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Short-term acute care hospital · Durham, North Carolina · 1,266 beds · CMS certification number 340030

Duke University Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, amended, stamped by CMS September 25, 2026. 29 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$4.8B
$4,842,220,810 · G-3 line 3
Operating expenses
$4.6B
$4,623,529,115 · G-3 line 4
Result from patient care
$218.7M
$218,691,695 · G-3 line 5
Margin on patient care
4.5%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $669.1M in its first year on file (1997) to $4.8B in 2025.
  • Its result from patient care: −$142.4M (2023), $285.1M (2024), $218.7M (2025).
  • 3 of the 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 2.4% of its inpatient days and Medicare for 19.0%.

Every statement is drawn from figures on this page; nothing is estimated.

29 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1997
reopened
$669.1M
$709.5M
1998
settled with audit
$679.1M
$730.6M
1999
settled with audit
$689.0M
$735.9M
2000
settled with audit
$706.1M
$760.1M
2001
settled with audit
$741.9M
$752.0M
2002
reopened
$764.9M
$822.1M
2003
reopened
$813.6M
$805.4M
2004
reopened
$889.9M
$866.7M
2005
reopened
$987.9M
$938.2M
2006
reopened
$1.1B
$1.0B
2007
reopened
$1.2B
$1.1B
2008
settled with audit
$1.3B
$1.1B
2009
settled with audit
$1.3B
$1.2B
2010
settled with audit
$1.4B
$1.3B
2011
settled with audit
$1.5B
$1.4B
2012
settled with audit
$1.6B
$1.5B
2013
settled with audit
$1.7B
$1.6B
2014
reopened
$1.7B
$1.7B
2015
settled
$2.0B
$1.8B
2016
reopened
$2.1B
$1.9B
2017
settled
$2.2B
$2.0B
2018
settled
$2.3B
$2.2B
2019
settled
$2.5B
$2.3B
2020
settled
$2.5B
$2.5B
2021
amended
$2.7B
$2.7B
2022
amended
$2.8B
$2.9B
2023
amended
$3.2B
$3.3B
2024
amended
$4.0B
$3.7B
2025
amended
$4.8B
$4.6B

Beside its peers

Short-term acute care hospitals in North Carolina with 400 and over beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Duke University Hospital1,266$4,842,220,810$4,623,529,1154.5%
Carolinas Medical Center, Charlotte1,219$4,444,918,592$4,333,038,7712.5%
Novant Health Forsyth Medical Center, Winston Salem967$1,734,594,805$1,855,247,204−7.0%
North Carolina Baptist Hospital, Winston-Salem857$2,988,922,677$3,760,630,146−25.8%
ECU Health Medical Center, Greenville1,013$1,873,700,850$1,834,255,1762.1%
UNC Hospitals, Chapel Hill842$3,606,086,345$2,989,067,52217.1%

Patients and payers

Discharges
57,595
S-3 line 14, col 15
Inpatient days
416,828
S-3 line 14, col 8
Beds in use, on an average day
1145.1
days ÷ days in year
Occupancy
90.2%
days ÷ bed days
Medicare share of days
19.0%
S-3 cols 6 ÷ 8
Medicaid share of days
2.4%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: DUHS (100%), parent corp; PRMO (100%), patient billing; LABCO (100%), lab services; DUSOM (100%), part a educ; DUKE UNIVERSITY (100%), education svcs.

Type of control on its cost report: voluntary nonprofit, other.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 340030. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read September 25, 2026.