DUKE UNIVERSITY HEALTH SYSTEM INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: DUKE UNIVERSITY HEALTH SYSTEM INC (EIN 56-2070036)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-15
IRS object ID: 201331359349302308
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-15T09:15:30-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	562070036	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	DUKE	NameControl
Phone	9196138997	Phone

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	KENNETH C MORRIS	Name
Title	SVP,CFO,TREASURER	Title
Phone	9196138997	Phone
Date Signed	2013-05-15	DateSigned
Authorize Third Party	0	AuthorizeThirdParty

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	3631677412	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.DUKEHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	SEE SCHEDULE O FOR ORGANIZATION'S MISSION STATEMENT	ActivityOrMissionDescription
Nbr Voting Members Governing Body	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	17055	TotalNbrEmployees
Total Nbr Volunteers	2400	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	5769880	ContributionsGrantsPriorYear
Contributions Grants Current Year	11631914	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2181972792	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2304899882	ProgramServiceRevenueCY
Investment Income Prior Year	121177481	InvestmentIncomePriorYear
Investment Income Current Year	19726188	InvestmentIncomeCurrentYear
Other Revenue Prior Year	59642402	OtherRevenuePriorYear
Other Revenue Current Year	66110800	OtherRevenueCurrentYear
Total Revenue Prior Year	2368562555	TotalRevenuePriorYear
Total Revenue Current Year	2402368784	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5641045	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2065384	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1030668755	SalariesEtcPriorYear
Salaries Etc Current Year	1075745136	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	150531	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1062048680	OtherExpensePriorYear
Other Expenses Current Year	1066984072	OtherExpensesCurrentYear
Total Expenses Prior Year	2098358480	TotalExpensesPriorYear
Total Expenses Current Year	2144794592	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	270204075	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	257574192	RevenuesLessExpensesCY
Total Assets BOY	3519120113	TotalAssetsBOY
Total Assets EOY	3972574812	TotalAssetsEOY
Total Liabilities BOY	1472869787	TotalLiabilitiesBOY
Total Liabilities EOY	2025063125	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2046250326	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1947511687	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	DUHS IS COMMITTED TO EXCELLENCE, INNOVATION AND LEADERSHIP IN PROVIDING THE HEALTH CARE NEEDS OF THE PEOPLE WE SERVE, IMPROVING COMMUNITY HEALTH, AND FOSTERING THE VERY BEST MEDICAL EDUCATION.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	1561649863	Expense
Grants	2065384	Grants
Revenue	2351502636	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	1561649863	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	1	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	345	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	17055	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	BD	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	21	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	AK	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	AZ	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	FL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	HI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	KS	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MS	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NJ	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OK	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	SC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	TN	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	UT	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	ND	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	9196138997	TelephoneNumber

Address US AddressUS

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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
NANCY C ANDREWS MD
DIRECTOR	1.00	X	0	743157	46514
THE HON DANIEL T BLUE JR
DIRECTOR	1.00	X	0	0	0
JACK O BOVENDER JR
DIRECTOR	1.00	X	0	0	0
RICHARD H BRODHEAD
DIRECTOR	10.00	X	0	985763	191905
VICTOR J DZAU MD
CEO/DIRECTOR/PRESIDENT	40.00	X	0	2060599	711844	X
FRANK E EMORY JR
DIRECTOR	1.00	X	0	0	0
JAMES F GOODMON
DIRECTOR	1.00	X	0	0	0
THOMAS M GORRIE
DIRECTOR	2.00	X	0	0	0
CAROLYN E HENDERSON
DIRECTOR	1.00	X	0	0	0
DANNY O JACOBS MD
DIRECTOR	1.00	X	0	325811	49420
REBECCA TRENT KIRKLAND MD
DIRECTOR	1.00	X	0	0	0
RICHARD D KLAUSNER MD
DIRECTOR	1.00	X	0	0	0
JOHN H MCARTHUR
DIRECTOR	1.00	X	0	0	0
LLOYD B MORGAN
DIRECTOR	1.00	X	0	0	0
THEODORE N PAPPAS MD
DIRECTOR	1.00	X	0	109591	36123
CARL E RAVIN MD
DIRECTOR	1.00	X	0	250407	40021
STEVEN SCOTT MD
DIRECTOR	1.70	X	0	0	0
SUSAN M STALNECKER
DIRECTOR	1.00	X	0	0	0
KATHERINE KEITH THOMAS
DIRECTOR	1.00	X	0	0	0
PETER VAN ETTEN
DIRECTOR	1.00	X	0	0	0
G RICHARD WAGONER JR
DIRECTOR	1.00	X	0	0	0
MONTE D BROWN MD
VP OF ADMINISTRATION/SECRETARY	50.00		534954	0	51520	X
WILLIAM J FULKERSON MD
CEO, DUKE HOSP/SVP, ACUTE CARE	60.00		1171458	0	34245	X
KENNETH C MORRIS
SVP, CFO, TREASURER	40.00		1053572	0	37180	X
MARY ANN FUCHS
CHIEF NURSING OFFICER	40.00		355002	0	34719		X
ARTHUR L GLASGOW
VP/CIO, DHTS	40.00		531650	0	39181		X
KEVIN W SOWERS
PRESIDENT, DUKE UNIVERSITY HOSPITAL	62.00		640717	0	36201		X
DOUGLAS B VINSEL
CEO, DUKE RALEIGH HOSPITAL	60.00		548910	0	46759		X
KERRY R WATSON
PRESIDENT, DURHAM REGIONAL HOSPITAL	40.00		508442	0	88590		X
MARC CALABRESE
PHYSICIAN	40.00		395114	0	48159			X
JOHN M KELSCH
PHYSICIAN	40.00		373710	0	44240			X
MOLLY K ONEILL
VP, BUSINESS DEVELOPMENT	40.00		591569	0	39058			X
THOMAS A OWENS
PHYSICIAN	40.00		389210	0	42886			X
JOSEPH G TAYLOR
PHYSICIAN	40.00		453523	0	48629			X
MARK D GUSTAFSON
FORMER OFFICER	55.00		0	275898	44743				X
PAUL R NEWMAN
FORMER KEY EMPLOYEE	0.00		0	245805	67032				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7547831	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	4997031	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1778969	TotalOtherCompensation
Number Individuals GT100 K	1042	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
KBR BUILDING GROUP INC
5605 CARNEGIE BLVD	CHARLOTTE	NC	28209	CONSTRUCTION SERVICE	178861238
PRIVATE DIAGNOSTIC CLINIC PLLC
DUMC 3070	DURHAM	NC	27710	PHYSICIAN SERVICES	69112094
ARAMARK HEALTHCARE SUPPORT SERVICES
PO BOX 651009	CHARLOTTE	NC	282651009	HEALTHCARE SERVICES	10464137
GE MEDICAL SYSTEMS INC
PO BOX 402076	ATLANTA	GA	303842076	CONTRACT SERVICES	4624589
PERKINS & WILL INC
1382 PEACHTREE ST NE	ATLANTA	GA	30309	ARCHITECT SERVICES	4313836

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	255	NumberOfContractorsGT100K
Fundraising Events	131288	FundraisingEvents
Related Organizations	29751	RelatedOrganizations
Government Grants	591084	GovernmentGrants
All Other Contributions	10879791	AllOtherContributions
Noncash Contributions	202422	NoncashContributions
Total Contributions	11631914	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE	621990	2279086228	2279086228
ANCILLARY MEDICAL	621990	23103169	23103169
MEDICAL SERVICES	621990	2710485	2710485

Field	Value	IRS element (for citing)
Total Program Service Revenue	2304899882	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	11691822	TotalRevenueColumn
Exclusion	$11,691,822	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	775200	TotalRevenueColumn
Exclusion	$775,200	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2335261	TotalRevenueColumn
Exclusion	$2,335,261	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	15390286	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	14964762	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	425524	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	425524	TotalRevenueColumn
Exclusion	$425,524	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1221326398	Securities
Other	165462	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	1214140468	Securities
Other	92226	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	7185930	Securities
Other	73236	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	7259166	TotalRevenueColumn
Exclusion	$7,259,166	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	90644	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	131288	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	111172	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-20528	TotalRevenueColumn
Exclusion	-$20,528	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
BILLING FEES	621990	39580345	39580345
DEEMED DIVIDEND	900003	12642049		$12,642,049
TUITION	900099	1917192	1917192

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	9230957	TotalRevenueColumn
Related Or Exempt Function Income	4946060	RelatedOrExemptFunctionIncome
Exclusion	$4,284,897	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	63370543	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2402368784	TotalRevenueColumn
Related Or Exempt Function Income	2351343479	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$39,393,391	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2007023	Total
Program Services	2007023	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	58361	Total
Program Services	58361	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5673191	Total
Program Services	541576	ProgramServices
Management And General	5086916	ManagementAndGeneral
Fundraising	44699	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	186192	Total
Program Services	80376	ProgramServices
Management And General	105816	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	859604127	Total
Program Services	602769399	ProgramServices
Management And General	256776004	ManagementAndGeneral
Fundraising	58724	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	37865766	Total
Program Services	23871267	ProgramServices
Management And General	13989865	ManagementAndGeneral
Fundraising	4634	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	110138361	Total
Program Services	81143753	ProgramServices
Management And General	28984124	ManagementAndGeneral
Fundraising	10484	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	62277499	Total
Program Services	42354927	ProgramServices
Management And General	19916344	ManagementAndGeneral
Fundraising	6228	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	13329752	Total
Program Services	12310350	ProgramServices
Management And General	1019402	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1432149	Total
Program Services	109374	ProgramServices
Management And General	1322775	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	476500	Total
Management And General	476500	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	3214538	Total
Management And General	3214538	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	146215135	Total
Program Services	90100726	ProgramServices
Management And General	56114409	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	4554617	Total
Program Services	1180242	ProgramServices
Management And General	3374375	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	532476603	Total
Program Services	517800172	ProgramServices
Management And General	14656549	ManagementAndGeneral
Fundraising	19882	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	30673109	Total
Program Services	3675419	ProgramServices
Management And General	26997690	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	47577024	Total
Program Services	31764742	ProgramServices
Management And General	15812244	ManagementAndGeneral
Fundraising	38	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	6255504	Total
Program Services	4299468	ProgramServices
Management And General	1952831	ManagementAndGeneral
Fundraising	3205	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	3440775	Total
Program Services	102100	ProgramServices
Management And General	3338076	ManagementAndGeneral
Fundraising	599	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	36084598	Total
Program Services	538719	ProgramServices
Management And General	35545879	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	91892122	Total
Program Services	73665381	ProgramServices
Management And General	18226741	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	10568711	Total
Program Services	5781226	ProgramServices
Management And General	4787485	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
EQUIPMENT RENTAL & MAIN	59973124	45885932	14086886	306
LAUNDRY	7969578	7903216	66362
DUES & MEMBERSHIPS	2312195	877058	1434355	782
CONTINUING EDUCATION	1586997	465688	1120359	950

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	66951041	Total
Program Services	12363368	ProgramServices
Management And General	54587673	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2144794592	Total
Program Services	1561649863	ProgramServices
Management And General	582994198	ManagementAndGeneral
Fundraising	150531	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	49068	BOY
EOY	49073	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	356503510	BOY
EOY	586721228	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	18030089	BOY
EOY	22132059	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	305877825	BOY
EOY	323603278	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1394532	BOY
EOY	1242411	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	62751534	BOY
EOY	66770331	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8806735	BOY
EOY	14264968	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	2318578316	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1056312210	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	977695459	BOY
EOY	1262266106	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	2920163	BOY
EOY	2778265	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1680758563	BOY
EOY	1674659624	EOY

