{ "schemaVersion": 4, "entityId": "0006127611", "canonicalName": "DUKE RALEIGH HOSPITAL", "status": "corporate_chain", "statusLabel": "Corporate-chain ownership/accountability warning", "summary": "DUKE RALEIGH HOSPITAL has a completed North Carolina state-template dossier baseline with official identity, CMS enrollment/owner context when matched, CMS Care Compare point-in-time context when matched, HCRIS financial/utilization context when matched, and explicit limitations for missing fields. Unsupported ownership, compensation, labor, quality-trend, or causation claims are not inferred.", "lastReviewed": "2026-07-02", "review": { "reviewer": "Five-state state-template completion batch", "evidence_grade": "completed state-template official-source baseline", "confidence": "low", "source_count": 8, "ownership_source_count": 9, "identity_match_method": "No CMS enrollment match in automated pass", "publication_decision": "Publish state-template completion fields while preserving explicit unavailable/searched-not-found limitations.", "batch_id": "state-template-complete-2026-07-02-001" }, "firstGlance": { "taxOwnershipType": "Nonprofit", "operator": "Duke Health", "directPeOwnership": "Not documented as direct PE ownership in this state-template pass", "peRelationship": "No documented PE link in current baseline sources", "institutionalShareholderContext": "No public-company shareholder layer. Control context is Duke University Health System governance.", "populationServedEstimate": 0, "populationServedLabel": "Needs system/facility catchment estimate", "careLevel": "GENERAL ACUTE CARE", "currentCeo": "Craig Albanese, MD", "previousRelevantCeo": "Not identified in this automated NC pass", "confidence": "medium", "bottomLine": "DUKE RALEIGH HOSPITAL is connected to Duke Health. No public-company shareholder layer. Control context is Duke University Health System governance. Institutional shareholder names are context only and do not override facility-level ownership evidence." }, "communityImpact": { "populationServedEstimate": 0, "populationServedLabel": "Needs system/facility catchment estimate", "estimateMethod": "Not estimated in automated NC pass", "catchmentDescription": "RALEIGH, WAKE, North Carolina. Service role should be refined in manual follow-up.", "traumaCareLevel": "GENERAL ACUTE CARE", "publicFacingCaveat": "Community role is sourced from facility type and location until a deeper local-service review is completed." }, "qualityAndLaborContext": { "immediateJeopardy2026SourceStatus": "Not specifically identified in this automated NC pass", "noCausationClaim": true, "note": "No conservative CMS Care Compare match was captured for this facility in the state-template completion pass.", "sourceId": "", "cmsOverallRating": "not available", "emergencyServices": "not available", "hospitalType": "GENERAL ACUTE CARE", "careCompareOwnership": "not available" }, "leadership": [ { "name": "Craig Albanese, MD", "role": "Duke University Health System Chief Executive Officer", "context": "System-level accountability context for Duke Health records.", "imageUrl": "placeholder://official-image-unavailable", "imageAlt": "Craig Albanese, MD official image", "imageStatus": "official announcement includes an image, but direct image URL was not captured from the public HTML", "sourceId": "source-duke-health-craig-albanese" } ], "identifiers": { "ccn": "340073", "npi": "1013916352", "historicalCcns": [], "aliases": [ { "alias": "DUKE UNIVERSITY HEALTH SYSTEM, INC", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "DUKE HEALTH RALEIGH HOSPITAL", "alias_type": "cms_dba", "source_id": "source-cms-hospital-enrollments" } ] }, "ownershipHistory": [ { "relationship_id": "rel-legal-owner-0006127611", "from_entity_id": "duke-university-health-system-inc", "to_entity_id": "duke-raleigh-hospital", "relationship_type": "controls", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "high", "source_ids": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue", "plain_english_summary": "DUKE UNIVERSITY HEALTH SYSTEM, INC is the best available legal-owner or enrolled-operator layer for DUKE RALEIGH HOSPITAL.", "review_notes": "This legal-owner layer is separate from ultimate parent, public-company shareholders, and PE sponsor context." }, { "relationship_id": "rel-operator-0006127611", "from_entity_id": "duke-health", "to_entity_id": "duke-raleigh-hospital", "relationship_type": "operates", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "medium", "source_ids": "source-nc-baseline-queue|source-duke-health-craig-albanese", "plain_english_summary": "Duke Health is shown as the operator or parent-system layer for this facility.", "review_notes": "" }, { "relationship_id": "rel-ultimate-parent-0006127611", "from_entity_id": "duke-university-health-system", "to_entity_id": "duke-health", "relationship_type": "parent_company_or_controller", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "medium", "source_ids": "source-duke-health-craig-albanese|source-nc-baseline-queue", "plain_english_summary": "Duke University Health System is the best available ultimate