Duke is a senior financial executive with over 35 years of experience in healthcare, manufacturing and service industries, with key experience in collateral and mergers and acquisitions due diligence, public offerings, debt and equity structuring and operational management. Prior to joining BY&S in 2009 he has spent 15 years in various roles in the healthcare industry including roles as consultant for healthcare due diligence, Corporate Treasury for an $800MM physician staffing company, CFO of healthcare startup companies and CFO of a company that managed risk plans for physician organizations.

Duke is a Certified Public Accountant and holds a BS in Accounting from Wake Forest University and a MBA from the Fuqua School of Business at Duke University. He is a member of the American Institute of Certified Public Accountants and North Carolina Association of Certified Public Accountants.