Buchanan General Hospital

Nonprofit profile at a glance

EIN
540895648
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Grundy, Virginia, United States
Phone
(276) 935-1000
Rating
83
Verdict
STRONG
Rating confidence
Moderate
Sector
Hospitals

Official website

Reported finances

Revenue
$32,838,222
Expenses
$36,516,984
Assets
$38,609,884
Liabilities
$6,051,300

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

16 people listed

Executive titles in this filing

  • ROBERT RUCHTI (CEO)

Highest reported compensation

  • ERICH ERNSPIKER (PHYSICIAN): $338,605 total reported compensation
  • ROBERT RUCHTI (CEO): $311,972 total reported compensation
  • LATISHA BOWMAN (PHYSICIAN): $283,650 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Buchanan General Hospital is dedicated to providing high-quality, compassionate healthcare services to the community, with a focus on accessibility and financial assistance for those in need.

What it reported doing in 2024

General patient service care - 3,441 inpatient days, 10,364 Emergency Room visits, 27,315 outpatient visits, 845 observation patients, 47 swing bed patients, and 16,953 clinic visits. Charity care provided amounted to $231,760; the Hospital is the sole provider of acute medical and surgical services in Buchanan County, Virginia, a medically underserved area.

Operating model

Revenue model
Other-operating. 98% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 91% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - The filed numbers largely add up and a large share of available resources goes toward mission work. Expenses are high relative to revenue and assets have declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 71
  • Transparency & Controls: 96
  • Accountability: 100
  • Sustainability: 29
  • Growth: 80

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 82.7%; rating input score 83
  • Program expense ratio: 74.2%; rating input score 74
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Pass
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 72nd percentile among comparable filings
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -11.2%; rating input score 9; 9th percentile among comparable filings
  • Total-asset coverage ratio: 1.06; rating input score 38; 38th percentile among comparable filings
  • Liabilities to assets ratio: 0.16; rating input score 64; 64th percentile among comparable filings
  • Officer compensation ratio: 4.5%; rating input score 55; 55th percentile among comparable filings

Growth

  • Program expense growth: 3.5% per year; rating input score 100; 30th percentile among comparable filings
  • Revenue growth: 1.7% per year; rating input score 100; 16th percentile among comparable filings
  • Asset growth: -0.4% per year; rating input score 0; 9th percentile among comparable filings

Details

  • What they do: 4 programs and campaigns described on the official site
  • Where the money goes: 82.7% of revenue deployed · 74.2% of spending went to programs
  • Governance: 9 of 9 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $27.1M in reported program spending
  • Leadership: top reported pay $339K · 16 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 4 contractors listed · $3M reported
  • Consistency: 31 of 31 current checks pass
  • Schedules: 9 filed schedules · includes grants, executive pay, and related organizations
  • Filing history: 15 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 9 filed money-flow records
  • Related organizations: 3 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Sustainability: Operating margin scored 9/100.
  • High — Growth: Asset growth scored 0/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 38/100.
  • Review — Sustainability: Officer compensation ratio scored 55/100.