parent, sponsor, or controller context for Duke Health.", "review_notes": "" }, { "relationship_id": "rel-state-template-operator-0006127611", "from_entity_id": "dukehealth", "to_entity_id": "0006127611", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "low", "source_ids": "source-pehw-state-template-completion-2026-07-02", "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.", "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families." }, { "relationship_id": "rel-state-template-operator-0006127611", "from_entity_id": "dukehealth", "to_entity_id": "0006127611", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "low", "source_ids": "source-pehw-state-template-completion-2026-07-02", "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.", "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families." } ], "acquisitionEvents": [], "financialAndUtilizationSeries": [ { "metric_id": "0006127611-net_patient_revenue-05-31-2024", "entity_id": "0006127611", "metric_name": "net_patient_revenue", "period_start": "07/01/2023", "period_end": "05/31/2024", "value": "637251826", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-net_patient_revenue-06-30-2023", "entity_id": "0006127611", "metric_name": "net_patient_revenue", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "682954857", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-net_patient_revenue-06-30-2022", "entity_id": "0006127611", "metric_name": "net_patient_revenue", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "623337343", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-net_patient_revenue-06-30-2021", "entity_id": "0006127611", "metric_name": "net_patient_revenue", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "564845828", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-operating_expense-05-31-2024", "entity_id": "0006127611", "metric_name": "operating_expense", "period_start": "07/01/2023", "period_end": "05/31/2024", "value": "610763811", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-operating_expense-06-30-2023", "entity_id": "0006127611", "metric_name": "operating_expense", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "657739574", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-operating_expense-06-30-2022", "entity_id": "0006127611", "metric_name": "operating_expense", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "622753800", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-operating_expense-06-30-2021", "entity_id": "0006127611", "metric_name": "operating_expense", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "539634380", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-net_income-05-31-2024", "entity_id": "0006127611", "metric_name": "net_income", "period_start": "07/01/2023", "period_end": "05/31/2024", "value": "34646908", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-net_income-06-30-2023", "entity_id": "0006127611", "metric_name": "net_income", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "51159891", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-net_income-06-30-2022", "entity_id": "0006127611", "metric_name": "net_income", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "22884721", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-net_income-06-30-2021", "entity_id": "0006127611", "metric_name": "net_income", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "59041550", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-total_assets-05-31-2024", "entity_id": "0006127611", "metric_name": "total_assets", "period_start": "07/01/2023", "period_end": "05/31/2024", "value": "443105849", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-total_assets-06-30-2023", "entity_id": "0006127611", "metric_name": "total_assets", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "443885777", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-total_assets-06-30-2022", "entity_id": "0006127611", "metric_name": "total_assets", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "450578709", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-total_assets-06-30-2021", "entity_id": "0006127611", "metric_name": "total_assets", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "457069001", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-total_liabilities-05-31-2024", "entity_id": "0006127611", "metric_name": "total_liabilities", "period_start": "07/01/2023", "period_end": "05/31/2024", "value": "79295777", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-total_liabilities-06-30-2023", "entity_id": "0006127611", "metric_name": "total_liabilities", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "74125712", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-total_liabilities-06-30-2022", "entity_id": "0006127611", "metric_name": "total_liabilities", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "110387623", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-total_liabilities-06-30-2021", "entity_id": "0006127611", "metric_name": "total_liabilities", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "134953111", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