Duke University Health System
Duke University Health System reported $6.17 billion in revenue and $5.40 billion in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $84.82 went to program services, $15.17 to management and general costs and $0.01 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 91.8% of the total. The highest compensation it reported for one person was $2,356,997 (CHANCELLOR EMERITUS FOR HEALTH AFF.). 5,375 people received more than $100,000 in reportable compensation. Revenue rose 60% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $5.40BFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $6.17BThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 84.8% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 15.2% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.02 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.4% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 91.8% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $2,356,997 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.04% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 5,375 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 12.6 | 6.6 |
| Independent voting board members Part VI 1a–1b | 12 of 21 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseHighest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| CHANCELLOR EMERITUS FOR HEALTH AFF. Former, 0.00 hrs/week | $0 | $2,285,670 | $71,327 | $2,356,997 |
| DIRECTOR/CEO Director/trustee, officer, 42.00 hrs/week | $2,279,485 | $0 | $59,414 | $2,338,899 |
| VP FOR ADMINISTRATION/SECRETARY Officer, 60.00 hrs/week | $2,213,088 | $0 | $55,851 | $2,268,939 |
| DIRECTOR Director/trustee, 3.00 hrs/week | $0 | $2,137,417 | $62,628 | $2,200,045 |
| EXECUTIVE VP, DUHS & COO Officer, 55.00 hrs/week | $1,853,877 | $0 | $76,073 | $1,929,950 |
| DIRECTOR Director/trustee, 12.00 hrs/week | $0 | $1,522,644 | $58,317 | $1,580,961 |
| PRESIDENT DUH/ACUTE CARE SERVICES/VICE DEAN SOM Key employee, 60.00 hrs/week | $1,420,831 | $65,000 | $79,404 | $1,565,235 |
| VP & CHIEF DIGITAL OFFICE Highest compensated employee, 40.00 hrs/week | $1,126,154 | $211,189 | $77,229 | $1,414,572 |
5,375 people received more than $100,000 in reportable compensation from Duke University Health System (Part VII, line 2). Compensation of current officers, directors and key employees totaled $17M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked| Filing | Revenue | Expenses | Programs | Net assets | Top pay |
|---|---|---|---|---|---|
| FY2025 ⓘ | $6.17B | $5.40B | 84.8% | $5.67B | $2,356,997 |
| FY2024 ⓘ | $5.77B | $5.07B | 85.1% | $5.56B | $3,197,701 |
| FY2023 ⓘ | $4.67B | $4.62B | 83.1% | $5.12B | $3,193,603 |
| FY2022 ⓘ | $4.60B | $4.17B | 82.8% | $5.46B | $2,727,834 |
| FY2021 (amended) ⓘ | $4.63B | $3.87B | 80.2% | $5.32B | $2,044,270 |
| FY2020 ⓘ | $3.85B | $3.61B | 76.3% | $3.22B | $2,702,583 |
Governance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b21 · 12 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2Yes
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bYes
- Employees Part I, line 527,913
- Volunteers Part I, line 6840
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| KERNODLE CLINIC INC Medical services | $38,177,475 |
| VAYA WORKFORCE SOLUTIONS LLC Contract nursing | $31,693,840 |
| ARAMARK SERVICES INC Food services | $23,909,807 |
| C T WILSON CONSTRUCTION CO INC Construction services | $10,283,620 |
Individuals listed as contractors are left out. 395 contractors were paid more than $100,000 in all.
Private foundation grants it received
16 private foundations reported grants to Duke University Health System totaling $8.0M on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Duke University Health System's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Duke University Health System, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Duke University Health System spent in FY2025, $84.82 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Sanford Group ReturnSioux Falls, SD · revenue $6.11B · programs 92.4% · 2024
- Inova Health CARE ServicesFairfax, VA · revenue $6.42B · programs 85.0% · 2024
- Indiana University HealthIndianapolis, IN · revenue $6.08B · programs 95.3% · 2024
- Sentara Health PlansVirginia Beach, VA · revenue $6.50B · programs 98.3% · 2024
- Highmark Health GroupPittsburgh, PA · revenue $6.06B · programs 91.1% · 2024
All health care charities · Largest charities in North Carolina
Questions people ask
How much of Duke University Health System's spending goes to programs?
In the fiscal year ending June 30, 2025, Duke University Health System reported that 84.8% of its $5.40 billion in expenses went to program services, 15.2% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Duke University Health System pay its top executive?
The largest total compensation Duke University Health System reported for one person in the fiscal year ending June 30, 2025 was $2,356,997, for the role of CHANCELLOR EMERITUS FOR HEALTH AFF. (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Duke University Health System get its money?
Of $6.17 billion in revenue in the fiscal year ending June 30, 2025, 0.4% came from contributions and grants (including 0.0% from government grants) and 91.8% from program service revenue (Form 990, Part VIII).
Is Duke University Health System a registered charity?
The IRS lists EIN 56-2070036 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202641359349301294 · read the filing
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202541359349301049 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202401369349301020 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202311359349302846 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021 (amended), object 202211369349315741 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202121379349308172 · read the filing
All filings for EIN 56-2070036: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.