DUKE UNIVERSITY HEALTH SYSTEM INC
2200 W MAIN ST STE 300, DURHAM, NC · IRS data through FY2025
Revenue, expenses and net assets
Revenue Expenses Net assets
| Tax year | Revenue | Expenses | Net assets |
|---|---|---|---|
| FY2025 | $6,165,109,566 | $5,399,496,441 | $5,673,584,095 |
| FY2024 | $5,766,300,632 | $5,073,619,859 | $5,559,939,148 |
| FY2023 | $4,672,834,668 | $4,623,216,546 | $5,123,512,956 |
| FY2022 | $4,600,505,996 | $4,174,139,522 | $5,460,723,714 |
| FY2021 | $4,625,468,343 | $3,870,479,888 | $5,324,934,872 |
| FY2020 | $3,853,766,160 | $3,612,404,658 | $3,219,821,407 |
| FY2019 | $3,776,782,982 | $3,346,676,742 | $3,537,682,239 |
| FY2018 | $3,576,450,926 | $3,126,393,682 | $3,394,780,568 |
| FY2017 | $3,331,674,474 | $2,939,183,402 | $2,720,558,968 |
| FY2016 | $3,133,177,470 | $2,745,774,597 | $2,219,000,875 |
| FY2015 | $3,030,169,520 | $2,577,346,747 | $3,006,050,446 |
| FY2014 | $2,693,365,841 | $2,390,451,847 | $2,840,585,734 |
| FY2013 | $2,535,246,018 | $2,239,941,917 | $2,445,770,284 |
| FY2012 | $2,402,368,784 | $2,144,794,592 | $1,947,511,687 |
Where the revenue came from
| Source | Amount | % of revenue |
|---|---|---|
| Contributions & grants | $22,693,142 | 0% |
| Program service revenue | $5,656,796,724 | 100% |
Where the money was spent
| Category | Amount | % of expenses |
|---|---|---|
| Program services | $4,579,795,039 | 85% |
| Management & general | $819,329,965 | 15% |
| Fundraising | $371,437 | 0% |
What the numbers show
- Program service revenue made up 100% of total revenue in FY2025.
- Program services accounted for 85% of functional expenses, management & general 15%, and fundraising 0%.
- 85% of functional expenses went to program services in FY2025. That is higher than 46.7% of 92 Health Care organizations in NC.
- Net assets covered about 12.6 months of expenses at the end of the reporting year. That puts it in the 51st percentile among 510 Health Care organizations in NC.
- Total revenue was higher than 100.2% of 522 Health Care organizations in NC.
- Total revenue rose from $2,402,368,784 in FY2012 to $6,165,109,566 in FY2025, Revenue increased in 12 and decreased in 1 of 13 year-over-year comparisons.
- Revenue covered expenses in each of the 14 reported years, FY2012 to FY2025.
- Net assets grew from $1,947,511,687 to $5,673,584,095 between FY2012 and FY2025.
- Donations are generally tax-deductible (public charity).
Figures compared against other organizations of the same NTEE program area in the same state. See the methodology page for how these are calculated and the guide to reading nonprofit financials for their limits.
About this organization
IRS status
| Ruling year | 1998 |
| Subsection | 501(c)(3) |
| Classification | Public charity |
| Program area (NTEE) | E210 — Health Care (in NC) |
| Donations | Donations are generally tax-deductible (public charity). |
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Source: Internal Revenue Service — Exempt Organizations Business Master File (downloaded September 20, 2026), Statistics of Income extracts, Form 990 e-file data, Publication 78 and the Automatic Revocation list. Figures are as reported by the organization; IRS processing may adjust them. This is not a charity rating and not tax advice. Confirm deductibility in IRS Tax Exempt Organization Search.
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