Civic Intelligence

Buchanan General Hospital

EIN 54-0895648 • 501(c)3 • Grundy, VA

Profile

Provide our community with valuable, safe, efficient, and caring health care services that address the needs of the community.

1535 Slate Creek RoadGrundy, VA 24614

www.bgh.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

43rd percentile

0.16x

Higher debt load relative to assets than 43% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Liabilities / Revenue

39th percentile

0.18x

Higher debt load relative to revenue than 39% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Net Margin

15th percentile

-11%

Higher net margin than 15% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Top Officer Pay

66th percentile

$338,605

Higher top officer pay than 66% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Asset Growth

13th percentile

-5.6%

Faster asset growth than 13% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Revenue Growth

51st percentile

7.9%

Faster revenue growth than 51% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Assets

Down

$40,914,419

Down $938,175 (-2.2%) from 2023

Liabilities

Up

$4,766,638

Up $843,619 (+22%) from 2023

Net Assets

Down

$36,147,781

Down $1,781,794 (-4.7%) from 2023

Revenue

Up

$30,434,250

Up $1,658,677 (+5.8%) from 2023

Expenses

Down

$32,302,348

Down $23,156 (-0.1%) from 2023

Net Income

Up

-$1,868,098

Up $1,681,833 (+47%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2011: $43,973,620Liabilities 2011: $2,153,996Net Assets 2011: $41,819,6242011Assets 2012: $43,914,079Liabilities 2012: $2,939,081Net Assets 2012: $40,974,9982012Assets 2013: $44,683,390Liabilities 2013: $3,550,048Net Assets 2013: $41,133,3422013Assets 2014: $46,574,382Liabilities 2014: $4,162,302Net Assets 2014: $42,412,0802014Assets 2015: $46,158,352Liabilities 2015: $3,347,867Net Assets 2015: $42,810,4852015Assets 2016: $47,428,377Liabilities 2016: $3,998,199Net Assets 2016: $43,430,1782016Assets 2017: $46,416,988Liabilities 2017: $2,964,457Net Assets 2017: $43,452,5312017Assets 2018: $45,410,007Liabilities 2018: $2,377,748Net Assets 2018: $43,032,2592018Assets 2019: $44,176,854Liabilities 2019: $2,422,897Net Assets 2019: $41,753,9572019Assets 2020: $49,711,173Liabilities 2020: $11,279,923Net Assets 2020: $38,431,2502020Assets 2021: $50,778,606Liabilities 2021: $9,339,927Net Assets 2021: $41,438,6792021Assets 2022: $47,883,627Liabilities 2022: $6,231,104Net Assets 2022: $41,652,5232022Assets 2023: $41,852,594Liabilities 2023: $3,923,019Net Assets 2023: $37,929,5752023Assets 2024: $40,914,419Liabilities 2024: $4,766,638Net Assets 2024: $36,147,7812024

Highlighted filing

2024

Assets$40,914,419
Liabilities$4,766,638
Net Assets$36,147,781

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0-$10MExpenses 2011: $26,025,6552011Revenue 2012: $25,768,610Expenses 2012: $26,613,236Net Income 2012: -$844,6262012Expenses 2013: $26,055,1792013Revenue 2014: $24,144,244Expenses 2014: $23,163,087Net Income 2014: $981,1572014Revenue 2015: $24,602,971Expenses 2015: $23,407,595Net Income 2015: $1,195,3762015Revenue 2016: $25,650,236Expenses 2016: $24,284,898Net Income 2016: $1,365,3382016Revenue 2017: $30,634,054Expenses 2017: $30,611,701Net Income 2017: $22,3532017Revenue 2018: $28,706,243Expenses 2018: $29,126,515Net Income 2018: -$420,2722018Revenue 2019: $27,364,576Expenses 2019: $28,642,878Net Income 2019: -$1,278,3022019Revenue 2020: $27,281,195Expenses 2020: $30,603,902Net Income 2020: -$3,322,7072020Revenue 2021: $30,663,248Expenses 2021: $27,655,819Net Income 2021: $3,007,4292021Revenue 2022: $30,169,547Expenses 2022: $29,955,703Net Income 2022: $213,8442022Revenue 2023: $28,775,573Expenses 2023: $32,325,504Net Income 2023: -$3,549,9312023Revenue 2024: $30,434,250Expenses 2024: $32,302,348Net Income 2024: -$1,868,0982024

