Roanoke-Chowan Hospital is a hospital located in Ahoskie, North Carolina. It is a part of the ECU Health System. In the 1930s, James David Early of nearby Early's Station community was a major supporter of building a hospital in Ahoskie and committed land for the project. After his death, his son, James Bertram Early, Sr., completed the transaction donating the land. In 1948, the hospital was the first to use the Hill-Burton Act for construction. ECU Health took over management in 1997.