East Carolina Health
dba Ecu Health Roanoke Chowan Hospital ·
Ahoskie, Hertford County, NC
· CCN 340099
Licensed to East Carolina Health
Composite
57.8
rank score
Distress
70
FY2023
Fit
61
vs thesis
Estimated ticket
$3.6M–$7.3M
52 beds ·
within envelope
Ownership
nonprofit
STH
Why it ranks here
- operating margin below -10%
- total margin below -8%
- under 30 days cash on hand
- margin deteriorating sharply
- part of a multi-hospital chain — divestiture candidate
- rural — cheaper but limited density
- bed count in the target band
- very small ticket — sub-scale as a platform asset
- strong occupancy — good iteration surface
- nonprofit — expect AG conversion review
Latest financials · FY2023
| Net patient revenue | $84.1M |
| Operating margin | -10.8% |
| Total margin | -9.0% |
| Days cash on hand | 11 |
| Current ratio | 2.09 |
| Occupancy | 78% |
Facility
| Beds | 52 |
| Facility type | STH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $70.0K |
| Per-bed (high) | $140K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 70 | $85.8M | $5.1M | -2.6% | 5.5% | 36 | 1.52 | 55% | 2,922 | 34 |
| 2021 | 70 | $92.1M | $5.4M | -0.6% | 5.5% | 24 | 2.85 | 59% | 2,804 | 40 |
| 2022 | 70 | $88.5M | $-9.8M | -12.2% | -10.9% | 9 | 2.45 | 58% | 2,768 | 69 |
| 2023 | 52 | $84.1M | $-7.7M | -10.8% | -9.0% | 11 | 2.09 | 78% | 2,448 | 70 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Andrew Zukowski | corporate officer | 2022-12 | ||
| Angela Allen | corporate director | 2024-03 | ||
| Brian Harvill | corporate officer | 2023-09 | ||
| Diane Taylor | corporate director | 2020-03 | ||
| Donald Smith | corporate officer | 2024-02 | ||
| Ernest Evans | corporate director | 2021-03 | ||
| James H. Pierce | corporate director | 2022-09 | ||
| Jimmy F Garris | corporate director | 2020-03 | ||
| Marcus Albernaz | corporate director | 2012-04 | ||
| Michael Waldrum | corporate officer | 2015-06 | ||
| Michelle Taylor | corporate officer | 2021-10 | ||
| Michelle Taylor | w-2 managing employee | 2021-10 | ||
| University Health Systems Of Eastern Carolina, Inc. | other | 1998-11 | chain |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.
Who has been buying in NC
Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2026-02-01 | Atrium Health Hospitals Inc | The Charlotte-Mecklenburg Hospital... | Atrium Health Lincoln | 101 |
| 2026-02-01 | Atrium Health Hospitals Inc | The Charlotte-Mecklenburg Hospital... | Atrium Health Cleveland | 308 |
| 2025-07-01 | Atrium Health Hospitals Inc | The Charlotte-Mecklenburg Hospital... | Atrium Health Stanly | 97 |
| 2025-07-01 | Atrium Health Hospitals Inc | The Charlotte-Mecklenburg Hospital... | Atrium Health Anson | 15 |
| 2025-04-01 | Duke Health Lake Norman Regional... | Mooresville Hospital Management... | Lake Norman Regional Medical Center | 123 |
| 2024-03-02 | North Carolina Baptist Hospital | Davie Medical Center | North Carolina Baptist Hospital | 813 |
| 2021-10-01 | Pitt County Memorial Hospital Inc | East Carolina Health-Beaufort Inc | Pitt County Memorial Hospital Inc | 1,013 |
| 2021-10-01 | American Healthcare Systems Llc | Randolph Hospital, Inc. | American Healthcare Systems | 145 |
| 2021-02-01 | Novant Health New Hanover Regional... | New Hanover Regional Medical Center | New Hanover Regional Medical Center | 771 |
| 2019-02-01 | Mh Mission Hospital, Lllp | Mission Hospitals Inc. | Mission Hospital Inc | 717 |
| 2019-02-01 | Mh Mission Hospital Mcdowell, Lllp | The Mcdowell Hospital Inc | The Mcdowell Hospital | 33 |
| 2019-01-01 | The Charlotte-Mecklenburg Hospital... | Mercy Hospital Inc | Atrium Health Pineville | 352 |
| 2018-01-01 | Unc Rockingham Health Care Inc | Morehead Memorial Hospital | Unc Rockingham Hospital | 108 |