A hospital in Durham, NC. It ran an operating surplus of 5.9% in FY25 on $4912.6M of operating revenue. It held 0 days of cash on hand (0th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 2.5% in FY21 to 5.9% in FY25, though it fell 2.7 points in the most recent year.
Operating margin · FY25
+5.9%
▼ 2.7 pts vs FY24
vs Urban PPS hospitals63rd pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
▼ 2.6 days vs FY24
vs Urban PPS hospitals0th pctl of 1,386 (FY25)
Total operating revenue · FY25
$4.91B
▲ 821.4 $M vs FY24
vs Urban PPS hospitals100th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+5.9%
▼ 2.7 pts vs FY24
vs Urban PPS hospitals49th pctl of 1,475 (FY25)
One point of operating margin at DUKE UNIVERSITY HOSPITAL is about $49.1M per year (1% of FY25 total operating revenue).
Where DUKE UNIVERSITY HOSPITAL sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 of 2,681 filed
Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalDUKE UNIVERSITYUrban PPS hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
3,156,628
4,026,979
4,842,221
Other operating revenue
76,199
64,275
70,397
Total operating revenue
3,232,827
4,091,254
4,912,618
Total operating expenses
3,298,986
3,741,917
4,623,529
Operating income
(66,159)
349,337
289,089
Operating margin %
-2.0%
+8.5%
+5.9%
Other non-operating, net
5,901
0
0
Net income
(60,258)
349,337
289,089
Net income %
-1.9%
+8.5%
+5.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24, FY25 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).
How it operates
quality & operational context · CMS public reporting
A 907-bed hospital at 91% occupancy 64% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Occupancy
90.9%
Verified fact2025
HCRIS WS S-3
Average daily census
827.07
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
907
Verified fact2025
HCRIS WS S-3
Annual discharges
57,595
Verified fact2025
HCRIS WS S-3
Average length of stay
5.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
63.7%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
12,389
Verified fact2025
HCRIS WS S-3 Pt II
How the care measures up
C. difficile infection (SIR)
0.383
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.95
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.098984
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
DURHAM County, NC
Median household income
$79.5K
vs $82.1K US · $59.7K rural median
Poverty rate
12.0%
vs 12.5% US · 14.3% rural median
Uninsured
11.6%
vs 8.6% US · 8.4% rural median
Age 65+
14.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.1% of county personal income is Medicare/Medicaid medical benefits; 15.4% arrives as government transfers (BEA, 2022).
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