAMLINED ACCESS TO HIGH-DEMAND PROCEDURES SUCH AS CARDIAC CATHETERIZATION AND RADIOLOGY PROCEDURES. DUHS ALSO OPERATES HOME HEALTH AND HOME INFUSION SERVICES TO TREAT AND CARE FOR PATIENTS IN THE COMFORT OF THEIR HOME. THIS IS OBVIOUSLY PRACTICAL FOR PATIENTS NOT REQUIRING INPATIENT STAY BUT IN NEED OF ONGOING CARE AT A SUB-ACUTE LEVEL. FINALLY, HOSPICE PROVIDES PALLIATIVE CARE FOR PATIENTS NOT RESPONDING TO CURATIVE CARE. PAIN MANAGEMENT, SYMPTOM MANAGEMENT, AND PSYCHOLOGICAL AND SPIRITUAL SUPPORT PROVIDE A ROUNDED APPROACH TO COMPASSIONATELY ASSIST TERMINAL PATIENTS AND THEIR FAMILIES WITH THE PROCESS OF DYING. ALL OF THE OPERATING UNITS OF DUHS WORK TOGETHER TO PROVIDE THE RIGHT LEVEL OF CARE FOR THE PATIENT IN THE MOST BENEFICIAL MANNER. IN ADDITION TO THE REACTIVE ACTIVITIES OF DIAGNOSTIC CARE, DUHS ALSO SUPPORTS AND PROMOTES HEALTHY LIFESTYLES IN THE DIET & FITNESS CENTER, CENTER FOR LIVING, AND DUKE INTEGRATIVE MEDICINE. THESE OPERATIONS FOCUS LARGELY ON PREVENTION AND EDUCATION TO AVOID OR MITIGATE THE POTENTIAL FOR FUTURE ILLNESS.LIST OF ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT:PART VI, LINE 7:NORTH CAROLINA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (32 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
1 IN 8K RALLY FOR THE CURE
30 MEMORIAL DR	PINEHURST	NC	28374	452871984	-	$5,800	GENERAL SUPPORT
ALLIANCE MEDICAL MINISTRY INC
101 DONALD ROSS DRIVE	RALEIGH	NC	27610	562168673	501(C)(3)	$42,500	GENERAL SUPPORT
THE AMERICAN SOCIETY OF GENE & CELL THERAPY
555 EAST WELLS ST SUITE 1100	MILWAUKEE	WI	53202	911766321	501(C)(3)	$25,000	GENERAL SUPPORT
BOYS & GIRLS CLUB
701 N RALEIGH BLVD	RALEIGH	NC	27610	560863051	501(C)(3)	$17,500	GENERAL SUPPORT
CEO ROUNDTABLE ON CANCER INC
940 NW CARY PKWY SUITE 102	CARY	NC	27513	651230448	501(C)(3)	$40,000	GENERAL SUPPORT
CITY OF MEDICINE ACADEMY
301 CRUTCHFIELD ST	DURHAM	NC	27704	566001021	NC GOVERNMENT	$20,451	GENERAL SUPPORT
DUKE SCHOOL FOR CHILDREN
3716 OLD ERWIN RD	DURHAM	NC	27705	581521494	501(C)(3)	$25,000	GENERAL SUPPORT
DURHAM AT RISK YOUTH COLLABORATIVE
107 N DIVER ST	DURHAM	NC	27703	320263133	501(C)(3)	$15,000	GENERAL SUPPORT
DURHAM COUNTY
414 E MAIN ST	DURHAM	NC	27701	566000297	LOCAL GOVERNMENT	$25,000	GENERAL SUPPORT
FAMILY VIOLENCE PREVENTION CENTER
1012 OBERLINE RD SUITE 100	RALEIGH	NC	27605	581320613	501(C)(3)	$40,000	GENERAL SUPPORT
FOUNDATION FOR NURSING EXCELLENCE
PO BOX 31824	RALEIGH	NC	27622	300105241	501(C)(3)	$20,000	GENERAL SUPPORT
GREAT 100 INC
PO BOX 4875	GREENSBORO	NC	274044875	561705456	501(C)(3)	$15,000	GENERAL SUPPORT
GREATER RALEIGH CHAMBER OF COMMERCE
PO BOX 2978	RALEIGH	NC	276022978	560370850	501(C)(6)	$45,910	GENERAL SUPPORT
HUMAN RIGHTS CAMPAIGN
1640 RHODE ISLAND AVE NW	WASHINGTON	DC	20036	521243458	501(C)(4)	$15,000	GENERAL SUPPORT
KNIGHTDALE CHAMBER OF COMMERCE
207 MAIN STREET	KNIGHTDALE	NC	27545	561325118	501(C)(6)	$5,500	GENERAL SUPPORT
LGBT CENTER OF RALEIGH INC
411 HILLSBOROUGH ST	RALEIGH	NC	276031727	262998186	501(C)(3)	$10,000	GENERAL SUPPORT
MEDICAL FOUNDATION OF NC INC
CB7120	CHAPEL HILL	NC	275997120	566001393	501(C)(3)	$50,000	GENERAL SUPPORT
MIDTOWN EVENTS LLC
4321 LASSITER AT NORTH HILLS	RALEIGH	NC	27609	271832351	-	$40,000	GENERAL SUPPORT FOR ART WEEK
MIDTOWN EVENTS
4818 SIX FORKS ROAD SUITE 204	RALEIGH	NC	27609	208998537	-	$80,000	GENERAL SUPPORT FOR LOCAL FARMER'S MARKET
NC CENTER FOR NON PROFITS
1110 NAVAHO DRIVE SUITE 200	RALEIGH	NC	27609	561729407	501(C)(3)	$10,000	GENERAL SUPPORT
NC LUNG CANCER PARTNERSHIP
4000 BLUE RIDGE RD SUITE 170	RALEIGH	NC	27612	262300885	501(C)(3)	$15,000	GENERAL SUPPORT
