Liabilities / Assets
80th percentile
Higher debt load relative to assets than 80% of similar nonprofits.
Duke Health Integrated Practice Inc
EIN 86-2109896 • 501(c)3 • Durham, NC
Profile
See schedule odirectly perform and provide, and/or facilitate and promote, and expand access to, high quality, affordable and value-oriented clinical health care services and related ancillary services, in furtherance of improving the health and welfare of the general public within the diverse communities served by duke.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.61x
Liabilities / Revenue
14th percentile
Higher debt load relative to revenue than 14% of similar nonprofits.
Net Margin
9th percentile
Higher net margin than 9% of similar nonprofits.
Top Officer Pay
51st percentile
Higher top officer pay than 51% of similar nonprofits.
Top officer pay equals 0.2% of source-year revenue.
Asset Growth
100th percentile
Faster asset growth than 100% of similar nonprofits.
Revenue Growth
Score unavailable
A valid growth rate could not be computed from the available filing history.
Balance Sheet
Assets
Up$249,134,945
Up $249,134,945 from 2022
Liabilities
Up$152,325,058
Up $152,325,058 from 2022
Net Assets
Up$96,809,887
Up $96,809,887 from 2022
Revenue
Up$1,286,529,388
Up $1,286,529,388 from 2022
Expenses
Up$1,390,355,475
Up $1,390,355,475 from 2022
Net Income
Down-$103,826,087
Down $103,826,087 from 2022
Trend Graphs
Filings
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $249,134,945
- Liabilities
- $152,325,058
- Net assets
- $96,809,887
- Revenue
- $1,286,529,388
- Expenses
- $1,390,355,475
- Net income
- -$103,826,087
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jul 1, 2023 to Jun 30, 2024
- Signed
- May 7, 2025
- Return Version
- 2023v6.0
- Gross Receipts
- $1,286,529,388
Mission and Program Overview
Mission
Support of duke university and duke university health system, inc. By directly performing, providing, facilitating and promoting access to high quality, afforable and value-oriented health care services and related ancillary services on a charitable basis, in furtherance of improving the health and welfare of the general public within the diverse communities served by duke.
See schedule o for organization's mission statementdirectly perform and provide, and/or facilitate and promote, and expand access to, high quality, affordable and value-oriented clinical health care services and related ancillary services, in furtherance of improving the health and welfare of the general public within the diverse communities served by duke.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Pledges and Grants Receivable | $0 | $136,872,454 | ▲ $136,872,454 |
| Land, Buildings, and Equipment, Net | $0 | $61,282,269 | ▲ $61,282,269 |
| Intangible Assets | $0 | $37,304,411 | ▲ $37,304,411 |
| Inventories for Sale or Use | $0 | $8,698,323 | ▲ $8,698,323 |
| Prepaid Expenses and Deferred Charges | $0 | $4,585,729 | ▲ $4,585,729 |
| Cash and Non-Interest-Bearing Accounts | $0 | $2,801 | ▲ $2,801 |
| Total Assets | $0 | $249,134,945 | ▲ $249,134,945 |
| Other Assets Total | $0 | $388,958 | ▲ $388,958 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $0 | $104,049,330 | ▲ $104,049,330 |
| Other Liabilities | $0 | $48,184,930 | ▲ $48,184,930 |
| Deferred Revenue | $0 | $90,798 | ▲ $90,798 |
| Total Liabilities | $0 | $152,325,058 | ▲ $152,325,058 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $0 | $96,809,887 | ▲ $96,809,887 |
| Total Net Assets Fund Balance | $0 | $96,809,887 | ▲ $96,809,887 |
| Total Liabilities and Net Assets / Fund Balance | $0 | $249,134,945 | ▲ $249,134,945 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $34,857,033 | $11,754,731 | $46,611,764 |
| Buildings | $26,425,236 | $4,000,470 | $30,425,706 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| John H Sampson Md | Senior Vice President | FT | $656,250 | $283,989 | $656,250 |
| Kevin P Speer Md | Clinical Faculty Department of Ortho | - | $516,731 | $61,902 | $578,633 |
| Kevin P Speer Md | Clinical Faculty Department of Orthopaedic | FT | $517,931 | $58,971 | $576,902 |
| Dwayne Callwood Md | Clinical Faculty Department of Medic | - | $201,422 | $323,278 | $524,700 |
| Dwayne Callwood Md | Clinical Faculty Department of Medicine | FT | $465,180 | $58,837 | $524,017 |
| Scot Reeg Md | Clinical Faculty Department of Ortho | - | $439,962 | $78,583 | $518,545 |
| Scot Reeg Md | Clinical Faculty Department of Orthopaedic | FT | $458,362 | $58,708 | $517,070 |
| Fuad Aleskerov Md | Clinical Faculty Department of Medic | - | $321,641 | $130,552 | $452,193 |
| Fuad Aleskerov Md | Clinical Faculty Department of Medicine | FT | $401,500 | $49,669 | $451,169 |
| Paul R Newman | Part Year Chief Operating Officer | FT | $445,445 | $213,302 | $445,445 |