Highlighted filing

2024

Revenue$30,434,250
Expenses$32,302,348
Net Income-$1,868,098

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$40.9$4.77$36.1$30.4$32.3$1.87
2023Detailed filing. Detailed filing data is available for this year.$41.9$3.92$37.9$28.8$32.3$3.55
2022Detailed filing. Detailed filing data is available for this year.$47.9$6.23$41.7$30.2$30.0$0.21
2021Detailed filing. Detailed filing data is available for this year.$50.8$9.34$41.4$30.7$27.7$3.01
2020Detailed filing. Detailed filing data is available for this year.$49.7$11.3$38.4$27.3$30.6$3.32
2019Detailed filing. Detailed filing data is available for this year.$44.2$2.42$41.8$27.4$28.6$1.28
2018Detailed filing. Detailed filing data is available for this year.$45.4$2.38$43.0$28.7$29.1$0.42
2017Detailed filing. Detailed filing data is available for this year.$46.4$2.96$43.5$30.6$30.6$0.02
2016Detailed filing. Detailed filing data is available for this year.$47.4$4.00$43.4$25.7$24.3$1.37
2015Detailed filing. Detailed filing data is available for this year.$46.2$3.35$42.8$24.6$23.4$1.20
2014Detailed filing. Detailed filing data is available for this year.$46.6$4.16$42.4$24.1$23.2$0.98
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$44.7$3.55$41.1$26.1
2012Summary only. Only limited summary data is available for this year.$43.9$2.94$41.0$25.8$26.6$0.84
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$44.0$2.15$41.8$26.0
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Apr 30, 2025
Return Version
2023v6.0
Gross Receipts
$30,434,250
Mission and Program Overview

Mission

Provide our community with valuable, safe, efficient, and caring health care services that address the needs of the community.

Provide our community with valuable, safe, efficient and caring health care services that address the needs of the community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$21,971,379$26,153,481▲ $4,182,102
Land, Buildings, and Equipment, Net$8,380,798$7,498,214▼ $882,584
Accounts Receivable$1,647,832$2,068,605▲ $420,773
Cash and Non-Interest-Bearing Accounts$869,557$1,340,304▲ $470,747
Investments Other Securities$6,624,374$1,216,909▼ $5,407,465
Other Notes and Loans Receivable, Net$1,161,896$1,067,190▼ $94,706
Inventories for Sale or Use$678,302$732,315▲ $54,013
Prepaid Expenses and Deferred Charges$196,993$200,674▲ $3,681
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Program Related$0--
Loans From Officers Directors-$0-
Total Assets$41,852,594$40,914,419▼ $938,175
Other Assets Total$321,463$636,727▲ $315,264
Liabilities
Accounts Payable and Accrued Expenses$3,423,566$4,028,682▲ $605,116
Other Liabilities$499,453$737,956▲ $238,503
Total Liabilities$3,923,019$4,766,638▲ $843,619
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$37,929,575$36,147,781▼ $1,781,794
Total Net Assets Fund Balance$37,929,575$36,147,781▼ $1,781,794
Total Liabilities and Net Assets / Fund Balance$41,852,594$40,914,419▼ $938,175

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$3,807,813$35,648,307$39,456,120
Buildings$1,865,216$17,461,940$19,327,156
Leasehold Improvements$192,442$1,801,617$1,994,059
Land$1,551,547-$1,551,547
Other Land Buildings$81,196$736,744$817,940
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Robert RuchtiCEOFT$253,051$53,977$307,028
Latisha BowmanPhysicianFT$259,498$1,190$260,688
Kimetha BoydCFOFT$172,225$30,520$202,745
Charles JustusDirector of PharmacyFT$152,862$27,999$180,861
Scott PittmanSr. VP of Phy. Dev.FT$171,865$943$172,808
Jonathan WoodsPharmacistFT$137,238$11,530$148,768
David DeelPharmacistFT$135,286$1,338$136,624