NORTH CAROLINA HOSPITAL ASSOCIATION
PO BOX 4449	CARY	NC	275194449	560641290	501(C)(6)	$27,312	GENERAL SUPPORT
NORTH CAROLINA INSTITUTE OF MEDICINE
630 DAVIS DR STE 100	MORRISVILLE	NC	27560	561506066	NC GOVERNMENT	$6,000	GENERAL SUPPORT
NORTH CAROLINA PHYSICIANS HEALTH
220 HORIZON DRIVE 201	RALEIGH	NC	27615	561846599	501(C)(3)	$12,000	GENERAL SUPPORT
RALEIGH SCHOOL OF NURSE ANESTHESIA
3900 BARRETT DR SUITE 200	RALEIGH	NC	27609	561684241	501(C)(3)	$72,606	GENERAL SUPPORT
RESEARCH AMERICA
PO BOX 222451	CHINTILLY	VA	201532451	521609875	501(C)(3)	$20,000	GENERAL SUPPORT
SAMARITAN HEALTH CENTER
PO BOX 51339	DURHAM	NC	27717	263770762	501(C)(3)	$20,000	GENERAL SUPPORT
SUSAN G KOMEN FOR THE CURE NORTH
600 AIRPORT BLVD SUITE 100	MORRISVILLE	NC	27560	752845066	501(C)(3)	$10,000	GENERAL SUPPORT
TRIANGLE BUSINESS JOURNAL
1305 NAVAHO DR SUITE 100	RALEIGH	NC	27609	431366184	-	$16,100	GENERAL SUPPORT
WAKE COUNTY MEDICAL SOCIETY
2500 BLUE RIDGE RD STE 330	RALEIGH	NC	27616	562205175	501(C)(3)	$95,000	GENERAL SUPPORT
WAKE TECHNICAL COMMUNITY COLLEGE
9101 FAYETTEVILLE ROAD	RALEIGH	NC	276035696	237017752	501(C)(3)	$15,000	GENERAL SUPPORT
DUKE UNIVERSITY
324 BLACKWELL ST STE 850	DURHAM	NC	27701	560532129	501(C)(3)		GENERAL SUPPORT	$66,248	FMV	DONATION OF MEDICAL EQUIPMENT

Field	Value	IRS element (for citing)
Total501c3 Org	24	Total501c3OrgCnt
Total Other Org	8	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (6 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
BILL BAKER SCHOLARSHIP AWARD	1	$500
FINANCIAL ASSISTANCE	13	$13,700
FRIENDS OF EVAN SCHOLARSHIP	5	$5,250
MARY EMMA FARMER JONES SCHOLARSHIP AWARD	1	$1,050
MELANIE TAYLOR SCHOLARSHIP AWARD	1	$2,500
STUDENT SCHOLARSHIP	12	$13,500

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DUKE UNIVERSITY HEALTH SYSTEM, INC. PROVIDES GENERAL SUPPORT TO LOCAL ORGANIZATIONS BASED ON OUR AWARENESS OF THEIR ACTIVITIES WITHIN THE LOCAL COMMUNITY. DUKE UNIVERSITY HEALTH SYSTEM, INC. ALSO MAINTAINS A CHARITABLE GRANTS COMMITTEE THAT REVIEWS COMMUNITY REQUESTS FOR PHILANTHROPIC ASSISTANCE THAT PROMOTE HEALTH AND WELLNESS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	0	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
NANCY CATHERINE ANDREWS MD
DIRECTOR	$0	$511,948	$0	$213,452	$0	$17,500	$0	$31,276	$0	$52,787	$0	$826,963	$0	$0
RICHARD H BRODHEAD
DIRECTOR	$0	$873,792	$0	$0	$0	$219,858	$0	$131,276	$0	$66,205	$0	$1,291,131	$0	$100,000
VICTOR J DZAU MD
PRESIDENT & CEO, DUHS/DIRECTOR	$0	$1,094,130	$0	$933,638	$0	$12,250	$0	$716,303	$0	$20,526	$0	$2,776,847	$0	$0
MARY E KLOTMAN MD
DIRECTOR	$0	$279,856	$0	$63,876	$0	$53,588	$0	$31,276	$0	$11,700	$0	$440,296	$0	$0
THEODORE NICK PAPPAS MD
DIRECTOR	$0	$351,902	$0	$71,779	$0	$131	$0	$31,276	$0	$14,272	$0	$469,360	$0	$0
CARL E RAVIN MD
DIRECTOR	$0	$249,929	$0	$0	$0	$0	$0	$31,252	$0	$12,030	$0	$293,211	$0	$0
MONTE D BROWN MD
VP OF ADMINISTRATION/SECRETARY	$343,847	$0	$238,722	$0	$17,500	$0	$31,276	$0	$17,448	$0	$648,793	$0	$0	$0
WILLIAM J FULKERSON MD
EXECUTIVE VP, DUHS	$749,060	$0	$442,918	$0	$17,500	$0	$31,276	$0	$7,432	$0	$1,248,186	$0	$0	$0
KENNETH C MORRIS
SVP, CFO, TREASURER	$681,012	$0	$352,726	$0	$17,500	$0	$31,276	$0	$10,808	$0	$1,093,322	$0	$0	$0
MARY ANN FUCHS
VP-PATIENT CARE/CHIEF NURSE EXEC	$290,352	$0	$97,044	$0	$18,243	$0	$31,276	$0	$6,207	$0	$443,122	$0	$0	$0
RICHARD GANNOTTA
PRESIDENT, DUKE RALEIGH HOSPITAL	$325,447	$0	$111,684	$0	$4,994	$0	$31,276	$0	$20,562	$0	$493,963	$0	$0	$0
KATHLEEN GALBRAITH
PRESIDENT, DUKE REGIONAL HOSPITAL	$173,074	$0	$20,000	$0	$6,244	$0	$24,708	$0	$16,043	$0	$240,069	$0	$0	$0
JEFFREY FERRANTI
