Since 1924, The Duke Endowment has worked to help people and strengthen communities in North Carolina and South Carolina by nurturing children, promoting health, educating minds and enriching spirits. The Endowment has awarded more than $4 billion in grants since its inception, including over $1.5 billion to Duke University. With assets of $3.8 billion in 2019, the Endowment is one of the nation's largest 501(c)(3) private foundations. Today, more than 80 percent of our total spending goes to grantmaking. In addition to grantmaking work in four program areas, the Endowment shares its knowledge by publishing resources for grantees and other service organizations, including information about what we're learning from our work in various publications, reports and evaluations. We also operate a fellowship program to cultivate emerging leaders in philanthropy.