Federal contractor · DURHAM, NC
DUKE UNIVERSITY HEALTH SYSTEM, INC.
DUKE UNIVERSITY HEALTH SYSTEM, INC. received $8.5M in federal contract obligations in FY2026, on 8 awards (+16% vs FY2025). Since FY2017: $46.3M. Its largest customer was Department of Veterans Affairs ($8.1M).
- Obligations · FY2026
- $8.5M
- New awards
- 8
- Sole-source
- 99.6%
- Single offer
- 0.4%
- UEI
- C9BMGUZDFKM1
- Parent company
- BOARD OF TRUSTEE DUKE UNIV
Company family
Grouped from reported parent companies (UEI) and, where marked, AI judgments that two records name the same organization or group.
Part of the DUKE UNIVERSITY company family: 4 registered entities, $65.9M in FY2026 together. See the family
- DUKE UNIVERSITYDURHAM, NC · Family page$56.3M
- PRIVATE DIAGNOSTIC CLINIC, PLLCDURHAM, NC$1M
- DUKE UNIVERSITYDURHAM, NC$0
AI-inferred: entity-match@1 · Analisa AI · 2026-09-30
Spending by fiscal year
Obligations per federal fiscal year (October–September).
- 3.1MFY2017
- 3MFY2018
- 3.1MFY2019
- 3.8MFY2020
- 2.9MFY2021
- 3.2MFY2022
- 5MFY2023
- 6.4MFY2024
- 7.3MFY2025
- 8.5MFY2026
Top buying agencies
Obligations in FY2026.
- Department of Veterans Affairs$8.1M95%5 awards
- 3 awards
What was bought · Where the work was performed
Obligations in FY2026.
What was bought
- Health & medical$8.3M98%
- Education & social services$183.2K2.1%
- Transportation & logistics$22.5K0.3%
Where the work was performed
- Durham County, NC$8.5M99.7%
- Mecklenburg County, NC$22.5K0.3%
Integrity signals
Shares of the year's obligations, next to the country's.
- Low competition100.0%US 39% · $8.5M
- Sole-source awards99.6%US 30% · $8.5M
- Single-offer competitions0.4%US 8.7% · $30K
- Urgency justifications5.1%US 5.1% · $437K
A signal is a reason to look closer, not evidence of wrongdoing: most sole-source awards are lawful and justified.
Agencies awarding it sole-source contracts
- Department of Veterans Affairs · 1 awards
Largest awards
- Department of Veterans Affairs· Durham County, NC· Health & medical· Dec 1, 2021 – Feb 10, 2026· 36C24622C0001
- Department of Veterans Affairs· Durham County, NC· Health & medical· Mar 26, 2024 – Mar 31, 2026· 36C24624C0032
- Department of Veterans Affairs· Durham County, NC· Health & medical· Mar 31, 2026 – Mar 31, 2026· 36C24626C0027
- Federal Prison System / Bureau of Prisons· Durham County, NC· Health & medical· May 13, 2025 – Mar 6, 2026· 15B10625P00000205
- Department of Veterans Affairs· Durham County, NC· Health & medical· Jan 31, 2025 – Jul 28, 2026· 36C24625C0016
- EDUCATIONAL EXPENSES$939.6KDepartment of Veterans Affairs· Durham County, NC· Education & social services· Jun 22, 2022 – Jun 9, 2026· 36C24622C0049
- Federal Prison System / Bureau of Prisons· Mecklenburg County, NC· Transportation & logistics· May 26, 2026 – May 26, 2026· 15B10626P00000296
- Federal Prison System / Bureau of Prisons· Durham County, NC· Health & medical· May 15, 2026 – May 15, 2026· 15B10626P00000286
Federal grants & assistance received
Grants, loans (counted at their subsidy cost), direct payments and insurance, by fiscal year of the action (USAspending.gov, FABS). Reported apart from contracts and never added to them.
DUKE UNIVERSITY HEALTH SYSTEM, INC. received $0 in federal assistance in FY2026, on 0 actions (0 new awards).
- Assistance · FY2026
- $0
- New awards
- 0
- Actions
- 0
- Since FY2022
- $955.6K
Assistance by fiscal year
- 955.6KFY2022
- -0.8FY2024
Source: Federal financial assistance transactions (Financial Assistance Broker Submission) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 10, 2026, loaded Oct 10, 2026 · FY2022–FY2024.
Subawards
Matched by Unique Entity ID: the first-tier subawards this organization reported as a prime recipient, and those primes reported paying it.
As a prime: who it pays · FY2026
No subawards reported as a prime in FY2026.
As a sub-recipient: who pays it · FY2026
- Sub-grants: $13.2M (3 subawards)
2 primes
- NORTH CAROLINA DEPARTMENT OF PUBLIC$12.9M98%RALEIGH, NC · 1 subaward
- RALEIGH, NC · 2 subawards
By fiscal year
- FY2021: $0 paid out · $19.1M received
- FY2022: $0 paid out · $955.8K received
- FY2023: $0 paid out · $8.5M received
- FY2024: $0 paid out · $640.4K received
- FY2025: $0 paid out · $75K received
- FY2026: $0 paid out · $13.2M received
Primes report first-tier subawards of $30,000 or more themselves, and many go unreported (GAO-24-106214). Reporting moved from FSRS to SAM.gov in March 2025 and fewer sub-contracts have been reported since. Amounts are what primes reported; they are never added to prime award totals.