Intangible Assets IntangibleAssets

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

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	103688566	BOY
EOY	17443400	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3519120113	BOY
EOY	3972574812	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	283599625	BOY
EOY	318183821	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	2930320	BOY
EOY	9272886	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	830779105	BOY
EOY	1136143590	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	355560737	BOY
EOY	561462828	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1472869787	BOY
EOY	2025063125	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1992550258	BOY
EOY	1897474906	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	44049489	BOY
EOY	40757961	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9650579	BOY
EOY	9278820	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2046250326	BOY
EOY	1947511687	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3519120113	BOY
EOY	3972574812	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	257574192	ReconcilationRevenueExpenses
Reconcilation Other Changes	-356312831	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Political Expenditures	0	PoliticalExpenditures
Volunteer Hours	0	VolunteerHours
Amt Of4955 Tax	0	AmtOf4955Tax
Amt Of4955 Tax On Managers	0	AmtOf4955TaxOnManagers
Form4720 Filed4955 Tax	0	Form4720Filed4955Tax
Correction Made	0	CorrectionMade
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$306,611	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$69,596	OtherActivitiesAmount
Total Lobbying Expenditures IIB	376207	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3
Form4720 Filed4912 Tax	0	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	DUKE UNIVERSITY HEALTH SYSTEM, INC. EMPLOYS STAFF WHO PERFORM SOME LOBBYING ACTIVITIES AS PART OF THEIR JOB RESPONSIBILITIES. THESE SAME EMPLOYEES AND SOME SENIOR LEADERS OF THE ORGANIZATION MAY HAVE DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, AND GOVERNMENT OFFICIALS. DUKE UNIVERSITY HEALTH SYSTEM, INC. PAYS MEMBERSHIP DUES TO OTHER ORGANIZATIONS. PER THE MEMBERSHIP DUES INVOICES, SOME OF THESE ORGANIZATIONS PROVIDE A DISCLOSURE OF LOBBYING PERCENTAGE OF THE DUES RECEIVED.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.36000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.64000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	27482986	OtherCostOrOtherBasis
Book Value	27482986	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1481891386	OtherCostOrOtherBasis
Depreciation	522004548	Depreciation
Book Value	959886838	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	519211616	OtherCostOrOtherBasis
Depreciation	338651555	Depreciation
Book Value	180560061	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	289992328	OtherCostOrOtherBasis
Depreciation	195656107	Depreciation
Book Value	94336221	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1262266106	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (10 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
POOLED INVESTMENTS	550171000	F
DOMESTIC BONDS & LT NOTES	133799000	F
DOMESTIC STOCKS	83087000	F
INTERNAT'L BONDS/LT NOTES	42493000	F
INTERNATIONAL STOCKS	306867000	F
HEDGED STRATEGIES	317490000	F
SHORT-TERM INVESTMENTS	162041000	F
PRIVATE CAPITAL	43992000	F
REAL ESTATE	18108000	F
OTHER INVESTMENTS	16611624	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	1674659624	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
INTEREST PAYABLE	$11,102,230
PROFESSIONAL LIABILITY COSTS	$9,017,601
POST RETIREMENT BENEFIT OBLIGATION	$213,700,000
CAPITAL LEASE OBLIGATION	$127,576,266
DERIVATIVE INSTRUMENTS	$139,026,628
OTHER NON-CURRENT LIABILITIES	$61,040,103

Field	Value	IRS element (for citing)
Total Of Amounts	561462828	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE INTENDED USE FOR THE ORGANIZATION'S ENDOWMENT FUNDS IS SUPPORTING CAPITAL PURCHASES, OFFSETTING OPERATING COSTS, IMPROVING PATIENT SAFETY, AND SUPPORTING THE NEEDS OF PATIENTS AND FAMILIES.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	DUHS ADOPTED THE REQUIREMENTS OF FIN 48 AND CONSIDERED ITS TAX POSITIONS. BASED ON THAT ANALYSIS, THE PROVISIONS OF FIN 48 ARE DEEMED IMMATERIAL TO THE DUHS FINANCIAL STATEMENTS AND THEREFORE NO FIN 48 SPECIFIC DISCLOSURES ARE MADE IN THE AUDITED FINANCIAL STATEMENTS OF DUHS, INC. AND ITS AFFILIATES FOR FISCAL YEAR ENDED JUNE 30, 2012.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (8 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Total ExpendituresTotalExpenditures	Specific Services ProvidedSpecificServicesProvided
CENTRAL AMERICA AND THE CARIBBEAN	SEND AGENTS TO SEMINAR	9999
CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	1240	RECRUITMENT
EAST ASIA AND THE PACIFIC	SEND AGENTS TO SEMINAR	10089
EUROPE	SEND AGENTS TO SEMINAR	42596
MIDDLE EAST AND NORTH AFRICA	SEND AGENTS TO SEMINAR	12803
NORTH AMERICA	SEND AGENTS TO SEMINAR	372
SOUTH AMERICA	SEND AGENTS TO SEMINAR	495
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	160542221

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	160619815	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	160619815	TotalAmountSpent
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	1	BoycottCountries

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	1	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	BLACKWELL ST	AddressLine1
City	DURHAM	City
State	NC	State
ZIP Code	27701	ZIPCode

Field	Value	IRS element (for citing)
Activity	SHARED FUNDRAISING	Activity
Fundraiser Control Of Funds	1	FundraiserControlOfFunds
Gross Receipts	0	GrossReceipts
Amount Retained By Contractor	700000	AmountRetainedByContractor
Net To Organization	0	NetToOrganization

Field	Value	IRS element (for citing)
Total Retained By Contractors	700000	TotalRetainedByContractors
Licensed States	AL	LicensedStates
Licensed States	AK	LicensedStates
Licensed States	AZ	LicensedStates
Licensed States	AR	LicensedStates
Licensed States	CA	LicensedStates
Licensed States	CO	LicensedStates
Licensed States	CT	LicensedStates
Licensed States	DC	LicensedStates
Licensed States	FL	LicensedStates
Licensed States	GA	LicensedStates
Licensed States	HI	LicensedStates
Licensed States	IL	LicensedStates
Licensed States	KS	LicensedStates
Licensed States	KY	LicensedStates
Licensed States	ME	LicensedStates
Licensed States	MD	LicensedStates
Licensed States	MA	LicensedStates
Licensed States	MI	LicensedStates
Licensed States	MN	LicensedStates
Licensed States	MS	LicensedStates
Licensed States	NH	LicensedStates
Licensed States	NJ	LicensedStates
Licensed States	NM	LicensedStates
Licensed States	NY	LicensedStates
Licensed States	NC	LicensedStates
Licensed States	ND	LicensedStates
Licensed States	OH	LicensedStates
Licensed States	OK	LicensedStates
Licensed States	OR	LicensedStates
Licensed States	PA	LicensedStates
Licensed States	RI	LicensedStates
Licensed States	SC	LicensedStates
Licensed States	TN	LicensedStates
Licensed States	UT	LicensedStates
Licensed States	VA	LicensedStates
Licensed States	WA	LicensedStates
Licensed States	WV	LicensedStates
Licensed States	WI	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GALA	NameOfEvent1
Gross Receipts Event1	221932	GrossReceiptsEvent1
Charitable Contributions Event1	131288	CharitableContributionsEvent1
Gross Revenue Event1	90644	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	70633	NonCashPrizesEvent1
Rent Facility Costs Event1	1816	RentFacilityCostsEvent1
Food And Beverage Event1	27227	FoodAndBeverageEvent1
Entertainment Event1	4848	EntertainmentEvent1
Other Direct Expenses Event1	6648	OtherDirectExpensesEvent1
Name Of Event2	NONE	NameOfEvent2
Gross Receipts Total	221932	GrossReceiptsTotal
Charitable Contributions Total	131288	CharitableContributionsTotal
Gross Revenue Total Events	90644	GrossRevenueTotalEvents
Non Cash Prizes Total Events	70633	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	1816	RentFacilityCostsTotalEvents
Food And Beverage Total Events	27227	FoodAndBeverageTotalEvents
Entertainment Total Events	4848	EntertainmentTotalEvents
Other Direct Expenses Total Events	6648	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	111172	DirectExpenseSummaryEvents
Net Income Summary	-20528	NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

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

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	69096659	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	69096659	NetCommunityBenefitExpense
Percent Of Total Expense	0.03220	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	33917268	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	33917268	NetCommunityBenefitExpense
Percent Of Total Expense	0.01580	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	348	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	348	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	103014275	TotalCommunityBenefitExpense
Net Community Benefit Expense	103014275	NetCommunityBenefitExpense
Percent Of Total Expense	0.04800	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	718	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	718	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	70345378	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14540320	DirectOffsettingRevenue
Net Community Benefit Expense	55805058	NetCommunityBenefitExpense
Percent Of Total Expense	0.02600	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	747	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	747	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11283213	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	11283213	NetCommunityBenefitExpense
Percent Of Total Expense	0.00530	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	81630056	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14540320	DirectOffsettingRevenue
Net Community Benefit Expense	67089736	NetCommunityBenefitExpense
Percent Of Total Expense	0.03130	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	184644331	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14540320	DirectOffsettingRevenue
Net Community Benefit Expense	170104011	NetCommunityBenefitExpense
Percent Of Total Expense	0.07930	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$24,618,001	BadDebtExpenseAmount
Amount Reimbursed By Medicare	487029763	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	556125815	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-69096052	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	0	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 DLP HEALTHCARE LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	BUILD NETWORK OF HOSPITALS	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.03000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.00000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	5	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	OtherOther
DUKE UNIVERSITY HOSPITAL
1	2301 ERWIN ROAD PRIMARY CAMPUS	DURHAM	NC	27710	X	X	X	X	X	X
DURHAM REGIONAL HOSPITAL
2	3643 ROXBORO ROAD	DURHAM	NC	27704	X	X				X
DUKE RALEIGH HOSPITAL
3	3400 WAKE FOREST ROAD	RALEIGH	NC	27609	X	X				X
MARIA PARHAM MEDICAL CENTER
4	566 RUIN CREEK ROAD	HENDERSON	NC	27536	X	X				X	3% OWNERSHIP IN JOINT VENTURE
PERSON MEMORIAL HOSPITAL
5	615 RIDGE ROAD	ROXBORO	NC	27573	X	X				X	3% OWNERSHIP IN JOINT VENTURE

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Average Negotiated RatesAverageNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges	Medicaid MedicareMedicaidMedicare	State RegulationStateRegulation	Used Other MethodUsedOtherMethod	Permit Report To Credit AgencyPermitReportToCreditAgency	Report To Credit AgencyReportToCreditAgency	Other Actions TakenOtherActionsTaken
DUKE UNIVERSITY HOSPITAL
1	1	1	200.000000000000	1	300.000000000000	1	X	X	X	X	X	1	1	X	X	X	X	X	1	0	1	X	0	1
DURHAM REGIONAL HOSPITAL
2	1	1	200.000000000000	1	300.000000000000	1	X	X	X	X	X	1	1	X	X	X	X	X	1	0	1	X	0	1
DUKE RALEIGH HOSPITAL
3	1	1	200.000000000000	1	300.000000000000	1	X	X	X	X	X	1	1	X	X	X	X	X	1	0	1	X	0	1
MARIA PARHAM MEDICAL CENTER
4	1	1	180.000000000000	1	300.000000000000	1	X	X	X	X	X	1	1	X			X		1	0	1		0	0	X	X	X
PERSON MEMORIAL HOSPITAL
5	1	1	180.000000000000	1	200.000000000000	1	X					1	1				X		1	1	1		0	0			X	X	X	X