| Mark Miller | Clinical Faculty Department of Medic | - | $310,781 | $103,966 | $414,747 |
| Mark Miller | Clinical Faculty Department of Medicine | FT | $355,318 | $58,458 | $413,776 |
| Kathleen Cooney Md | Chair of Department of Medicine | FT | $251,177 | $621,066 | $251,177 |
| Simon Curtis | Part Year Chief Operating Officer | FT | $197,625 | $247,375 | $197,625 |
| Theodore N Pappas Md | Director | - | $39,650 | $494,003 | $39,650 |
Board Members and Trustees
| Name | Title |
|---|---|
| Craig T Albanese Md | Director/president |
| Thomas a Owens Md | Director/vice President |
| Daniel G Ennis | Director |
| Mary E Klotman Md | Director |
| Lisa M Goodlett | Part Year Treasurer |
| Robert N Willis | Part Year Treasurer |
| Laura Huffman Lockamy | Secretary |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $1,285,002,697
- Investment Income
- $0
- Other Revenue
- $1,526,691
- Change in Net Assets
- $-103,826,087
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $1,031,575,801 |
| Other Expenses | $358,779,674 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $714,019,965 | $117,858,570 | - | $831,878,535 |
| Pension Plan Contributions | $74,412,876 | $6,078,088 | - | $80,490,964 |
| Other Employee Benefits | $41,688,063 | $34,086,585 | - | $75,774,648 |
| Fees for Services Other | $48,967,951 | $1,926,940 | - | $50,894,891 |
| Occupancy | $37,625,081 | $4,844,124 | - | $42,469,205 |
| Payroll Taxes | $33,270,905 | $5,666,709 | - | $38,937,614 |
| Depreciation Depletion | $16,737,231 | $2,032,878 | - | $18,770,109 |
| Insurance | $10,529,301 | $3,438,075 | - | $13,967,376 |
| All Other Expenses | $8,364,203 | $3,786,005 | - | $12,150,208 |
| Other Expenses | $8,832,885 | $43,791,389 | - | $8,832,885 |
| Office Expenses | $4,313,332 | $2,269,994 | - | $6,583,326 |
| Current Officers, Directors, Trustees, and Key Employees | - | $4,494,040 | - | $4,494,040 |
| Information Technology | $1,885,056 | $2,070,089 | - | $3,955,145 |
| Travel | $2,886,700 | $923,673 | - | $3,810,373 |
| Conferences and Meetings | $901,873 | $1,125,764 | - | $2,027,637 |
| Interest | $769,663 | - | - | $769,663 |
| Advertising | $28,207 | $406,000 | - | $434,207 |
| Fees for Services Legal | $16,945 | $120,229 | - | $137,174 |
| Royalties | $24,217 | - | - | $24,217 |
| Total Functional Expenses | $1,106,879,076 | $283,476,399 | $0 | $1,390,355,475 |
International Activity
International Summary
- Offices
- 0
- Employees
- 0
- Spending
- $479,000
International Compliance
- Activity in boycott countries
- No
- Foreign corporation ownership
- No
- Foreign partnership interest
- No
- Interest in foreign trust
- No
- Passive foreign investment company interest
- No
- Transfers to foreign corporations
- No
International Activities
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Europe (including Iceland & Greenland) - Albania, Andorra, Austria, Belgium | Seminar | - | 0 | 0 | $238,000 |
| North America - Canada and Mexico, But Not the United States | Seminar | - | 0 | 0 | $118,000 |
| East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, | Seminar | - | 0 | 0 | $41,000 |
| Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, | Seminar | Research | 0 | 0 | $30,000 |
| Sub-saharan Africa - Angola, Benin, Botswana, Burkina Faso, | Program Services | - | 0 | 0 | $19,000 |
| Sub-saharan Africa - Angola, Benin, Botswana, Burkina Faso, | Seminar | - | 0 | 0 | $16,000 |
| Middle East and North Africa - Algeria, Bahrain, Djibouti, Egypt, | Seminar | - | 0 | 0 | $8,000 |
| South Asia - Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, | Seminar | - | 0 | 0 | $6,000 |
| South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, | Seminar | - | 0 | 0 | $3,000 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| 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
| Liability | Amount |
|---|---|
| Intercompany Payable | $28,058,404 |
| Capital Lease Obligations | $17,272,478 |
| 457 Plan Obligations | $2,465,179 |
| Operating Lease Liabilities | $388,869 |
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
“Craig t. Albanese, md, and mary klotman, md served as directors of duke university health system, inc. During fiscal year ended june 30, 2024. Craig t. Albanese, md, thomas a. Owens, md and robert n. Willis served as officers of duke university health system, inc. During fiscal year ended june 30, 2024. Lisa m. Goodlett, laura huffman lockamy were employees of duke university health system, inc. During fiscal year ended june 30, 2024. Thomas a owens, md, and robert willis served as directors and officers of health system medical strategies, inc. Thomas a. Owens, md, paul r. Newman, john h. Sampson, md, lisa m. Goodlett and robert n. Willis served as directors and officers of durham casualty company, ltd.”
