DUKE UNIVERSITY HEALTH SYSTEM INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: DUKE UNIVERSITY HEALTH SYSTEM INC (EIN 56-2070036)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-15
IRS object ID: 201221369349304967
Schema version: 2010v3.7
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 L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-15T13:40:27-04:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	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	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	SENIOR VP, CFO, TREASURER	Title
Date Signed	2012-03-06	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	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 STREET STE 700	AddressLine1
City	DURHAM	City
State	NC	State
ZIP Code	27705	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	2609423531	GrossReceipts
Group Return For Affiliates	false	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	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	16547	TotalNbrEmployees
Total Nbr Volunteers	2300	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	14733592	ContributionsGrantsPriorYear
Contributions Grants Current Year	5769880	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2077077285	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2181972792	ProgramServiceRevenueCY
Investment Income Prior Year	246521983	InvestmentIncomePriorYear
Investment Income Current Year	121177481	InvestmentIncomeCurrentYear
Other Revenue Prior Year	50384488	OtherRevenuePriorYear
Other Revenue Current Year	59642402	OtherRevenueCurrentYear
Total Revenue Prior Year	2388717348	TotalRevenuePriorYear
Total Revenue Current Year	2368562555	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5601569	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	5641045	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1016995699	SalariesEtcPriorYear
Salaries Etc Current Year	1030668755	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	696773	TotalFundrsngExpCurrentYear
Other Expense Prior Year	935397822	OtherExpensePriorYear
Other Expenses Current Year	1062048680	OtherExpensesCurrentYear
Total Expenses Prior Year	1957995090	TotalExpensesPriorYear
Total Expenses Current Year	2098358480	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	430722258	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	270204075	RevenuesLessExpensesCY
Total Assets BOY	3155357986	TotalAssetsBOY
Total Assets EOY	3519120113	TotalAssetsEOY
Total Liabilities BOY	1582862863	TotalLiabilitiesBOY
Total Liabilities EOY	1472869787	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1572495123	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2046250326	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	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	1537777662	Expense
Grants	5641045	Grants
Revenue	2226773111	Revenue
Description	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. SERVING THE COMMUNITY BY PROVIDING OUTSTANDING CARE FOR EVERY PATIENT DUKE UNIVERSITY HEALTH SYSTEM'S PRIMARY COMMITMENT IS PROVIDING EXCELLENT, EFFECTIVE AND COMPASSIONATE HEALTH CARE SERVICES TO OUR PATIENTS. THE PATIENTS AND FAMILIES WE SERVE BENEFIT FROM THE HEALTH SYSTEM'S DIRECT AND IMPORTANT ASSOCIATION WITH DUKE UNIVERSITY SCHOOL OF MEDICINE, WHOSE CLINICAL FACULTY ARE RECOGNIZED LEADERS IN THEIR FIELDS. AS A LEADING ACADEMIC MEDICAL CENTER, DUKE IS UNIQUELY POSITIONED TO TRANSFORM MEDICINE AND HEALTH LOCALLY AND GLOBALLY THROUGH INNOVATIVE SCIENTIFIC RESEARCH, RAPID TRANSLATION OF BREAKTHROUGH DISCOVERIES AND EDUCATING FUTURE CLINICAL AND SCIENTIFIC LEADERS. DUKE IS A STRONG ADVOCATE OF PRACTICING EVIDENCE-BASED MEDICINE AND IS A LEADER IN EFFORTS TO ELIMINATE HEALTH INEQUALITIES. EACH YEAR, THE 15,000 PROFESSIONALS OF DUKE UNIVERSITY HEALTH SYSTEM SERVE PATIENTS THROUGH MORE THAN 60,000 HOSPITAL ADMISSIONS AND 1.9 MILLION OUTPATIENT VISITS. FOR 21 CONSECUTIVE YEARS, DUKE UNIVERSITY HOSPITAL HAS BEEN NAMED AMONG THE TOP 10 IN THE NATION BY U.S. NEWS & WORLD REPORT. IN PRIVATE AND GOVERNMENT SURVEYS, PATIENTS HAVE CONSISTENTLY RATED THEIR SATISFACTION WITH THE CARE PROVIDED AT DUKE CLINICS AND HOSPITALS ABOVE STATE AND NATIONAL AVERAGES. DUKE UNIVERSITY HEALTH SYSTEM IS A WORLD-CLASS PROVIDER OF HEALTH CARE SERVICES BASED IN DURHAM, N.C., BUT WITH AN IMPACT ACROSS NORTH CAROLINA. IT INCLUDES: DUKE UNIVERSITY HOSPITAL A TERTIARY AND QUATERNARY CARE HOSPITAL AND SPECIALTY OUTPATIENT CLINICS, LOCATED ON THE CAMPUS OF DUKE UNIVERSITY MEDICAL CENTER IN DURHAM, N.C., THAT IS CONSISTENTLY RATED AS ONE OF THE NATION'S BEST. DUKE CHILDREN'S HOSPITAL & HEALTH CENTER A PART OF DUKE UNIVERSITY HOSPITAL, DUKE CHILDREN'S IS CONSISTENTLY RANKED AMONG THE TOP PEDIATRIC SPECIALTY PROGRAMS IN THE NATION. DURHAM REGIONAL HOSPITAL A FULL-SERVICE COMMUNITY HOSPITAL IN DURHAM SERVING THE HEALTH CARE NEEDS OF DURHAM, ORANGE, PERSON AND GRANVILLE COUNTIES, AND SURROUNDING COMMUNITIES. DUKE RALEIGH HOSPITAL A COMMUNITY HOSPITAL IN RALEIGH, N.C., THAT PROVIDES AN ARRAY OF MEDICAL CARE SERVICES TO PATIENTS IN WAKE COUNTY. DUKE PRIMARY CARE A NETWORK OF COMMUNITY-BASED PRIMARY CARE PHYSICIANS, PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS SERVING PATIENTS AT TWO DOZEN LOCATIONS ACROSS EIGHT COUNTIES IN THE GREATER TRIANGLE AREA. DAVIS AMBULATORY SURGICAL CENTER A MULTI-SPECIALTY OUTPATIENT SURGICAL FACILITY IN DURHAM. DUKE HOMECARE & HOSPICE A PROVIDER OF HOSPICE SERVICES IN ORANGE, DURHAM, GRANVILLE, WAKE, PERSON, CHATHAM, ALAMANCE AND VANCE COUNTIES THAT ALSO OFFERS INFUSION SERVICES THROUGHOUT NORTH CAROLINA, SOUTH CAROLINA AND VIRGINIA. PHARMACY SERVICES ARE PROVIDED THROUGHOUT THE UNITED STATES. AFFILIATED PROGRAMS DUKE UNIVERSITY HEALTH SYSTEM MAINTAINS MANY COLLABORATIONS AND AFFILIATIONS WITH HOSPITALS AND HEALTH CARE FACILITIES ACROSS NORTH CAROLINA AND THE SOUTHEAST. AMONG THESE ARE THE DUKE HEART NETWORK AND DUKE ONCOLOGY NETWORK. CHARITY CARE AND SIMILAR COMMUNITY BENEFITS: PEOPLE WITH URGENT AND EMERGENT MEDICAL NEEDS RECEIVE MEDICAL CARE AT DUKE UNIVERSITY HEALTH SYSTEM FACILITIES REGARDLESS OF THEIR ABILITY TO PAY. IN THE FISCAL YEAR THAT ENDED JUNE 30, 2011, DUKE PROVIDED CHARITY CARE AT COST VALUED AT $65 MILLION TO PATIENTS FROM EVERY NORTH CAROLINA COUNTY. 