Civic Intelligence

Duke Integrated Network Inc.

990 • Fiscal year 2020 • EIN 46-3129771

Jul 01, 2019 to Jun 30, 2020 • Filed on Apr 09, 2021

324 Blackwell St Washin BldgDurham, NC 27701

(919) 668-8910

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

93rd percentile

3.07x

Higher debt load relative to assets than 93% of similar nonprofits.

2020 filings • NTEE E • $5M-$10M nonprofits • Source year 2020

Liabilities / Revenue

74th percentile

0.68x

Higher debt load relative to revenue than 74% of similar nonprofits.

2020 filings • NTEE E • $5M-$10M nonprofits • Source year 2020

Net Margin

3rd percentile

-132%

Higher net margin than 3% of similar nonprofits.

2020 filings • NTEE E • $5M-$10M nonprofits • Source year 2020

Top Officer Pay

90th percentile

$1,721,856

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 21.7% of source-year revenue.

2020 filings • NTEE E • $5M-$10M nonprofits • Source year 2020

Asset Growth

1st percentile

-54%

Faster asset growth than 1% of similar nonprofits.

2020 filings • NTEE E • $5M-$10M nonprofits • Annualized from 2019 to 2020

Revenue Growth

19th percentile

-13%

Faster revenue growth than 19% of similar nonprofits.

2020 filings • NTEE E • $5M-$10M nonprofits • Annualized from 2019 to 2020

Assets

Down

$1,761,129

Down $2,080,276 (-54%) from 2019

Net Assets

Down

-$3,639,404

Down $1,104,132 (-44%) from 2019

Liabilities

Down

$5,400,533

Down $976,144 (-15%) from 2019

Revenue

Down

$7,921,904

Down $1,230,063 (-13%) from 2019

Expenses

Up

$18,371,956

Up $1,976,798 (+12%) from 2019

Net Income

Down

-$10,450,052

Down $3,206,861 (-44%) from 2019

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10M$5.0M$0-$5.0MAssets 2014: $37,405Liabilities 2014: $423,2612014Assets 2015: $92,869Liabilities 2015: $181,7762015Assets 2016: $74,007Liabilities 2016: $150,187Net Assets 2016: -$76,1802016Assets 2017: $1,335,437Liabilities 2017: $4,239,134Net Assets 2017: -$2,903,6972017Assets 2018: $1,272,051Liabilities 2018: $3,386,517Net Assets 2018: -$2,114,4662018Assets 2019: $3,841,405Liabilities 2019: $6,376,677Net Assets 2019: -$2,535,2722019Assets 2020: $1,761,129Liabilities 2020: $5,400,533Net Assets 2020: -$3,639,4042020Assets 2021: $2,381,377Liabilities 2021: $2,973,374Net Assets 2021: -$591,9972021Assets 2022: $2,977,979Liabilities 2022: $2,665,635Net Assets 2022: $312,3442022Assets 2023: $2,038,232Liabilities 2023: $2,670,389Net Assets 2023: -$632,1572023

Highlighted filing

2020

Assets$1,761,129
Liabilities$5,400,533
Net Assets-$3,639,404

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$30M$20M$10M$0-$10M-$20MRevenue 2014: $0Expenses 2014: $869,058Net Income 2014: -$869,0582014Revenue 2015: $124,206Expenses 2015: $1,900,959Net Income 2015: -$1,776,7532015Revenue 2016: $305,262Expenses 2016: $2,608,574Net Income 2016: -$2,303,3122016Revenue 2017: $6,669,941Expenses 2017: $11,525,705Net Income 2017: -$4,855,7642017Revenue 2018: $10,534,774Expenses 2018: $15,018,172Net Income 2018: -$4,483,3982018Revenue 2019: $9,151,967Expenses 2019: $16,395,158Net Income 2019: -$7,243,1912019Revenue 2020: $7,921,904Expenses 2020: $18,371,956Net Income 2020: -$10,450,0522020Revenue 2021: $12,476,427Expenses 2021: $19,946,493Net Income 2021: -$7,470,0662021Revenue 2022: $14,859,454Expenses 2022: $24,224,202Net Income 2022: -$9,364,7482022Revenue 2023: $15,287,888Expenses 2023: $25,830,290Net Income 2023: -$10,542,4022023

Highlighted filing

2020

Revenue$7,921,904
Expenses$18,371,956
Net Income-$10,450,052
Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
Apr 9, 2021
Return Version
2019v5.2
Gross Receipts
$7,921,904
Mission and Program Overview

Mission

Duke integrated network, inc. (din) supports activities of duke university health system, inc. (din's supported organization).