Source: Subawards (first-tier sub-contracts and sub-grants reported under FFATA) (U.S. Department of the Treasury, USAspending.gov (reports filed in SAM.gov, formerly FSRS)), data current to Oct 10, 2026, loaded Oct 10, 2026 · Subawards loaded from FY2021.
Teaming partners
Companies this company reported paying, primes that reported paying it, from FFATA subaward reports.
Companies it pays
471 companies · $611.2M reported
- CHAPEL HILL, NC · 120 subawards · Scientific research and development services
- WINSTON SALEM, NC · 29 subawards
- NASHVILLE, TN · 21 subawards
Primes that pay it
241 companies · $571.1M reported
- RALEIGH, NC · 3 subawards
- CHAPEL HILL, NC · 100 subawards · Scientific research and development services
- LOS ANGELES, CA · 28 subawards
Showing the top 3 of each list. Open the profile for potential partners and the full lists.
Primes report first-tier subawards of $30,000 or more themselves, and many go unreported (GAO-24-106214). Reporting moved from FSRS to SAM.gov in March 2025 and fewer sub-contracts have been reported since. Amounts are what primes reported; they are never added to prime award totals.
Source: Subawards (first-tier sub-contracts and sub-grants reported under FFATA) (U.S. Department of the Treasury, USAspending.gov (reports filed in SAM.gov, formerly FSRS)), data current to Oct 10, 2026, loaded Oct 10, 2026 · Subawards loaded from 2021.
Competitors
Companies that win from the same buyers in the same markets: obligations by agency and industry compared over the last three fiscal years.
Compared on 35 markets (agency × industry), FY2024–FY2026.
- TECHNICAL RESOURCES INTERNATIONAL, INC.$196.5M+5.9% in FY2026BETHESDA, MD · 65% of this company's obligations are in markets they both serveNational Institutes of Health · Scientific research and development services
- THE EMMES COMPANY, LLC$243.6M−2.6% in FY2026ROCKVILLE, MD · 64% of this company's obligations are in markets they both serveNational Institutes of Health · Scientific research and development services
- SEATTLE CHILDREN'S HOSPITAL$61.5M+2.5% in FY2026SEATTLE, WA · 31% of this company's obligations are in markets they both serveNational Institutes of Health · Scientific research and development services
Showing the top 3 of 25 competitors. Open the profile for the full list.
Who sells to the same buyers in the same markets, not who wins against whom on a given contract. Prime contract obligations by the agency and NAICS code of each award; subawards are never added. A company is a family of legal entities, joined by parent UEI or, in part, by an AI reading of names.
Source: Federal contract transactions (Federal Procurement Data System) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 10, 2026, loaded Oct 10, 2026 · FY2024–FY2026.
Lobbying and PAC activity
Organizations in House lobbying disclosures and FEC records whose names an AI judgment matched to this company. Those records carry no identifier shared with contracts, so every match is by name.
Across the company family of DUKE UNIVERSITY (4 recipients).
Matched organizations
- Duke UniversityAI match · 100%
- Duke University Health SystemAI match · 100%
- Lobbying · 2025
- $1M
- 12 reports
- Lobbying · 2023–2026
- $3M
- $3M in its own reports
Lobbying by year
- 2023$660K4 reports
- 2024$784K4 reports
- 2025$1M12 reports
- 2026$490K5 reports
Top issues
- Education18 reports
- Budget and appropriations13 reports
- Science and technology12 reports
- Taxation and the Internal Revenue Code12 reports
- Immigration8 reports
- Defense7 reports
- Health issues7 reports
- Copyright, patent and trademark3 reports
Who was contacted
- U.S. HOUSE OF REPRESENTATIVES24 reports
- U.S. SENATE24 reports
Houses of Congress and federal agencies the reports list as contacted (a report names every one for all its issues).
Lobbying firms hired
- DLA Piper LLP (US)$620K11 reports
Registrants who are individuals are counted, not named.
Lobbying amounts are the filers' own good-faith estimates on quarterly LD-2 reports (the law asks for amounts rounded to $10,000; under $5,000 need not be itemized), latest amendment only. When an organization files its own report, it replaces what outside firms report for it that quarter. Matches are by name. Lobbying and political giving are legal and public: they show engagement with government, not influence over any award. Correlation is not influence: these organizations' lobbying and their contracts are shown side by side, and nothing here implies either affected the other.
Source: Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives), data current to Oct 10, 2026, loaded Oct 10, 2026 · 2023–2026.
Source: Committees, candidates and committee contributions to candidates (Federal Election Commission), data current to Oct 10, 2026, loaded Oct 10, 2026 · 2026, 2024, 2022.
Matches: Analisa AI name judgments (entity-match@1), updated Oct 5, 2026.
Source: Federal contract transactions (Federal Procurement Data System) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 10, 2026, loaded Oct 10, 2026.