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. WE WORK WITH PATIENTS TO ACCESS THE BENEFITS TO WHICH THEY ARE ENTITLED. AND, WHEN GOVERNMENT PROGRAMS DON'T COMPLETELY COVER THE COST OF CARE, DUKE MAKES UP THE DIFFERENCE. DUKE ALSO WORKS TO CONTROL MEDICAID COSTS THROUGH ITS LEADERSHIP ROLE IN THE COMMUNITY CARE OF NORTH CAROLINA (CCNC) PROGRAM, WHICH IMPROVES THE CARE OF MORE THAN A MILLION PATIENTS WHILE REDUCING UNNECESSARY HOSPITAL AND EMERGENCY DEPARTMENT VISITS. BETWEEN 2006 AND 2010, CCNC, NOW A NATIONAL MODEL, SAVED STATE TAXPAYERS NEARLY $1 BILLION. BY THE NUMBERS " $65 MILLION - CHARITY CARE AT COST " $89 MILLION - UNREIMBURSED MEDICAID COSTS COVERED BY DUKE " $90 MILLION - UNREIMBURSED MEDICARE COSTS COVERED BY DUKE " $23 MILLION - UNRECOVERABLE PATIENT DEBT " 300,077 -- VISITS TO DUKE FROM PATIENTS WITH MEDICAID BENEFITS AID TO COMMUNITY GROUPS DUKE CONTINUES TO BUILD ON ITS LONGSTANDING PARTNERSHIPS WITH COMMUNITY GROUPS TO COLLABORATIVELY IDENTIFY AND ELIMINATE HEALTH DISPARITIES AND REMOVE OBSTACLES TO ACCESSING MEDICAL CARE. IN 2011, DUKE PROVIDED $3 MILLION IN DIRECT SUPPORT AND $4 MILLION IN IN-KIND SUPPORT FOR LINCOLN COMMUNITY HEALTH CENTER AND ITS SATELLITE COMMUNITY AND SCHOOL CLINICS, WHICH SERVE AN OVERWHELMINGLY POOR, UNINSURED PATIENT POPULATION IN DURHAM. DUKE ALSO PROVIDED $2 MILLION FOR DURHAM COUNTY'S EMERGENCY MEDICAL SERVICES OPERATION. DUKE RALEIGH HOSPITAL PROVIDED IN-KIND LAB SERVICES OF MORE THAN $1.5 MILLION IN VALUE IN 2011 TO THE OPEN DOOR CLINIC, WHICH PROVIDES NO-COST COMPREHENSIVE CARE TO UNINSURED AND INDIGENT PEOPLE IN WAKE COUNTY. BY THE NUMBERS " $10 MILLION -AID TO COMMUNITY GROUPS " 40,670 - LINCOLN COMMUNITY HEALTH CENTER (LCHC) PATIENTS " 86.6 - PERCENTAGE OF LCHC PATIENTS BELOW THE FEDERAL POVERTY LEVEL " $1.5 MILLION - VALUE OF IN-KIND LAB SERVICES PROVIDED BY DUKE RALEIGH HOSPITAL TO THE OPEN DOOR CLINIC COMMUNITY HEALTH OVER MANY YEARS, DUKE AND COMMUNITY LEADERS HAVE FORGED A CLOSE, COLLABORATIVE PARTNERSHIP TO IMPROVE THE HEALTH AND ACCESS TO HEALTH CARE OF ALL DURHAM COUNTY RESIDENTS. AN EXCELLENT EXAMPLE OF THAT VIBRANT PARTNERSHIP IS DURHAM HEALTH INNOVATIONS (DHI), WHICH IS DEVELOPING NEW WAYS TO REDUCE DEATH AND DISABILITY FROM SPECIFIC DISEASES AND DISORDERS IN THE COMMUNITY. DDC INTEGRATES INNOVATIVE APPROACHES TO COMMUNITY HEALTH, SUCH AS USE OF GEOSPATIAL TECHNOLOGY TO TRACK DISEASE, WITH TRADITIONAL GRASSROOTS, NEIGHBORHOOD-BASED EFFORTS. BY THE NUMBERS: " $6.2 MILLION - AMOUNT OF FIVE-YEAR GRANT SUPPORTING THE DURHAM DIABETES COALITION EFFORT " 12 - PERCENTAGE OF PEOPLE IN DURHAM COUNTY BELIEVED TO HAVE DIABETES " 26 MILLION - NUMBER OF AMERICANS AFFECTED BY DIABETES HEALTH PROFESSIONS EDUCATION AT THE CORE OF DUKE'S MISSION IS IMPROVING HEALTH CARE FOR PATIENTS AND COMMUNITIES BY TRAINING DOCTORS, NURSES AND OTHER HEALTH PROFESSIONALS FOR TOMORROW'S INCREASINGLY COMMUNITY-FOCUSED HEALTH CARE DELIVERY SYSTEM. THE TRAINING RECOGNIZES THAT CARE WILL BE DELIVERED IN AN EMERGING VARIETY OF NON-TRADITIONAL SETTINGS USING INNOVATIVE MODELS OF CARE. DUKE'S LEARNING TOGETHER PROGRAM IS AN EXAMPLE OF HOW HEALTH PROFESSIONS STUDENTS DEVELOP THOSE SKILLS BY TEACHING HEALTH AND WELLNESS PRACTICES TO DIVERSE COMMUNITY POPULATIONS, INCLUDING ELEMENTARY SCHOOL CHILDREN AND THE ELDERLY. IN DOING SO, THE LEARNERS GAIN SKILLS THEY CAN USE AS HEALTH PROFESSIONALS TO WORK EFFECTIVELY IN ANY COMMUNITY. BY THE NUMBERS: " $47 MILLION - INVESTMENT IN HEALTH PROFESSIONS EDUCATION " 15 - LEARNING TOGETHER PROJECTS, INCLUDING: " 1,224 - COMMUNITY CHILDREN SERVED " 239 - COMMUNITY ADULTS SERVED	Description
Total Program Service Expense	1537777662	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	true	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	343	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	16547	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	BD	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	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	OH	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
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MIKE LAZAR	NamePerson
Telephone Number	9196138997	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	DUKE UNIV HEALTH SYSTEM	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 (40 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	1.0	X	0	679311	45100
THE HONORABLE DANIEL T BLUE JR
DIRECTOR	1.0	X	0	0	0
JACK O BOVENDER JR
DIRECTOR	1.0	X	0	0	0
MARK BRANCH III MD
DIRECTOR	1.0	X	0	20000	1780
RICHARD H BRODHEAD
DIRECTOR	10.0	X	0	776073	191410
VICTOR J DZAU MD
CEO/DIRECTOR/PRESIDENT	40.0	X	0	2037221	759796	X
FRANK E EMORY JR
DIRECTOR	1.0	X	0	0	0
JAMES F GOODMON
DIRECTOR	1.0	X	0	0	0
THOMAS M GORRIE
DIRECTOR	1.0	X	0	0	0
REV KENNETH R HAMMOND
DIRECTOR	1.0	X	0	0	0
DANNY O JACOBS MD
DIRECTOR	1.0	X	0	344165	44706
REBECCA TRENT KIRKLAND MD
DIRECTOR	1.0	X	0	0	0
RICHARD D KLAUSNER MD
DIRECTOR	1.0	X	0	0	0
HENRY C KNIGHT
DIRECTOR	1.0	X	0	0	0
JOHN H MCARTHUR
DIRECTOR	1.0	X	0	0	0
LLOYD B MORGAN
DIRECTOR	1.0	X	0	0	0
CARL E RAVIN MD
DIRECTOR	12.0	X	0	273090	39574
STEVEN SCOTT MD
DIRECTOR	1.0	X	0	0	0
SUSAN M STALNECKER
DIRECTOR	1.0	X	0	0	0
PETER VAN ETTEN
DIRECTOR	1.0	X	0	0	0
MONTE D BROWN MD
VP OF ADMINISTRATION/SECRETARY	50.0		516360	0	50678	X
WILLIAM J FULKERSON JR MD
CEO, DUKE HOSP/SVP, ACUTE CARE	60.0		1052828	0	34090	X
KENNETH C MORRIS
SVP, CFO, TREASURER	60.0		883074	0	36870	X
ASIF AHMAD
VP, PDC AND CIO, DUHS	40.0		589928	0	39290		X
MARY ANN FUCHS
CHIEF NURSING OFFICER	40.0		321849	0	34557		X
PAUL R NEWMAN
CEO, ADMINISTRATIVE DIRECTOR	0.0		0	315687	60633		X
KEVIN W SOWERS
CHIEF OPERATING OFFICER	60.0		621977	0	36615		X
DOUGLAS B VINSEL
CEO, DUKE RALEIGH HOSPITAL	60.0		570032	0	46312		X
KERRY R WATSON
CEO, DRH CORPORATE ADMIN	40.0		432548	0	64169		X
MARC CALABRESE
PHYSICIAN	40.0		355936	0	47171			X
JOHN M KELSCH
PHYSICIAN	40.0		395043	0	43567			X
MOLLY K ONEILL
VP, BUSINESS DEVELOPMENT	40.0		554851	0	38430			X
THOMAS A OWENS
PHYSICIAN	40.0		350845	0	41164			X
JOSEPH G TAYLOR
PHYSICIAN	40.0		395477	0	47417			X
HARVEY JAY COHEN MD
FORMER DIRECTOR	0.0		0	403839	39574				X
KIMBERLY J JENKINS
FORMER DIRECTOR	0.0		0	37500	4565				X
FRANCES D MAUNEY
FORMER DIRECTOR	0.0		0	127125	20435				X
R SANDERS WILLIAMS MD
FORMER DIRECTOR	0.0		0	245568	30821				X
MICHAEL S CUFFE MD
FORMER OFFICER	27.0		514026	0	38720				X
MARK D GUSTAFSON
FORMER OFFICER	0.0		0	273697	42448				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7554774	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	5533276	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1879892	TotalOtherCompensation
Number Individuals GT100 K	902	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
BEK BUILDING GROUP INC
5400 TRINITY ROAD STE 303	RALEIGH	NC	27607	CONSTRUCTION SERVICE	58653963
PRIVATE DIAGNOSTIC CLINIC PLLC
DUMC 3810	DURHAM	NC	27710	PHYSICIAN SERVICES	31608788
ARAMARK HEALTHCARE SUPPORT SERVICES
PO BOX 651009	CHARLOTTE	NC	282651009	HEALTHCARE SERVICES	10372990
SKANSKA USA
PO BOX 2860	DURHAM	NC	27715	CONSTRUCTION SERVICE	5734272
PERKINS WILL INC
1382 PEACHTREE ST NE	ATLANTA	GA	30309	ARCHITECT SERVICES	5714093

