Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
DUKE MEDICINE GLOBAL SUPPORT CORPORATION
Employer identification number
61-1593721
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
No
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
(1)
DUKE UNIVERSITY
560532129
SCHOOL
Yes
Yes
Yes
0
Total
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2011.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2010.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2010.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2011
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
DUKE MEDICINE GLOBAL SUPPORT CORPORATION
Employer identification number
61-1593721
Identifier
Return Reference
Explanation
UNRELATED BUSINESS GROSS INCOME
FORM 990, PART V, LINE 3B
THE ORGANIZATION DID NOT HAVE UNRELATED BUSINESS GROSS INCOME OF $1000 OR MORE DURING THE FISCAL YEAR ENDED JUNE 30, 2012. THEREFORE, FORM 990-T IS NOT REQUIRED FOR THE FISCAL YEAR ENDED JUNE 30, 2012.
FORM 990, PART VI, SECTION A, LINE 2
THE FOLLOWING DIRECTORS AND OFFICERS OF DUKE MEDICINE GLOBAL SUPPORT CORPORATION ARE ALSO EMPLOYEES OF DUKE UNIVERSITY: DENNIS A. CLEMENTS, VICTOR J. DZAU, MD, J. SCOTT GIBSON, L. GREGORY JONES, ERIC D. PETERSON, TALLMAN TRASK III, ROBERT L. TABER, AND KRISHNA UDAYAKUMAR, MD. THOMAS M. GORRIE IS A TRUSTEE OF DUKE UNIVERSITY. TALLMAN TRASK III AND VICTOR J. DZAU, MD ARE BOTH OFFICERS OF DUKE UNIVERSITY. VICTOR J. DZAU, MD IS A DIRECTOR AND OFFICER OF DUKE UNIVERSITY HEALTH SYSTEM, INC. KENNETH C. MORRIS IS AN OFFICER OF DUKE UNIVERSITY HEALTH SYSTEM, INC. DUKE MEDICINE GLOBAL SUPPORT CORPORATION DIRECTORS, VICTOR J. DZAU, MD AND KENNETH C. MORRIS ARE BOTH DIRECTORS OF DURHAM CASUALTY COMPANY, LTD. DUKE MEDICINE GLOBAL SUPPORT CORPORATION DIRECTORS, J. SCOTT GIBSON, VICTOR J. DZAU, MD, KENNETH C. MORRIS AND OFFICER, KRISHNA UDAYAKUMAR, MD ARE ALL DIRECTORS OF DUKE MEDICAL STRATEGIES, INC.
FORM 990, PART VI, SECTION A, LINE 7A
THE MEMBERS OF THE BOARD OF DIRECTORS OF DUKE MEDICINE GLOBAL SUPPORT CORPORATION, SHALL BE ELECTED OR APPOINTED, AND ARE SUBJECT TO REMOVAL BY THE BOARD OF TRUSTEES OF DUKE UNIVERSITY.
FORM 990, PART VI, SECTION A, LINE 7B
DECISIONS OF THE GOVERNING BODY OF DUKE MEDICINE GLOBAL SUPPORT CORPORATION ARE SUBJECT TO APPROVAL BY THE BOARD OF TRUSTEES OF DUKE UNIVERSITY.
FORM 990, PART VI, SECTION B, LINE 11
DUKE MEDICINE GLOBAL SUPPORT CORPORATION PROVIDES THE MEMBERS OF THE GOVERNING BODY WITH A DRAFT OF FORM 990 FOR INDIVIDUAL REVIEW AND COMMENT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C
DUKE MEDICINE GLOBAL SUPPORT CORPORATION MONITORS AND ENFORCES COMPLIANCE RELATED TO CONFLICT OF INTEREST VIA DUKE MEDICINE GLOBAL SUPPORT CORPORATION FORM 990 CONFLICT OF INTEREST QUESTIONNAIRE. THIS QUESTIONNAIRE IS SENT OUT ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19
DUKE MEDICINE GLOBAL SUPPORT CORPORATION'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. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. DUKE MEDICINE GLOBAL SUPPORT CORPORATION IS INCLUDED IN THE CONSOLIDATED, INDEPENDENTLY AUDITED FINANCIAL STATEMENTS OF DUKE UNIVERSITY WHICH ARE AVAIABLE AT HTTPS://FINANCE.DUKE.EDU/RESOURCES/DOCS/FINANCIALS_REPORTS.PDF
ESTIMATED HOURS DEVOTED TO RELATED ORGANIZATIONS
FORM 990, PART VII, SECTION A, COLUMN (B)
THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, COLUMN (A) DEVOTED AN ESTIMATED AVERAGE OF 40 HOURS PER WEEK TO DUKE UNIVERSITY (SUPPORTED RELATED ORGANIZATION): DENNIS A. CLEMENTS, VICTOR J. DZAU, MD, J. SCOTT GIBSON, L. GREGORY JONES, ERIC D. PETERSON, TALLMAN TRASK III, ROBERT L. TABER, KRISHNA UDAYAKUMAR, MD, AND R. SANDERS WILIAMS. DUKE MEDICINE GLOBAL SUPPORT CORPORATION DIRECTOR, THOMAS M GORRIE DEVOTED AN ESTIMATED AVERAGE OF 1 HOUR TO DUKE UNIVERSITY AND DUKE UNIVERSITY HEALTH SYSTEM. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, COLUMN (A) DEVOTED AN ESTIMATED AVERAGE OF 40 HOURS PER WEEK TO DUKE UNIVERSITY HEALTH SYSTEM, INC. (A RELATED ORGANIZATION): VICTOR J. DZAU, MD, AND CHRISTY M. GUDAITIS. KENNETH C. MORRIS DEVOTED SIXTY (60) HOURS PER WEEK TO DUKE UNIVERSITY HEALTH SYSTEM, INC. (A RELATED ORGANIZATION) THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, COLUMN (A) DEVOTED AN ESTIMATED AVERAGE OF 1 HOUR PER WEEK TO DUKE UNIVERSITY SCHOOL OF MEDICINE RESEARCH FOUNDATION, INC. (A RELATED ORGANIZATION): VICTOR J. DZAU, MD, J. SCOTT GIBSON, AND ROBERT L. TABER. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, COLUMN (A) DEVOTED AN ESTIMATED AVERAGE OF 1 HOUR PER WEEK TO DUKE GLOBAL, INC. (A RELATED ORGANIZATION): J. SCOTT GIBSON, L. GREGORY JONES, TALLMAN TRASK III, ROBERT L. TABER, AND KRISHNA UDAYAKUAMR, MD. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, COLUMN (A) DEVOTED AN ESTIMATED AVERAGE OF 1 HOUR PER WEEK TO DUKE CORPORATE EDUCATION. (A RELATED ORGANIZATION): L. GREGORY JONES AND TALLMAN TRASK III. DUKE MEDICINE GLOBAL SUPPORT CORPORATION DIRECTOR, TALLMAN TRASK III, LISTED ON FORM 990, PART VII, SECTION A, COLUMN (A) DEVOTED AN ESTIMATED AVERAGE OF 1 HOUR PER WEEK TO THE FOLLOWING RELATED ORGANIZATIONS: THE FSB SUPPORT FUND, DUKE ALUMNI ASSOCIATION, INC., AND DUMAC, INC. DUKE MEDICINE GLOBAL SUPPRT CORPORATION DIRECTOR, KENNETH C. MORRIS LISTED ON FORM 990, PART VII, SECTION A, COLUMN (A) DEVOTED AN ESTIMATED AVERAGE OF 1 HOUR PER WEEK TO HEALTH SYSTEM MEDICAL STRATEGIES, INC. (A RELATED ORGANIZATION) THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, COLUMN (A) DEVOTED AN ESTIMATED AVERAGE OF 1 HOUR PER WEEK TO DUKE UNIVERSITY AFFLIATED PHYSICIANS, INC. (A RELATED ORGANIZATION): KENNETH C. MORRIS AND CHRISTY M. GUDAITIS. DUKE MEDICINE GLOBAL SUPPORT CORPORATION DIRECTOR, J. SCOTT GIBSON, LISTED ON FORM 990, PART VII, SECTION A, COLUMN (A) DEVOTED AN ESTIMATED AVERAGE OF 1 HOUR PER WEEK TO DURHAM ASSET MANAGEMENT COMPANY, INC. (A RELATED ORGANIZATION). THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, COLUMN (A) DEVOTED AN ESTIMATED AVERAGE OF 1 HOUR PER WEEK TO DUKE MEDICAL STRATEGIES, INC. (A RELATED ORGANIZATION): VICTOR J. DZAU, MD, J. SCOTT GIBSON, KENNETH C MORRIS AND KRISHA UDAYAKUMAR, MD. DUKE MEDICINE GLOBAL SUPPORT CORPORATION DIRECTORS, VICTOR J. DZAU, MD AND KENNETH C MORRIS, LISTED ON FORM 990, PART VII, SECTION A, COLUMN (A) DEVOTED AN ESTIMATED AVERAGE OF 1 HOUR PER WEEK TO DURHAM CASUALTY COMPANY, LTD. (A RELATED ORGANIZATION) THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, COLUMN (A) DEVOTED AN ESTIMATED AVERAGE OF 1 HOUR PER WEEK TO INTERNATIONAL PARTNERSHIP FOR INNOVATIVE HEALTHCARE DELIVERY(A RELATED ORGANIZATION): VICTOR J. DZAU, MD, WILLIAM NICHOLSON, AND KRISHA UDAYAKUMAR, MD. DUKE MEDICINE GLOBAL SUPPORT CORPORATION DIRECTOR, KENNETH C MORRIS, LISTED ON FORM 990, PART VII, SECTION A, COLUMN (A) DEVOTED AN ESTIMATED AVERAGE OF 1 HOUR PER WEEK TO ASSOCIATED HEALTH SERVICES, INC. (A RELATED ORGANIZATION)
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
PRIOR PERIOD ADJUSTMENT 969,694. TOTAL TO FORM 990, PART XI, LINE 5: 969,694.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.