See schedule o for organization's mission statement.duke integrated network, inc. (din) supports activities of duke university health system, inc. (din's supported organization). Din formed duke connected care (dcc) which is approved as an accountable care organization under applicable medicare laws. Dcc is a community-based, physician-led network of providers that aim to improve the quality of healthcare while addressing the national challenge of rising healthcare costs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$29,407$1,005,656▲ $976,249
Accounts Receivable$1,615,738$676,957▼ $938,781
Prepaid Expenses and Deferred Charges$146,275$78,516▼ $67,759
Other Assets Total$2,049,985$0▼ $2,049,985
Total Assets$3,841,405$1,761,129▼ $2,080,276
Liabilities
Other Liabilities$2,030,941$2,770,657▲ $739,716
Accounts Payable and Accrued Expenses$4,345,736$2,573,648▼ $1,772,088
Deferred Revenue$0$56,228▲ $56,228
Total Liabilities$6,376,677$5,400,533▼ $976,144
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-2,535,272$-3,639,404▼ $1,104,132
Total Net Assets Fund Balance$-2,535,272$-3,639,404▼ $1,104,132
Total Liabilities and Net Assets / Fund Balance$3,841,405$1,761,129▼ $2,080,276

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$933,198$2$933,200
Other Land Buildings$14,478$254,304$268,782
Equipment$57,980$604$58,584
Compensation and Service Providers

Board Members and Trustees

NameTitle
William J Fulkerson MdDirector/president
John H Sampson MdDirector
Mary E Klotman MdDirector
Monte D Brown MdDirector
Paul NewmanDirector
Thomas a Owens MdDirector
Kenneth C MorrisDirector/treasurer
Christy M GudaitisSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$7,921,904
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-10,450,052
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$18,371,956
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$345,361$538,981-$884,342
Occupancy$481,342$299,120-$780,462
Office Expenses$222,046$202,337-$424,383
Conferences and Meetings$27,052$95,659-$122,711
Information Technology$12,702$77,930-$90,632
Insurance$7,251$42,007-$49,258
Travel$26,234$14,312-$40,546
Other Expenses$14,310$13,010-$27,320
All Other Expenses$1,135$22,848-$23,983
Depreciation Depletion$14,929$606-$15,535
Fees for Services Legal$3,420--$3,420
Advertising$424$1,312-$1,736
Total Functional Expenses$11,601,514$6,770,442$0$18,371,956
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Medicaid Reserve$2,570,822
Intercompany Payable$199,835
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Mary klotman, md is a director of duke university health system, inc. Monte d brown, md, kenneth c. Morris, william j. Fulkerson, md, and thomas a. Owens, md are employees of duke university health system, inc. Mary klotman, md is a key employee of duke university. Christy m. Gudaitis, paul newman and john h. Sampson are employees of duke university. Paul newman, kenneth c. Morris, and william j. Fulkerson, md served as directors of durham casualty company, ltd. Kenneth c. Morris, and william j. Fulkerson, md served as directors and officers of health systems medical strategies, inc.

Form 990, Part VI, Section A, Line 7A

Appointment to the board of directors of duke integrated network, inc. Is controlled by duke university health system, inc.

Form 990, Part VI, Section A, Line 7B

The annual budget for duke integrated network, inc. Is approved by duke university health system, inc. Management and board.

Form 990, Part VI, Section B, Line 11B

After staff preparation and management review, duke integrated network, inc. Form 990 is provided to the board of directors for review and comment. Board level comment and discussion are incorporated into the form as appropriate prior to filing.

Form 990, Part VI, Section B, Line 12C

Duke integrated network, inc. Monitors and enforces compliance related to conflict of interest via duke integrated network, inc.'s form 990 conflict of interest questionnaire. This questionnaire is completed annually.

Form 990, Part VI, Section C, Line 18

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.

Form 990, Part VI, Section C, Line 19

Duke integrated network, inc.'s governing documents (articles of incorporation and any subsequent amendments or restatements) are available to the public on the north carolina secretary of state website. Duke integrated network, inc. Is included in consolidated, independently audited financial statements of duhs which are available at https://corporate.dukehealth.org/financial-information

Filing and Contact Details

Filer

Filer Name
Duke Integrated Network Inc
EIN
46-3129771
Phone
9196688910
Address
324 BLACKWELL ST WASHIN BLDG, DURHAM, NC 27701

Signing Officer

Name
John P Mordach
Title
Treasurer
Phone
9196688910
Signed
2021-04-09

Organization Details

Principal Officer
William J Fulkerson Md
Formed
2013
Legal Domicile
Nc
Voting Board Members
7
Independent Board Members
0
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 3B

The organization did not have unrelated business gross income of $1,000 or more during the fiscal year ended june 30, 2020. As a result, form 990-t is not required for the fiscal year ended june 30, 2020.

FORM 990, PART XI, LINE 9:

Intra-company transfers between din, inc. And duhs, inc. 9,345,920.

Raw XML AppendixShowing 400 of 1,639 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt595133

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