Liabilities / Assets
4th percentile
Higher debt load relative to assets than 4% of similar nonprofits.
EIN 27-1325761 • 501(c)3 • Durham, NC
Profile
See schedule o for organization's mission statement.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
4th percentile
Higher debt load relative to assets than 4% of similar nonprofits.
Liabilities / Revenue
4th percentile
Higher debt load relative to revenue than 4% of similar nonprofits.
Net Margin
2nd percentile
Higher net margin than 2% of similar nonprofits.
Top Officer Pay
81st percentile
Higher top officer pay than 81% of similar nonprofits.
Top officer pay equals 1.0% of source-year revenue.
Asset Growth
6th percentile
Faster asset growth than 6% of similar nonprofits.
Revenue Growth
41st percentile
Faster revenue growth than 41% of similar nonprofits.
Assets
Down$2,488,099,093
Down $153,202,987 (-5.8%) from 2023
Liabilities
Up$2,583,649
Up $297,254 (+13%) from 2023
Net Assets
Down$2,485,515,444
Down $153,500,241 (-5.8%) from 2023
Revenue
Up$490,205,782
Up $38,278,910 (+8.5%) from 2023
Expenses
Up$650,077,288
Up $95,709,060 (+17%) from 2023
Net Income
Down-$159,871,506
Down $57,430,150 (-56%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
See schedule o for organization's mission statement.
See schedule o for organization's mission statement
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Rtn Earn Endowment Incm Other Fnds | $2,639,015,685 | $2,485,515,444 | ▼ $153,500,241 |
| Investments Other Securities | $2,369,378,227 | $2,264,612,433 | ▼ $104,765,794 |
| Cash and Non-Interest-Bearing Accounts | $268,543,497 | $220,124,418 | ▼ $48,419,079 |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Total Assets | $2,641,302,080 | $2,488,099,093 | ▼ $153,202,987 |
| Other Assets Total | $3,380,356 | $3,362,242 | ▼ $18,114 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $2,286,395 | $2,583,649 | ▲ $297,254 |
| Total Liabilities | $2,286,395 | $2,583,649 | ▲ $297,254 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $2,639,015,685 | $2,485,515,444 | ▼ $153,500,241 |
| Total Liabilities and Net Assets / Fund Balance | $2,641,302,080 | $2,488,099,093 | ▼ $153,202,987 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Securities | $1,655,772,158 | - | - |
| Name | Title |
|---|---|
| Neal F Triplett | Director/president |
| Robert Mcgrail | Director/secretary |
| Jannine M Lall | Director/treasurer |
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $508,279,777 |
| Other Expenses | $141,797,511 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $508,279,777 | - | - | $508,279,777 |
| Other Expenses | $131,491,888 | - | - | $131,491,888 |
| Fees for Service Investment Mgmnt Fees | $9,284,439 | - | - | $9,284,439 |
| All Other Expenses | $1,021,184 | - | - | $1,021,184 |
| Total Functional Expenses | $650,077,288 | $0 | $0 | $650,077,288 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Duke University Health System Inc | Durham, NC | 501(c)(3) | Support | $508,279,777 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, | Investments | - | 0 | 0 | $621,007,458 |
| Europe (including Iceland & Greenland) - Albania, Andorra, Austria, Belgium | Investments | - | 0 | 0 | $223,628,996 |
| East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, | Investments | - | 0 | 0 | $126,213,911 |
| South Asia - Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, | Investments | - | 0 | 0 | $117,917,294 |
| Sub-saharan Africa - Angola, Benin, Botswana, Burkina Faso, | Investments | - | 0 | 0 | $34,848,162 |
| Middle East and North Africa - Algeria, Bahrain, Djibouti, Egypt, | Investments | - | 0 | 0 | $27,297,373 |
| North America - Canada and Mexico, But Not the United States | Investments | - | 0 | 0 | $22,687,068 |
| Russia and Neighboring States | Investments | - | 0 | 0 | $1,141,873 |
| South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, | Investments | - | 0 | 0 | $975,497 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Neal f. Triplett is a key employee of duke university. The following directors and officers of gothic hsp corporation are also employees of duke university: jannine m. Lall and robert mcgrail.”
