Duke Health

Duke Health is a nationally recognized academic health system headquartered in Durham, North Carolina, operating as the clinical enterprise of Duke University. It delivers advanced medical care through a network that includes Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, and numerous outpatient clinics specializing in complex conditions such as lung transplantation, pediatric lipid disorders, cancer, neurosurgery, and cardiovascular care. As a major employer in the Research Triangle region, Duke Health serves patients locally, nationally, and internationally, combining clinical excellence with cutting-edge research and medical education. Its revenue is driven by patient services, federal research grants, and philanthropic support, positioning it as a regional leader in tertiary and quaternary care. With over 10,000 employees across the system and a significant presence in Durham (where the main campus employs thousands), the organization operates at a scale that generates substantial recurring payroll-related expenses. For EBP purposes, focusing on the Durham-based clinic operations with an estimated 100-150 W-2 employees yields a conservative annual savings opportunity of $119,000 to $178,500 (100–150 employees × $1,190). The Chief Medical Officer, currently Dr. Mary E. Klotman, oversees clinical operations and would be a key decision-maker for benefits initiatives impacting physician and staff retention. Duke Health’s strong commitment to economic opportunity — exemplified by its recent $200M investment in local workforce development and community health — creates a natural alignment with EBP’s value proposition of reducing employer tax burdens while enhancing workforce stability. Implementing EBP would directly support their goals of cost efficiency and talent retention in a competitive healthcare labor market, particularly for specialized roles where recruitment and turnover are costly.