Form 990, Part VI, Section A, Line 7A
“Appointment to the board of directors of duke health integrated practice, inc. Is controlled by duke university health system, inc.”
Form 990, Part VI, Section A, Line 7B
“The annual budget for duke health integrated practice, 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 health integrated practice, 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 health integrated practice, inc. Monitors and enforces compliance related to conflict of interest via duke health integrated practice, 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 health integrated practice, inc. 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 health integrated practice, 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 Health Integrated Practice Inc
- EIN
- 86-2109896
- Phone
- 9196688910
- Address
- 2200 W MAIN STREET STE 300, DURHAM, NC 27705
Signing Officer
- Name
- Lisa M Goodlett
- Title
- Treasurer
- Phone
- 9196688910
- Signed
- 2025-05-07
Organization Details
- Principal Officer
- Craig T Albanese Md
- Formed
- 2021
- Legal Domicile
- Nc
- Voting Board Members
- 5
- Independent Board Members
- 0
- Employees
- 1,811
- Volunteers
- 0
Supplemental Narrative
Additional Explanations
FORM 990, PART XI, LINE 9:
“Intercompany transfers between dhip, inc. And other entities within duhs and affiliates 200,635,974.”
Raw XML AppendixShowing 400 of 1,746 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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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 104049330 |
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| IRS990/ActivityOrMissionDesc | 0 | SEE SCHEDULE O FOR ORGANIZATION'S MISSION STATEMENTDIRECTLY PERFORM AND PROVIDE, AND/OR FACILITATE AND PROMOTE, AND EXPAND ACCESS TO, HIGH QUALITY, AFFORDABLE AND VALUE-ORIENTED CLINICAL HEALTH CARE SERVICES AND RELATED ANCILLARY SERVICES, IN FURTHERANCE OF IMPROVING THE HEALTH AND WELFARE OF THE GENERAL PUBLIC WITHIN THE DIVERSE COMMUNITIES SERVED BY DUKE. |
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| IRS990/Desc | 0 | DUKE HEALTH INTEGRATED PRACTICE, INC. (DHIP) CONTRIBUTES TO THE PERFORMANCE, FACILITATION, AND PROMOTION OF PROGRAMS OF DUKE UNIVERSITY HEALTH SYSTEM, INC. AND DUKE UNIVERSITY THROUGH THE PROVISION OF PHYSICIAN SERVICES FOR CLINICAL PURPOSES. IN ADDITION, THESE SERVICES FACILITATE AND PROMOTE ACCESS TO HIGH QUALITY, AFFORABLE AND VALUE-ORIENTED HEALTH CARE SERVICES AND RELATED ANCILLARY SERVICES. |
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| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 56373 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 74880 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 55122 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 93163 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 55759 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 48900 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 57725 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 71146 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 55844 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 50826 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 45243 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 58971 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 58837 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 58708 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 49669 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 58458 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CRAIG T ALBANESE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DANIEL G ENNIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MARY E KLOTMAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | THOMAS A OWENS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | THEODORE N PAPPAS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | LISA M GOODLETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | LAURA HUFFMAN LOCKAMY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ROBERT N WILLIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JOHN H SAMPSON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | PAUL R NEWMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | KATHLEEN COONEY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | SIMON CURTIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | KEVIN P SPEER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | DWAYNE CALLWOOD MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | SCOT REEG MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | FUAD ALESKEROV MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | MARK MILLER |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 39650 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 656250 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 445445 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 251177 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 197625 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 517931 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 465180 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 458362 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 401500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 355318 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1979770 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 1360969 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 1372322 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 1586319 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 438244 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 239922 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 735941 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 212843 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 157458 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 570240 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 202132 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR/PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR/VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PART YEAR TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | PART YEAR TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | SENIOR VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | PART YEAR CHIEF OPERATING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHAIR OF DEPARTMENT OF MEDICINE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | PART YEAR CHIEF OPERATING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CLINICAL FACULTY DEPARTMENT OF ORTHOPAEDIC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CLINICAL FACULTY DEPARTMENT OF MEDICINE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CLINICAL FACULTY DEPARTMENT OF ORTHOPAEDIC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CLINICAL FACULTY DEPARTMENT OF MEDICINE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CLINICAL FACULTY DEPARTMENT OF MEDICINE |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2021 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 1286529388 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 232 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 2070089 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 1885056 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 3955145 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 3438075 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 10529301 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 13967376 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 37304411 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 769663 |