VP, CIO, DHTS ADMINISTRATION	$331,172	$14,844	$62,109	$60,000	$8,750	$0	$9,054	$22,222	$8,773	$5,413	$419,858	$102,479	$0	$0
CARLA PARKER-HOLLIS
VP, DUKE RALEIGH HOSPITAL	$174,158	$0	$0	$0	$17,246	$0	$23,709	$0	$17,131	$0	$232,244	$0	$0	$0
KEVIN W SOWERS
PRESIDENT, DUKE UNIVERSITY HOSPITAL	$446,934	$0	$195,539	$0	$34,271	$0	$31,276	$0	$12,055	$0	$720,075	$0	$0	$0
DOUGLAS B VINSEL
PRESIDENT, DUKE RALEIGH HOSPITAL	$266,836	$0	$0	$0	$10,209	$0	$31,276	$0	$919	$0	$309,240	$0	$0	$0
KERRY R WATSON
PRESIDENT, DUKE REGIONAL HOSPITAL	$343,689	$0	$136,183	$0	$17,500	$0	$31,276	$0	$51,439	$0	$580,087	$0	$0	$0
MARC CALABRESE
PHYSICIAN	$350,548	$0	$55,804	$0	$14,078	$0	$31,276	$0	$21,875	$0	$473,581	$0	$0	$0
SANDRA DANOFF
SVP, STRATEGIC PLANNING, BD, NS	$431,003	$0	$237,526	$0	$21,829	$0	$31,276	$0	$13,133	$0	$734,767	$0	$0	$0
JOHN M KELSCH
PHYSICIAN	$335,353	$0	$58,022	$0	$17,500	$0	$31,276	$0	$17,665	$0	$459,816	$0	$0	$0
THOMAS OWENS MD
CHIEF MEDICAL OFFICER	$419,281	$0	$106,887	$0	$50,560	$0	$31,276	$0	$14,095	$0	$622,099	$0	$0	$0
JOSEPH G TAYLOR
PHYSICIAN	$278,348	$0	$140,014	$0	$17,500	$0	$31,276	$0	$22,354	$0	$489,492	$0	$0	$0
PAUL NEWMAN
FORMER KEY EMPLOYEE	$0	$244,434	$0	$0	$0	$0	$0	$30,086	$0	$14,504	$0	$289,024	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 1A	FormAndLineReferenceDesc
Explanation	JOHN MCARTHUR TRAVELED FIRST CLASS FOR BUSINESS PURPOSES WHEN LOWER LEVEL CLASSES WERE NOT AVAILABLE. THIS TRAVEL WAS FOR NECESSARY BUSINESS PURPOSES. 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.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
NORTH CAROLINA MEDICAL CARE COMMISSION
A	521309402	2012-03-22	$322,140,000	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
B	521309402	2012-05-30	$214,598,930	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
C	521309402	2011-10-06	$145,715,000	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
D	521309402	2009-11-10	$178,598,850	SEE PART VI	0	0	0	65821DDB4

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt
A	$214,760,000	$322,140,000	$322,140,000	Yes (1)	Yes (1)	Yes (1)
B		$214,760,000	$214,760,000	Yes (1)	Yes (1)	Yes (1)
C	$17,290,000	$145,715,000	$145,715,000	Yes (1)	Yes (1)	Yes (1)	2009
D		$179,713,706		0	Yes (1)	Yes (1)	2012	$15,924,326	$2,472,104	$161,317,276

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
C	0	0	Yes (1)	Yes (1)	0	0.00000	0.00000	0.00000	0	Yes (1)	0.00070	0	Yes (1)
D	0	0	Yes (1)	Yes (1)	0	0.00000	0.00000	0.00000	0	0			Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
NA
A	0	0	Yes (1)	Yes (1)	Yes (1)	0	0	0	0	NA	0	0	Yes (1)
NA
B	0	0	Yes (1)	Yes (1)	Yes (1)	0	0	0	0	NA	0	0	Yes (1)
NA
C	0	0	Yes (1)	Yes (1)	Yes (1)	0	0	0	0	NA	0	0	Yes (1)
NA
D	0	0	0	Yes (1)	0	0	0	0	0	NA	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I, COLUMN F	FormAndLineReferenceDesc
Explanation	BOND ISSUE (A): THE PURPOSE OF THE BONDS ISSUED 03/22/2012 WAS TO REFUND THE 2005ABC BONDS ISSUED ON 08/21/2009, WHICH REFUNDED THE ORIGINAL 2005ABC BONDS ISSUED ON 5/19/2005. THE PURPOSE OF THE BONDS ISSUED 05/19/2005 WAS TO PARTIALLY REFUND THE 1996C BONDS ISSUED ON 10/24/1996, 1998A BONDS ISSUED ON 08/27/1998, AND THE 1998B BONDS ISSUED ON 10/13/1998. BOND ISSUE (B): THE PURPOSE OF THE BONDS ISSUED 05/30/2012 WAS TO PARTIALLY REFUND THE 2005ABC BONDS ISSUED ON 03/22/12, WHICH REFUNDED THE 2005ABC BONDS ISSUED ON 08/21/2009, WHICH REFUNDED THE ORIGINAL 2005ABC BONDS ISSUED ON 5/19/2005. THE PURPOSE OF THE BONDS ISSUED 05/19/2005 WAS TO PARTIALLY REFUND THE 1996C BONDS ISSUED ON 10/24/1996, 1998A BONDS ISSUED ON 08/27/1998, AND THE 1998B BONDS ISSUED ON 10/13/1998. BOND ISSUE (C): THE PURPOSE OF THE BONDS ISSUED 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 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 9/30/2013, (D) COMPLETED 11/1/2013, A (2) COMPLETED 4/1/13, B (2) COMPLETED 5/31/2014. 