NOTICE OF PUBLIC HEARING REGARDING FINANCING AND REFINANCING OF HEALTH CARE FACILITIES WITH THE PROCEEDS OF TAX-EXEMPT BONDS TO BE ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION NOTICE IS HEREBY GIVEN to all interested persons that the North Carolina Medical Care Commission (the "Commission"), for itself and on behalf of the State of North Carolina, will hold a public hearing in Conference Room L2-02210 at 1915 Health Services Way, Raleigh, North Carolina on November 14, 2025 at 1:00 p.m., at which time any person may be heard regarding the health care facilities proposed to be financed and refinanced by the Commission with proceeds from the issuance of one or more series of tax-exempt bonds (the "Bonds"). The Commission has been requested to issue the Bonds and to lend the proceeds from the sale thereof to Duke University Health System, Inc., a nonprofit corporation and organization described in Section 501(c)(3) of the Code ("DUHS"). The maximum stated principal amount of Bonds to be issued is $275,670,000. The Bonds will be qualified 501(c)(3) bonds as defined in Code Section 145. DUHS will use the proceeds of the Bonds to 1) refund taxable indebtedness of DUHS, the proceeds of which were used to finance or refinance costs of acquiring the Project (as defined below) on an interim basis and 2) if desired by DUHS, pay certain costs to be incurred in connection with the issuance of the Bonds by the Commission. The Project consists of substantially all of the assets which are directly or indirectly related to, necessary for, or used in connection with, the operation of Lake Norman Regional Medical Center (now known as Duke Health Lake Norman) in Mooresville, North Carolina, together with certain related businesses, including but not limited to, medical office buildings, outpatient care facilities, physician practices, ancillary services, land and buildings. The locations of the Project are listed on Exhibit A attached to this notice. The Project is owned or operated by DUHS or Duke Health Lake Norman Regional Medical Center, Inc., which is an affiliate of DUHS. Any person wishing to comment in writing on the Project or the issuance of the Bonds should forward comments, for receipt prior to the date and time of the public hearing specified above, to Mr. Geary W. Knapp, Assistant Secretary, North Carolina Division of Health Service Regulation, North Carolina Medical Care Commission, 1915 Health Services Way, Raleigh, North Carolina 27607. NORTH CAROLINA MEDICAL CARE COMMISSION By: Geary W. Knapp Assistant Secretary EXHIBIT A Locations of Project Duke Health Lake Norman 171 Fairview Rd. Mooresville, NC 28117 Other Facilities (Leased Space) 128 Argus Lane, Suites F & G, Mooresville, NC 28117 134 Medical Park Road, Suites 105, 108 and 110, Mooresville, NC 28117 146 Medical Park Rd., Suites 100, 110 and 202, Mooresville, NC 28117 137 Professional Park Dr., Suite 100, Mooresville, NC 28117 157 Professional Park Drive, Mooresville, NC 28117 202 Williamson Road, Suite 100, Mooresville, NC 28117 417 E. Statesville Ave., Mooresville, NC 28115 517 Alcove Road, Floors 1 and 3, Mooresville, NC 28117 568 Bluefield Road, Units 448, 452 and 466, Mooresville, NC 28117 798 Oak Ridge Farm Highway (Suites A, B and C), Mooresville, NC 28115 Property Tax # 4645-79-7848, which is 12.3 acres located adjacent to Duke Health Lake Norman and bounded by Fairview Road and Centre Church Road, beside I-77 in Mooresville, NC 28117 1217 Davie Ave, Statesville, NC 28677 1424-D Fern Creek Dr., Statesville, NC 28625 1424-B Fern Creek Dr., Statesville, NC 28625 7905 Village Center North, Suite A, Sherrills Ford, NC 28673 294 N. N.C. Hwy 16, Suite A, Denver, NC 28037 IPL0287717 Nov 5 2025