-contract_labor_direct_patient_care-05-31-2024", "entity_id": "0006127611", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2023", "period_end": "05/31/2024", "value": "3371641", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-contract_labor_direct_patient_care-06-30-2023", "entity_id": "0006127611", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "12174815", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-contract_labor_direct_patient_care-06-30-2022", "entity_id": "0006127611", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "8609345", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-contract_labor_direct_patient_care-06-30-2021", "entity_id": "0006127611", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "3558708", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-fte_employees-05-31-2024", "entity_id": "0006127611", "metric_name": "fte_employees", "period_start": "07/01/2023", "period_end": "05/31/2024", "value": "2058.99", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-fte_employees-06-30-2023", "entity_id": "0006127611", "metric_name": "fte_employees", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "1980.41", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-fte_employees-06-30-2022", "entity_id": "0006127611", "metric_name": "fte_employees", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "1950.32", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-fte_employees-06-30-2021", "entity_id": "0006127611", "metric_name": "fte_employees", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "1860.72", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-beds-05-31-2024", "entity_id": "0006127611", "metric_name": "beds", "period_start": "07/01/2023", "period_end": "05/31/2024", "value": "194", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-beds-06-30-2023", "entity_id": "0006127611", "metric_name": "beds", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "186", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-beds-06-30-2022", "entity_id": "0006127611", "metric_name": "beds", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "186", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-beds-06-30-2021", "entity_id": "0006127611", "metric_name": "beds", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "175", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-patient_days-05-31-2024", "entity_id": "0006127611", "metric_name": "patient_days", "period_start": "07/01/2023", "period_end": "05/31/2024", "value": "50063", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-patient_days-06-30-2023", "entity_id": "0006127611", "metric_name": "patient_days", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "54913", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-patient_days-06-30-2022", "entity_id": "0006127611", "metric_name": "patient_days", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "54127", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-patient_days-06-30-2021", "entity_id": "0006127611", "metric_name": "patient_days", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "51468", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-discharges-05-31-2024", "entity_id": "0006127611", "metric_name": "discharges", "period_start": "07/01/2023", "period_end": "05/31/2024", "value": "9856", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-discharges-06-30-2023", "entity_id": "0006127611", "metric_name": "discharges", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "10222", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-discharges-06-30-2022", "entity_id": "0006127611", "metric_name": "discharges", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "9386", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0006127611-discharges-06-30-2021", "entity_id": "0006127611", "metric_name": "discharges", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "9833", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" } ], "cmsOwnerRecords": [ { "organization": "GEORGE WAGONER", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "01/23/2015", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "GEORGE WAGONER", "role": "CORPORATE DIRECTOR", "association_date": "01/23/2015", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "BARBARA HENDRIX", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2018", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JACK BOVENDER", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "09/11/2013", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JACK BOVENDER", "role": "CORPORATE DIRECTOR", "association_date": "09/11/2013", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LESLIE BAINS", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "07/01/2014", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LESLIE BAINS", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2014", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SUSAN STAINECKER", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "09/11/2013", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SUSAN STAINECKER", "role": "CORPORATE