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. SCHEDULE K, PART III, LINE 8C, BOND ISSUE (C): DISPOSITION IS THE SUBJECT OF A CLOSING AGREEMENT ENTERED INTO WITH THE IRS IN OCTOBER 2014 THROUGH THE TAX EXEMPT BONDS VOLUNTARY CLOSING AGREEMENT PROGRAM.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A	521309402	65821DDX6	2010-04-28	$120,836,075	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
B	521309402	65821DLJ8	2012-06-28	$326,853,753	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
C	521309402		2012-08-28	$48,225,000	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
D	521309402		2008-12-04	$40,000,000	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Capitalized InterestCapitalizedInterestAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$121,162,021	$1,460,854	$119,701,167	2013	0	Yes (1)	Yes (1)
B	$326,995,394	$2,737,864	$309,386,345	2013	0	Yes (1)	Yes (1)	$12,420,000	$14,871,185
C	$48,225,000				Yes (1)	Yes (1)	Yes (1)	$17,400,000		$48,225,000
D	$16,484,844		$16,484,844	2011	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd
A	Yes (1)	Yes (1)	0	Yes (1)
B	Yes (1)	Yes (1)	0	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.04330	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
NA
A	0	0	0	Yes (1)	0	0	0	0	0	NA	0	0	Yes (1)
NA
B	0	0	0	Yes (1)	0	0	0	0	0	NA	0	0	Yes (1)
NA
C	0	0	Yes (1)	0	Yes (1)	0	0	0	0	NA	0	0	Yes (1)
NA
D	0	0	0	0	0	0	0	0	0	NA	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA MEDICAL CARE COMMISSION	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	521309402	BondIssuerEIN
Bond Issued	2012-03-06	BondIssuedDt
Issue Price	$40,000,000	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$30,861,504	TotalProceedsAmt
Capital Expenditures	$30,861,504	CapitalExpendituresAmt
Substantial Completion	2014	SubstantialCompletionYr
Current Refunding	0	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

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

Field	Value	IRS element (for citing)
Superintegrated Hedge	0	SuperintegratedHedgeInd
Hedge Terminated	0	HedgeTerminatedInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

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

Field	Value	IRS element (for citing)
Regulatory Safe Harbor Stsfd	0	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MEDTRONIC
SEE PART V	$30,512,750	SEE PART V	0
PRIVATE DIAGNOSTIC CLINIC
SEE PART V	$132,913,268	SEE PART V	0
CBC NEW MEDIA GROUP LLC
SEE PART V	$31,000	SEE PART V	0
THE DURHAM BULLS BASEBALL CLUB INC
SEE PART V	$36,970	SEE PART V	0
IMMUCOR INC
SEE PART V	$696,144	SEE PART V	0
THORATEC CORPORATION
SEE PART V	$9,423,059	SEE PART V	0
ALFRED WILLIAMS & COMPANY
SEE PART V	$1,642,794	SEE PART V	0
GENESE NEWMAN
SEE PART V	$119,793	SEE PART V	0
TAMELA VINSEL
SEE PART V	$66,701	SEE PART V	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	FormAndLineReferenceDesc