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	216	NumberOfContractorsGT100K
Fundraising Events	106688	FundraisingEvents
Related Organizations	16575	RelatedOrganizations
Government Grants	577536	GovernmentGrants
All Other Contributions	5069081	AllOtherContributions
Noncash Contributions	124692	NoncashContributions
Total Contributions	5769880	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE	621990	2158359530	2158359530
MEDICAL SERVICES	621990	2511449	2511449
ANCILLARY MEDICAL	621990	21101813	21101813
SERVICES

Field	Value	IRS element (for citing)
Total Program Service Revenue	2181972792	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	13857767	TotalRevenueColumn
Exclusion	$13,857,767	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	1217357	TotalRevenueColumn
Exclusion	$1,217,357	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3156895	TotalRevenueColumn
Exclusion	$3,156,895	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	15996994	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	15041637	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	955357	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	955357	TotalRevenueColumn
Exclusion	$955,357	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	331220664	Securities
Other	622471	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	219585571	Securities
Other	6155207	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	111635093	Securities
Other	-5532736	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	106102357	TotalRevenueColumn
Exclusion	$106,102,357	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	64389	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	106688	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	78561	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-14172	TotalRevenueColumn
Exclusion	-$14,172	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
BILLING FEES	621990	37657383	37657383
TUITION REVENUE	900099	2024670	2024670
DEEMED DIVIDEND REVENUE	900003	6667089		$6,667,089

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	9195180	TotalRevenueColumn
Related Or Exempt Function Income	5118266	RelatedOrExemptFunctionIncome
Exclusion	$4,076,914	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	55544322	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2368562555	TotalRevenueColumn
Related Or Exempt Function Income	2226773111	RelatedOrExemptFunctionIncome
Exclusion	$136,019,564	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	5612270	Total
Program Services	5612270	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	28775	Total
Program Services	28775	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5106194	Total
Program Services	166589	ProgramServices
Management And General	4846803	ManagementAndGeneral
Fundraising	92802	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	651538	Total
Program Services	27032	ProgramServices
Management And General	624506	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	822087819	Total
Program Services	578713528	ProgramServices
Management And General	243374291	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	32346568	Total
Program Services	20017544	ProgramServices
Management And General	12322559	ManagementAndGeneral
Fundraising	6465	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	114984120	Total
Program Services	78096631	ProgramServices
Management And General	36874791	ManagementAndGeneral
Fundraising	12698	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	55492516	Total
Program Services	38319452	ProgramServices
Management And General	17166759	ManagementAndGeneral
Fundraising	6305	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	12192089	Total
Program Services	12192089	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1139896	Total
Program Services	149213	ProgramServices
Management And General	990683	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	503045	Total
Management And General	503045	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	3405653	Total
Management And General	3405653	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	126429567	Total
Program Services	75286529	ProgramServices
Management And General	51143038	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	4782933	Total
Program Services	1128414	ProgramServices
Management And General	3654519	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	503134773	Total
Program Services	488229165	ProgramServices
Management And General	14882866	ManagementAndGeneral
Fundraising	22742	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	26824839	Total
Program Services	3671370	ProgramServices
Management And General	23153469	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	45146466	Total
Program Services	29614076	ProgramServices
Management And General	15532383	ManagementAndGeneral
Fundraising	7	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	6255991	Total
Program Services	4372994	ProgramServices
Management And General	1880411	ManagementAndGeneral
Fundraising	2586	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2892090	Total
Program Services	266840	ProgramServices
Management And General	2623674	ManagementAndGeneral
Fundraising	1576	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	31975001	Total
Management And General	31975001	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	46124561	Total
Management And General	45574561	ManagementAndGeneral
Fundraising	550000	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	87907593	Total
Program Services	67327905	ProgramServices
Management And General	20579688	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	12345226	Total
Program Services	6625222	ProgramServices
Management And General	5720004	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
EQUIPMENT RENTAL & MAINTENANCE	67246889	45747671	21498413	805
BAD DEBT	71709911	71709911
LAUNDRY	7886244	7803874	82370
SHARED EXPENSES	558408	558408
DUES & MEMBERSHIPS	2392243	917085	1474558	600

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1195262	Total
Program Services	1195075	ProgramServices
Fundraising	187	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2098358480	Total
Program Services	1537777662	ProgramServices
Management And General	559884045	ManagementAndGeneral
Fundraising	696773	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	47438	BOY
EOY	49068	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	353242558	BOY
EOY	356503510	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	18523454	BOY
EOY	18030089	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	304383857	BOY
EOY	305877825	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	12811035	BOY
EOY	1394532	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	60992338	BOY
EOY	62751534	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8985829	BOY
EOY	8806735	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1954787798	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	977092339	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	877076034	BOY
EOY	977695459	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	47957035	BOY
EOY	2920163	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1431838245	BOY
EOY	1680758563	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	38856094	BOY
EOY	103688566	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3155357986	BOY
EOY	3519120113	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	260374010	BOY
EOY	283599625	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	3905029	BOY
EOY	2930320	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	844462095	BOY
EOY	830779105	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	474121729	BOY
EOY	355560737	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1582862863	BOY
EOY	1472869787	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1516863658	BOY
EOY	1992550258	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	44864766	BOY
EOY	44049489	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10766699	BOY
EOY	9650579	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1572495123	BOY
EOY	2046250326	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3155357986	BOY
EOY	3519120113	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	270204075	ReconcilationRevenueExpenses
Reconcilation Other Changes	203551128	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	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	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$199,426	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$119,955	OtherActivitiesAmount
Total Lobbying Expenditures IIB	319381	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	MEMBERSHIP DUES	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE 1i	ReturnReference
Explanation	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

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	55631465	BeginningOfYearBalance
Contributions	5340437	Contributions
Investment Earnings Or Losses	3639795	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	-10911629	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	53700068	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	44124232	BeginningOfYearBalance
Contributions	14138555	Contributions
Investment Earnings Or Losses	2461764	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	-5093086	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	55631465	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	52120961	BeginningOfYearBalance
Contributions	5465898	Contributions
Investment Earnings Or Losses	-6187893	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	-7274733	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	44124233	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.18000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.82000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	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	1256338942	OtherCostOrOtherBasis
Depreciation	476940757	Depreciation
Book Value	779398185	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	441659757	OtherCostOrOtherBasis
Depreciation	314983179	Depreciation
Book Value	126676578	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	229306113	OtherCostOrOtherBasis
Depreciation	185168403	Depreciation
Book Value	44137710	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	977695459	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (10 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
POOLED INVESTMENTS	563376000	F
DOMESTIC BONDS & LT NOTES	84696000	F
DOMESTIC STOCKS	75750000	F
INTERNATIONAL BONDS & LT NOTES	72913000	F
INTERNATIONAL STOCKS	352547000	F
HEDGED STRATEGIES	311927000	F
SHORT-TERM INVESTMENTS	180254000	F
PRIVATE CAPITAL	23343000	F
REAL ESTATE	4776000	F
OTHER INVESTMENTS	11176563	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	1680758563	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
INTEREST PAYABLE	$10,858,433
PROFESSIONAL LIABILITY COSTS	$8,612,481
POST RETIREMENT BENEFIT OBLIGATION	$78,733,000
CAPITAL LEASE OBLIGATION	$128,116,366
DERIVATIVE INSTRUMENTS	$82,698,372
OTHER NON-CURRENT LIABILITIES	$42,241,583
INTERCOMPANY PAYABLE	$4,300,502

Field	Value	IRS element (for citing)
Total Of Amounts	355560737	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ENDOWMENT FUNDS	SCHEDULE D, 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.
LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48	SCHEDULE D, 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, 2011.

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	10479
East Asia and the Pacific	Send agents to seminar	26290
Europe (Including Iceland and Greenland)	Send agents to seminar	72555
North America	Send agents to seminar	6353
South America	Send agents to seminar	1110
Sub-Saharan Africa	Program Services	3211	RESEARCH
Sub-Saharan Africa	Send agents to seminar	1081
Central America and the Caribbean	Investments	153679642

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	153800721	SubtotalAmountSpent
Total Amount Spent	153800721	TotalAmountSpent
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agreement Ref Fundraising	false	AgreementRefFundraising
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	LA	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	171077	GrossReceiptsEvent1
Charitable Contributions Event1	106688	CharitableContributionsEvent1
Gross Revenue Event1	64389	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	52071	NonCashPrizesEvent1
Rent Facility Costs Event1	2777	RentFacilityCostsEvent1
Food And Beverage Event1	14744	FoodAndBeverageEvent1
Entertainment Event1	2859	EntertainmentEvent1
Other Direct Expenses Event1	6110	OtherDirectExpensesEvent1
Name Of Event2	NONE	NameOfEvent2
Gross Receipts Event2	0	GrossReceiptsEvent2
Charitable Contributions Event2	0	CharitableContributionsEvent2
Gross Revenue Event2	0	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	0	RentFacilityCostsEvent2
Food And Beverage Event2	0	FoodAndBeverageEvent2
Entertainment Event2	0	EntertainmentEvent2
Other Direct Expenses Event2	0	OtherDirectExpensesEvent2
Total Number Of Other Events	0	TotalNumberOfOtherEvents
Gross Receipts Other Events	0	GrossReceiptsOtherEvents
Charitable Contrib Other Events	0	CharitableContribOtherEvents
Gross Revenue Other Events	0	GrossRevenueOtherEvents
Cash Prizes Other Events	0	CashPrizesOtherEvents
Non Cash Prizes Other Events	0	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	0	RentFacilityCostsOtherEvents
Food And Beverage Other Events	0	FoodAndBeverageOtherEvents
Entertainment Other Events	0	EntertainmentOtherEvents
Other Direct Expenses Other Events	0	OtherDirectExpensesOtherEvents
Gross Receipts Total	171077	GrossReceiptsTotal
Charitable Contributions Total	106688	CharitableContributionsTotal
Gross Revenue Total Events	64389	GrossRevenueTotalEvents
Cash Prizes Total Events	0	CashPrizesTotalEvents
Non Cash Prizes Total Events	52071	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	2777	RentFacilityCostsTotalEvents
Food And Beverage Total Events	14744	FoodAndBeverageTotalEvents
Entertainment Total Events	2859	EntertainmentTotalEvents
Other Direct Expenses Total Events	6110	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	78561	DirectExpenseSummaryEvents
Net Income Summary	-14172	NetIncomeSummary