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	12	NumberOfOtherFacilities

Other Facilities OtherFacilities (12 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
HOSPICE OF MEADOWLANDS
1001 CORPORATE DRIVE	HILLSBOROUGH	NC	27278	HOSPICE
HOCK FAMILY PAVILION
4023 NORTH ROXBORO ROAD	DURHAM	NC	27704	HOSPICE
DIET & FITNESS CENTER
501 DOUGLAS STREET	DURHAM	NC	27705	HEALTHY WEIGHT LOSS TREATMENT CENTER
DUKE INTEGRATIVE MEDICINE
3475 ERWIN ROAD	DURHAM	NC	27705	CLINICAL AND THERAPEUTIC SERVICES CENTER
NORTHERN CAROLINA SURGICAL ASSOCIATES
120 CHARLES ROLLINS ROAD SUITE 206	HENDERSON	NC	27536	GENERAL SURGICAL PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
MARIA PARHAM ANESTHESIA & PHYSIATRY
568 RUIN CREEK ROAD SUITE 128	HENDERSON	NC	27536	PHYSICIAN PRACTICE (ANESTHESIA & PHYSIATRY) - 3% OWNERSHIP IN JOINT VENTURE
MARIA PARHAM NEPHROLOGY & HYPERTENSION
568 RUIN CREEK ROAD SUITE 006	HENDERSON	NC	27536	PHYSICIAN PRACTICE (NEPHROLOGY/HYPERTENSION)-3% OWNERSHIP IN JOINT VENTU
KERR LAKE ORTHOPAEDICS
120 CHARLES ROLLINS ROAD SUITE 205	HENDERSON	NC	27536	PHYSICIAN PRACTICE (ORTHOPAEDICS) - 3% OWNERSHIP IN JOINT VENTURE
FOUR COUNTY PRIMARY CARE
120 CHARLES ROLLINS ROAD SUITE 102	HENDERSON	NC	27536	PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
MARIA PARHAM REGIONAL HOME HEALTH
566 RUIN CREEK ROAD	HENDERSON	NC	27536	HOME HEALTH PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
NORTHERN CAROLINA CARDIOLOGY
568 RUIN CREEK ROAD SUITE 102	HENDERSON	NC	27536	PHYSICIAN PRACTICE (CARDIOLOGY) - 3% OWNERSHIP IN JOINT VENTURE
MARIA PARHAM ENDOCRINOLOGY
120 CHARLES ROLLINS ROAD SUITE 206	HENDERSON	NC	27536	PHYSICIAN PRACTICE (ENDOCRINOLOGY) - 3% OWNERSHIP IN JOINT VENTURE

Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)

