dealflow
envelope $200M

← Targets

Duke Raleigh Hospital

Raleigh, Wake County, NC · CCN 340073

Composite
33.0
rank score
Distress
8
FY2024
Fit
74
vs thesis
Estimated ticket
$97.0M–$388M
194 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • margin deteriorating
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size at the top of the envelope — would need leverage
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$637M
Operating margin 4.2%
Total margin 5.4%
Days cash on hand
Current ratio 1.53
Occupancy77%

Facility

Beds194
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 175 $565M $59.0M 4.5% 9.9% 0.68 81% 9,833 17
2022 186 $623M $22.9M 0.1% 3.5% 0.86 80% 9,386 20
2023 186 $683M $51.2M 3.7% 7.2% 1.36 81% 10,222 4
2024 194 $637M $34.6M 4.2% 5.4% 1.53 77% 9,856 8

Owners

No ownership records — CMS has no owner filings mapped to this CCN.

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.

DateBuyerSellerHospitalBeds
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