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	64690025	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	64690025	NetCommunityBenefitExpense
Percent Of Total Expense	0.03190	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	89195377	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	89195377	NetCommunityBenefitExpense
Percent Of Total Expense	0.04400	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

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

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	153885402	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	153885402	NetCommunityBenefitExpense
Percent Of Total Expense	0.07590	PercentOfTotalExpense

Community Health Services CommunityHealthServices

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

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	60632199	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13815057	DirectOffsettingRevenue
Net Community Benefit Expense	46817142	NetCommunityBenefitExpense
Percent Of Total Expense	0.02310	PercentOfTotalExpense

Research Research

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

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9502082	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	9502082	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	70134281	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13815057	DirectOffsettingRevenue
Net Community Benefit Expense	56319224	NetCommunityBenefitExpense
Percent Of Total Expense	0.02780	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	224019683	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13815057	DirectOffsettingRevenue
Net Community Benefit Expense	210204626	NetCommunityBenefitExpense
Percent Of Total Expense	0.10370	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

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

Economic Development EconomicDevelopment

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

Community Support CommunitySupport

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

Environmental Improvements EnvironmentalImprovements

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

Leadership Development LeadershipDevelopment

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

Coalition Building CoalitionBuilding

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

Health Improvement Advocacy HealthImprovementAdvocacy

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

Workforce Development WorkforceDevelopment

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

Other Other

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

Total Total

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

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$23,010,938	BadDebtExpenseAmount
Amount Reimbursed By Medicare	472185500	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	539745944	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-67560444	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	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	3	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 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
DUKE UNIVERSITY HOSPITAL
1	2301 ERWIN ROAD PRIMARY CAMPUS	DURHAM	NC	27710	X	X	X	X	X	X
DUKE RALEIGH HOSPITAL
2	3400 WAKE FOREST ROAD	RALEIGH	NC	27609	X	X				X
DURHAM REGIONAL HOSPITAL
3	3643 ROXBORO ROAD	DURHAM	NC	27704	X	X				X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 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	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Permit Report To Credit AgencyPermitReportToCreditAgency	Permit LawsuitPermitLawsuit	Permit Lien On ResidencePermitLienOnResidence	Collection ActivitiesCollectionActivities	Report To Credit AgencyReportToCreditAgency	LawsuitLawsuit	Lien On ResidenceLienOnResidence	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Average Negotiated RatesAverageNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
DUKE UNIVERSITY HOSPITAL
1	true	true	200.	true	300.	true	X	X	X	X	X	true	true	X	X	X	X	X	X	X	true	X	X	X	true	X	X	X	X	X	X	X	true	X	false	true
DUKE RALEIGH HOSPITAL
2	true	true	200.	true	300.	true	X	X	X	X	X	true	true	X	X	X	X	X	X	X	true	X	X	X	true	X	X	X	X	X	X	X	true	X	false	true
DURHAM REGIONAL HOSPITAL
3	true	true	200.	true	300.	true	X	X	X	X	X	true	true	X	X	X	X	X	X	X	true	X	X	X	true	X	X	X	X	X	X	X	true	X	false	true

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

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

Other Facilities OtherFacilities (4 entries)

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 3C	NOT APPLICABLE
PART I, LINE 6A	NOT APPLICABLE
PART I, LINE 7G	NOT APPLICABLE
PART I, LINE 7, COLUMN F	BAD DEBT EXPENSE EXCLUDED FROM DETERMINING THE PERCENT IS $71,709,910. TOTAL GROSS COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSES IS 11.05%.
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	THESE ACTIVITIES ARE INCLUDED IN DUKE UNIVERSITY HEALTH SYSTEM, INC.'S OPERATING EXPENSES AND ARE NOT TRACKED SEPARATELY FOR COMMUNITY BENEFIT REPORTING PURPOSES.	PART II
PART III, LINE 4	BAD DEBT AT COST IS DETERMINED USING THE COST-TO-CHARGE RATIO CALCULATION FROM WORKSHEET 2. TEXT FROM FOOTNOTES - FOOTNOTE 3 NET PATIENT SERVICE REVENUE AND ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS: THE ALLOWANCE FOR BAD DEBTS IS THE HEALTH SYSTEM'S BEST ESTIMATE OF THE AMOUNT OF CREDIT LOSSES IN THE HEALTH SYSTEM'S PATIENT ACCOUNTS RECEIVABLE. FACTORS THAT DETERMINE THE ALLOWANCE ARE BASED PRIMARILY ON HISTORICAL COLLECTIONS AND WRITE-OFFS ADJUSTED FOR PRICE CHANGES, AGING, INSURANCE STATUS, AND OTHER MANAGEMENT ANALYSIS. FOOTNOTE 5 CHARITY CARE AND OTHER COMMUNITY BENEFITS: THE HEALTH SYSTEM PROVIDES ADDITIONAL UNCOMPENSATED CARE IN THE FORM OF BAD DEBTS. ESTIMATED UNCOMPENSATED COSTS ASSOCIATED WITH BAD DEBT ACCOUNTS WERE $23,011,000 AND $11,991,000 FOR JUNE 30, 2011 AND 2010, RESPECTIVELY.
PART III, LINE 7	TOTAL UNREIMBURSED COSTS ATTRIBUTABLE TO PROVIDING SERVICES UNDER MEDICARE AS REPORTED IN THE JUNE 30, 2011 DUHS CONSOLIDATED FINANCIAL STATEMENTS ARE $90,320,000 AS COMPARED TO $67,560,444 AS REPORTED IN SECTION B, LINE 7 OF SCHEDULE H. THE DUHS TOTAL MEDICARE SHORTFALL OF $90,320,000 IS DERIVED FROM THE COST ACCOUNTING SYSTEM WHICH INCLUDES ALL PAYMENTS AND COSTS ASSOCIATED WITH MEDICARE PATIENTS, WHEREAS THE $67,560,444 REPORTED IN SECTION B OF SCHEDULE H IS DERIVED BASED ON IRS INSTRUCTIONS. IRS INSTRUCTIONS SPECIFY THAT ONLY A PORTION OF COSTS ASSOCIATED WITH MEDICARE BENEFICIARIES BE REPORTED ON SCHEDULE H. SIGNIFICANT MEDICARE COSTS EXCLUDED FROM SCHEDULE H DATA INCLUDE THOSE ASSOCIATED WITH MEDICARE PATIENTS COVERED UNDER MANAGED CARE PLANS AND COSTS REIMBURSED THROUGH MEANS NOT REPORTED ON THE COST REPORT.
PART III, LINE 8	MEDICARE RATES AND THE NUMBER OF MEDICARE PATIENTS DUHS TREATS ARE NOT NEGOTIATED. MEDICARE DOES NOT FULLY COMPENSATE DUHS FOR THE COST OF PROVIDING CARE TO MEDICARE BENEFICIARIES. DUHS CONTINUES TO SERVE THE MEDICARE POPULATION AS MEDICARE REIMBURSEMENT RATES DECLINE RELATIVE TO THE COST OF CARE. THEREFORE, ANY LOSS RELATED TO PROVIDING CARE FOR MEDICARE PATIENTS SHOULD BE CLASSIFIED AS A COMMUNITY BENEFIT. DUHS FOLLOWED THE MEDICARE COST REPORT RULES AND GUIDELINES IN DETERMINING THE COSTS REPORTED ON LINE 6. THESE RULES USE A VARIETY OF DIFFERENT METHODOLOGIES BASED ON THE TYPE OF SERVICE.
PART III, LINE 9B	DUKE UNIVERSITY HEALTH SYSTEM'S COLLECTION POLICY (BAD DEBT AND AGENCY PLACEMENT POLICY) ADDRESSES, ONLY BY REFERENCE, COLLECTIONS PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. WITHIN THE BODY OF THE POLICY, THE DUKE UNIVERSITY HEALTH SYSTEM'S CHARITY CARE POLICY IS REFERENCED AS THE GUIDING POLICY FOR PATIENTS WHO FALL INTO ONE OF THESE CATEGORIES.
PART V, LINE 13G	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.
NEEDS ASSESSMENT	DUHS USES SEVERAL MECHANISMS TO ASSESS AND ADDRESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. IN DURHAM COUNTY, DUHS AND THE DUKE UNIVERSITY SCHOOL OF MEDICINE FACULTY ARE ACTIVELY INVOLVED IN THE PARTNERSHIP FOR A HEALTHY DURHAM, 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 PARTNERSHIP IS A CERTIFIED HEALTH CAROLINIANS WORKGROUP. THE PARTNERSHIP 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, AND EDUCATION. 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.	PART VI, LINE 2
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	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 12,000-15,000 PATIENTS APPLY AND BECOME 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.	PART VI, LINE 3
COMMUNITY INFORMATION	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.	PART VI, LINE 4
PROMOTION OF COMMUNITY HEALTH	DUHS PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH A NUMBER OF COMMUNITY BUILDING ACTIVITIES. CENTRAL TO MANY OF THE EFFORTS IS DUHS' OFFICE OF COMMUNITY RELATIONS, WHOSE ASSOCIATE VICE PRESIDENT REPORTS DIRECTLY TO DUHS' CEO AND SERVES AS A FULL-TIME LIAISON WITH THE DURHAM COMMUNITY. THE OFFICE SPONSORS AND FACILITATES COMMUNITY EVENTS - SUCH AS THE ANNUAL DURHAM HEALTH SUMMIT AND SIMILAR REGIONAL AND STATE HEALTH SUMMITS -- THAT RAISE AWARENESS OF COMMUNITY HEALTH NEEDS, PROMOTE PREVENTION AND WELLNESS, AND CHART A COURSE FOR SOLVING HEALTH ISSUES AND DISPARITIES. IN ADDITION, THE OFFICE PROVIDES A POINT OF DIRECT CONTACT FOR COMMUNITY MEMBERS WHO HAVE QUESTIONS OR CONCERNS ABOUT COMMUNITY ISSUES OR ABOUT ACCESS TO HEALTH CARE SERVICES. THE OFFICE ALSO PROVIDES DIRECT FINANCIAL SUPPORT TO A VARIETY OF COMMUNITY GROUPS THROUGH THE CHARITABLE GRANTS AND GOODWILL GRANTS PROGRAM. THE ASSOCIATE VICE-PRESIDENT AND STAFF SERVE ON A NUMBER OF HEALTH CARE-RELATED COMMUNITY BOARDS AND HEALTH-RELATED COMMITTEES. STAFF FROM THE OFFICE OF COMMUNITY RELATIONS AND MEMBERS OF THE DUHS COMMUNITY HEALTH PLANNING GROUP CREATED A FORMAL PRINCIPLES OF COMMUNITY ENGAGEMENT POLICY THAT COMMITS DUHS AND ITS COMMUNITY PARTNERS TO DEVELOPING PROPOSED PROJECTS AND INITIATIVES ON TRUST, RESPECT, DIVERSITY, SAFETY AND COMMUNITY-IDENTIFIED NEEDS. THESE PRINCIPLES HAVE BEEN INCORPORATED INTO COMMUNITY-BASED HEALTH CARE PROJECTS SUCH AS THE DEVELOPMENT OF THE HOLTON WELLNESS CENTER AND DURHAM HEALTH INNOVATIONS, A MULTIDISCIPLINARY COMMUNITY BASED PARTNERSHIP BETWEEN 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 HEALTH OF 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 ALSO HAS A COMMUNITY HEALTH PLANNING GROUP, ESTABLISHED BY THE CEO, WHOSE MISSION IS TO DEVELOP A PLAN TO COORDINATE RESOURCES WITHIN DUKE AND IN THE COMMUNITY TO IMPROVE HEALTH OUTCOMES IN DURHAM. KEY COMMUNITY PARTNERS INCLUDE THE DURHAM COUNTY HEALTH DEPARTMENT, LINCOLN COMMUNITY HEALTH CENTER AND THE DURHAM CENTER (LOCAL MENTAL HEALTH MANAGEMENT ENTITY). THE ASSOCIATE VICE-PRESIDENT OF DUHS' OFFICE OF COMMUNITY RELATIONS SERVES AS CHAIR. 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 PLANNING 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. PLANNING FOR THIS PROGRAM BEGAN IN EARLY FISCAL YEAR 2011 WITH A TARGET IMPLEMENTATION DATE AT DURHAM REGIONAL HOSPITAL OF OCTOBER 2011. 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. THE SCOPE OF SERVICES PROVIDED BY DUKE MEDICINE STAFF AND FACULTY WILL INCREASE DURING THE NEXT YEAR. MORE FACULTY WILL BE 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 RELEASED 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. BEYOND DURHAM, DUKE UNIVERSITY MEDICAL AND NURSING STUDENTS ARE WORKING IN MANY NATIONS SUCH AS UGANDA, KENYA, BARBADOS AND HONDURAS.	PART VI, LINE 5
AFFILIATED HEALTH CARE SYSTEM ROLES	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.	PART VI, LINE 6
LIST OF ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT:	NORTH CAROLINA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (33 entries)