ExplanationExplanation	IdentifierIdentifier
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 8.6%.PART I, LINE 7:CHARITY CARE AT COST IS DETERMINED USING THE COST-TO-CHARGE CALCULATION FROM WORKSHEET 2. UNREIMBURSED MEDICAID IS DETERMINED USING A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS.COMMUNITY BUILDING ACTIVITIES:PART II: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 4:METHODOLOGY FOR DETERMINING BAD DEBT AMOUNT REPORTED ON LINE 2:BAD DEBT AT COST IS DETERMINED USING THE COST-TO-CHARGE RATIO CALCULATION FROM WORKSHEET 2.DESCRIPTION OF HOW DUHS ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSE:DISCOUNTS AND PAYMENTS ARE TREATED AS A REDUCTION ON THE PATIENT'S ACCOUNT. THEREFORE, THE AMOUNT REPORTED AS BAD DEBT EXPENSE IS REDUCED BY THE AMOUNT OF ANY PAYMENTS OR DISCOUNTS APPLIED. RATIONALE FOR INCLUDING PORTION OF BAD DEBT AS COMMUNITY BENEFIT:BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. DUKE UNIVERSITY HEALTH SYSTEM, INC. FOLLOWS ITS MISSION TO THE COMMUNITY AND PROVIDES EMERGENT SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, SOME 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.TEXT FROM FOOTNOTES:FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE HEALTH SYSTEM RECOGNIZES REVENUE ON THE BASIS OF ITS DISCOUNTED RATES. UNINSURED PATIENTS RECEIVE A DISCOUNT FROM BILLED CHARGES (EXCLUDING COSMETIC SERVICES). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HEALTH SYSTEM'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE HEALTH SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR BAD DEBTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HEALTH SYSTEM ANALYZES HISTORICAL COLLECTIONS AND WRITE-OFFS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR BAD DEBTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTH SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR BAD DEBTS, ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, PROVISION FOR BAD DEBTS, AND CONTRACTUAL ADJUSTMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS OR WITH BALANCES REMAINING AFTER THE THIRD-PARTY COVERAGE HAS ALREADY PAID, THE HEALTH SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL COLLECTIONS, WHICH INDICATES THAT MANY PATIENTS DECLINE TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR BAD DEBTS.PART III, LINE 7:TOTAL UNREIMBURSED COSTS ATTRIBUTABLE TO PROVIDING SERVICES UNDER MEDICARE AS REPORTED IN THE JUNE 30, 2012 DUHS CONSOLIDATED FINANCIAL STATEMENTS ARE $96,038,000 AS COMPARED TO $69,096,052 AS REPORTED IN SECTION B, LINE 7 OF SCHEDULE H. THE DUHS TOTAL MEDICARE SHORTFALL OF $96,038,000 IS DERIVED FROM THE COST ACCOUNTING SYSTEM WHICH INCLUDES ALL PAYMENTS AND COSTS ASSOCIATED WITH MEDICARE PATIENTS, WHEREAS THE $69,096,052 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. UNREIMBURSED MEDICARE COSTS REPORTED ON SCHEDULE H IS UNDERSTATED DUE TO EXCLUDING THOSE COSTS ASSOCIATED WITH MEDICARE PATIENTS COVERED UNDER MANAGED CARE PLANS AND COSTS REIMBURSED THROUGH MEANS NOT REPORTED ON THE COST REPORT.PART III, LINE 8:MEDICARE RATES AND THE NUMBER OF MEDICARE PATIENTS DUHS TREATS ARE NOT NEGOTIATED. MEDICARE DOES NOT FULLY COMPENSATE DUHS FOR THE COST OF PROVIDING CARE TO MEDICARE BENEFICIARIES. DUHS CONTINUES TO SERVE THE MEDICARE POPULATION AS MEDICARE REIMBURSEMENT RATES DECLINE RELATIVE TO THE COST OF CARE. THEREFORE, ANY LOSS RELATED TO PROVIDING CARE FOR MEDICARE PATIENTS SHOULD BE CLASSIFIED AS A COMMUNITY BENEFIT. DUHS FOLLOWED THE MEDICARE COST REPORT RULES AND GUIDELINES IN DETERMINING THE COSTS REPORTED ON LINE 6. THESE RULES USE A VARIETY OF DIFFERENT METHODOLOGIES BASED ON THE TYPE OF SERVICE.PART V, SECTION A:FACILITIES NUMBERED 4 AND 5 ARE INCLUDED AS A RESULT OF DUHS' 3% OWNERSHIP IN A JOINT VENTURE.PART V, LINE 13G:DUHS PROVIDES A BROCHURE TO ALL ADMISSIONS THAT INCLUDES A BRIEF SUMMARY OF DUHS FINANCIAL ASSISTANCE POLICIES. DUHS ALSO COMMENTS ON THE BACK OF ITS BILLING INVOICES THAT PATIENTS SHOULD CONTACT PATIENT ACCOUNT REPRESENTATIVES TO HELP THEM IF THEY CANNOT PAY THEIR BILL IN FULL. THIS COMMENT REFERENCES GOVERNMENT-SPONSORED PROGRAMS, MONTHLY PAYMENT PROGRAMS, AND OTHER FINANCIAL ASSISTANCE PROGRAMS AVAILABLE FOR PATIENTS WHO MEET CERTAIN FINANCIAL CRITERIA. DUHS ALSO PUBLICIZED ITS FINANCIAL ASSISTANCE POLICY VERBALLY BY OUR FINANCIAL CARE COUNSELORS.PART V, LINE 21: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 C:FACILITIES NUMBERED 5 THROUGH 12 ARE INCLUDED AS A RESULT OF DUHS' 3% OWNERSHIP IN A JOINT VENTURE.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 STATE-WIDE NETWORK FOR A HEALTHY DURHAM, 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 HEALTHY CAROLINIAN'S WORKGROUP. THE NETWORK EVALUATES COMMUNITY HEALTH CARE INFORMATION, THEN IDENTIFIES AND PRIORITIZES COMMUNITY-IDENTIFIED HEALTH CARE NEEDS AMONG SEVEN SUBCOMMITTEES THAT EACH FOCUS ON A DURHAM COUNTY HEALTH PRIORITY: MENTAL HEALTH AND SUBSTANCE ABUSE, ACCESS TO CARE, OBESITY AND CHRONIC ILLNESS, POVERTY, HIV/STI'S, EDUCATION, AND HOMELESSNESS. DUHS' OFFICE OF COMMUNITY RELATIONS HAS PLAYED A CENTRAL ROLE IN CONDUCTING A DURHAM HEALTH SUMMIT SINCE 2002, AN ANNUAL EVENT THAT ATTRACTS HUNDREDS OF COMMUNITY MEMBERS, HEALTH OFFICIALS, ELECTED OFFICIALS, AND DUHS EXECUTIVES AND PHYSICIANS TO RAISE AWARENESS OF KEY HEALTH ISSUES IN THE COMMUNITY AND SEEK COLLABORATIVE SOLUTIONS TO THESE ISSUES. THE SUMMIT HAS PRODUCED A NUMBER OF COMMUNITY-DRIVEN HEALTH CARE PROGRAMS AND INITIATIVES, INCLUDING MOST RECENTLY SPECIALTY PROJECT ACCESS, IN WHICH PHYSICIANS WHO PRACTICE AT DUHS FACILITIES AND OTHER DURHAM COUNTY PHYSICIANS OFFER FREE SPECIALTY CARE SERVICES TO RESIDENTS WHO OTHERWISE COULD NOT AFFORD IT. DUHS ALSO PLAYS A CENTRAL ROLE IN REGIONAL AND STATE HEALTH CARE SUMMITS USING THE SUMMITS' INFORMATION AND DATA TO ADDRESS THE HEALTH CARE NEEDS OF THOSE BROADER COMMUNITIES. DUHS ALSO USES DATA FROM THE ANNUAL DURHAM STATE OF THE COUNTY HEALTH REPORT AND THE DURHAM COUNTY HEALTH ASSESSMENT (SEE WWW.HEALTHYDURHAM.ORG) CONDUCTED EVERY 4 YEARS TO ENSURE DUHS IS ADDRESSING IMPORTANT HEALTH CARE ISSUES IDENTIFIED BY THE COMMUNITY.IN WAKE COUNTY, DUHS CONDUCTS A STUDY OF PRIMARY CARE INTAKES. 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 ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE DUHS CHARITY CARE POLICY. DETAILED INFORMATION IS POSTED ON DUKEHEALTH.ORG (DUHS' WEBSITE) ALONG WITH HARDCOPY BROCHURES THAT ARE AVAILABLE IN ENGLISH OR SPANISH AT ALL OF OUR PATIENT REGISTRATION LOCATIONS. ALL INPATIENTS AND EMERGENCY DEPARTMENT PATIENTS ARE ALSO PROVIDED WITH A HARDCOPY, ONE-PAGE SUMMARY OF THE WAYS DUHS CAN ASSIST PATIENTS FINANCIALLY. FOR OUTPATIENTS, THIS SAME ONE-PAGE SUMMARY IS PROVIDED ON THEIR FIRST VISIT TO THE INSTITUTION. IN ADDITION, DUHS EMPLOYS FINANCIAL CARE COUNSELORS WHO MEET INDIVIDUALLY WITH PATIENTS WHO HAVE QUESTIONS REGARDING PAYMENT FOR THEIR CARE. DUHS ALSO EMPLOYS MEDICAID ASSISTANCE COUNSELORS WHO SPECIALIZE IN ASSISTING PATIENTS TO APPLY FOR MEDICAID, DISABILITY, AND OTHER FEDERAL, STATE, AND LOCAL PROGRAMS. DUHS ASSISTS BETWEEN 12,000-20,000 PATIENTS IN APPLYING AND BECOMING ELIGIBLE FOR THESE PROGRAMS ANNUALLY. FINALLY, PATIENTS MAY ALWAYS CONTACT DUHS' TOLL FREE CUSTOMER SERVICE NUMBER TO REQUEST INFORMATION ABOUT THEIR BILL OR OBTAIN A CHARITY CARE APPLICATION.COMMUNITY INFORMATION:PART VI, LINE 4:DUHS SERVES A BROAD, CULTURALLY, RACIALLY AND SOCIALLY DIVERSE GEOGRAPHIC AND DEMOGRAPHIC REGION. DUHS' HOME CITY OF DURHAM IS THE CORE, BUT DUHS' REACH EXTENDS INTO THE SURROUNDING RESEARCH TRIANGLE AREA OF NORTH CAROLINA AND THE STATE'S LARGER NORTHERN PIEDMONT REGION, AS WELL AS STATEWIDE, NATIONALLY AND GLOBALLY. DURHAM, WAKE AND ORANGE COUNTIES - WHICH FORM THE TRIANGLE - REPRESENT ABOUT TWO-THIRDS OF INPATIENT DISCHARGES FROM DUHS FACILITIES. DUHS' SECONDARY SERVICE AREA COVERS 21 COUNTIES IN NORTH CAROLINA AND SOUTHERN VIRGINIA WITH A POPULATION OVER 2 MILLION.PROMOTION OF COMMUNITY HEALTH:PART VI, LINE 5:DUHS PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH A NUMBEROF 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 DUKE RESEARCHERS AND MEMBERS OF THE DUKE 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 HEALTHOF ITS COMMUNITIES IN A NUMBER OF IMPORTANT WAYS. ONE OF DUHS' THREE CONSTITUENT HOSPITALS, DURHAM REGIONAL, HAS AN OPEN MEDICAL STAFF AND A COMMUNITY ADVISORY BOARD. DUHS AND THE DUKE UNIVERSITY SCHOOL OF MEDICINE AND SCHOOL OF NURSING (COMMONLY REFERRED TO AS DUKE MEDICINE) RECENTLY LAUNCHED A NEW INITIATIVE WITH MEMBERS OF THE DURHAM FAITH COMMUNITY. APPROXIMATELY 50 LOCAL LEADERS IN THE FAITH COMMUNITY ARE WORKING WITH DUKE MEDICINE 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. A SERIES OF 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, DURHAM REGIONAL HOSPITAL, AND OTHER KEY COMMUNITY PARTNERS BEGAN A PILOT WORKFORCE DEVELOPMENT PROJECT CALLED PROJECT SEARCH. THIS PROGRAM, MODELED AFTER THE PROGRAM AT CINCINNATI CHILDREN'S HOSPITAL, PROVIDES YOUTH WITH DISABILITIES EMPLOYMENT TRAINING AND CAREER OPPORTUNITIES IN THE HEALTHCARE FIELD. THE OFFICE OF COMMUNITY RELATIONS WORKS WITH THE DURHAM-ORANGE MEDICAL SOCIETY AND THE DURHAM ACADEMY OF MEDICINE, DENTISTRY AND PHARMACY (AN ASSOCIATION FOR AFRICAN-AMERICAN MEDICAL PROFESSIONALS) TO PROMOTE THE SUCCESS OF THE CITY OF MEDICINE ACADEMY (CMA). THE CMA IS A PUBLIC MAGNET HIGH SCHOOL DESIGNED FOR STUDENTS INTERESTED IN HEALTH CARE CAREERS. FACULTY ARE INVOLVED WITH MENTORING STUDENTS AND CLASSROOM LECTURES. IN ADDITION, THE HEALTH SYSTEM CEO IS WORKING WITH THE NEW SCHOOLS PROJECT TO HELP THE CMA BECOME THE PREMIER HEALTH SCIENCE HIGH SCHOOL IN NORTH CAROLINA. IN 2011, CMA MOVED INTO A NEW BUILDING ON THE DURHAM REGIONAL HOSPITAL CAMPUS ON LAND DUHS TRANSFERRED BACK TO DURHAM COUNTY. THE OCR PROGRAM MANAGER COORDINATED HEALTH CARE SERVICES AT THE ANNUAL DURHAM PROJECT HOMELESS CONNECT. DUKE UNIVERSITY HEALTH SYSTEM IS A KEY PARTNER IN THIS EVENT. DUKE SCHOOL OF NURSING, DUKE EYE CENTER, AND STAFF AFFILIATED WITH LINCOLN COMMUNITY HEALTH CENTER HEALTHCARE FOR THE HOMELESS CLINIC VOLUNTEER TIME AND RESOURCES AT THIS IMPORTANT EVENT. STUDENTS FROM THE DUKE SCHOOLS OF MEDICINE AND NURSING ENGAGE COMMUNITIES IN DURHAM AND BEYOND IN ACTIVITIES THAT INCLUDE FREE BLOOD PRESSURE SCREENINGS FOR THE HOMELESS, AND IDENTIFYING THE HEALTH CARE NEEDS OF A LOW WEALTH COMMUNITY SCHOOL AND DEVELOPING A CURRICULUM FOR STUDENTS AND PARENTS THAT ADDRESSES THOSE NEEDS.
AFFILIATED HEALTH CARE SYSTEM ROLES:PART VI, LINE 6:DUHS PROVIDES VIRTUALLY ALL LEVELS OF CARE BEGINNING WITH DUKE UNIVERSITY AFFILIATED PHYSICIANS (DBA DUKE PRIMARY CARE) (DPC). THE HOSPITALS PROVIDE ROUTINE INPATIENT AND OUTPATIENT CARE. IN DURHAM COUNTY, DUKE UNIVERSITY HOSPITAL (DUH) AND DURHAM REGIONAL HOSPITAL (DRH) WORK TOGETHER TO MAXIMIZE FACILITY UTILIZATION PROVIDING ROUTINE AND ADVANCED LEVELS OF CARE. DUH ALSO OPERATES A TRAUMA CENTER WITH AIR AMBULANCE SERVICE. DUKE RALEIGH HOSPITAL (DRAH) SERVES THE WAKE COUNTY AREA AS A COMMUNITY HOSPITAL. THE DRAH CAMPUS HAS SEVERAL MEDICAL OFFICE BUILDINGS ENHANCING CONVENIENCE FOR THE PATIENT IN NON-EMERGENT CASES AND PROVIDES STREAMLINED ACCESS TO HIGH-DEMAND PROCEDURES SUCH AS CARDIAC CATHETERIZATION AND RADIOLOGY PROCEDURES. DUHS ALSO OPERATES HOME HEALTH AND HOME INFUSION SERVICES TO TREAT AND CARE FOR PATIENTS IN THE COMFORT OF THEIR HOME. THIS IS OBVIOUSLY PRACTICAL FOR PATIENTS NOT REQUIRING INPATIENT STAY BUT IN NEED OF ONGOING CARE AT A SUB-ACUTE LEVEL. FINALLY, HOSPICE PROVIDES PALLIATIVE CARE FOR PATIENTS NOT RESPONDING TO CURATIVE CARE. PAIN MANAGEMENT, SYMPTOM MANAGEMENT, AND PSYCHOLOGICAL AND SPIRITUAL SUPPORT PROVIDE A ROUNDED APPROACH TO COMPASSIONATELY ASSIST TERMINAL PATIENTS AND THEIR FAMILIES WITH THE PROCESS OF DYING. ALL OF THE OPERATING UNITS OF DUHS WORK TOGETHER TO PROVIDE THE RIGHT LEVEL OF CARE FOR THE PATIENT IN THE MOST BENEFICIAL MANNER. IN ADDITION TO THE REACTIVE ACTIVITIES OF DIAGNOSTIC CARE, DUHS ALSO SUPPORTS AND PROMOTES HEALTHY LIFESTYLES IN THE DIET & FITNESS CENTER, CENTER FOR LIVING, AND DUKE INTEGRATIVE MEDICINE. THESE OPERATIONS FOCUS LARGELY ON PREVENTION AND EDUCATION TO AVOID OR MITIGATE THE POTENTIAL FOR FUTURE ILLNESS.LIST OF ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT:PART VI, LINE 7:NORTH CAROLINA.
PART V, SECTION B, LINE 17E: APPLICABLE PATIENTS WERE NOTIFIED AT THE TIME OF UP-FRONT COLLECTION EFFORTS; THOSE PATIENTS WHO PRESENTED BILLING QUESTIONS AND CONCERNS WERE NOTIFIED AT THAT TIME.	PERSON MEMORIAL HOSPITAL
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY FOLLOWS ITS ESTABLISHED CHARITY CARE POLICY IN DETERMINING THE APPROPRIATE MAXIMUM AMOUNT TO CHARGE FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.	MARIA PARHAM MEDICAL CENTER
PART V, SECTION B, LINE 19D: THE MAXIMUM AMOUNT WAS DETERMINED BY APPLYING A SELF-PAY DISCOUNT AS A FLAT PERCENTAGE OF CHARGES.	PERSON MEMORIAL HOSPITAL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (29 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
1 IN 8K RALLY FOR THE CURE
30 MEMORIAL DR	PINEHURST	NC	28374	452871984	501(C)(3)	16000	GENERAL SUPPORT
ALLIANCE MEDICAL MINISTRY INC
101 DONALD ROSS DRIVE	RALEIGH	NC	27610	562168673	501(C)(3)	27500	GENERAL SUPPORT
CARING HOUSE INC
2625 PICKETT RD	DURHAM	NC	277055603	561647154	501(C)(3)	7917	GENERAL SUPPORT
CEO ROUNDTABLE ON CANCER INC
940 NW CARY PKWY SUITE 102	CARY	NC	27513	651230448	501(C)(3)	40000	GENERAL SUPPORT
CHILD AND PARENT SUPPORT SERVICES
411 W CHAPEL HILL ST SUITE 908	DURHAM	NC	27701	581446309	501(C)(3)	31000	GENERAL SUPPORT
COUNCIL FOR ENTREPRENEURIAL DEVELOPMENT
PO BOX 13353	RTP	NC	277093353	561399587	501(C)(3)	7500	GENERAL SUPPORT
DUKE HEALTH RALEIGH HOSPITAL GUILD
3400 WAKE FOREST RD	RALEIGH	NC	27609	202942711	501(C)(3)	29800	GUILD BIRDWOOD PROJECT CONTRIBUTION
DUKE SCHOOL FOR CHILDREN
3716 OLD ERWIN RD	DURHAM	NC	27705	581521494	501(C)(3)	25000	GENERAL SUPPORT
DURHAM ACADEMY DEVELOPMENT OFFICE
3601 RIDGE ROAD	DURHAM	NC	277055599	560538019	501(C)(3)	25000	GENERAL SUPPORT
DURHAM CHAMBER LEGACY FOUNDATION
PO BOX 3829	DURHAM	NC	27702	131132350	501(C)(3)	31250	GENERAL SUPPORT
DURHAM CHAMBER OF COMMERCE
PO BOX 3829	DURHAM	NC	27702	560207530	501(C)(6)	30000	GENERAL SUPPORT
EL CENTRO HISPANO INC
600 E MAIN STREET	DURHAM	NC	27701	562011661	501(C)(3)	8500	GENERAL SUPPORT
FOUNDATION FOR NURSING EXCELLENCE
PO BOX 31824	RALEIGH	NC	27622	300105241	501(C)(3)	20000	GENERAL SUPPORT
GREATER RALEIGH CHAMBER OF COMMERCE
PO BOX 2978	RALEIGH	NC	276022978	560370850	501(C)(6)	25000	GENERAL SUPPORT
HEALING WITH CAARE INC
214 BROADWAY ST	DURHAM	NC	27701	561963988	501(C)(3)	10000	GENERAL SUPPORT
HUMAN RIGHTS CAMPAIGN INC
1640 RHODE ISLAND AVE NW	WASHINGTON	DC	20036	521243457	501(C)(4)	12000	GENERAL SUPPORT
INTERACT
1012 OBERLINE RD SUITE 100	RALEIGH	NC	27605	581320613	501(C)(3)	15000	GENERAL SUPPORT
JOHN AVERY BOYS AND GIRLS CLUB
PO BOX 446	DURHAM	NC	27702	566001906	501(C)(3)	11000	GENERAL SUPPORT
LGBT CENTER OF RALEIGH INC
411 HILLSBOROUGH ST	RALEIGH	NC	276031727	262998186	501(C)(3)	10000	GENERAL SUPPORT
NORTH CAROLINA INSTITUTE OF MEDICINE
630 DAVIS DR STE 100	MORRISVILLE	NC	27560	561506066	NC GOVERNMENT	6000	GENERAL SUPPORT
NORTH CAROLINA PHYSICIANS HEALTH PROGRAM
220 HORIZON DRIVE 201	RALEIGH	NC	27615	561846599	501(C)(3)	36000	GENERAL SUPPORT
RALEIGH SCHOOL OF NURSE ANESTHESIA
3900 BARRETT DR SUITE 200	RALEIGH	NC	27609	561684241	501(C)(3)	17731	GENERAL SUPPORT
RESEARCH AMERICA
PO BOX 222451	CHINTILLY	VA	201532451	521609875	501(C)(3)	20000	GENERAL SUPPORT
RONALD MCDONALD HOUSE
506 ALEXANDER AVENUE	DURHAM	NC	27705	561220376	501(C)(3)	1200000	GENERAL SUPPORT
SAMARITAN HEALTH CENTER
507 E KNOX ST	DURHAM	NC	27701	263770762	501(C)(3)	20000	GENERAL SUPPORT
SENIOR PHARMASSIST INC
406 RIGSBEE AVE STE 201	DURHAM	NC	277012186	562084639	501(C)(3)	15000	GENERAL SUPPORT
TRIANGLE UNITED WAY INC
2400 PERIMETER PARK DRIVE STE 150	MORRISVILLE	NC	27560	561949103	501(C)(3)	5788	GENERAL SUPPORT
WAKE TECHNICAL COMMUNITY COLLEGE
9101 FAYETTEVILLE ROAD	RALEIGH	NC	276035696	237017752	501(C)(3)	10000	GENERAL SUPPORT
DUKE UNIVERSITY
324 BLACKWELL ST STE 850	DURHAM	NC	27701	560532129	501(C)(3)	0	GENERAL SUPPORT	34665	FMV	DONATION OF MEDICAL EQUIPMENT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	26	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	3	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (12 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
ANDES SCHOLARSHIP	1	1000
FINANCIAL ASSISTANCE	39	45111
JUDY WAGONER SCHOLARSHIP	2	500
KINGS DAUGHTERS SCHOLARSHIP FALL 2011	1	500
MARTHA WHITWORTH LASATER AWARD	2	2000
MEGAN WALKER SCHOLARSHIP	2	1000
MELANIE TAYLOR SCHOLARSHIP	4	3500
NANCY WALTERS SCHOLARSHIP	2	1000
NAP PRIZE	2	150
RUBY BAILEY PIERCE SCHOLARSHIP	2	500
SGA AWARD	4	600
SHELTERING HOME CIRCLE OF THE KINGS DAUGHTERS AWARD	1	2500

