Halifax Regional Medical Center Inc
dba Ecu Health North Hospital ·
Roanoke Rapids, Halifax County, NC
· CCN 340151
Licensed to Halifax Regional Medical Center Inc
Composite
57.5
rank score
Distress
72
FY2023
Fit
58
vs thesis
Estimated ticket
$7.0M–$14.0M
100 beds ·
within envelope
Ownership
nonprofit
STH
Why it ranks here
- operating margin below -10%
- total margin below -8%
- under 30 days cash on hand
- occupancy 45-60%
- 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
- moderate occupancy
- nonprofit — expect AG conversion review
Latest financials · FY2023
| Net patient revenue | $86.9M |
| Operating margin | -33.0% |
| Total margin | -22.7% |
| Days cash on hand | 5 |
| Current ratio | 1.91 |
| Occupancy | 48% |
Facility
| Beds | 100 |
| 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 | 100 | $81.4M | $3.4M | -6.7% | 3.8% | 85 | 1.99 | 58% | 4,291 | 34 |
| 2021 | 100 | $87.7M | $-4.7M | -11.7% | -5.0% | 17 | 2.07 | 63% | 4,362 | 62 |
| 2022 | 100 | $86.1M | $-23.0M | -28.4% | -26.3% | 4 | 1.45 | 58% | 3,656 | 72 |
| 2023 | 100 | $86.9M | $-21.4M | -33.0% | -22.7% | 5 | 1.91 | 48% | 3,183 | 72 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Andrew Zukowski | corporate officer | 2022-12 | ||
| Angela Allen | corporate director | 2024-03 | ||
| Diane Taylor | corporate director | 2020-03 | ||
| Donald Smith | corporate officer | 2024-02 | ||
| East Carolina Health | other | 2019-06 | ||
| Ernest Evans | corporate director | 2021-03 | ||
| James H. Pierce | corporate director | 2022-09 | ||
| Jimmy F Garris | corporate director | 2020-03 | ||
| Marcus Albernaz | corporate director | 2019-06 | ||
| Michael Waldrum | corporate officer | 2019-06 | ||
| Michelle Taylor | corporate officer | 2021-10 | ||
| Ryan Hickey | w-2 managing employee | 2024-12 | ||
| Ryan Hickey | operational/managerial control | 2024-12 | ||
| University Health Systems Of Eastern Carolina, Inc. | other | 2019-06 | 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 |