Address Line1AddressUS/AddressLine1	Address Line2AddressUS/AddressLine2	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
DUKE UNIVERSITY
324 BLACKWELL STREET	SUITE 920	DURHAM	NC	27701	560532129	501(C)(3)	10000	GENERAL SUPPORT
AIDS COMMUNITY RESIDENCE ASSOCIATION
331 W MAIN STREET	SUITE 506	DURHAM	NC	27702	561609845	501(C)(3)	15000	GENERAL SUPPORT
AMERICAN CANCER SOCIETY
PO BOX 10144		RALEIGH	NC	27605	580659875	501(C)(3)	10000	GENERAL SUPPORT
BOYS & GIRLS CLUB
701 N RALEIGH BLVD		RALEIGH	NC	27610	560863051	501(C)(3)	17250	GENERAL SUPPORT
CHILD AND PARENT SUPPORT SERVICES
411 W CHAPEL HILL STREET	SUITE 908	DURHAM	NC	27701	581446309	501(C)(3)	25000	GENERAL SUPPORT
DUKE SCHOOL FOR CHILDREN
3716 OLD ERWIN RD		DURHAM	NC	27705	581521494	501(C)(3)	15000	GENERAL SUPPORT
DURHAM ACADEMY
3130 PICKETT ROAD		DURHAM	NC	27705	560538019	501(C)(3)	25000	GENERAL SUPPORT
FOUNDATION FOR NURSING EXCELLENCE
PO BOX 31824		RALEIGH	NC	27622	300105241	501(C)(3)	25000	GENERAL SUPPORT
GREAT 100 INC
PO BOX 4875		GREENSBORO	NC	27404	561705456	501(C)(3)	10000	GENERAL SUPPORT
GREATER RALEIGH CHAMBER OF COMMERCE
PO BOX 2978		RALEIGH	NC	27602	560370850	501(C)(6)	64010	GENERAL SUPPORT
HUMAN RIGHTS CAMPAIGN INC
1713 PATHWAY DR		CARRBORO	NC	27510	521243457	501(C)(4)	6000	GENERAL SUPPORT
NORTH CAROLINA PHYSICIANS HEALTH PROGRAM
220 HORIZON DRIVE	SUITE 201	RALEIGH	NC	27615	561846599	501(C)(3)	12000	GENERAL SUPPORT
RALEIGH RESCUE MISSION
PO BOX 27391		RALEIGH	NC	27611	561895093	501(C)(3)	7500	GENERAL SUPPORT
SENIOR PHARMASSIST INC
406 RIGSBEE AVE	SUITE 201	DURHAM	NC	27701	562084639	501(C)(3)	10000	GENERAL SUPPORT
WAKE COUNTY MEDICAL SOCIETY
2500 BLUE RIDGE ROAD		RALEIGH	NC	27607	562205175	501(C)(3)	7500	GENERAL SUPPORT
WAKE EDUCATION PARTNERSHIP
706 HILLSBOROUGH STREET	SUITE A	RALEIGH	NC	27603	581518182	501(C)(3)	10000	GENERAL SUPPORT
BAND TOGETHER
PO BOX 6445		RALEIGH	NC	276286445	562273756	501(C)(3)	10000	GENERAL SUPPORT
CARING HOUSE INC
2625 PICKETT RD		DURHAM	NC	277055603	561647154	501(C)(3)	16500	GENERAL SUPPORT
CEO ROUNDTABLE ON CANCER INC
940 NW CARY PKWY	SUITE 102	CARY	NC	27513	651230448	501(C)(3)	40000	GENERAL SUPPORT
DURHAM CHAMBER LEGACY FOUNDATION
PO BOX 3829		DURHAM	NC	27702	331132350	501(C)(3)	62500	GENERAL SUPPORT
EL CENTRO HISPANO INC
201 W MAIN STREET	SUITE 100	DURHAM	NC	27701	562011661	501(C)(3)	15000	GENERAL SUPPORT
JOHN AVERY BOYS AND GIRLS CLUB
PO BOX 446		DURHAM	NC	27702	566001906	501(C)(3)	12500	GENERAL SUPPORT
LGBT CENTER OF RALEIGH INC
316 W CABARRUS ST		RALEIGH	NC	27601	262998186	501(C)(3)	5500	GENERAL SUPPORT
NATIONAL MEDICAL ASSOCIATION
8403 COLESVILLE RD	SUITE 920	SILVER SPRING	MD	20910	536010805	501(C)(3)	10000	GENERAL SUPPORT
NC LUNG CANCER PARTNERSHIP INC
PO BOX 14305		RTP	NC	27709	262300885	501(C)(3)	20000	GENERAL SUPPORT
NORTH CAROLINA SYMPHONY
3700 GLENWOOD AVE	SUITE 130	RALEIGH	NC	27612	560556755	501(C)(3)	10000	GENERAL SUPPORT
RALEIGH SCHOOL OF NURSE ANESTHESIA
3900 BARRETT DR	SUITE 200	RALEIGH	NC	27609	561684241	501(C)(3)	69578	GENERAL SUPPORT
WASHINGTON DUKE INN & GOLF CLUB
3001 CAMERON BOULEVARD		DURHAM	NC	27706	651179298	N/A	29933	DURHAM HEALTH SUMMIT
CITY OF MEDICINE ACADEMY
4100 N ROXBORO ST		DURHAM	NC	27704	566001021	501(C)(3)	32860	GENERAL SUPPORT
MIDTOWN MAGAZINE
4818 SIX FORKS ROAD	SUITE 204	RALEIGH	NC	27609	208998537	N/A	25000	GENERAL SUPPORT
NORTH CAROLINA CHAMBER OF COMMERCE
701 CORPORATE CENTER DRIVE	SUITE 40	RALEIGH	NC	27607	560340499	501(C)(6)	6500	GENERAL SUPPORT
NORTH CAROLINA INSTITUTE OF MEDICINE
630 DAVIS DRIVE	SUITE 100	MORRISVILLE	NC	27560	561506066	GOVERNMENT	6000	GENERAL SUPPORT
RESEARCH AMERICA
PO BOX 222451		CHINTILLY	VA	201532451	521609875	501(C)(3)	15000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	28	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	5	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (8 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
DUKE CANCER SUPPORT PROGRAM	20	22875
NANCY WALTERS SCHOLARSHIP	2	1000
JUDY WAGONER SCHOLARSHIP	2	500
MARTHA WHITWORTH LASITER SCHOLARSHIP	2	2000
RUBY BAILEY PIERCE SCHOLARSHIP	2	500
MEGAN WALKER SCHOLARSHIP	1	500
CHANCELLOR'S 2010 NASHER EVENT BRONZE SCHOLARSHIP	1	800
SGA AWARD 2011	4	600