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
NANCY C ANDREWS MD
0	469490	0	211951	0	61716	0	29975	0	17967	0	791099	0	0
RICHARD H BRODHEAD
0	765292	0	0	0	220471	0	129975	0	64289	0	1180027	0	100000
VICTOR J DZAU MD
0	1035303	0	1013580	0	11716	0	697579	0	17515	0	2775693	0	0
DANNY O JACOBS MD
0	269944	0	55867	0	0	0	29975	0	20123	0	375909	0	0
CARL E RAVIN MD
0	250407	0	0	0	0	0	29975	0	10673	0	291055	0	0
MONTE D BROWN MD
310307	0	208147	0	16500	0	29975	0	22310	0	587239	0	0	0
WILLIAM J FULKERSON MD
712490	0	442468	0	16500	0	29975	0	6076	0	1207509	0	0	0
KENNETH C MORRIS
649680	0	375176	0	28716	0	29975	0	8849	0	1092396	0	0	0
MARY ANN FUCHS
276714	0	68064	0	10224	0	29975	0	5422	0	390399	0	0	0
ARTHUR L GLASGOW
306014	0	222136	0	3500	0	29975	0	9986	0	571611	0	0	0
KEVIN W SOWERS
427603	0	196614	0	16500	0	29975	0	7295	0	677987	0	0	0
DOUGLAS B VINSEL
353714	0	178696	0	16500	0	29975	0	17661	0	596546	0	0	0
KERRY R WATSON
327239	0	156370	0	24833	0	29975	0	59424	0	597841	0	0	0
MARC CALABRESE
339119	0	54795	0	1200	0	29975	0	19038	0	444127	0	0	0
JOHN M KELSCH
317343	0	39867	0	16500	0	29975	0	15048	0	418733	0	0	0
MOLLY K ONEILL
340079	0	234990	0	16500	0	29975	0	10332	0	631876	0	0	0
THOMAS A OWENS
323943	0	65267	0	0	0	29975	0	13719	0	432904	0	0	0
JOSEPH G TAYLOR
263558	0	173465	0	16500	0	29975	0	19312	0	502810	0	0	0
MARK D GUSTAFSON
0	266898	0	0	0	9000	0	29975	0	15420	0	321293	0	0
PAUL R NEWMAN
0	216005	0	29800	0	0	0	29975	0	37622	0	313402	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	PART III	ReturnReference
Explanation	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. NON-FIXED PAYMENTS SCHEDULE J, PART I, LINE 7 DUHS MAINTAINS AN EXECUTIVE INCENTIVE COMPENSATION PLAN. PAYMENTS UNDER THE PLAN ARE BASED ON PRE-ESTABLISHED PERFORMANCE METRICS AND A FIXED CALCULATION METHODOLOGY APPROVED BY THE DUHS COMPENSATION COMMITTEE WITH ASSISTANCE AND INPUT FROM AN EXECUTIVE COMPENSATION CONSULTING FIRM ASSURING COMPARABILITY WITH SIMILAR SYSTEMS. THE PLAN ALLOWS FOR A MODIFICATION TO AN INDIVIDUAL'S INCENTIVE PAYMENT BASED ON LEADERSHIP COMPETENCIES AND OTHER FACTORS WITH PAYOUTS (AND MODIFICATIONS, IF ANY) APPROVED BY THE DUHS COMPENSATION COMMITTEE.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

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

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Other Spent ProceedsOtherSpentProceeds	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Year Of Subst CompletionYearOfSubstCompletion	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures
214760000	322140000	322140000	1	1	1
	214760000	214760000	1	1	1
5200000	145715000	145715000	1	1	1	2009
	179713706		0	1	1	2012	15924326	2472104	161317276

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs	Engage Bond Counsel ContractsEngageBondCounselContracts	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse
0	1
0	1
1	1	1	0.00000	0.00000	0.00000
1	1	1	0.00000	0.00000	0.00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	1	0	0	0	1
0	1	0	0	0	1
0	1	0	0	0	1
0	0	0	0	0	0

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE K, PART I, COLUMN F	PURPOSE OF TAX-EXEMPT BONDS	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): DRAW DOWN FINANCING LEASE PROGRAM WITH CITIMORTGAGE, INC. IN THE MAXIMUM PRINCIPAL AMOUNT OF $40,000,000 TO REFUND TWO LEASES UNDER A PRIOR PROGRAM ISSUED 07/09/2003 AND TO FINANCE MEDICAL, COMPUTER, OFFICE, AND CAPITAL EQUIPMENT. 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		NOTE FOR BOND ISSUE (B): PROCEEDS INCLUDE ISSUE PRICE PLUS ORIGINAL ISSUE DISCOUNT / UPFRONT FEE PAID DIRECTLY BY DUHS TO THE BANK UPON ISSUANCE NOTE FOR BOND ISSUES (D), (A-2), AND (B-2): PROCEEDS INCLUDE INVESTMENT EARNINGS. NOTE FOR BOND ISSUES (C-2), (D-2), AND (A-3): PROCEEDS REFLECT ACTUAL PRINCIPAL DRAWN DOWN UNDER DRAW DOWN FINANCING LEASE PROGRAM.
SCHEDULE K, PART II, LINES 3 AND 10		NOTE FOR BOND ISSUE (C-2): PURSUANT TO TREASURY REGULATION 1.141-12 (E), DISPOSITION PROCEEDS OF $5,000,000, PLUS THE INVESTMENT PROCEEDS THEREOF, HAVE BEEN EXPENDED ON ADDITIONAL CAPITAL EXPENDITURES AS A REMEDIAL ACTION FOR THE SALE OF CERTAIN BOND-FINANCED ASSETS.
SCHEDULE K, PART II, LINE 11		NOTE FOR BOND ISSUES (A), (B), (C), AND (C-2): THESE PROCEEDS WERE DISBURSED OR DEEMED DISBURSED UPON ISSUANCE TO CURRENTLY REFUND THE PRIOR BONDS.
SCHEDULE K, PART IV, QUESTION 6		NOTE FOR BOND ISSUES (C-2), (D-2), AND (A-3): SALES PROCEEDS ALLOCATED UPON ISSUANCE AND NOT INVESTED.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
NORTH CAROLINA MEDICAL CARE COMMISSION
521309402	65821DDX6	2010-04-28	120836075	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
521309402	65821DLJ8	2012-06-28	326853753	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
521309402		2005-11-01	40000000	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
521309402		2008-12-04	40000000	SEE PART VI	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion
121162021	1460854	119701167	0	1	1
326855036	2840876	110366615	0	0	1	213647545
26439498		26439498	1	1	1		6527347	2008
16484844		16484844	0	1	1			2011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1
1	1	1
1	1	1
1	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	0
0	0	0	0	0	0
0	0	0	0	0	0
0	0	0	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