DIRECTOR", "association_date": "09/11/2013", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CARMICHAEL ROBERTS", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2017", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MARY KLOTMAN", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "07/01/2012", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MARY KLOTMAN", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2012", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "STEVEN SCOTT", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "09/11/2013", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "STEVEN SCOTT", "role": "CORPORATE DIRECTOR", "association_date": "09/11/2013", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOHN SMITH", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "09/11/2013", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOHN SMITH", "role": "CORPORATE DIRECTOR", "association_date": "12/09/2005", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOHN SMITH", "role": "W-2 MANAGING EMPLOYEE", "association_date": "07/01/2005", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JAMES WHITEHURST", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "07/01/2013", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JAMES WHITEHURST", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2013", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "NANCY SCHLICHTING", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2016", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ARNOLD WASHINGTON", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2015", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "GAIL BELVETT", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2016", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WILLIAM HAWKINS", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "07/01/2014", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WILLIAM HAWKINS", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2014", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LLOYD MORGAN", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "09/11/2013", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LLOYD MORGAN", "role": "CORPORATE DIRECTOR", "association_date": "09/11/2013", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL MARSICANO", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "07/01/2014", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOHN SAMPSON", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2018", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "VINCENT PRICE", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2017", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ANN REED", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2017", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false } ], "ownershipChain": { "model": "Facility legal owner, operator, parent company, ultimate controller, PE sponsor, and institutional shareholder context are separate evidence layers.", "confidence": "medium", "nodes": [ { "id": "duke-university-health-system-inc", "label": "Duke University Health System Inc", "kind": "organization", "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue" }, { "id": "duke-raleigh-hospital", "label": "DUKE RALEIGH HOSPITAL", "kind": "hospital", "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue" }, { "id": "duke-health", "label": "Duke Health", "kind": "organization", "evidence": "source-nc-baseline-queue|source-duke-health-craig-albanese" }, { "id": "duke-university-health-system", "label": "Duke University Health System", "kind": "organization", "evidence": "source-duke-health-craig-albanese|source-nc-baseline-queue" } ], "edges": [ { "id": "rel-legal-owner-0006127611", "from": "duke-university-health-system-inc", "to": "duke-raleigh-hospital", "relationship": "controls", "confidence": "high", "sourceIds": [ "source-cms-hospital-enrollments", "source-cms-hospital-all-owners", "source-nc-baseline-queue" ], "note": "DUKE UNIVERSITY HEALTH SYSTEM, INC is the best available legal-owner or enrolled-operator layer for DUKE RALEIGH HOSPITAL." }, { "id": "rel-operator-0006127611", "from": "duke-health", "to": "duke-raleigh-hospital", "relationship": "operates", "confidence": "medium", "sourceIds": [ "source-nc-baseline-queue", "source-duke-health-craig-albanese" ], "note": "Duke Health is shown as the operator or parent-system layer for this facility." }, { "id": "rel-ultimate-parent-0006127611", "from": "duke-university-health-system", "to": "duke-health", "relationship": "parent_company_or_controller", "confidence": "medium", "sourceIds": [ "source-duke-health-craig-albanese", "source-nc-baseline-queue" ], "note": "Duke University Health System is the best available ultimate parent, sponsor, or controller context for Duke Health." } ], "caveats": [ "Institutional shareholders such as Vanguard, BlackRock, and State Street are context nodes only; they are not hospital operators unless direct control evidence is found.", "CMS owner rows identify enrolled owner/control roles but may not name every ultimate financial