“The members of the board of gothic hsp corporation shall be appointed by the executive committee of the duke university health system, inc. Board of directors. The members of the board of directors of dumac, inc. Shall be appointed by the executive committee of the duke university board of trustees and confirmed by duke university's board of trustees.”
“Dumac, inc. Manages the investments of gothic hsp corporation. Pursuant to authorization provided by duke university, officers of dumac, inc. Act as the authorized agent for gothic hsp corporation in approving investments of gothic hsp corporation assets and entering into agreements and other transactions related to such investments. Certain decisions of the governing body are subject to approval by the board of trustees of duke university.”
“Gothic hsp corporation provides the members of the governing body with a draft of form 990 for individual review prior to filing. Form 990, part vi, line 12a conflict of interest policy: gothic hsp corporation does not have a written conflict of interest policy, but all board members are subject to compliance with dumac inc.'s written conflict of interest policy and must disclose any conflicts annually. Form 990, part vi, line 13 whistleblower policy: gothic hsp corporation does not have a written whistleblower policy, but all board members are subject to compliance with dumac, inc.'s written whistleblower policy. Form 990, part vi, line 14 document retention and destruction: gothic hsp corporation does not have a written document retention and destruction policy, but follows dumac, inc.'s written document retention and destruction policy. Form 990, part vi, line 16b joint ventures: gothic hsp corporation has enacted adequate safeguards for its partnership investments to ensure that these activities do not jeopardize the organization's tax exempt status.”
“In addition to providing the organization's form 990 upon request, the organization's form 990 is available to the public on several third party websites. While the organization does not provide the form 990 directly to these third parties, the form 990 is obtained from the internal revenue service. The third parties subsequently and independently provide access to the form 990 on their platform.”
“Gothic hsp corporation governing documents (articles of incorporation and any subsequent amendments) are available to the public on the north carolina secretary of state website. The organization does not have a separate conflict of interest policy but follows dumac inc.'s conflict of interest policy. Gothic hsp corporation is included in the consolidated, independently audited financial statements of duke university, which are available at https://finance.duke.edu/resources/docs.”
“Gross sales of assets other than inventory duke university (and therefore dumac, inc.) manages its investment funds in accordance with the uniform prudent management of institutional funds act of north carolina. As permitted by the act, the university (and therefore dumac, inc.) utilizes two investment pools to invest its funds and these funds operate on a total return concept.”
“Description of organization's mission gothic hsp corporation was formed to own and invest assets exclusively for the benefit of duke university health system, inc. And to support its exempt purpose.”
“The reconciliation amount on line 9 is the current year book/tax income differences from the organization's partnership investments. 6,371,265.”
“Method of accounting gothic hsp corporation utilizes the accrual accounting method in accordance with gaap for all items other than reporting of its partnership investments. Partnership investments are reported on a tax basis.”
“Asc 740 disclosure: the following asc 740 disclosure comes from the audited financial statements of duke university, within whose financial statements the activities of gothic hsp corporation are consolidated. Duke is a tax-exempt organization as described in section 501(c)(3) of the internal revenue code of 1986, as amended (the code). As such, duke is exempt from federal income taxes to the extent provided under section 501 of the code. As of june 30, 2024 and 2023, there were no material uncertain tax positions. Schedule d, parts xi - xii financial statements audit gothic hsp corporation is included in the consolidated annual financial statements of duke university, which are prepared in accordance with gaap and reviewed by an independent auditor. Pursuant to the 2023 form 990 instructions, gothic hsp corporation has elected not to complete parts xi-xii of schedule d.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 2286395 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2583649 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | SEE SCHEDULE O FOR ORGANIZATION'S MISSION STATEMENT |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 1021184 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1021184 |
| IRS990/AuditCommitteeInd | 0 | 0 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JANNINE M LALL |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9196686829 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 280 S MANGUM STREET SUITE 210 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | DURHAM |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NC |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 27701 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt | 0 | 0 |
| IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 268543497 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 220124418 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 0 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 205405601 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 508279777 |
| IRS990/CYInvestmentIncomeAmt | 0 | 266164827 |
| IRS990/CYOtherExpensesAmt | 0 | 141797511 |
| IRS990/CYOtherRevenueAmt | 0 | 18635354 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -159871506 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/CYTotalExpensesAmt | 0 | 650077288 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 490205782 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/Desc | 0 | GOTHIC HSP CORPORATION WAS FORMED TO SUPPORT THE EXEMPT PURPOSES OF DUKE UNIVERSITY HEALTH SYSTEM, INC. A PORTION OF THE EXPENSES INCURRED ARE RELATED TO THE MANAGEMENT OF ASSETS MAINTAINED FOR THE SUPPORT OF DUKE UNIVERSITY HEALTH SYSTEM, INC. ALLOCATIONS TOTALING $508,279,777 WERE MADE TO DUKE UNIVERSITY HEALTH SYSTEM, INC. IN SUPPORT OF ITS TAX EXEMPT PURPOSES. |
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| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 650077288 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
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| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 9284439 |
| IRS990/ForeignActivitiesInd | 0 | 1 |
| IRS990/ForeignCountryCd | 0 | BG |
| IRS990/ForeignCountryCd | 1 | BC |
| IRS990/ForeignCountryCd | 2 | BR |
| IRS990/ForeignCountryCd | 3 | CI |
| IRS990/ForeignCountryCd | 4 | CH |
| IRS990/ForeignCountryCd | 5 | CO |
| IRS990/ForeignCountryCd | 6 | CA |
| IRS990/ForeignCountryCd | 7 | EZ |
| IRS990/ForeignCountryCd | 8 | DA |
| IRS990/ForeignCountryCd | 9 | EG |
| IRS990/ForeignCountryCd | 10 | GH |
| IRS990/ForeignCountryCd | 11 | GR |
| IRS990/ForeignCountryCd | 12 | HK |
| IRS990/ForeignCountryCd | 13 | HU |
| IRS990/ForeignCountryCd | 14 | IN |
| IRS990/ForeignCountryCd | 15 | ID |
| IRS990/ForeignCountryCd | 16 | EI |
| IRS990/ForeignCountryCd | 17 | IS |
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| IRS990/ForeignCountryCd | 19 | KE |
| IRS990/ForeignCountryCd | 20 | KU |
| IRS990/ForeignCountryCd | 21 | LH |
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| IRS990/ForeignCountryCd | 23 | MP |
| IRS990/ForeignCountryCd | 24 | MO |
| IRS990/ForeignCountryCd | 25 | NI |
| IRS990/ForeignCountryCd | 26 | NO |
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| IRS990/ForeignCountryCd | 30 | SI |
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| IRS990/ForeignCountryCd | 36 | UG |
| IRS990/ForeignCountryCd | 37 | AE |
| IRS990/ForeignCountryCd | 38 | UK |
| IRS990/ForeignCountryCd | 39 | VM |
| IRS990/ForeignCountryCd | 40 | ZA |
| IRS990/ForeignCountryCd | 41 | ZI |
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| IRS990/ForeignOfficeInd | 0 | 0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 50.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 40.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 40.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.10 |
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| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
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| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 82382 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 63671 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | NEAL F TRIPLETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ROBERT MCGRAIL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JANNINE M LALL |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 518864 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 335177 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR/PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR/SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR/TREASURER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2009 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
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| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 125808429 |
| IRS990/GamingActivitiesInd | 0 | 0 |
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| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 508279777 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
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| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 125808429 |
| IRS990/GrossReceiptsAmt | 0 | 490205782 |
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| IRS990/InfoInScheduleOPartVInd | 0 | X |
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| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 137857899 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | -8484631 |
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| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 2369378227 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 2264612433 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | NC |
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| IRS990/LoanOutstandingInd | 0 | 0 |
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| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
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| IRS990/MethodOfAccountingOtherInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | SEE SCHEDULE O FOR ORGANIZATION'S MISSION STATEMENT. |
