Duke University Hospital
Durham, Durham County, NC
· CCN 340030
Licensed to Duke University Health System, Inc
Composite
26.8
rank score
Distress
0
FY2024
Fit
67
vs thesis
Estimated ticket
$108M–$216M
1,079 beds ·
within envelope
Ownership
nonprofit
STH
Why it ranks here
- rural — cheaper but limited density
- very large — likely out of range
- ticket size uses the capital envelope well
- strong occupancy — good iteration surface
- nonprofit — expect AG conversion review
Latest financials · FY2024
| Net patient revenue | $4.0B |
| Operating margin | 7.1% |
| Total margin | 8.5% |
| Days cash on hand | — |
| Current ratio | 1.95 |
| Occupancy | 90% |
Facility
| Beds | 1,079 |
| Facility type | STH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $100K |
| Per-bed (high) | $200K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 960 | $2.7B | $123M | 0.1% | 4.4% | — | 1.03 | 90% | 40,906 | 13 |
| 2022 | 1,048 | $2.8B | $41.4M | -2.7% | 1.4% | — | 1.19 | 86% | 40,515 | 29 |
| 2023 | 1,048 | $3.2B | $-60.3M | -4.5% | -1.9% | — | 1.69 | 88% | 44,871 | 30 |
| 2024 | 1,079 | $4.0B | $349M | 7.1% | 8.5% | — | 1.95 | 90% | 49,093 | 0 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Adam Silver | corporate officer | 2024-07 | ||
| Alison Toth | corporate officer | 2023-07 | ||
| Amanda Richards | corporate officer | 2024-07 | ||
| Carmichael Roberts | corporate director | 2017-07 | ||
| Denise Barnes | corporate officer | 2023-11 | ||
| Erik Paulson | corporate officer | 2020-07 | ||
| Federico Manon | corporate officer | 2022-01 | ||
| Gail Belvett | corporate officer | 2016-07 | ||
| Garheng Kong | corporate officer | 2023-07 | ||
| George Wagoner | corporate director | 2016-07 | ||
| Gerald Hassell | corporate officer | 2019-07 | ||
| Howard Francis | corporate officer | 2024-07 | ||
| John Smith | corporate director | 2004-02 | ||
| John Smith | w-2 managing employee | 2000-05 | ||
| Laurene Sperling | corporate officer | 2021-07 | ||
| Leslie Bains | corporate director | 2014-07 | ||
| Mary Klotman | corporate director | 2012-07 | ||
| Nancy Schlichting | corporate director | 2016-07 | ||
| Peter Grossi | corporate officer | 2023-07 | ||
| Thomas Lister | corporate officer | 2023-07 | ||
| Velma Bennett | corporate officer | 2023-01 | ||
| Vincent Price | corporate director | 2017-07 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.
Who has been buying in NC
Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2026-02-01 | Atrium Health Hospitals Inc | The Charlotte-Mecklenburg Hospital... | Atrium Health Lincoln | 101 |
| 2026-02-01 | Atrium Health Hospitals Inc | The Charlotte-Mecklenburg Hospital... | Atrium Health Cleveland | 308 |
| 2025-07-01 | Atrium Health Hospitals Inc | The Charlotte-Mecklenburg Hospital... | Atrium Health Stanly | 97 |
| 2025-07-01 | Atrium Health Hospitals Inc | The Charlotte-Mecklenburg Hospital... | Atrium Health Anson | 15 |
| 2025-04-01 | Duke Health Lake Norman Regional... | Mooresville Hospital Management... | Lake Norman Regional Medical Center | 123 |
| 2024-03-02 | North Carolina Baptist Hospital | Davie Medical Center | North Carolina Baptist Hospital | 813 |
| 2021-10-01 | Pitt County Memorial Hospital Inc | East Carolina Health-Beaufort Inc | Pitt County Memorial Hospital Inc | 1,013 |
| 2021-10-01 | American Healthcare Systems Llc | Randolph Hospital, Inc. | American Healthcare Systems | 145 |
| 2021-02-01 | Novant Health New Hanover Regional... | New Hanover Regional Medical Center | New Hanover Regional Medical Center | 771 |
| 2019-02-01 | Mh Mission Hospital, Lllp | Mission Hospitals Inc. | Mission Hospital Inc | 717 |
| 2019-02-01 | Mh Mission Hospital Mcdowell, Lllp | The Mcdowell Hospital Inc | The Mcdowell Hospital | 33 |
| 2019-01-01 | The Charlotte-Mecklenburg Hospital... | Mercy Hospital Inc | Atrium Health Pineville | 352 |
| 2018-01-01 | Unc Rockingham Health Care Inc | Morehead Memorial Hospital | Unc Rockingham Hospital | 108 |