sponsor.", "Sibling/system affiliation does not cause a facility to inherit another hospital’s red status." ] }, "ownershipConnections": [ { "entityName": "DUKE UNIVERSITY HEALTH SYSTEM, INC", "entityKind": "Facility legal owner / enrollment layer", "relationship": "legal owner or enrolled operator", "classification": "Legal-owner layer", "evidenceSourceIds": [ "source-cms-hospital-enrollments", "source-cms-hospital-all-owners", "source-nc-baseline-queue" ], "note": "DUKE UNIVERSITY HEALTH SYSTEM, INC is shown separately from the parent system and ultimate financial/control context." }, { "entityName": "Duke Health", "entityKind": "Academic nonprofit health system", "relationship": "academic health system operator", "classification": "Operator layer", "evidenceSourceIds": [ "source-nc-baseline-queue", "source-duke-health-craig-albanese" ], "note": "This connection identifies the operating or system layer used for the public map and dossier." }, { "entityName": "Duke University Health System", "entityKind": "Ultimate parent or controller", "relationship": "ultimate parent / controller context", "classification": "Parent-company context", "evidenceSourceIds": [ "source-duke-health-craig-albanese", "source-nc-baseline-queue" ], "note": "Duke University Health System is shown as the upper control or sponsor context, while the facility-level legal-owner layer remains separate." }, { "entityName": "Institutional shareholders / governance context", "entityKind": "Shareholder or governance context", "relationship": "context only, not hospital operation", "classification": "Shareholder context", "evidenceSourceIds": [ "source-duke-health-craig-albanese" ], "note": "No public-company shareholder layer. Control context is Duke University Health System governance." } ], "importantLinks": [ { "label": "Hospitals RAPT", "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about", "sourceId": "source-hifld-hospitals", "note": "Facility location and identity source; does not establish ownership or control." }, { "label": "North Carolina hospital license data", "url": "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html", "sourceId": "source-nc-dhsr-hospital-license-data", "note": "State-level hospital licensing context for North Carolina facilities." }, { "label": "Hospital Enrollments", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "sourceId": "source-cms-hospital-enrollments", "note": "Used for legal name, DBA, CCN, NPI, enrollment identity, and location matching." }, { "label": "Hospital All Owners", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "sourceId": "source-cms-hospital-all-owners", "note": "Used for current CMS owner, officer, managerial, holding-company, investment-firm, and security-interest rows." }, { "label": "Hospital Provider Cost Reports", "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report", "sourceId": "source-cms-hcris", "note": "Financial, staffing, and utilization values; descriptive only and not causal evidence." }, { "label": "Duke names health system chief executive officer", "url": "https://corporate.dukehealth.org/news/duke-names-health-system-chief-executive-officer", "sourceId": "source-duke-health-craig-albanese", "note": "Official Duke Health announcement identifying Craig Albanese, MD, as DUHS CEO." } ], "systemConnections": [], "directConnections": [ "Legal/enrollment layer: DUKE UNIVERSITY HEALTH SYSTEM, INC.", "Operator layer: Duke Health.", "Ultimate parent/controller context: Duke University Health System.", "Shareholder/governance context: No public-company shareholder layer. Control context is Duke University Health System governance.", "Operator/owner context: Duke Health." ], "actions": [], "contradictions": [], "limitations": [ "No matching CMS Care Compare general-information row was found.", "This automated NC pass searched mandatory official/source systems and records missing items; it does not claim the entire internet was exhausted.", "No current CMS enrollment match was found by CCN or unique name/city/state match.", "No compatible HCRIS cost-report rows were matched to the resolved CCN.", "This five-state template completion pass used official cached CMS/HIFLD/PESP/HCRIS sources and records missing items; it does not claim the entire internet was exhausted." ], "unavailableFields": [ "official CEO image URL", "current CMS overall rating", "CMS Certification Number", "NPI", "source-backed local CEO/current leader", "facility-level CEO compensation amount" ], "sources": [ { "source_id": "source-hifld-hospitals", "title": "Hospitals RAPT", "publisher": "Homeland Infrastructure Foundation-Level Data", "publication_date": "current public layer", "retrieved_at": "2026-07-02", "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about", "reliability_tier": "government", "research_note": "Facility location and identity source; does not establish ownership or control.", "source_type": "public_record" }, { "source_id": "source-nc-baseline-queue", "title": "North Carolina baseline classification queue", "publisher": "PE Healthcare Watch", "publication_date": "2026-06-24", "retrieved_at": "2026-06-26", "url": "/data/releases/release-2026-06-24-nc-baseline.json", "reliability_tier": "research", "research_note": "Internal queue used to ensure every current NC map record receives a dossier package.", "source_type": "public_record" }, { "source_id": "source-nc-dhsr-hospital-license-data", "title": "North Carolina hospital license data", "publisher": "North Carolina Division of Health Service Regulation", "publication_date": "current public listing", "retrieved_at": "2026-06-26", "url": "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html", "reliability_tier": "government", "research_note": "State-level hospital licensing context for North Carolina facilities.