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING USE OF GRANT FUNDS	Identifier
Return Reference	SCHEDULE I, PART I, LINE 2	ReturnReference
Explanation	DUKE UNIVERSITY HEALTH SYSTEM, INC. PROVIDES GENERAL SUPPORT TO LOCAL ORGANINATIONS 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)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
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	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (25 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	446697	0	172828	0	59786	0	30029	0	16189	0	725529	0	0
RICHARD H BRODHEAD
0	753677	0	0	0	22396	0	130029	0	63292	0	969394	0	0
VICTOR J DZAU MD
0	1019765	0	1006416	0	11040	0	746258	0	16175	0	2799654	0	0
DANNY O JACOBS MD
0	270090	0	74075	0	0	0	30029	0	15355	0	389549	0	0
CARL E RAVIN MD
0	250590	0	22500	0	0	0	30029	0	10172	0	313291	0	0
MONTE D BROWN MD
301862	0	197998	0	16500	0	30029	0	21392	0	567781	0	0	0
WILLIAM J FULKERSON JR MD
652777	0	383551	0	16500	0	30029	0	5713	0	1088570	0	0	0
KENNETH C MORRIS
615216	0	251358	0	16500	0	30029	0	8395	0	921498	0	0	0
ASIF AHMAD
271730	0	287603	0	30595	0	30029	0	9951	0	629908	0	0	0
MARY ANN FUCHS
255600	0	65446	0	803	0	30029	0	5151	0	357029	0	0	0
PAUL R NEWMAN
0	207469	0	108218	0	0	0	30029	0	31147	0	376863	0	0
KEVIN W SOWERS
415415	0	190062	0	16500	0	30029	0	7637	0	659643	0	0	0
DOUGLAS B VINSEL
343228	0	210304	0	16500	0	30029	0	17133	0	617194	0	0	0
KERRY R WATSON
319858	0	96190	0	16500	0	30029	0	34929	0	497506	0	0	0
MARC CALABRESE
307265	0	44492	0	4179	0	30029	0	17913	0	403878	0	0	0
JOHN M KELSCH
306145	0	60683	0	28215	0	30029	0	14292	0	439364	0	0	0
MOLLY K ONEILL
330200	0	208151	0	16500	0	30029	0	10225	0	595105	0	0	0
THOMAS A OWENS
296045	0	54800	0	0	0	30029	0	11871	0	392745	0	0	0
JOSEPH G TAYLOR
253661	0	125316	0	16500	0	30029	0	18020	0	443526	0	0	0
HARVEY JAY COHEN MD
0	362611	0	41228	0	0	0	30029	0	10473	0	444341	0	0
KIMBERLY J JENKINS
0	37500	0	0	0	0	0	4565	0	100	0	42165	0	0
FRANCES D MAUNEY
0	127125	0	0	0	0	0	14849	0	5876	0	147850	0	0
R SANDERS WILLIAMS MD
0	93243	0	148200	0	4125	0	30029	0	1022	0	276619	0	0
MICHAEL S CUFFE MD
293599	0	203927	0	16500	0	30029	0	14427	0	558482	0	0	0
MARK D GUSTAFSON
0	254197	0	13000	0	6500	0	30029	0	13053	0	316779	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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.
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.
TAX INDEMNIFICATION	SCHEDULE J, PART 1, LINE 1A	ASIF AHMAD AND MARY ANN FUCHS RECEIVED SOME BENEFIT THAT WAS GROSSED UP TO COMPENSATE FOR WITHHOLDING OF TAXES.

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	657902V33	2009-08-21	322140000	SEE SCHEDULE O	false	false	false
NORTH CAROLINA MEDICAL CARE COMMISSION
521309402	6579025S7	2006-11-15	150715000	SEE SCHEDULE O	false	false	false
NORTH CAROLINA MEDICAL CARE COMMISSION
521309402	65821DDB4	2009-11-10	178598850	SEE SCHEDULE O	false	false	false
NORTH CAROLINA MEDICAL CARE COMMISSION
521309402	65821DDX6	2010-04-28	120836075	SEE SCHEDULE O	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Year Of Subst CompletionYearOfSubstCompletion
0	322140000	0	322140000	0	0	0	true	false	true	true
5000000	151142783	3947210	70000000	682440	76513133	0	true	false	true	true	2009
0	180221710	10548994	0	2472104	114924142	52276470	false	false	false	true
0	121169224	0	0	1460854	98355210	21353160	false	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	true	false	true	true
false	false	true	false	true	true
false	false	true	false	true	true
false	false	true	false	true	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
CITIGROUP & DEUTSCHE
false	true	true	23.	false	false	false	false	true
(no name)
false	true	false				false	false	false
(no name)
false	false	false		false	false	false	false	false
(no name)
false	false	false		false	false	false	false	false

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MEDTRONIC INC
BOARD MEMBER IS DIRECTOR	28857194	PAYMENT FOR GOODS OR SERVICES	false
DUKE PRIVATE DIAGNOSTIC CLINIC
BD MEMBERS ARE DIRECTORS	81568442	PAYMENT FOR GOODS OR SERVICES	false
CAPITOL BROADCASTING CO
CEO IS DIRECTOR	131000	PAYMENT FOR GOODS OR SERVICES	false
THE DURHAM BULLS BASEBALL CLUB INC
CEO IS DIRECTOR	95205	PAYMENT FOR GOODS OR SERVICES	false
GENESE NEWMAN
FAMILY MEMBER OF KEY EMP	92829	SALARY PAID	false
TAMELA VINSEL
FAMILY MEMBER OF KEY EMP	27032	SALARY PAID	false
JACQUELINE DZAU
FAMILY MEMBER OF DIRECTOR	48744	SALARY PAID	false

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	5249	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest

Books And Publications BooksAndPublications

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	8	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	7968	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	9	NumberOfContributions
Noncash Contribs Rptd F990	66896	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	20	NumberOfContributions
Noncash Contribs Rptd F990	4584	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	28	NumberOfContributions
Noncash Contribs Rptd F990	701	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (5 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	EVENT TICKETS	13	2034	FMV
X	GIFT CARDS/CERTIFICATES	43	9679	FMV
X	BEAUTY SUPPLIES	77	864	FMV
X	JEWELRY	8	5463	FMV
X	MISCELLANEOUS	56	21248	FMV