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

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

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	3413635	TotalProceeds
Capital Expenditures	3413635	CapitalExpenditures
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	1	EngageBondCounselContracts
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MEDTRONIC
BOARD MEMBER IS DIRECTOR	26777547	PAYMENT FOR GOODS AND SERVICES	0
PRIVATE DIAGNOSTIC CLINIC
BOARD MEMBERS ARE DIRECTOR AND FORMER KEY EMPLOYEE	105620512	PAYMENT FOR GOODS AND SERVICES	0
CBC NEW MEDIA GROUP LLC
CEO IS DIRECTOR	143000	PAYMENT FOR GOODS AND SERVICES	0
THE DURHAM BULLS BASEBALL CLUB INC
CEO IS DIRECTOR	47845	PAYMENT FOR GOODS AND SERVICES	0
GENESE NEWMAN
FAMILY MEMBER OF FORMER OFFICER	105815	SALARY PAID/CONTRIBUTION TO 403(B) PLAN	0
TAMELA VINSEL
FAMILY MEMBER OF KEY EMPLOYEE	28740	SALARY PAID	0
JACQUELINE DZAU
FAMILY MEMBER OF DIRECTOR/OFFICER	51636	SALARY PAID	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	25	NumberOfContributions
Noncash Contribs Rptd F990	7998	NoncashContribsRptdF990
Method Of Determining Revenues	VARIOUS	MethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	3387	NoncashContribsRptdF990
Method Of Determining Revenues	VARIOUS	MethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	12	NumberOfContributions
Noncash Contribs Rptd F990	120226	NoncashContribsRptdF990
Method Of Determining Revenues	MARKET QUOTE	MethodOfDeterminingRevenues

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	50	NumberOfContributions
Noncash Contribs Rptd F990	5664	NoncashContribsRptdF990
Method Of Determining Revenues	VARIOUS	MethodOfDeterminingRevenues

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	20	NumberOfContributions
Noncash Contribs Rptd F990	135	NoncashContribsRptdF990
Method Of Determining Revenues	VARIOUS	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	EVENT TICKETS	23	2588	VARIOUS
X	GIFT CARDS	90	10272	VARIOUS
X	JEWELRY	25	12491	VARIOUS
X	MISCELLANEOUS	175	39661	VARIOUS