Explanation	(A) NAME OF INTERESTED PERSON: MEDTRONIC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MEDTRONIC BOARD MEMBER IS DUHS, INC. DIRECTOR.(C) AMOUNT OF TRANSACTION: $30,512,750(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 MEMBER IS DUHS, INC. FORMER KEY EMPLOYEE.(C) AMOUNT OF TRANSACTION: $132,913,268(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: $31,000(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: $36,970(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: $696,144(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: $9,423,059(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR GOODS OR SERVICES(E) SHARING OF ORGANIZATION REVENUE? = NO(A) NAME OF INTERESTED PERSON: ALFRED WILLIAMS & COMPANY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ALFRED WILLIAMS & COMPANY MARKET PRESIDENT IS DUHS, INC. DIRECTOR.(C) AMOUNT OF TRANSACTION: $1,642,794(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: $119,793(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: $66,701(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR SALARY AND BENEFITS(E) SHARING OF ORGANIZATION REVENUE? = NO	ExplanationTxt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	14	ContributionCnt
Noncash Contributions Rpt F990	$213	NoncashContributionsRptF990Amt
Method Of Determining Revenues	VARIOUS	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$121	NoncashContributionsRptF990Amt
Method Of Determining Revenues	VARIOUS	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$246	NoncashContributionsRptF990Amt
Method Of Determining Revenues	VARIOUS	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	17	ContributionCnt
Noncash Contributions Rpt F990	$1,729,743	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET QUOTE	MethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$770	NoncashContributionsRptF990Amt
Method Of Determining Revenues	VARIOUS	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	13	ContributionCnt
Noncash Contributions Rpt F990	$36	NoncashContributionsRptF990Amt
Method Of Determining Revenues	VARIOUS	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	GIFT CARDS	57	$15,692	VARIOUS
Yes (X)	JEWELRY	8	$6,448	VARIOUS
Yes (X)	MISCELLANEOUS	92	$3,889	VARIOUS
Yes (X)	EVENT TICKETS	5	$809	VARIOUS

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
FORM 990, PART III, LINE 4A	STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS HISTORY AND ORGANIZATION IN 1925, JAMES B. DUKE WILLED $4 MILLION TO ESTABLISH DUKE 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. DUKE UNDERSTANDS THAT HEALTHCARE MEANS FAR MORE THAN TAKING CARE OF PEOPLE IN A HOSPITAL SETTING. AS THIS REPORT REFLECTS, IT ALSO MEANS INVESTING IN THE COMMUNITIES DUKE SERVES TO INCREASE ACCESS TO HEALTHCARE, ALLEVIATE HEALTH DISPARITIES, AND IMPROVE COMMUNITIES' OVERALL WELLNESS BY IDENTIFYING AND ADDRESSING HEALTHCARE NEEDS. WE ARE PROUD TO REPORT THAT FOR THE FISCAL YEAR THAT ENDED JUNE 30, 2014, DUKE PROVIDED A TOTAL COMMUNITY BENEFIT AND INVESTMENT OF $448 MILLION. OF THAT FIGURE, $253.3 MILLION REPRESENTED THE COMMUNITY BENEFIT CATEGORIES RECOGNIZED BY THE U.S. INTERNAL REVENUE SERVICE INCLUDING $92.7 MILLION IN CHARITY CARE AT ESTIMATED COST TO PATIENTS FROM EVERY CORNER OF NORTH CAROLINA WHO ARE UNINSURED OR WHO CANNOT PAY FOR CARE BECAUSE OF FINANCIAL HARDSHIP. DUKE CONTINUES TO VALUE ITS LONGSTANDING COLLABORATIONS WITH ITS MANY COMMUNITY AND GOVERNMENT PARTNERS, AND TO HONOR ITS FOUNDATIONAL COMMITMENT TO PROVIDE HIGH-QUALITY, COMPASSIONATE, AND SAFE MEDICAL CARE TO THE PEOPLE IT SERVES ACROSS NORTH CAROLINA. THE 2015 REPORT ON COMMUNITY BENEFIT ALSO IS AVAILABLE ONLINE AT HTTP://DUKEMEDICINE.ORG/ABOUTUS. CLICK ON "COMMUNITY HEALTH & BENEFITS." DUKE PROVIDES HIGH-QUALITY CARE REGARDLESS OF A PATIENT'S ABILITY TO PAY DUKE PROVIDED CHARITY CARE AT ESTIMATED COST TOTALING $92.7 MILLION TO 164,649 PATIENTS DURING THE FISCAL YEAR THAT ENDED ON JUNE 30, 2014. NEARLY 94 PERCENT OF THE PATIENTS WERE FROM NORTH CAROLINA. 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 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. 