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| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 2485515444 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 127478147 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 128306928 |
| IRS990/NetGainOrLossInvestmentsGrp/UnrelatedBusinessRevenueAmt | 0 | 828781 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
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| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrgDoesNotFollowFASB117Ind | 0 | X |
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| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 3362242 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 6371265 |
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| IRS990/OtherExpensesGrp/TotalAmt | 0 | 131491888 |
| IRS990/OtherInd | 0 | X |
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| IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | NEAL F TRIPLETT |
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| IRS990/PYInvestmentIncomeAmt | 0 | 130681080 |
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| IRS990/PYTotalExpensesAmt | 0 | 554368228 |
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| IRS990/PYTotalRevenueAmt | 0 | 451926872 |
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| IRS990/ReconcilationRevenueExpnssAmt | 0 | -159871506 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 1 |
| IRS990/RelatedOrganizationsAmt | 0 | 205405601 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 1 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 0 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RoyaltiesRevenueGrp/ExclusionAmt | 0 | 18635354 |
| IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt | 0 | 18635354 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt | 0 | 2639015685 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt | 0 | 2485515444 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd | 0 | 1 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd | 0 | 0 |
| IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd | 0 | 1 |
| IRS990ScheduleA/IRSWrittenDeterminationInd | 0 | X |
| IRS990ScheduleA/OtherSupportSumAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrganizationsCnt | 0 | 1 |
| IRS990ScheduleA/SupportedOrganizationsTotalCnt | 0 | 1 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 0 | 562070036 |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 0 | 1 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 0 | 3 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt | 0 | 508279777 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt | 0 | DUKE UNIVERSITY HEALTH SYSTEM INC |
| IRS990ScheduleA/SupportingOrganization509a3Ind | 0 | X |
| IRS990ScheduleA/SupportingOrgType1Ind | 0 | X |
| IRS990ScheduleA/SupportSumAmt | 0 | 508279777 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 0 | 67078878 |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 1 | 541761397 |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 2 | 1655772158 |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 0 | FIXED INCOME SECURITIES |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 1 | EQUITIES |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 2 | PARTNERSHIP INVESTMENTS |
| IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd | 0 | F |
| IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd | 1 | F |
| IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd | 2 | C |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | ASC 740 DISCLOSURE: THE FOLLOWING ASC 740 DISCLOSURE COMES FROM THE AUDITED FINANCIAL STATEMENTS OF DUKE UNIVERSITY, WITHIN WHOSE FINANCIAL STATEMENTS THE ACTIVITIES OF GOTHIC HSP CORPORATION ARE CONSOLIDATED. DUKE IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (THE CODE). AS SUCH, DUKE IS EXEMPT FROM FEDERAL INCOME TAXES TO THE EXTENT PROVIDED UNDER SECTION 501 OF THE CODE. AS OF JUNE 30, 2024 AND 2023, THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS. SCHEDULE D, PARTS XI - XII FINANCIAL STATEMENTS AUDIT GOTHIC HSP CORPORATION IS INCLUDED IN THE CONSOLIDATED ANNUAL FINANCIAL STATEMENTS OF DUKE UNIVERSITY, WHICH ARE PREPARED IN ACCORDANCE WITH GAAP AND REVIEWED BY AN INDEPENDENT AUDITOR. PURSUANT TO THE 2023 FORM 990 INSTRUCTIONS, GOTHIC HSP CORPORATION HAS ELECTED NOT TO COMPLETE PARTS XI-XII OF SCHEDULE D. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 0 |
| IRS990ScheduleD/TotalBookValueSecuritiesAmt | 0 | 2264612433 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/EmployeeCnt | 0 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/EmployeeCnt | 1 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/EmployeeCnt | 2 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/EmployeeCnt | 3 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/EmployeeCnt | 4 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/EmployeeCnt | 5 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/EmployeeCnt | 6 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/EmployeeCnt | 7 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/EmployeeCnt | 8 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/OfficesCnt | 0 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/OfficesCnt | 1 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/OfficesCnt | 2 