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

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	USE OF THIRD PARTIES TO SOLICIT, PROCESS, OR SELL NONCASH CONTRIBUTIONS	Identifier
Return Reference	SCHEDULE M, PART 1, 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 (17 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S FILING OF FORM 990-T	FORM 990, PART V, LINE 3B	THE ORGANIZATION DID NOT HAVE ANY UNRELATED BUSINESS GROSS INCOME DURING THE FISCAL YEAR ENDING JUNE 30, 2011. AS A RESULT, FORM 990-T IS NOT REQUIRED FOR THE FISCAL YEAR ENDING JUNE 30, 2011.
BUSINESS RELATIONSHIPS OF DUHS DIRECTORS AND OFFICERS	FORM 990, PART VI, SECTION A, LINE 2	DIRECTORS HONORABLE DANIEL T. BLUE, JR., JACK O. BOVENDER, JR., RICHARD H. BRODHEAD, FRANK E. EMORY, JR., SUSAN STALNECKER, AND THOMAS M. GORRIE 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: DANNY O. JACOBS MD, NANCY A. ANDREWS MD, MARK BRANCH III MD, AND CARL E. RAVIN MD. OFFICER KENNETH MORRIS AND KEY EMPLOYEE PAUL NEWMAN ARE BOTH DIRECTORS AND OFFICERS OF HEALTH SYSTEM MEDICAL STRATEGIES, INC. DIRECTOR AND PRESIDENT/CEO VICTOR J. DZAU MD, OFFICERS KENNETH C. MORRIS, WILLIAM J. FULKERSON, JR. MD. , CARL E. RAVIN MD, AND KEY EMPLOYEE PAUL NEWMAN ARE DIRECTORS OF DURHAM CASUALTY COMPANY, LTD. DIRECTORS VICTOR J. DZAU MD, DANNY O. JACOBS MD, CARL E. RAVIN MD, WILLIAM J. FULKERSON MD, AND KEY EMPLOYEE PAUL NEWMAN ARE BOARD MEMBERS OF PRIVATE DIAGNOSTIC CLINIC, PLLC. DIRECTOR AND PRESIDENT/CEO VICTOR J. DZAU MD, AND OFFICER KENNETH C. MORRIS ARE DIRECTORS OF DUKE MEDICAL STRATEGIES, INC.
ELECTION OF MEMBERS OF GOVERNING BODY	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.
DECISIONS OF GOVERNING BODY	FORM 990, PART VI, SECTION A, LINE 7B	THE DUHS BYLAWS PROVIDE THAT DUHS MUST OBTAIN DUKE UNIVERSITY BOARD OF TRUSTEES APPROVAL FOR DEBT ISSUANCES, CAPITAL ACQUISITIONS AND TANGIBLE PERSONAL PROPERTY SALES IN EXCESS OF $50 MILLION EACH AS WELL AS REAL PROPERTY SALES IN EXCESS OF $10 MILLION EACH.
GOVERNING BODY REVIEW PROCESS OF FORM 990	FORM 990, PART VI, SECTION B, LINE 11B	AFTER STAFF PREPARATION AND MANAGEMENT REVIEW, THE DUHS FORM 990 FILING 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.
CONFLICT OF INTEREST POLICY COMPLIANCE MONITORING METHOD	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.
COMPENSATION POLICY	FORM 990, PART VI, SECTION B, LINES 15A & 15B AND SCHEDULE J, LINE 3	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.
GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABILITY TO THE PUBLIC	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.
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: HONORABLE DANIEL T. BLUE, JR., JACK O. BOVENDER, JR., FRANK E. EMORY, JR., THOMAS A. GORRIE, SUSAN M. STALNECKER, AND KIMBERLY J. JENKINS. NANCY C. ANDREWS, MD, RICHARD H. BRODHEAD, DANNY O. JACOBS, MD, AND MARK D. GUSTAFSON DEVOTED AN AVERAGE OF 50 HOURS PER WEEK TO RELATED ORGANIZATION, DUKE UNIVERSITY. VICTOR J. DZAU, MD, CARL E. RAVIN, MD, FRANCES D. MAUNEY, AND R. SANDERS WILLIAMS, MD DEVOTED AN AVERAGE OF 40 HOURS PER WEEK TO RELATED ORGANIZATION, DUKE UNIVERSITY. MONTE D. BROWN, MD DEVOTED AN AVERAGE OF 10 HOURS PER WEEK TO RELATED ORGANIZATION, DUKE UNIVERSITY. MARK BRANCH, III, MD AND PAUL R. NEWMAN DEVOTED AN AVERAGE OF 60 HOURS PER WEEK TO RELATED ORGANIZATION, DUKE UNIVERSITY. HARVEY JAY COHEN, MD DEVOTED AN AVERAGE OF 70 HOURS PER WEEK TO RELATED ORGANIZATION, DUKE UNIVERSITY. MICHAEL S. CUFFE, MD DEVOTED AN AVERAGE OF 13 HOURS PER WEEK TO RELATED ORGANIZATION, DUKE UNIVERSITY. KENNETH C. MORRIS 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, PAUL NEWMAN, WILLIAM J. FULKERSON JR. MD, KENNETH C. MORRIS, AND MICHAEL S. CUFFE, MD . 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 MICHAEL S. CUFFE, MD 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. KIMBERLY J. JENKINS DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO RELATED ORGANIZATION, THE LORD FOUNDATION OF NORTH CAROLINA. RICHARD H. BRODHEAD DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO RELATED ORGANIZATION, DUMAC, LLC.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 5	NET UNREALIZED GAINS ON INVESTMENTS $ 196,332,407 NONPERIODIC CHANGES IN DEFINED BENEFIT PLANS 87,984,953 NET TRANSFERS TO THE PARENT OF PROPERTY & EQUIPMENT (10,544,987) CHANGE IN MARKET VALUE OF DERIVATIVES 22,331,886 INTEREST EARNED ON BOND PROCEEDS - CAPITALIZED FOR BOOK PURPOSES (1,217,357) REPORTING CHANGE CAPTURED ON SEPARATE RELATED ORGANIZATION'S RETURN (84,668,685) INCOME NOT REPORTED ON BOOKS, BUT INCLUDED FOR 990 REPORTING PURPOSES (6,667,089) ______________ $ 203,551,128 ==============
ENDOWMENT FUNDS	SCHEDULE D, PART V, LINE 3A	DUKE UNIVERSITY HEALTH SYSTEM, INC. AND RELATED ENTITY, DUKE UNIVERSITY MANAGE THEIR INVESTMENT FUNDS IN ACCORDANCE WITH THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT OF NORTH CAROLINA. THESE INVESTMENT POOLS ARE MANAGED, HELD AND ADMINISTERED BY ORGANIZATIONS THAT ARE RELATED TO DUKE UNIVERSITY.
PURPOSE OF TAX-EXEMPT BONDS	SCHEDULE K, PART I, COLUMN F	BOND ISSUE (A): 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): HOSPITAL IMPROVEMENTS FINANCED OR REFINANCED INCLUDE: 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. TOTAL PROCEEDS OF ISSUE INCLUDE INVESTMENT EARNINGS. BOND ISSUE (C): 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. TOTAL PROCEEDS OF ISSUE INCLUDE INVESTMENT EARNINGS. BOND ISSUE (D): HOSPITAL IMPROVEMENTS INCLUDE THE DUKE MEDICINE PAVILION AT DUKE UNIVERSITY HOSPITAL. TOTAL PROCEEDS OF ISSUE INCLUDE INVESTMENT EARNINGS. BOND ISSUE (A)-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. TOTAL PROCEEDS OF ISSUE INCLUDE INVESTMENT EARNINGS. BOND ISSUE (B)-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.
SCHEDULE K, PART II, LINE 3, BOND ISSUES (B), (C), AND (D)		PROCEEDS INCLUDE INVESTMENT EARNINGS.
SCHEDULE K, PART II, LINE 3, BOND ISSUES (A)-2, AND (B)-2		PROCEEDS REFLECT ACTUAL PRINCIPAL DRAWN DOWN UNDER DRAW DOWN FINANCING LEASE PROGRAM.
SCHEDULE K, PART II, LINES 3 AND 10, BOND ISSUE (A)-2		PURSUANT TO TREAS. REG. 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 6, BOND ISSUES (A), (B), AND (A)-2		THESE PROCEEDS, PLUS ANY INVESTMENT PROCEEDS THEREOF, HAVE BEEN DISBURSED TO PAY AT MATURITY OR OPTIONALLY REDEEM THE REFUNDED BONDS.
SCHEDULE K, PART IV, QUESTION 6, BOND ISSUES (A)-2 AND (B)-2		SALES PROCEEDS ALLOCATED UPON ISSUANCE AND NOT INVESTED.