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

Form990 Schedule M Part II Form990ScheduleMPartII

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION MISSION STATEMENT	FORM 990, PART I, LINE 1	DUHS IS COMMITTED TO EXCELLENCE, INNOVATION AND LEADERSHIP IN PROVIDING THE HEALTH CARE NEEDS OF THE PEOPLE WE SERVE, IMPROVING COMMUNITY HEALTH, AND FOSTERING THE VERY BEST MEDICAL EDUCATION.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4A	HISTORY AND ORGANIZATION IN 1925, JAMES B. DUKE WILLED $4 MILLION TO ESTABLISH DUKE HOSPITAL AND ITS MEDICAL SCHOOL TO IMPROVE HEALTH CARE IN THE CAROLINAS, THEN A POOR REGION LACKING HOSPITALS AND HEALTH CARE PROVIDERS. DUKE UNIVERSITY HOSPITAL HAS GROWN TO BE RECOGNIZED AS ONE OF THE WORLD'S GREAT HEALTH CARE PROVIDERS. IN 1998 AND CONCURRENT WITH ACQUIRING CONTROL OF TWO LOCAL COMMUNITY HOSPITALS, THE DUKE UNIVERSITY BOARD OF TRUSTEES ESTABLISHED DUKE UNIVERSITY HOSPITAL AS THE FLAGSHIP OF THE NEWLY INCORPORATED DUKE UNIVERSITY HEALTH SYSTEM, INC. (DUHS) TO MANAGE A WIDE RANGE OF HEALTH CARE PROGRAMS AT THE SAME HIGH LEVEL OF QUALITY THAT HAS TRADITIONALLY MADE DUKE UNIVERSITY HOSPITAL A WORLD LEADER. THIS NETWORK OF REGIONAL HEALTH CARE ORGANIZATIONS IS DEDICATED TO EMPLOYING DUKE'S STRENGTHS IN PATIENT CARE, EDUCATION, AND RESEARCH TO ENHANCE AND IMPROVE HEALTH CARE THROUGHOUT NORTH CAROLINA AND SOUTHERN VIRGINIA. THE DUHS MISSION IS CLINICAL CARE AND IS ENHANCED BY THE RESEARCH AND EDUCATION MISSIONS OF DUKE UNIVERSITY (THE DUKE UNIVERSITY SCHOOL OF MEDICINE AND SCHOOL OF NURSING). TOGETHER THEY SERVE THE COMMUNITY AS DUKE MEDICINE. MANY PROGRAM SERVICE ACCOMPLISHMENTS ARE INCLUDED IN SCHEDULE H TO THIS FORM INCLUDING THE FINANCIAL COMMITMENT MADE TO THE COMMUNITY BY DUHS IN TERMS OF CHARITY CARE AND OTHER DIRECT AND MEASURABLE INVESTMENTS. BELOW ARE EXCERPTS FROM THE ANNUAL DUHS REPORT ON COMMUNITY BENEFIT. THE COST OF THESE ACTIVITIES CAN BE DIFFICULT TO MEASURE. SOMETIMES THEY INCLUDE THE PARTICIPATION OF DUKE UNIVERSITY SO REFERENCES TO "DUKE" ARE MEANT TO INCLUDE DUHS AND DUKE UNIVERSITY IN THEIR RESPECTIVE MISSION CAPACITIES. COMMUNITY HEALTH DUKE UNIVERSITY HEALTH SYSTEM REMAINS FIRMLY COMMITTED TO WORKING COLLABORATIVELY WITH ITS COMMUNITY PARTNERS TO IDENTIFY, UNDERSTAND AND ADDRESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. FOR YEARS THROUGH ITS TWO HOSPITALS IN DURHAM AND ONE IN RALEIGH, DUKE HAS WORKED WITH THE HEALTH DEPARTMENTS IN DURHAM AND WAKE COUNTIES, COMMUNITY MEMBERS, AND NUMEROUS COMMUNITY PARTNER ORGANIZATIONS TO CONDUCT REGULAR COMMUNITY HEALTH NEEDS ASSESSMENTS. NEW FEDERAL REQUIREMENTS EFFECTIVE IN THE 2013 FISCAL YEAR FORMALIZE THE ASSESSMENT, REPORTING AND IMPLEMENTATION PLANNING PROCESS. LINKS TO THE DURHAM AND WAKE COUNTY COMMUNITY HEALTH ASSESSMENTS AND TO EACH HOSPITAL'S REPORT WILL BE POSTED TO WWW.DUKEMEDICINE.ORG. $11.28 MILLION COMMUNITY GROUPS OVER MANY YEARS, DUKE HAS DEVELOPED PRODUCTIVE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS WORKING TOWARD THE COMMON GOAL OF ELIMINATING HEALTH DISPARITIES AND IMPROVING RESIDENTS' ACCESS TO HIGH QUALITY MEDICAL CARE. IN THE 2012 FISCAL YEAR, DUKE PROVIDED A TOTAL OF $11.28 MILLION IN CASH AND IN-KIND SUPPORT FOR COMMUNITY GROUPS, INCLUDING $6.89 MILLION FOR LINCOLN COMMUNITY HEALTH CENTER IN DURHAM AND ITS SATELLITE COMMUNITY CLINICS, WHICH SERVE AN OVERWHELMINGLY POOR AND UNINSURED POPULATION; MORE THAN $2.22 MILLION FOR DURHAM COUNTY'S EMERGENCY MEDICAL SERVICES OPERATION; AND NEARLY $2.22 MILLION IN CASH CONTRIBUTIONS TO OTHER ORGANIZATIONS. $55.8 MILLION HEALTH PROFESSIONS EDUCATION DUKE'S HEALTH PROFESSIONS EDUCATION PROGRAMS ARE RECOGNIZED AMONG THE BEST, MOST INNOVATIVE IN THE UNITED STATES. DUKE REQUIRES THAT ITS HEALTH PROFESSIONS STUDENTS PARTICIPATE IN ROTATIONS IN COMMUNITY CLINICS, SCHOOL WELLNESS CENTERS AND IN-HOME CARE PROGRAMS FOR ELDERLY OR HOME-BOUND PEOPLE. IN ADDITION TO THE VALUABLE EXPERIENCE HEALTH PROFESSIONS STUDENTS GAIN IN ITS THREE HOSPITALS, THIS COMMUNITY OUTREACH PREPARES DOCTORS, NURSES, ADVANCED PRACTICE PROVIDERS, PHYSICAL THERAPISTS, AND OTHER HEALTH PROFESSIONALS TO WORK AND LEAD IN AN INCREASINGLY COMMUNITY-FOCUSED HEALTH CARE DELIVERY SYSTEM. IN THE 2012 FISCAL YEAR, DUKE INVESTED $55.8 MILLION IN ITS HEALTH PROFESSIONS EDUCATION PROGRAMS. CHARITY CARE AND OTHER UNREIMBURSED EXPENSES PROVIDING QUALITY CARE REGARDLESS OF A PATIENT'S ABILITY TO PAY DUKE'S COMMITMENT IS TO PROVIDE HIGH QUALITY, EFFECTIVE CARE WITH A CONSISTENTLY HIGH LEVEL OF DIGNITY, RESPECT AND SKILL TO EACH OF OUR PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IN THE FISCAL YEAR THAT ENDED JUNE 30, 2012, DUKE PROVIDED CHARITY CARE AT COST OF $69 MILLION. OF THIS AMOUNT, DUKE PROVIDED CHARITY CARE OF $65 MILLION TO 168,158 PATIENTS FROM 96 NORTH CAROLINA COUNTIES. ALL PATIENTS WHO DO NOT HAVE INSURANCE, OR WHO BECAUSE OF FINANCIAL HARDSHIP CANNOT PAY FOR THE URGENT OR EMERGENT MEDICAL CARE THEY RECEIVE, ARE ELIGIBLE UNDER DUKE POLICIES TO RECEIVE CARE AT A DISCOUNT OR WITHOUT CHARGE. IN ADDITION TO PROVIDING PRIMARY CARE AT NO CHARGE, DUKE PHYSICIANS DONATE SPECIALTY CARE SERVICES TO ELIGIBLE UNINSURED PATIENTS THROUGH A PROGRAM CALLED PROJECT ACCESS. NEARLY 12 PERCENT OF ALL DISCHARGED ADULT PATIENTS, 6 PERCENT OF HOSPITAL OUTPATIENT SURGERY AND CLINIC VISITS, AND NEARLY 71 PERCENT OF ALL VISITS TO DUKE EMERGENCY DEPARTMENT RECEIVED SOME LEVEL OF CHARITY CARE. DUKE WORKS WITH PATIENTS BY INFORMING THEM ABOUT AND HELPING THEM ACCESS THE FINANCIAL ASSISTANCE TO WHICH THEY ARE ENTITLED. AND WHEN GOVERNMENT PROGRAMS DO NOT COMPLETELY COVER THE COST OF THEIR CARE, DUKE MAKES UP SOME OR ALL OF THE DIFFERENCE. BY THE NUMBERS $69 MILLION - CHARITY CARE AT COST $34 MILLION - UNREIMBURSED MEDICAID COSTS COVERED BY DUKE $96 MILLION - UNREIMBURSED MEDICARE COSTS COVERED BY DUKE $25 MILLION - UNRECOVERABLE PATIENT DEBT CHARITY CARE NORTH CAROLINA (168,158 PATIENTS, $65 MILLION, INCLUSIVE OF DURHAM COUNTY AND WAKE COUNTY) DURHAM COUNTY (79,217 PATIENTS, $35 MILLION) WAKE COUNTY (50,770 PATIENTS, $14 MILLION) HIGHLIGHTS OF DUKE'S CHARITY CARE AND DISCOUNTED CARE POLICES * DUKE'S COMMITMENT IS TO CARE FOR ALL PATIENTS WITH A HIGH LEVEL OF DIGNITY, RESPECT, AND SKILL. * DUKE PROVIDES A DISCOUNT TO ALL PATIENTS OF LIMITED MEANS WHO DO NOT HAVE HEALTH INSURANCE FOR EVERY MEDICAL SERVICE EXCEPT COSMETIC PROCEDURES. * DUKE PROVIDES ASSISTANCE TO PATIENTS WHOSE MEDICAL HARDSHIP MAKES IT DIFFICULT FOR THEM TO PAY BASIC LIVING EXPENSES. * DUKE ASSISTS PATIENTS IN APPLYING FOR ANY ADDITIONAL FINANCIAL PROGRAMS FOR WHICH THEY MAY QUALIFY. * DUKE'S COMPLETE CHARITY CARE AND UNINSURED DISCOUNTED CARE POLICIES ARE AVAILABLE AT WWW.DUKEHEALTH.ORG DUKE UNIVERSITY HEALTH SYSTEM - AN OVERVIEW DUKE UNIVERSITY HEALTH SYSTEM IS A WORLD-CLASS PROVIDER OF HEALTH CARE SERVICES BASED IN DURHAM, N.C., THAT SERVICES MILLIONS OF PATIENTS AND THEIR FAMILIES EACH YEAR. AS AN INTEGRATED HEALTH CARE SYSTEM, DUKE OPERATES DUKE UNIVERSITY HOSPITAL, DURHAM REGIONAL HOSPITAL AND DUKE RALEIGH HOSPITAL, AS WELL AS AN EXTENSIVE NETWORK OF PRIMARY CARE CLINICS AND AMBULATORY CARE CENTERS, AND A STATEWIDE HOMECARE AND HOSPICE SERVICE. ADULT INPATIENT DISCHARGES, FISCAL YEAR ENDED JUNE 30, 2012 DUKE UNIVERSITY HEALTH SYSTEM PROVIDED CARE FOR 60,758 ADULT INPATIENT DISCHARGES IN 2012, MORE THAN 90 PERCENT INVOLVING NORTH CAROLINA RESIDENTS. TOP 3 NORTH CAROLINA COUNTIES BY VOLUME WERE: * DURHAM (19,647) * WAKE (10,023) * ORANGE (2,577) OUTPATIENT VISITS, FISCAL YEAR ENDED JUNE 30, 2012 DUKE UNIVERSITY HEALTH SYSTEM PROVIDED CARE DURING 2,016,470 OUTPATIENT VISITS IN 2012; AND NEARLY 91 PERCENT WERE FROM NORTH CAROLINA RESIDENTS. TOP 3 NORTH CAROLINA COUNTIES BY VOLUME WERE: * DURHAM (724,194) * WAKE (426,118) * ORANGE (124,511) DUKE-TRAINED HEALTH CARE PROFESSIONALS IN NORTH CAROLINA NEARLY 6,000 DUKE-TRAINED HEALTH CARE PROFESSIONALS LIVE IN NORTH CAROLINA. PHYSICIANS: 2,880 NURSES: 2,106 PHYSICIAN ASSISTANTS: 601 PHYSICAL THERAPISTS: 234 PATHOLOGY ASSISTANTS: 28 TOTAL: 5,849
EXPLANATION FOR NOT FILING FORM 990-T	FORM 990, PART V, LINE 3B	THE ORGANIZATION DID NOT HAVE ANY UNRELATED BUSINESS GROSS INCOME DURING THE FISCAL YEAR ENDED JUNE 30, 2012. AS A RESULT, FORM 990-T IS NOT REQUIRED FOR THE FISCAL YEAR ENDED JUNE 30, 2012.
	FORM 990, PART VI, SECTION A, LINE 2	DIRECTORS JACK O. BOVENDER, JR., RICHARD H. BRODHEAD, FRANK E. EMORY, JR., SUSAN STALNECKER, THOMAS M. GORRIE, AND G. RICHARD WAGONER ARE TRUSTEES OF DUKE UNIVERSITY. PRESIDENT/CEO VICTOR J. DZAU, MD IS AN OFFICER OF DUKE UNIVERSITY. THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF DUKE UNIVERSITY: NANCY A. ANDREWS MD, DANNY O. JACOBS MD, THEODORE N. 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, JR. MD AND KENNETH C. MORRIS ARE DIRECTORS OF DURHAM CASUALTY COMPANY, LTD. DIRECTOR AND PRESIDENT/CEO VICTOR J. DZAU MD, DIRECTORS DANNY O. JACOBS MD, CARL E. RAVIN MD, AND OFFICER WILLIAM J. FULKERSON MD ARE BOARD MEMBERS OF PRIVATE DIAGNOSTIC CLINIC, PLLC. AND THEODORE N. PAPPAS, MD IS ASSISTANT MEDICAL DIRECTOR FOR 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 7A	THE MEMBERS OF THE BOARD OF DIRECTORS OF DUHS, OTHER THAN THE EX OFFICIO MEMBERS, WILL BE NOMINATED BY THE BOARD OF DIRECTORS OF DUHS, AND WILL BE APPOINTED BY THE BOARD OF TRUSTEES OF DUKE UNIVERSITY. MEMBERS OF THE BOARD OF DIRECTORS OF DUHS WILL BE SUBJECT TO REMOVAL AT THE DISCRETION OF THE BOARD OF TRUSTEES OF DUKE UNIVERSITY IN ACCORDANCE WITH THE BYLAWS OF DUHS.
	FORM 990, PART VI, SECTION A, LINE 7B	THE DUHS BYLAWS PROVIDE THAT DUHS MUST OBTAIN DUKE UNIVERSITY BOARD OF TRUSTEES APPROVAL FOR CERTAIN SIGNIFICANT TRANSACTIONS REGARDING DEBT ISSUANCES, CAPITAL ACQUISITIONS AND TANGIBLE PERSONAL AND REAL PROPERTY SALES.
	FORM 990, PART VI, SECTION B, LINE 11	AFTER STAFF PREPARATION AND MANAGEMENT REVIEW, THE DUHS FORM 990 IS PRESENTED TO THE DUHS COMPLIANCE/AUDIT COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW AND DISCUSSION. BOARD LEVEL COMMENT AND DISCUSSION ARE INCORPORATED INTO THE FORM AS APPROPRIATE PRIOR TO FILING. A FINAL VERSION OF THE FORM IS POSTED TO THE BOARD OF DIRECTORS COMMUNICATION PORTAL ON THE INTERNET FOR FURTHER REVIEW AND COMMENT BEFORE FILING.
	FORM 990, PART VI, SECTION B, LINE 12C	DUKE UNIVERSITY HEALTH SYSTEM MONITORS AND ENFORCES COMPLIANCE RELATED TO CONFLICT OF INTEREST VIA AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, RELYING ON SELF DISCLOSURE OF ALL THOSE SUBJECT TO THE COI POLICY.
	FORM 990, PART VI, SECTION B, LINE 15	THE DUHS COMPENSATION COMMITTEE, COMPRISED OF MEMBERS OF THE DUHS BOARD OF DIRECTORS, REVIEWS AND APPROVES ALL EXECUTIVE COMPENSATION FOR ALL DISQUALIFIED PERSONS AND OTHER KEY EMPLOYEES. THE DUHS COMPENSATION COMMITTEE REVIEWS AND RECOMMENDS TO THE DUKE UNIVERSITY COMPENSATION COMMITTEE THE COMPENSATION FOR THE PRESIDENT AND CEO OF DUHS WHO IS ALSO AN OFFICER OF DUKE UNIVERSITY. DUHS HAS ADOPTED A STATEMENT OF COMPENSATION PHILOSOPHY THAT ARTICULATES BROAD OBJECTIVES TO HELP GUIDE THE DUHS COMPENSATION COMMITTEE IN ITS MISSION. THE DUHS COMPENSATION COMMITTEE ENGAGES THE SERVICES OF AN OUTSIDE EXECUTIVE COMPENSATION CONSULTING FIRM TO ESTABLISH COMPARABILITY DATA OF OTHER HEALTH CARE SYSTEMS OF SIMILAR SIZE AND COMPLEXITY AS DUHS. THE DUHS COMPENSATION COMMITTEE REVIEWS THE MARKET ANALYSIS THEN DETERMINES THE REASONABLENESS AND APPROPRIATENESS OF ALL ASPECTS OF EXECUTIVE COMPENSATION. THE DUHS COMPENSATION COMMITTEE ALSO SETS THE METRICS AND APPROVES THE PAYOUTS FOR THE DUHS INCENTIVE COMPENSATION PLANS FOR THESE INDIVIDUALS. THE DELIBERATIONS AND CONCLUSIONS OF THE DUHS COMPENSATION COMMITTEE ARE KEPT BY A RECORDING SECRETARY WHO RECORDS THE MINUTES OF THE COMMITTEE MEETINGS.
	FORM 990, PART VI, SECTION C, LINE 19	FORM 990, PART VI, SECTION C, LINE 19: DUKE UNIVERSITY HEALTH SYSTEM'S GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND ANY SUBSEQUENT AMENDMENTS OR RESTATEMENTS) ARE AVAILABLE TO THE PUBLIC ON THE NORTH CAROLINA SECRETARY OF STATE WEBSITE. DUKE UNIVERSITY HEALTH SYSTEM MAKES ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE ALSO AVAILABLE TO THE PUBLIC ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE. NAVIGATE TO HTTP://EMMA.MSRB.ORG AND ENTER "DUKE UNIVERSITY HEALTH SYSTEM" IN THE MUNI SEARCH BOX.
ESTIMATED AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS	FORM 990, PART VII, SECTION A, COLUMN B	THE FOLLOWING INDIVIDUALS LISTED IN PART VII, SECTION A, COLUMN A DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO RELATED ORGANIZATION, DUKE UNIVERSITY: JACK O. BOVENDER, JR., FRANK E. EMORY, JR., SUSAN M. STALNECKER, AND G. RICHARD WAGONER, JR. THOMAS M. GORRIE DEVOTED AN AVERAGE OF 2 HOURS PER WEEK TO RELATED ORGANIZATION, DUKE UNIVERSITY. VICTOR J. DZAU, MD, DANNY O. JACOBS, MD, THEODORE N. PAPPAS, MD, AND PAUL R. NEWMAN DEVOTED AN AVERAGE OF 40 HOURS PER WEEK TO RELATED ORGANIZATION, DUKE UNIVERSITY. RICHARD H. BRODHEAD DEVOTED AN AVERAGE OF 50 HOURS PER WEEK TO RELATED ORGANIZATION, DUKE UNIVERSITY. MARK D. GUSTAFSON DEVOTED AN AVERAGE OF 55 HOURS PER WEEK TO RELATED ORGANIZATION, DUKE UNIVERSITY. NANCY C. ANDREWS, MD AND CARL E. RAVIN, MD DEVOTED AN AVERAGE OF 60 HOURS PER WEEK TO RELATED ORGANIZATION, DUKE UNIVERSITY. KENNETH C. MORRIS, WILLIAM J. FULKERSON, MD, AND PAUL R. NEWMAN DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO RELATED ORGANIZATION, HEALTH SYSTEM MEDICAL STRATEGIES, INC. VICTOR J. DZAU, MD AND KENNETH C. MORRIS DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO RELATED ORGANIZATION, DUKE MEDICAL STRATEGIES, INC. THE FOLLOWING INDIVIDUALS DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO RELATED ORGANIZATION, DURHAM CASUALTY COMPANY, LTD: VICTOR J. DZAU, MD, CARL E. RAVIN, MD, WILLIAM J. FULKERSON JR., MD, KENNETH C. MORRIS, AND PAUL R. NEWMAN. NANCY C. ANDREWS, MD AND VICTOR J. DZAU, MD DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO RELATED ORGANIZATION, DUKE UNIVERSITY SCHOOL OF MEDICINE RESEARCH FOUNDATION. VICTOR J. DZAU, MD, THOMAS M. GORRIE, AND KENNETH C. MORRIS DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO RELATED ORGANIZATION, DUKE MEDICINE GLOBAL SUPPORT CORPORATION. WILLIAM J. FULKERSON, MD, KENNETH C. MORRIS, AND THOMAS A. OWENS DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO RELATED ORGANIZATION, DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. KENNETH C. MORRIS AND KERRY R. WATSON DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO RELATED ORGANIZATION, ASSOCIATED HEALTH SERVICES, INC. RICHARD H. BRODHEAD AND G. RICHARD WAGONER, JR. DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO RELATED ORGANIZATION, DUMAC, INC. VICTOR J. DZAU, MD DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO RELATED ORGANIZATION, INTERNATIONAL PARTNERSHIP FOR INNOVATIVE HEALTHCARE DELIVERY, INC.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -20,608,675. NONPERIODIC CHANGES IN DEFINED BENEFIT PLANS: -212,373,811. NET TRANSFERS TO PARENT & AFFILIATES: -48,231,281. NET TRANSFERS TO PARENT & AFFILIATES OF PROPERTY & EQUIPMENT: -4,145,777. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE: -1,207,782. CHANGE IN MARKET VALUE OF DERIVATIVES: -56,328,256. INTEREST EARNED ON BOND PROCEEDS - CAPITALIZED FOR BOOK PURPOSES: -775,200. INCOME NOT REPORTED ON BOOKS, BUT INCLUDED FOR 990 REPORTING PURPOSES: DEEMED DIVIDEND: -12,642,049. TOTAL TO FORM 990, PART XI, LINE 5: -356,312,831.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	DUKE PRMO LLC	BusinessNameLine1

