DUKE UNIVERSITY HEALTH SYSTEM INC

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

Government-grant reliance: 2017 0% · 2018 0% · 2019 0% · 2020 2% · 2021 2% · 2022 1% · 2023 0% · 2024 0% · 2025 0%. Grants only. Government contracts and fees sit inside program revenue.

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 9 reported years ran a deficit.

Who funds it, year by year

2017 → 2023: the base broadened from 21 funders to 43 funders, grant income rose $5.1M → $5.4M.

27 of 131 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 64% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

Left out of every figure on this page: $4.2B from 2 payers (the payer shares this organization's board, largest Gothic Hsp Corporation). These are real filings, and they are not money DUKE UNIVERSITY HEALTH SYSTEM INC raised.

From the IRS filings of DUKE UNIVERSITY HEALTH SYSTEM INC’s funders (the co-funder graph). Top 30 of 131 funders by total. Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

DUKE UNIVERSITY HEALTH SYSTEM INC leans on a few funders — its largest provides 32% of grant income and the top three 65%; half comes from just 2 funders.

90% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund DUKE UNIVERSITY HEALTH SYSTEM INC.

Largest funder’s share by year: 2017 68% · 2018 61% · 2019 56% · 2020 33% · 2021 41% · 2022 35% · 2023 34% — diversifying over time.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How long its funders stay

26% of DUKE UNIVERSITY HEALTH SYSTEM INC's funders are still giving 3 years after their first grant; 42% give in more than one year at all.

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

64% of DUKE UNIVERSITY HEALTH SYSTEM INC's grant income arrives through donor-advised or pass-through sponsors, whose addresses record where the money is held rather than where the donor is. Of the $27M that is directly attributable, 83% of it comes from funders outside North Carolina, across 29 states.

Funder states come from each funder’s own filing. $48M arriving through sponsors registered in 15 statesis excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.