A hospital in Durham, NC. It ran an operating loss of 1.7% in FY25 on $549.4M of operating revenue. It held 0 days of cash on hand (0th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -6.1% in FY21 to -1.7% in FY25.
Operating margin · FY25
-1.7%
▲ 4.5 pts vs FY24
vs Urban PPS hospitals40th pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
▬ 0.0 days vs FY24
vs Urban PPS hospitals0th pctl of 1,386 (FY25)
Total operating revenue · FY25
$549.4M
▲ 43.4 $M vs FY24
vs Urban PPS hospitals73rd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-1.7%
▲ 4.5 pts vs FY24
vs Urban PPS hospitals22nd pctl of 1,475 (FY25)
One point of operating margin at DUKE REGIONAL HOSPITAL is about $5.5M per year (1% of FY25 total operating revenue).
Where DUKE REGIONAL 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 REGIONALUrban 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
420,999
498,741
540,517
Other operating revenue
9,398
7,260
8,908
Total operating revenue
430,398
506,001
549,424
Total operating expenses
504,493
537,284
558,696
Operating income
(74,096)
(31,283)
(9,271)
Operating margin %
-17.2%
-6.2%
-1.7%
Other non-operating, net
1,149
0
0
Net income
(72,947)
(31,283)
(9,271)
Net income %
-16.9%
-6.2%
-1.7%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
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 279-bed hospital at 69% occupancy 60% 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
68.6%
Verified fact2025
HCRIS WS S-3
Average daily census
191.90
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
279
Verified fact2025
HCRIS WS S-3
Annual discharges
16,049
Verified fact2025
HCRIS WS S-3
Average length of stay
4.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
60.3%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
2,094
Verified fact2025
HCRIS WS S-3 Pt II
How the care measures up
C. difficile infection (SIR)
0.101
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.89
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.979887
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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