Competitive Intelligence — DUKE UNIVERSITY HOSPITAL
CCN 340030 | NC | 1048 beds | Nat'l margin P51 | 9 gaps to P75
🛡️ Public data only — no PHI permitted on this instance.
$3.16B
Net Revenue
-4.5%
Margin (P51)
1048
Beds
6,123
National Universe
4
Peer Groups
Percentile Rankings — All Metrics
Percentile rank across 4 peer groups. Bar shows position: left = bottom of peers, right = top. Green = favorable direction, red = unfavorable. Direction: ▲ higher is better, ▼ lower is better, ▶ neutral.
Data: CMS HCRIS FY2022 | 6,123 hospitals with complete financials
| Metric | Value | National (n=6,122) | NC State (n=128) | Size-Matched (n=242) | NC Size-Matched (n=11) | Direction |
|---|---|---|---|---|---|---|
| Net Patient Revenue | $3.16B | P100 | P100 | P93 | P100 | ▲ higher |
| Operating Margin | -4.5% | P51 | P39 | P50 | P46 | ▲ higher |
| Bed Count | 1,048 | P100 | P99 | P89 | P91 | ▶ neutral |
| Revenue per Bed | $3.0M | P91 | P92 | P83 | P91 | ▲ higher |
| Occupancy Rate | 87.9% | P94 | P92 | P80 | P73 | ▲ higher |
| Net-to-Gross Ratio | 31.4% | P46 | P60 | P76 | P82 | ▲ higher |
| Expense per Bed | $3.1M | P92 | P93 | P79 | P100 | ▼ lower |
| Medicare Day % | 20.0% | P24 | P25 | P45 | P64 | ▶ neutral |
| Medicaid Day % | 6.1% | P56 | P62 | P42 | P27 | ▶ neutral |
| Commercial Payer % | 73.9% | P78 | P73 | P65 | P46 | ▲ higher |
| Payer Diversity Index | 0.410 | P30 | P26 | P36 | P46 | ▲ higher |
| Total Patient Days | 336,140 | P100 | P99 | P92 | P91 | ▲ higher |
Value Creation Gaps — Path to P75
Metrics where the target trails size-matched P75 peers. Each gap represents quantifiable value creation opportunity. Estimated EBITDA impact assumes linear improvement proportional to revenue.
| Metric | Current | P75 Target | Gap | Percentile | Est. Impact |
|---|---|---|---|---|---|
| Expense per Bed | $3.1M | $2.9M | -$1.7M | P79 | ~$176.3M |
| Expense per Bed | $3.1M | $2.6M | -$1.5M | P100 | ~$159.7M |
| Operating Margin | -4.5% | 4.3% | +8.8% | P50 | ~$277.9M |
| Payer Diversity Index | 0.410 | 0.497 | +0.087 | P36 | — |
| Payer Diversity Index | 0.410 | 0.465 | +0.055 | P46 | — |
| Operating Margin | -4.5% | -0.2% | +4.3% | P46 | ~$135.6M |
| Commercial Payer % | 73.9% | 76.1% | +2.2% | P65 | ~$68.4M |
| Commercial Payer % | 73.9% | 75.4% | +1.5% | P46 | ~$46.6M |
| Occupancy Rate | 87.9% | 88.3% | +0.4% | P73 | ~$13.0M |
Top Size-Matched Peers
524–2096 beds, ranked by revenue. Click any peer for full profile.
| Hospital | State | Beds | Revenue | Margin | Medicare |
|---|---|---|---|---|---|
| DUKE UNIVERSITY HOSPITAL (Target) | NC | 1048 | $3.16B | -4.5% | 20% |
| ST. LUKES HOSPITAL | PA | 633 | $8.94B | 87.9% | 27% |
| NYU LANGONE HOSPITALS | NY | 1618 | $7.24B | -7.8% | 28% |
| STANFORD HEALTH CARE | CA | 657 | $6.76B | 3.7% | 34% |
| CLEVELAND CLINIC HOSPITAL | OH | 1326 | $6.38B | -17.7% | 22% |
| VANDERBILT UNIVERSITY MEDICAL | TN | 1084 | $5.44B | -15.9% | 16% |
| UCSF MEDICAL CENTER | CA | 834 | $5.44B | -5.4% | 25% |
| UT MD ANDERSON CANCER CENTER | TX | 721 | $4.90B | -0.8% | 32% |
| UNIV OF MI HOSPITALS & HLTH CT | MI | 951 | $4.62B | -1.4% | 18% |
| CEDARS-SINAI MEDICAL CENTER | CA | 908 | $3.92B | -5.5% | 38% |
| INDIANA UNIVERSITY HEALTH | IN | 1269 | $3.58B | -38.4% | 16% |