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	562070036	EIN
Primary Activities	MEDICAL BILLING	PrimaryActivities
Legal Domicile State	NC	LegalDomicileState
Total Income	123449070	TotalIncome
EOY Assets	20129706	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (26 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	EINEIN	Direct Controlling Entity NADirectControllingEntityNA
AMER ASSOC FOR GIFTED CHILDREN - 56-1686219
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0
ASSOCIATED HEALTH SVCS INC
615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	HEALTHCARE	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY HEALTH SYSTEM INC	1	561845329
DU SPECIAL VENTURES FUND INC
280 S MANGUM STREET STE 210	DURHAM	NC	27701	INVESTMENTS	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561465177
DUKE ALUMNI ASSOCIATION INC
614 CHAPEL DRIVE	DURHAM	NC	27708	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561594088
DUKE CORPORATE EDUCATION
310 BLACKWELL ST	DURHAM	NC	27701	EDUCATION	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	421672476
DUKE GIFT PROPERTIES INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	571211078
DUKE GLOBAL INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	611588319
DUKE HOSPITAL AUXILIARY INC
PO BOX 2895	DURHAM	NC	27710	SUPPORT	NC	501(C)(3)	11 TYPE III		0	561825604	N/A
DUKE MANAGEMENT COMPANY
280 S MANGUM STREET STE 210	DURHAM	NC	27701	INVESTMENTS	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561748858
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 SCHOLARLY EXHIBITS INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561701245
DUKE UNIV AFFILIATED PHYSICIANS
615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	HEALTHCARE	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY HEALTH SYSTEM INC	1	561902501
DUKE UNIV PHILANTHROPIES INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	571211099
DUKE UNIV SCH OF MED RESEARCH FDN 56-2247203
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0
DUKE UNIVERSITY
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	EDUCATION	NC	501(C)(3)	LINE 2		0	560532129	N/A
DUMAC INC
280 S MANGUM STREET STE 210	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	900754895
DURHAM ASSET MGMT COMPANY INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561757238
DURHAM REALTY INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561917936
GOTHIC CORPORATION
280 S MANGUM STREET STE 210	DURHAM	NC	27701	INVESTMENTS	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561776668
GOTHIC HSP CORPORATION
280 S MANGUM STREET STE 210	DURHAM	NC	27701	INVESTMENTS	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY HEALTH SYSTEM INC	1	271325761
HIGH POINT REALTY ASSOCIATES INC
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561917939
IPIHD INC
310 BLACKWELL ST	DURHAM	NC	27710	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	320358709
RUTH K BROAD BIOMED RES FDN
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	650045051
THE CTR FOR DOCUMENTARY STUDIES
1317 PETTIGREW STREET	DURHAM	NC	27705	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561655039
THE FSB SUPPORT FUND
324 BLACKWELL STREET STE 850	DURHAM	NC	27701	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561849290
THE LORD FDN OF NORTH CAROLINA
305 TEER BLDG	DURHAM	NC	27708	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIVERSITY	0	561415423

Form990 Schedule R Part III Form990ScheduleRPartIII (12 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner
AVENUE BLUE TC FD 27-4011571
PARK AVENUE	NEW YORK	NY	10022	INVESTMENTS	DE	N/A	N/A	0	0
BLACKWELL PTR LLC 20-8075455
280 S MANGUM STREET STE 210	DURHAM	NC	27701	INVESTMENTS	GA	N/A	N/A	0	0
CANYON BLUE INV FD 27-0186996
AVE OF STARS	LA	CA	90067	INVESTMENTS	DE	N/A	N/A	0	0
CD FUND LP - 27-0130641
MCKINNEY AVE	DALLAS	TX	75201	INVESTMENTS	TX	N/A	N/A	0	0
DUMAC LLC - 65-1319939
280 S MANGUM STREET STE 210	DURHAM	NC	27701	INVESTMENTS	NC	N/A	N/A	0	0
GMO FORESTRY 6B LP 48-1294791
FRANKLIN STREET	BOSTON	MA	02110	INVESTMENTS	DE	N/A	N/A	0	0
LIQUID REALTY PTR 05-0537755
LINDA MESA	DANVILLE	CA	94526	INVESTMENTS	DE	N/A	N/A	0	0
LYRICAL BLUE RL PT 27-2994514
32 N DEAN ST	ENGLEWOOD	NJ	07631	INVESTMENTS	DE	N/A	N/A	0	0
LYRICAL-BLUE RGNT 45-3626577
32 N DEAN ST	ENGLEWOOD	NJ	07631	INVESTMENTS	DE	N/A	N/A	0	0
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

Form990 Schedule R Part IV Form990ScheduleRPartIV (24 entries)

Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Primary ActivityPrimaryActivity	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Postal CodeAddressForeign/PostalCode	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Legal Domicile StateLegalDomicileState	Province Or StateAddressForeign/ProvinceOrState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
COLCHESTER ALPHA FUND (BERMUDA) LTD
59-62 TOWNSEND ST 2	DUBLIN	EI	INVESTMENTS	BD	N/A	C
COLCHESTER BETA THREE FUND LTD
CENTURY HOUSE 16 PAR-LA VILLE RD	HAMILTON	BD	INVESTMENTS	BD	N/A	C	HM HX
DUKE CE LS INC
			REAL ESTATE		N/A	C		310 BLACKWELL STREET	DURHAM	NC	27701	202004016	NC
DUKE CORP EDU INDIA PRIVATE
ACADEMIC BLOCK NEW CAMPUS	VASTRAPUR	IN	CONSULTING	IN	N/A	C	380015					421672476		AHMEDABAD
DUKE CORPORATE EDUCATION LIM
165 FLEET STREET	LONDON	UK	EDUCATION CONSULTING	UK	N/A	C	EC4A 2DY					421672476
DUKE CORPORATE EDUCATION RSA
GROUND FLOOR TWICKEHNHAM BLDG	BRYANSTON	SF	CONSULTING	SF	N/A	C	02021					421672476		JOHANNESBURG
DUKE GLOBAL CONSULTING (KUNSHAN)
1666 WEI CHEN NAN RD	KUNSHAN PR	CH	CONSULTING	CH	N/A	C	215300							KUNSHAN
DUKE MEDICAL STRATEGIES INC
			HEALTHCARE		N/A	C		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	0688
DUKE UNIV QUADRANGLE FUND
			INVESTMENTS		N/A	T		PO BOX 185	PITTSBURGH	PA	152300185	566218971	PA
DUKE UNIVERSITY TOWER FUND
			INVESTMENTS		N/A	T		PO BOX 185	PITTSBURGH	PA	152300185	566147362	PA
DURHAM CASUALTY COMPANY LTD
AON HOUSE 30 WOODBOURNE AVE	PEMBROKE	BD	INSURANCE	BD		C	HM 08					980113277			DUHS INC	19164938	160542221	1.00000
DUSVF EUROPEAN LP
7 CAVENDISH SQUARE	LONDON	UK	INVESTMENTS	UK	N/A	C	W1G 0PE					980346042
GOTHIC INTERNATIONAL LTD
113 S CHURCH STREET QUEENSGATE HOU	GRAND CAYMAN	CJ	INVESTMENTS	CJ	N/A	C	KY1-1108
HEALTH SYSTEM MEDICAL STRATEGIES INC
			HEALTH CARE			C		615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	562222444	NC		DUHS INC	172945		1.00000
INDOCHINA LAND HOLDINGS 2 LP
SCOTIA CENTRE 4TH FL PO BOX 2804	GRAND CAYMAN	CJ	INVESTMENTS	CJ	N/A	C
INDOCHINA LAND HOLDINGS III
11F CHINA HONG KONG TOWER 8 HENNE	HONG KONG	HK	INVESTMENTS	CJ	N/A	C
JOHN & PATRICIA KOSKINEN CLUT
			INVESTMENTS		N/A	T		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	KY1-1205
GHI HOLDINGS MAURITIUS
9TH FL ORANGE TOWER CYBERCITY	EBENE	MP	INVESTMENTS	MP	N/A	C
GHI ERP LTD
9TH FL ORANGE TOWER CYBERCITY	EBENE	MP	INVESTMENTS	MP	N/A	C
GHI HSP LTD
9TH FL ORANGE TOWER CYBERCITY	EBENE	MP	INVESTMENTS	MP	N/A	C
GHI JBD LTD
9TH FL ORANGE TOWER CYBERCITY	EBENE	MP	INVESTMENTS	MP	N/A	C
GHI LTP LTD
9TH FL ORANGE TOWER CYBERCITY	EBENE	MP	INVESTMENTS	MP	N/A	C

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
DUKE UNIVERSITY AFFILIATED PHYSICIANS INC
Q	12464833	FMV
ASSOCIATED HEALTH SERVICES INC
R	3957378	FMV
ASSOCIATED HEALTH SERVICES INC
N	5099102	FMV
DURHAM CASUALTY COMPANYINC
Q	29745950	FMV
GOTHIC HSP CORPORATION
B	93397565	FMV
GOTHIC HSP CORPORATION
C	114890494	FMV
DUKE UNIVERSITY AFFILIATED PHYSICIANS INC
R	407616	FMV