Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

North Carolina · Ranked 148 of 1033 by CEO pay.

Duke University Health System

Craig T Albanese MD, Director/CEO. Fiscal year ending 2025-06.

$2.3M
CEO total compensation
Form 990 Part VII, columns D+E+F
3.10%
of expenses spent on charity care
Schedule H Part I line 7a
1.4%
CEO pay as a share of all charity care

§1The filing

Total revenue
$6,199,679,496
Total expenses
$5,435,518,219
Net assets
$5,974,941,685
Employees
27,913
Hospitals covered
4 facilities across 2 filings
Charity care, net
$168,572,983
Bad debt
$0
Medicare surplus (shortfall), as filed
($121,779,421)
CEO pay from the organization (Part VII col. D)
$2,279,485
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$59,414
CEO total compensation (D+E+F)
$2,338,899 to Craig T Albanese MD

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Duke University Health System, EIN 56-2070036, fiscal year ending 2025-06, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$339.4M Of which charity care to patients who could not pay (line 7a)$168.6M (50%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($0) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Duke University Health System Inc56-20700362025-06$6.2B$167.5M3.10%990
Duke Health Lake Norman Regional Medical Center Inc33-24763242025-06$34.6M$1.1M3.06%990

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Duke University Health System: CEO pay $2.3M, charity care 3.10% of expenses