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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
ASSOCIATED HEALTH SERVICES INC
 
Employer identification number

56-1845329
Return Reference Explanation
FORM 990, PART V, LINE 3B THE ORGANIZATION DID NOT HAVE UNRELATED BUSINESS GROSS INCOME OF $1,000 OR MORE DURING THE FISCAL YEAR ENDED JUNE 30, 2019. AS A RESULT, FORM 990-T IS NOT REQUIRED FOR THE FISCAL YEAR ENDED JUNE 30, 2019.
FORM 990, PART VI, SECTION A, LINE 2 KENNETH C. MORRIS IS AN OFFICER OF DUKE UNIVERSITY HEALTH SYSTEM, INC. VICTORIA K. ORTO, JOHN S. HUDSON, KATHLEEN B. GALBRAITH, CYNTHIA K. SHORTELL, MD, AND PAULA T. CATES ARE EMPLOYEES OF DUKE UNIVERSITY HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE BOARD OF DIRECTORS OF AHS ARE PRIMARILY SELECTED BY DUKE UNIVERSITY HEALTH SYSTEM, INC. (DUHS) AND THE COUNTY OF DURHAM, NORTH CAROLINA.
FORM 990, PART VI, SECTION A, LINE 7B DUHS CONTROLS THE MAJORITY OF THE BOARD MEMBERS. THE ANNUAL BUDGET FOR AHS IS APPROVED BY DUHS MANAGEMENT AND BOARD.
FORM 990, PART VI, SECTION B, LINE 11B AFTER STAFF PREPARATION AND MANAGEMENT REVIEW, THE AHS FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT. BOARD LEVEL COMMENT AND DISCUSSION ARE INCORPORATED INTO THE FORM AS APPROPRIATE PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C AHS IS GOVERNED BY THE CONFLICT OF INTEREST POLICY OF DUHS. AHS MONITORS AND ENFORCES COMPLIANCE RELATED TO CONFLICT OF INTEREST VIA AHS'S FORM 990 CONFLICT OF INTEREST QUESTIONNAIRE. THIS QUESTIONNAIRE IS COMPLETED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 18 AHS'S FORM 990 IS AVAILABLE TO THE PUBLIC ON WWW.GUIDESTAR.ORG. GUIDESTAR INDEPENDENTLY POSTS TAX-EXEMPT ORGANIZATIONS' FORM 990'S ON THEIR WEBSITE, OBTAINED FROM THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION C, LINE 19 AHS' GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND ANY SUBSEQUENT AMENDMENTS OR RESTATEMENTS) ARE AVAILABLE TO THE PUBLIC ON THE NORTH CAROLINA SECRETARY OF STATE WEBSITE. AHS IS INCLUDED IN CONSOLIDATED, INDEPENDENTLY AUDITED FINANCIAL STATEMENTS OF DUHS WHICH ARE AVAILABLE AT HTTPS://CORPORATE.DUKEHEALTH.ORG/FINANCIAL-INFORMATION
FORM 990, PART XI, LINE 9: INTRA-COMPANY TRANSFERS BETWEEN AHS, INC. AND OTHER ENTITIES WITHIN DUHS AND AFFILIATES. -5,309,724.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


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