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 BILLI	PrimaryActivities
Legal Domicile State	NC	LegalDomicileState
Total Income	109033582	TotalIncome
EOY Assets	10380538	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (24 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
DUKE UNIVERSITY
324 BLACKWELL STREET STE 920	DURHAM	NC	27701	560532129	EDUCATION	NC	501(C)(3)	2	NA
AMERICAN ASSOCIATION FOR GIFTED CHILDREN
324 BLACKWELL STREET STE 920	DURHAM	NC	27701	561686219	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
DUKE SCHOLARLY EXHIBITS INC
324 BLACKWELL STREET STE 920	DURHAM	NC	27701	561701245	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
DUKE ALUMNI ASSOCIATION INC
614 CHAPEL DRIVE	DURHAM	NC	27708	561594088	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
DUKE GIFT PROPERTIES INC
324 BLACKWELL STREET STE 920	DURHAM	NC	27701	571211078	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
DUKE MANAGEMENT COMPANY
280 S MANGUM STREET STE 210	DURHAM	NC	27701	561748858	INVESTMENTS	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
DUKE GLOBAL INC
324 BLACKWELL STREET STE 920	DURHAM	NC	27701	611588319	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
DUKE UNIVERSITY PHILANTHROPIES INC
324 BLACKWELL STREET STE 920	DURHAM	NC	27701	571211099	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
DUKE UNIV SCH OF MED RESEARCH FOUNDATION
324 BLACKWELL STREET STE 920	DURHAM	NC	27701	562247203	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
DUKE UNIV SPECIAL VENTURES FUND INC
280 S MANGUM STREET STE 210	DURHAM	NC	27701	561465177	INVESTMENTS	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
DURHAM ASSET MANAGEMENT COMPANY INC
324 BLACKWELL STREET STE 920	DURHAM	NC	27701	561757238	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUHS INC
DURHAM REALTY INC
324 BLACKWELL STREET STE 920	DURHAM	NC	27701	561917936	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
THE FSB SUPPORT FUND
324 BLACKWELL STREET STE 920	DURHAM	NC	27701	561849290	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
GOTHIC CORPORATION
280 S MANGUM STREET STE 210	DURHAM	NC	27701	561776668	INVESTMENTS	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
HIGH POINT REALTY ASSOCIATES INC
324 BLACKWELL STREET STE 920	DURHAM	NC	27701	561917939	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
THE LORD FOUNDATION OF NORTH CAROLINA
305 TEER BLDG	DURHAM	NC	27708	561415423	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
RUTH K BROAD BIOMEDICAL RES FOUNDATION
324 BLACKWELL STREET STE 920	DURHAM	NC	27701	650045051	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
DUKE HOSPITAL AUXILIARY INC
PO BOX 2895	DURHAM	NC	27710	561825604	SUPPORT	NC	501(C)(3)	11 TYPE III	NA
DUKE MEDICINE GLOBAL SUPPORT CORP
324 BLACKWELL ST STE 920	DURHAM	NC	27701	611593721	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
THE CENTER FOR DOCUMENTARY STUDIES
1317 PETTIGREW STREET	DURHAM	NC	27705	561655039	SUPPORT	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
DUKE CORPORATE EDUCATION
310 BLACKWELL ST	DURHAM	NC	27701	421672476	EDUCATION	NC	501(C)(3)	11 TYPE 1	DUKE UNIV
GOTHIC HSP CORPORATION
280 S MANGUM STREET STE 210	DURHAM	NC	27701	271325761	INVESTMENTS	NC	501(C)(3)	11 TYPE 1	DUHS INC
DUKE UNIVERSITY AFFILIATED PHYSICIANS
615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	561902501	HEALTHCARE	NC	501(C)(3)	11 TYPE 1	DUHS INC
ASSOCIATED HEALTH SERVICES INC
615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	561845329	HEALTHCARE	NC	501(C)(3)	11 TYPE 1	DUHS INC

Form990 Schedule R Part III Form990ScheduleRPartIII (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType
DUMAC LLC
S MANGUM ST	DURHAM	NC	27701	651319939	INVESTMENTS	NC	NA	N/A
CD FUND LP
MCKINNEY AVE	DALLAS	TX	75201	270130641	INVESTMENTS	TX	NA	N/A
DREVER OPP FUND LP
PORTWEST DR	HOUSTON	TX	77024	542063549	INVESTMENTS	TX	NA	N/A
LIQUID REALTY PTR
MONTG ST	SAN FRANC	CA	94104	050537755	INVESTMENTS	DE	NA	N/A
BLACKWELL PTR LLC
S MANGUM ST	DURHAM	NC	27701	208075455	INVESTMENTS	GA	NA	N/A
GMO FORESTRY 6-B LP
ROWES WHARF	BOSTON	MA	02110	481294791	INVESTMENTS	DE	NA	N/A
CANYON BLUE INV FD
AVE OF STARS	LA	CA	90067	270186996	INVESTMENTS	DE	NA	N/A
SBER LUCKY STRIKE
BLACKWELL ST	DURHAM	NC	27701	203891303	REAL ESTATE	NC	NA	N/A
OCTAVIAN BLUE FD LP
650 MADISON AVE	NY	NY	10022	272408711	INVESTMENTS	DE	NA	N/A
TAIYO BLUE FUND LP
CARILLON	KIRKLAND	WA	98033	800613746	INVESTMENTS	DE	NA	N/A
LYRICAL BLUE RL PTR
N DEAN ST	ENGLEWOOD	NJ	07631	272994514	INVESTMENTS	DE	NA	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (23 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
HEALTH SYSTEM MEDICAL STRATEGIES INC
615 DOUGLAS STREET SUITE 700	DURHAM	NC	27705	562222444	HEALTH CARE	NC	DUHS INC	C CORP	1741699	0	1.00000
DURHAM CASUALTY COMPANY LTD
				980113277	INSURANCE		DUHS INC	C CORP	40544028	153679642	1.00000	AON HOUSE 30 WOODBOURNE AVE	PEMBROKE	BERMUDA	BD	HM 08	BD
GOTHIC INTERNATIONAL LTD
					INVESTMENTS		NA	C CORP				113 S CHURCH STREET	QUEENSGATE HOUSE	GRAND CAYMAN	CJ	KY1-110,	CJ
COLCHESTER ALPHA FUND (BERMUDA) LTD
					INVESTMENTS		NA	C CORP				54-62 TOWNSEND ST 2	DUBLIN		EI		BD
COLCHESTER BETA THREE FUND LTD
					INVESTMENTS		NA	C CORP				CENTURY HOUSE 16 PAR-LA VILLE RD	HAMILTON		BD	HM HX,	BD
RA CAPITAL HEALTHCARE INTERNATIONAL FUND
					INVESTMENTS		NA	C CORP				PO BOX 309GT UGLAND HOUSE	S CHURCH ST, GEORGETOWN	GRAND CAYMAN	CJ		CJ
ZAIS MATRIX VI-D LTD
					INVESTMENTS		NA	C CORP				PO BOX 1373GT AALL BUILDING	GEORGETOWN	GRAND CAYMAN	CJ		CJ
INDOCHINA LAND INVESTMENT 3 CORP
					INVESTMENTS		NA	C CORP				DORSET HOUSE TAIKOO PL 979 KINGS RD	HONG KONG		HK		CJ
DUSVF EUROPEAN LP
				980346042	INVESTMENTS		NA	C CORP				7 CAVENDISH SQUARE	LONDON		UK	W1G 0PE,	UK
MARATHON BLUE CAYMAN FUND
					INVESTMENTS		NA	C CORP				REGATTA OFFICE PARK WEST BAY RD	GRAND CAYMAN		CJ	KY1-12,	CJ
RICHMOND PARTNERS LTD
					INVESTMENTS		NA	C CORP				PO BOX 309 BWI	GEORGETOWN	GRAND CAYMAN	CJ		CJ
DUKE MEDICAL STRATEGIES INC
324 BLACKWELL STREET STE 920	DURHAM	NC	27701	561993799	HEALTHCARE	NC	NA	C CORP
JOHN & PATRICIA KOSKINEN CLUT
PO BOX 185	PITTSBURGH	PA	152300185	566532340	INVESTMENTS	PA	NA	TRUST
DUKE UNIV QUADRANGLE FUND
PO BOX 185	PITTSBURGH	PA	152300185	566218971	INVESTMENTS	PA	NA	TRUST
DUKE UNIVERSITY TOWER FUND
PO BOX 185	PITTSBURGH	PA	152300185	566147362	INVESTMENTS	PA	NA	TRUST
DUKE CORPORATE EDUCATION LIM
				421672476	EDU CONSULT		NA	C CORP				165 FLEET STREET	LONDON		UK	EC4A 2DY,	UK
DUKE CORP EDU INDIA PRIVATE
				421672476	CONSULTING		NA	C CORP				ACADEMIC BLOCK NEW CAMPUS	VASTRAPUR	AHMEDABAD	IN	380015,	IN
DUKE CORPORATE EDUCATION RSA
				421672476	CONSULTING		NA	C CORP				GROUND FLOOR TWICKEHNHAM BLDG	BRYANSTON	JOHANNESB	SF	02021,	SF
DUKE CE LS INC
310 BLACKWELL STREET	DURHAM	NC	27701	202004016	REAL ESTATE	NC	NA	C CORP
DUKE GLOBAL CONSULTING (KUNSHAN)
					CONSULTING		NA	C CORP				1666 WEI CHEN NAN RD	KUNSHAN PR	KUNSHAN	CH	215300,	CH
DUKE MEDICINE ASIA PTE LTD
					MEDICAL RESEARCH		NA	C CORP				5 SHENTON WAY 07-00 UIC BLD	SING		SN	0688,	SN
LYRICAL OPPORTUNITY PARTNERS II LTD
					INVESTMENTS		NA	C CORP				45 PARERAWEG PO BOX 4761	CURACAO		NL		CJ
INDOCHINA LAND HOLDINGS 2 LP
					INVESTMENTS		NA	C CORP				DORSET HOUSE TAIKOO PL 979 KINGS RD	HONG KONG		HK		CJ

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
DUKE UNIVERSITY AFFILIATED PHYSICIANS INC
B	6032285
ASSOCIATED HEALTH SERVICES INC
C	4201721
ASSOCIATED HEALTH SERVICES INC
N	5099102
DURHAM CASUALTY COMPANY INC
Q	30307532
GOTHIC HSP CORPORATION
B	270800341
GOTHIC HSP CORPORATION
C	85157848