Duke University Health System Inc

“Directors tom lister, vincent e. Price, carmichael s. Roberts, nancy m. Schlichting, and laurene m. Sperling are trustees of duke university. Director mary e. Klotman, md is an officer of duke university. The following individuals are employees of duke university: moira rynn, md, erik paulson, md, peter grossi and alison toth. Officers robert n. Willis, and thomas a. Owens, md served as directors and officers of durham casualty company, ltd. Officers robert n. Willis, monte d brown, md, and thomas a. Owens, md served as directors and officers of health system medical strategies, inc.”

“Duhs delegates control to a supporting organization for the management of investments.”

“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.”

“The duhs bylaws provide that duhs must obtain duke university board of trustees approval for certain significant transactions regarding debt issuances, capital acquisitions and tangible personal and real property sales.”

“After staff preparation and management review, the duhs form 990 is presented to the duhs compliance/audit committee of the board of directors for review and discussion. Duhs board level comment and discussion are incorporated into the form as appropriate prior to filing. A final version of the form is made available to the duhs board of directors for further review and comment before filing.”

“Duhs monitors and enforces compliance related to conflict of interest via an annual conflict of interest questionnaire distributed to individuals including officers, directors, and key employees, relying on self disclosure of all those subject to the coi policy.”

“The duhs compensation committee, comprised of members of the duhs board of directors, reviews and approves all executive compensation for certain disqualified persons and other key employees. The duhs compensation committee reviews and recommends to the duke university compensation committee the compensation for the president and ceo of duhs who is also an officer of duke university. Duhs has adopted a statement of compensation philosophy that articulates broad objectives to help guide the duhs compensation committee in its mission. The duhs compensation committee engages the services of an outside executive compensation consulting firm to establish comparability data of other health care systems of similar size and complexity as duhs. The duhs compensation committee reviews the market analysis then determines the reasonableness and appropriateness of all aspects of executive compensation. The duhs compensation committee also sets the metrics and approves the payouts for the duhs incentive compensation plans for these individuals. The deliberations and conclusions of the duhs compensation committee are kept by a recording secretary who records the minutes of the committee meetings. Form 990, part vi, section b, line 16b: duhs follows a written policy that requires duhs to evaluate its participation in joint venture arrangements and negotiate terms and safeguards to protect the organization's assets and exempt status. Duhs puts terms and safeguards in agreements with third parties to protect the assets and exempt status of the organization.”

“In addition to providing the organization's form 990 upon request, the organization's form 990 is available to the public on several third party websites. While the organization does not provide the form 990 directly to these third parties, the form 990 is obtained from the internal revenue service. The third parties subsequently and independently provide access to the form 990 on their platform.”

“Duke university health system, inc.'s governing documents (articles of incorporation and any subsequent amendments or restatements) are available to the public on the north carolina secretary of state website. Duke university health system, inc. Makes its conflict of interest policy and financial statements available to the public upon request. Independently audited financial statements are available to the public at: https://corporate.dukehealth.org/financial-information”

“Duhs, as part of duke health, is committed to advancing health together by delivering tomorrow's health care today, accelerating discovery and its translation, creating education that is transforming, building healthy communities, and connecting with the world to improve health globally.”

“Statement of program service accomplishments history and organization in 1925, james b. Duke willed $4 million to establish duke university hospital and its medical school to improve health care in the carolinas, then a poor region lacking hospitals and health care providers. Duke university hospital has grown to be recognized as one of the world's great health care providers. In 1998 and concurrent with acquiring control of two local community hospitals, the duke university board of trustees established duke university hospital as the flagship of the newly incorporated duke university health system, inc. (duhs) to manage a wide range of health care programs at the same high level of quality that has traditionally made duke university hospital a world leader. This network of regional health care organizations is dedicated to employing duke's strengths in patient care, education, and research. Duhs is a component of duke health which conceptually integrates the duke university school of medicine, duke-nus medical school, duke university school of nursing, duke university health system, our physician practice, duke health integrated practice, and incorporates the health and health research programs within the duke global health institute as well as those in schools and centers across duke university, including the duke robert j. Margolis center for health policy. The duke health clinical enterprise is intended to function as a fully aligned and unified organization focused on improving the health of the communities we serve, delivering advanced treatment for those who need it, and extending new knowledge beyond our systems to the benefit of others. Leveraging the depth and breadth of capabilities that exist across duke health and the entire university, we plan to achieve the vision to deliver tomorrow's health care today by leading in the delivery of highest-quality, patient centered care, integrating to optimize coordination of care, growing and extending our reach locally, regionally, and nationally, investing in innovation to create sustainable differentiation and value and delivering on the promise of population health. Many program service accomplishments are included in schedule h of this form including the financial commitment made to the community by duhs in terms of charity care and other direct and measurable investments. Further detail of duhs' commitment to promoting health, wellness, and access to quality care for the people and communities it serves is reported in duhs' annual community benefit report. The community benefit report is available online at https://corporate.dukehealth.org/community.”

“The organization did not have unrelated business gross income of $1,000 or more during the fiscal year ended june 30, 2024. However the organization has filed form 990-t for the fiscal year ended june 30, 2024 in order to carry forward the net operating loss.”

“Nonperiodic changes in defined benefit plans: 141,219,905. Net transfers to the university and affiliates: -483,244,259.”