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/OfficesCnt | 3 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/OfficesCnt | 4 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/OfficesCnt | 5 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/OfficesCnt | 6 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/OfficesCnt | 7 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/OfficesCnt | 8 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt | 0 | 621007458 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt | 1 | 126213911 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt | 2 | 223628996 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt | 3 | 27297373 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt | 4 | 22687068 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt | 5 | 975497 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt | 6 | 34848162 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt | 7 | 117917294 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt | 8 | 1141873 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt | 0 | CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt | 1 | EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt | 2 | EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt | 3 | MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt | 4 | NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt | 5 | SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt | 6 | SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt | 7 | SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt | 8 | RUSSIA AND NEIGHBORING STATES |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt | 0 | INVESTMENTS |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt | 1 | INVESTMENTS |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt | 2 | INVESTMENTS |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt | 3 | INVESTMENTS |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt | 4 | INVESTMENTS |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt | 5 | INVESTMENTS |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt | 6 | INVESTMENTS |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt | 7 | INVESTMENTS |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt | 8 | INVESTMENTS |
| IRS990ScheduleF/BoycottCountriesInd | 0 | 1 |
| IRS990ScheduleF/ContinuationSpentAmt | 0 | 1141873 |
| IRS990ScheduleF/ContinuationTotalEmployeeCnt | 0 | 0 |
| IRS990ScheduleF/ContinuationTotalOfficeCnt | 0 | 0 |
| IRS990ScheduleF/ForeignCorpOwnershipInd | 0 | 1 |
| IRS990ScheduleF/ForeignPartnershipInd | 0 | 1 |
| IRS990ScheduleF/InterestInForeignTrustInd | 0 | 0 |
| IRS990ScheduleF/PassiveForeignInvestmestCoInd | 0 | 1 |
| IRS990ScheduleF/SubtotalEmployeesCnt | 0 | 0 |
| IRS990ScheduleF/SubtotalOfficesCnt | 0 | 0 |
| IRS990ScheduleF/SubtotalSpentAmt | 0 | 1174575759 |
| IRS990ScheduleF/Total501c3OrgCnt | 0 | 0 |
| IRS990ScheduleF/TotalEmployeeCnt | 0 | 0 |
| IRS990ScheduleF/TotalOfficeCnt | 0 | 0 |
| IRS990ScheduleF/TotalOtherOrgCnt | 0 | 0 |
| IRS990ScheduleF/TotalSpentAmt | 0 | 1175717632 |
| IRS990ScheduleF/TransferToForeignCorpInd | 0 | 1 |
| IRS990ScheduleI/GrantRecordsMaintainedInd | 0 | 1 |
| IRS990ScheduleI/RecipientTable/CashGrantAmt | 0 | 508279777 |
| IRS990ScheduleI/RecipientTable/IRCSectionDesc | 0 | 501(C)(3) |
| IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt | 0 | 0 |
| IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt | 0 | SUPPORT |
| IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt | 0 | DUKE UNIVERSITY HEALTH SYSTEM INC |
| IRS990ScheduleI/RecipientTable/RecipientEIN | 0 | 562070036 |
| IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt | 0 | 615 DOUGLAS STREET |
| IRS990ScheduleI/RecipientTable/USAddress/CityNm | 0 | DURHAM |
| IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd | 0 | NC |
| IRS990ScheduleI/RecipientTable/USAddress/ZIPCd | 0 | 27705 |
| IRS990ScheduleI/RecipientTable/ValuationMethodUsedDesc | 0 | FMV |
| IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt | 0 | GOTHIC HSP CORPORATION WAS FORMED SPECIFICALLY AS A SUPPORTING ORGANIZATION OF DUKE UNIVERSITY HEALTH SYSTEM, INC. IN FURTHERANCE OF ITS SUPPORT TO DUKE UNIVERSITY HEALTH SYSTEM, INC., GOTHIC HSP CORPORATION PROVIDES SUPPORT AND GRANTS FUNDING TO DUKE UNIVERSITY HEALTH SYSTEM, INC., AN IRC SECTION 501(C)(3) ENTITY ORGANIZED AS A HOSPITAL DESCRIBED UNDER IRC SECTION 170(B)(1)(A)(III) AND ITS AFFILIATES. DUKE UNIVERSITY HEALTH SYSTEM, INC. AND ITS AFFILIATES MAINTAIN DOCUMENTATION OF ALL EXPENDITURES IN THE ORDINARY COURSE OF BUSINESS. |
| IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 2: |
| IRS990ScheduleI/Total501c3OrgCnt | 0 | 1 |
| IRS990ScheduleI/TotalOtherOrgCnt | 0 | 0 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | 0 |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | 0 |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 1 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 0 | 3700000 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 1 | 231228 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 2 | 135335 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 0 | 816839 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 1 | 251616 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 2 | 172272 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 1 | 13520 |
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