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 NAVIGATING THEM THROUGH THE FINANCIAL ASSISTANCE PROGRAMS TO WHICH THEY ARE ENTITLED. WHEN GOVERNMENT PROGRAMS SUCH AS MEDICAID DO NOT COMPLETELY COVER DUKE'S COST OF CARE, DUKE ABSORBS THE DIFFERENCE IN ACCORDANCE WITH ITS POLICIES. HIGHLIGHTS OF DUKE'S CHARITY CARE AND DISCOUNTED CARE POLICIES * DUKE PROVIDES A DISCOUNT TO UNINSURED PATIENTS OF LIMITED MEANS FOR SUBSTANTIALLY ALL MEDICAL SERVICES EXCEPT COSMETIC PROCEDURES. * DUKE ASSISTS PATIENTS WHOSE MEDICAL HARDSHIP MAKES IT DIFFICULT FOR THEM TO PAY BASIC LIVING EXPENSES. * DUKE HELPS PATIENTS NAVIGATE THROUGH ADDITIONAL FINANCIAL PROGRAMS FOR WHICH THEY MAY QUALIFY. DUKE'S COMPLETE CHARITY CARE AND UNINSURED DISCOUNTED CARE POLICIES ARE AVAILABLE AT WWW.DUKEMEDICINE.ORG. CLICK ON "PATIENTS & VISITORS," THEN "FINANCIAL ASSISTANCE." COSTS DUKE COVERS FOR CHARITY CARE AND OTHER UNREIMBURSED EXPENSES: $92.7 MILLION CHARITY CARE $90.1 MILLION UNREIMBURSED MEDICAID $172.8 MILLION UNREIMBURSED MEDICARE $21.7 MILLION UNRECOVERABLE PATIENT DEBT DUKE WORKS WITH ITS COMMUNITY PARTNERS TO PROMOTE WELLNESS, CARE ACCESS: DUKE UNIVERSITY HEALTH SYSTEM REMAINS FIRMLY COMMITTED TO WORKING COLLABORATIVELY WITH ITS MANY 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. IN COMPLIANCE WITH FEDERAL REQUIREMENTS, LINKS TO THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR DURHAM AND WAKE COUNTIES, AND TO EACH OF THE DUKE HOSPITALS' REPORTS, ARE POSTED ON HTTP://DUKEMEDICINE.ORG/ABOUTUS. CLICK ON "COMMUNITY HEALTH NEEDS ASSESSMENT." CONTRIBUTIONS TO COMMUNITY GROUPS: OVER MANY YEARS, DUKE AND COMMUNITY ORGANIZATIONS HAVE DEVELOPED PRODUCTIVE PARTNERSHIPS TO WORK TOWARD THE COMMON GOAL OF ELIMINATING HEALTHCARE DISPARITIES AND IMPROVING RESIDENTS' ACCESS TO HIGH-QUALITY MEDICAL CARE. IN THE 2014 FISCAL YEAR, DUKE PROVIDED A TOTAL OF $10.7 MILLION IN CASH AND IN-KIND SUPPORT FOR COMMUNITY GROUPS. THAT INCLUDES MORE THAN $7.3 MILLION FOR LINCOLN COMMUNITY HEALTH CENTER IN DURHAM AND ITS SATELLITE COMMUNITY CLINICS, WHICH SERVE AN OVERWHELMINGLY POOR AND UNINSURED POPULATION; NEARLY $2.35 MILLION FOR DURHAM COUNTY'S EMERGENCY MEDICAL SERVICES OPERATION; AND MORE THAN $1 MILLION IN CASH CONTRIBUTIONS TO OTHER ORGANIZATIONS. HEALTH PROFESSIONS EDUCATION: EDUCATING THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS IS AT THE HEART OF DUKE'S MISSION TO IMPROVE HEALTHCARE FOR OUR PATIENTS AND THE COMMUNITY. DUKE REMAINS COMMITTED TO OFFERING CHALLENGING, INNOVATIVE PROGRAMS THAT PREPARE MEDICAL STUDENTS, NURSES, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND PHYSICAL THERAPISTS FOR TOMORROW'S INCREASINGLY COMMUNITY-FOCUSED HEALTHCARE DELIVERY SYSTEM. THE TRAINING RECOGNIZES THAT HEALTHCARE PROFESSIONALS WILL PROVIDE PATIENT CARE IN AN EMERGING VARIETY OF NON-TRADITIONAL SETTINGS USING INNOVATIVE MODELS OF CARE THAT PROMOTE HEALTH, WELLNESS, AND INDIVIDUAL SELF-CARE. IN ADDITION TO THE IMPORTANT EXPERIENCE THAT DUKE HEALTH PROFESSIONS STUDENTS GAIN IN ITS THREE HOSPITALS, DUKE EMPHASIZES THE VALUE OF COMMUNITY OUTREACH BY REQUIRING THAT THE STUDENTS PARTICIPATE IN ROTATIONS IN COMMUNITY CLINICS, SCHOOL WELLNESS CENTERS, AND IN-HOME CARE PROGRAMS FOR ELDERLY OR HOME-BOUND PEOPLE. IN THE 2014 FISCAL YEAR, DUKE INVESTED $59.8 MILLION IN ITS HEALTH PROFESSIONS EDUCATION PROGRAMS.
FORM 990, PART V, LINE 3B	THE ORGANIZATION DID NOT HAVE ANY UNRELATED BUSINESS GROSS INCOME DURING THE FISCAL YEAR ENDED JUNE 30, 2014. AS A RESULT, FORM 990-T IS NOT REQUIRED FOR THE FISCAL YEAR ENDED JUNE 30, 2014.