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-enrollments", "title": "Hospital Enrollments", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "2026-05-01", "retrieved_at": "2026-06-26", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "reliability_tier": "government", "research_note": "Used for legal name, DBA, CCN, NPI, enrollment identity, and location matching.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-all-owners", "title": "Hospital All Owners", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "2026-05-01", "retrieved_at": "2026-06-26", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "reliability_tier": "government", "research_note": "Used for current CMS owner, officer, managerial, holding-company, investment-firm, and security-interest rows.", "source_type": "public_record" }, { "source_id": "source-cms-hcris", "title": "Hospital Provider Cost Reports", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "2015-2024", "retrieved_at": "2026-06-26", "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report", "reliability_tier": "government", "research_note": "Financial, staffing, and utilization values; descriptive only and not causal evidence.", "source_type": "public_record" }, { "source_id": "source-duke-health-craig-albanese", "title": "Duke names health system chief executive officer", "publisher": "Duke Health", "publication_date": "2023-02-09", "retrieved_at": "2026-06-26", "url": "https://corporate.dukehealth.org/news/duke-names-health-system-chief-executive-officer", "reliability_tier": "primary", "research_note": "Official Duke Health announcement identifying Craig Albanese, MD, as DUHS CEO.", "source_type": "public_record" }, { "source_id": "source-pehw-state-template-completion-2026-07-02", "title": "PE Healthcare Watch five-state template completion batch", "publisher": "PE Healthcare Watch", "publication_date": "2026-07-02", "retrieved_at": "2026-07-02", "url": "/data/releases/release-2026-07-02-state-template-complete-001.json", "reliability_tier": "research", "research_note": "Internal public release marker for the five-state template completion. It documents scope and limitations; it is not independent ownership evidence.", "source_type": "public_record" } ], "descriptiveTrends": [ { "metric": "net_patient_revenue", "earliestPeriod": "06/30/2021", "latestPeriod": "05/31/2024", "earliestValue": 564845828, "latestValue": 637251826, "absoluteChange": 72405998, "percentChange": 12.818718738947648, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "06/30/2021", "latestPeriod": "05/31/2024", "earliestValue": 539634380, "latestValue": 610763811, "absoluteChange": 71129431, "percentChange": 13.181041393248519, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "06/30/2021", "latestPeriod": "05/31/2024", "earliestValue": 59041550, "latestValue": 34646908, "absoluteChange": -24394642, "percentChange": -41.31775334489017, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "06/30/2021", "latestPeriod": "05/31/2024", "earliestValue": 457069001, "latestValue": 443105849, "absoluteChange": -13963152, "percentChange": -3.054933055939184, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "06/30/2021", "latestPeriod": "05/31/2024", "earliestValue": 134953111, "latestValue": 79295777, "absoluteChange": -55657334, "percentChange": -41.24197922343561, "unit": "USD" }, { "metric": "contract_labor_direct_patient_care", "earliestPeriod": "06/30/2021", "latestPeriod": "05/31/2024", "earliestValue": 3558708, "latestValue": 3371641, "absoluteChange": -187067, "percentChange": -5.256598743139364, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "06/30/2021", "latestPeriod": "05/31/2024", "earliestValue": 1860.72, "latestValue": 2058.99, "absoluteChange": 198.26999999999975, "percentChange": 10.655552689281556, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "06/30/2021", "latestPeriod": "05/31/2024", "earliestValue": 175, "latestValue": 194, "absoluteChange": 19, "percentChange": 10.857142857142858, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "06/30/2021", "latestPeriod": "05/31/2024", "earliestValue": 51468, "latestValue": 50063, "absoluteChange": -1405, "percentChange": -2.729851558249786, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "06/30/2021", "latestPeriod": "05/31/2024", "earliestValue": 9833, "latestValue": 9856, "absoluteChange": 23, "percentChange": 0.23390623410963082, "unit": "discharges" } ] }