| IRS990/InterestGrp/TotalAmt | 0 | 769663 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 8698323 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 15755201 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 0 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 61282269 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 77037470 |
| IRS990/LegalDomicileStateCd | 0 | NC |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | SEE SCHEDULE ODIRECTLY PERFORM AND PROVIDE, AND/OR FACILITATE AND PROMOTE, AND EXPAND ACCESS TO, HIGH QUALITY, AFFORDABLE AND VALUE-ORIENTED CLINICAL HEALTH CARE SERVICES AND RELATED ANCILLARY SERVICES, IN FURTHERANCE OF IMPROVING THE HEALTH AND WELFARE OF THE GENERAL PUBLIC WITHIN THE DIVERSE COMMUNITIES SERVED BY DUKE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 96809887 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 528068 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 96809887 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 4844124 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 37625081 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 42469205 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 2269994 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 4313332 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 6583326 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 0 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 388958 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 200635974 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 34086585 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 41688063 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 75774648 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | BILLING FEES |
| IRS990/OtherExpensesGrp/Desc | 2 | CORPORATE SVCS ALLOC. |
| IRS990/OtherExpensesGrp/Desc | 3 | MEDICAL COVERAGE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 48557247 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 43791389 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 101604622 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 8832885 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 101604622 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 48557247 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 43791389 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 8832885 |
| IRS990/OtherInd | 0 | X |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 48184930 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 621990 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | SUNDRY REVENUE |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 58 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 1526691 |
| IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt | 0 | 1526633 |
| IRS990/OtherRevenueTotalAmt | 0 | 1526691 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 117858570 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 714019965 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 831878535 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 5666709 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 33270905 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 38937614 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 6078088 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 74412876 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 80490964 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 136872454 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 4585729 |
| IRS990/PrincipalOfficerNm | 0 | CRAIG T ALBANESE MD |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | ANCILLARY MEDICAL SERV |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1080715417 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 202973201 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 1080715417 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 204287280 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 1314079 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 0 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 0 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/PYTotalExpensesAmt | 0 | 0 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 0 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -103826087 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 1283688676 |
| IRS990/RoyaltiesGrp/ProgramServicesAmt | 0 | 24217 |
| IRS990/RoyaltiesGrp/TotalAmt | 0 | 24217 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | ALTHOUGH EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3) AS A FACULTY PRACTICE PLAN AFFILIATED WITH DUKE UNIVERSITY'S SCHOOL OF MEDICINE, THE ORGANIZATION IS NOT, AND IS NOT REQUIRED TO BE, LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED AS A HOSPITAL IN THE STATE OF NORTH CAROLINA, AND THE PROVISION OF HOSPITAL CARE IS NOT THE PRINCIPAL FUNCTION OR PURPOSE OF THE ORGANIZATION. THEREFORE, IRC SECTION 501(R) DOES NOT APPLY AND SCHEDULE H IS NOT REQUIRED. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | SCHEDULE A, PART I, LINE 3: |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 26425236 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 4000470 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 30425706 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 34857033 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 11754731 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 46611764 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 28058404 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 1 | 17272478 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 2 | 388869 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 3 | 2465179 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | INTERCOMPANY PAYABLE |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | CAPITAL LEASE OBLIGATIONS |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 2 | OPERATING LEASE LIABILITIES |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 3 | 457 PLAN OBLIGATIONS |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 61282269 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 48184930 |
| 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 |
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