FORM 990, PART VI, SECTION A, LINE 2	DIRECTORS JACK O. BOVENDER, JR., RICHARD H. BRODHEAD, THOMAS M. GORRIE, WILLIAM HAWKINS, MICHAEL MARSICANO, DAVID M. RUBENSTEIN, AND SUSAN M. STALNECKER ARE TRUSTEES OF DUKE UNIVERSITY. DIRECTOR AND PRESIDENT/CEO VICTOR J. DZAU, MD IS AN OFFICER OF DUKE UNIVERSITY. THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF DUKE UNIVERSITY: NANCY CATHERINE ANDREWS, MD, MARY E. KLOTMAN, MD, THEODORE NICK PAPPAS, MD, AND CARL E. RAVIN, MD. DIRECTOR AND PRESIDENT/CEO VICTOR J. DZAU, MD, DIRECTOR CARL E. RAVIN, MD, AND OFFICERS WILLIAM J. FULKERSON, 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 E. KLOTMAN, MD, THEODORE NICK 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 4	DUHS AND ITS BOARD OF DIRECTORS HAVE REVISED AND APPROVED THE AMENDMENT OF DUKE UNIVERSITY HEALTH SYSTEM, INC. ARTICLES OF INCORPORATION AND ITS BYLAWS. SIGNIFICANT CHANGES ARE SUMMARIZED AS FOLLOWS: THE AMENDED AND RESTATED DUHS ARTICLES OF INCORPORATION AND BYLAWS INCREASED THE NUMBER OF BOARD MEMBERS FROM TWENTY ONE (21) TO TWENTY TWO (22). THE AFFAIRS OF DUHS SHALL BE MANAGED BY A BOARD OF DIRECTORS CONSISTING OF AT LEAST THIRTEEN (13), BUT NO MORE THAN TWENTY TWO (22) VOTING MEMBERS. THE AMENDED AND RESTATED DUHS ARTICLES OF INCORPORATION AND BYLAWS STATE A MINIMUM OF EIGHT (8) MEMBERS OF THE BOARD OF DIRECTORS SHALL BE CURRENT OR FORMER DUKE UNIVERSITY TRUSTEES.
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 EMAILED TO THE BOARD OF DIRECTORS FOR FURTHER REVIEW AND COMMENT BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C	DUHS MONITORS AND ENFORCES COMPLIANCE RELATED TO CONFLICT OF INTEREST VIA AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, RELYING ON SELF DISCLOSURE OF ALL THOSE SUBJECT TO THE COI POLICY.
FORM 990, PART VI, SECTION B, LINE 15	THE DUHS COMPENSATION COMMITTEE, COMPRISED OF MEMBERS OF THE DUHS BOARD OF DIRECTORS, REVIEWS AND APPROVES ALL EXECUTIVE COMPENSATION FOR ALL DISQUALIFIED PERSONS AND OTHER KEY EMPLOYEES. THE DUHS COMPENSATION COMMITTEE REVIEWS AND RECOMMENDS TO THE DUKE UNIVERSITY COMPENSATION COMMITTEE THE COMPENSATION FOR THE PRESIDENT AND CEO OF DUHS WHO IS ALSO AN OFFICER OF DUKE UNIVERSITY. DUHS HAS ADOPTED A STATEMENT OF COMPENSATION PHILOSOPHY THAT ARTICULATES BROAD OBJECTIVES TO HELP GUIDE THE DUHS COMPENSATION COMMITTEE IN ITS MISSION. THE DUHS COMPENSATION COMMITTEE ENGAGES THE SERVICES OF AN OUTSIDE EXECUTIVE COMPENSATION CONSULTING FIRM TO ESTABLISH COMPARABILITY DATA OF OTHER HEALTH CARE SYSTEMS OF SIMILAR SIZE AND COMPLEXITY AS DUHS. THE DUHS COMPENSATION COMMITTEE REVIEWS THE MARKET ANALYSIS THEN DETERMINES THE REASONABLENESS AND APPROPRIATENESS OF ALL ASPECTS OF EXECUTIVE COMPENSATION. THE DUHS COMPENSATION COMMITTEE ALSO SETS THE METRICS AND APPROVES THE PAYOUTS FOR THE DUHS INCENTIVE COMPENSATION PLANS FOR THESE INDIVIDUALS. THE DELIBERATIONS AND CONCLUSIONS OF THE DUHS COMPENSATION COMMITTEE ARE KEPT BY A RECORDING SECRETARY WHO RECORDS THE MINUTES OF THE COMMITTEE MEETINGS.
FORM 990, PART VI, SECTION C, LINE 18	DUKE UNIVERSITY HEALTH SYSTEM, INC.'S FORM 990 IS AVAILABLE TO THE PUBLIC ON WWW.GUIDESTAR.ORG. GUIDESTAR INDEPENDENTLY POSTS TAX-EXEMPT ORGANIZATIONS' FORM 990'S ON THEIR WEBSITE, OBTAINED FROM THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION C, LINE 19	DUKE UNIVERSITY HEALTH SYSTEM, INC.'S GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND ANY SUBSEQUENT AMENDMENTS OR RESTATEMENTS) ARE AVAILABLE TO THE PUBLIC ON THE NORTH CAROLINA SECRETARY OF STATE WEBSITE. DUKE UNIVERSITY HEALTH SYSTEM, INC. MAKES ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE ALSO AVAILABLE TO THE PUBLIC ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE. NAVIGATE TO HTTP://EMMA.MSRB.ORG AND ENTER "DUKE UNIVERSITY HEALTH SYSTEM" IN THE SEARCH BOX, CHOOSE ANY "ISSUE DESCRIPTION" WITH A "DATED DATE", ACCEPT THE TERMS OF THE WEBSITE, AND CLICK ON "CONTINUING DISCLOSURE".
FORM 990, PART XI, LINE 9:	NONPERIODIC CHANGES IN DEFINED BENEFIT PLANS: -2,249,618. NET TRANSFERS TO PARENT & AFFILIATES: -75,213,302. CHANGE IN MARKET VALUE OF DERIVATIVES: 3,436,805. INTEREST EARNED ON BOND PROCEEDS - CAPITALIZED FOR BOOK PURPOSES: -613. INCOME NOT REPORTED ON BOOKS, BUT INCLUDED FOR 990 REPORTING PURPOSES: DEEMED DIVIDEND: -7,646,449.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
DUKE PRMO LLC
615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	MEDICAL BILLING	NC	$133,655,403	$5,683,288	DUKE UNIVERSITY HEALTH SYSTEM INC
DUHS GLOBAL LLC
310 BLACKWELL STREET 4TH FLOOR BOX	DURHAM	NC	27710	SUPPORT	NC	$0	$0	DUKE UNIVERSITY HEALTH SYSTEM INC
HSPPMCO LLC
280 S MANGUM STREET STE 210	DURHAM	NC	27701	INVESTMENTS	NC	$5,035,257	$125,249,714	DUKE UNIVERSITY HEALTH SYSTEM INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	EINEIN	Direct Controlling NADirectControllingNACd
AMER ASSOC FOR GIFTED CHILDREN - 56-1686219
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0
ASSOCIATED HEALTH SVCS INC
615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	HEALTHCARE	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY HEALTH SYSTEM INC	Yes (1)	561845329
DU SPECIAL VENTURES FUND INC
280 S MANGUM STREET STE 210	DURHAM	NC	27701	INVESTMENTS	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561465177
DUKE ALUMNI ASSOCIATION INC
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-O		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	Yes (1)	463129771
DUKE MEDICINE GLOBAL SUPP CORP- 61-1593721
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0
DUKE QUALITY NETWORK INC
615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY HEALTH SYSTEM INC	Yes (1)	461340679
DUKE SCHOLARLY EXHIBITS INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561701245
DUKE UNIV AFFILIATED PHYSICIANS
615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	HEALTHCARE	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY HEALTH SYSTEM INC	Yes (1)	561902501
DUKE UNIV PHILANTHROPIES INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	571211099
DUKE UNIV SCH OF MED RESEARCH FDN 56-2247203
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0
DUKE UNIVERSITY
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	EDUCATION	NC	501(C)(3)	LINE 2		0	560532129	N/A
DUMAC INC
280 S MANGUM STREET STE 210	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	900754895
DURHAM ASSET MGMT COMPANY INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561757238
DURHAM REALTY INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561917936
GOTHIC CORPORATION
280 S MANGUM STREET STE 210	DURHAM	NC	27701	INVESTMENTS	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561776668
GOTHIC HSP CORPORATION
280 S MANGUM STREET STE 210	DURHAM	NC	27701	INVESTMENTS	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY HEALTH SYSTEM INC	Yes (1)	271325761
HIGH POINT REALTY ASSOCIATES INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561917939
IPIHD INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	320358709
RUTH K BROAD BIOMED RES FDN
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	650045051
THE CTR FOR DOCUMENTARY STUDIES
1317 PETTIGREW STREET	DURHAM	NC	27705	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561655039
THE LORD FDN OF NORTH CAROLINA
305 TEER BLDG	DURHAM	NC	27708	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561415423
DUKE JANJUN SERVICES INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	471150667
DUKE JULDEC SERVICES INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	471143245
DUKE ALLMO SERVICES INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	471133466
DUKE UNIVERSITY FEDERAL CREDIT UNION
2200 WEST MAIN ST STE L100	DURHAM	NC	27705	BANKING	NC	501(C)(1)		DUKE UNIVERSITY HEALTH SYSTEM INC	Yes (1)	561632379

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
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
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
MANGUM II LLC - 46-5135858
280 S MANGUM STREET STE 210	DURHAM	NC	27701	INVESTMENTS	NC	N/A	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (26 entries)

Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	CountryForeignAddress/Country	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Postal CodeForeignAddress/PostalCode	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Legal Domicile StateLegalDomicileStateCd	Province Or StateForeignAddress/ProvinceOrState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
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	Yes (1)	HM 08					980113277			DUHS INC	$35,049,541	$197,259,834	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	Yes (1)		615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	562222444	NC		DUHS INC	$182,434	$95,004	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
MCP PRIVATE CAPITAL (FEEDER) FUND I LP
6 RUE GABRIEL LIPPMAN	LUXEMBOURG	LU	INVESTMENTS	LU	N/A	C	0	L-5365
DUKE INDIA SERVICES PRIVATE LIMITED
302 PRIDE ELITE 10 MUSEUM ROAD	BANGALORE	IN	MEDICAL RESEARCH	IN	N/A	C	0	560001							KARNATAKA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
DUKE UNIVERSITY AFFILIATED PHYSICIANS INC
R	$8,107,993	FMV
DUKE UNIVERSITY AFFILIATED PHYSICIANS INC
S	$536,244	FMV
ASSOCIATED HEALTH SERVICES INC
S	$1,988,797	FMV
ASSOCIATED HEALTH SERVICES INC
O	$4,503,276	FMV
DURHAM CASUALTY COMPANYINC
R	$12,413,021	FMV
DURHAM CASUALTY COMPANYINC
S	$7,101,737	FMV
GOTHIC HSP CORPORATION
B	$136,346,441	FMV
GOTHIC HSP CORPORATION
C	$164,016,344	FMV
HEALTH SYSTEM MEDICAL STRATEGIES INC
R	$113,909	FMV
DUKE INTEGRATED NETWORK INC
R	$483,203	FMV
DUKE INTEGRATED NETWORK INC
O	$379,636	FMV