Board Members and Trustees

NameTitle
Danny ElswickBoard Chairman
Brad VandykeBoard Member
David TolliverBoard Member
Philip VandykeBoard Member
Roger ColemanBoard Member
Willis SmithBoard Member
Mary Ruth SpencerBoard Secretary
Harold MusickBoard Treasurer
James W ChildressBoard Vice-Pres

Highest Paid Contractors

ContractorServicesLocationCompensation
Ohio Valley PhysiciansPhysiciansPO BOX 390, Huntington, WV 25708$2,075,715
Jackson & Coker LocumtenensPhysiciansPO BOX 277638, Atlanta, GA 30384-7638$573,720
Imbesat DaudiUrology1507 WALNUT ST, Grundy, VA 24614$455,600
LabcorpLabPO BOX 12140, Burlington, NC 27216-2140$293,662
Summit HealthCrnaPO BOX 907, Richlands, VA 24641$270,000
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$28,538,365
Investment Income
$1,367,694
Other Revenue
$528,191
Change in Net Assets
$-1,868,098

Audited Revenue Reconciliation

Revenue per Audited Statements
$28,320,248
Revenue Not Reported on Financial Statements
$2,114,002
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$2,114,002
Total Revenue per Audited Statements
$28,320,248
Total Revenue per Form 990
$30,434,250
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$16,995,847
Salaries, Compensation, and Employee Benefits$15,306,501
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,983,770$3,420,487-$11,404,257
Other Employee Benefits$1,709,275$841,881-$2,551,156
Occupancy$1,156,833$519,736-$1,676,569
Other Expenses$1,464,787$244,152-$1,464,787
All Other Expenses$813,231$495,817$0$1,309,048
Depreciation Depletion$734,352$329,926-$1,064,278
Office Expenses$497,240$497,240-$994,480
Payroll Taxes$562,311$276,959-$839,270
Current Officers, Directors, Trustees, and Key Employees-$511,818-$511,818
Insurance$197,146$101,560-$298,706
Travel$41,970$32,976-$74,946
Fees for Services Accounting$32,615$32,615-$65,230
Advertising$17,429$26,144-$43,573
Fees for Services Legal$5,138$2,767-$7,905
Total Functional Expenses$23,091,876$9,210,472$0$32,302,348

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$32,302,348
Expenses per Audited Statements$30,188,346
Total Expenses per Audited Statements$30,188,346
Expenses Not Reported on Financial Statements$2,114,002
Other Expense Adjustments$2,114,002
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Daughter of Board Member, Danny ElswickW-2 CompensationNo$77,305
-Related to board member, Kim BoydW-2 CompensationNo$63,479

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$0-
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability$636,727
Lease Payable$101,229
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B Review of form 990 by governing body

The 990 is reviewed by the CFO, the finance committee, and the full board of directors prior to submission.

Form 990, Part VI, Line 12C Conflict of interest policy

to ensure that buchanan general hospital operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews are conducted.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

The organization has an executive compensation committee who reviews executive salaries if there is a change in salary. Compensation levels are based on data regarding comparable positions in peer institutions for experienced professionals and prior performance, among other factors.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

The organization has an executive compensation committee who reviews executive salaries if there is a change in salary. Compensation levels are based on data regarding comparable positions in peer institutions for experienced professionals and prior performance, among other factors.

Form 990, Part VI, Line 19 Required documents available to the public

upon request

Filing and Contact Details

Filer

Filer Name
Buchanan General Hospital
EIN
54-0895648
Phone
2769351111
Address
1535 Slate Creek Road, Grundy, VA 24614

Signing Officer

Name
Kim Boyd
Title
CFO
Phone
2769351111
Signed
2025-04-30
Discuss with paid preparer
Yes

Organization Details

Formed
1979
Legal Domicile
Va
Voting Board Members
9
Independent Board Members
9
Employees
285
Volunteers
1

Preparer

Firm
Forvis Mazars LLP
Address
500 Ridgefield Court, Asheville, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Intercompany Transactions - 86304;

Form 990, Part XII, Line 2C

The process of financial statement review and oversight has not changed from the prior year.

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

BGH and BHC are exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code; accordingly, the accompanying consolidated financial statements do not reflect a provision or liability for federal and state income taxes. TSC is a taxable entity as a S-Corporation and generates unrelated business income for BGH. TSC files separate federal and state tax returns, and the taxable amounts are not significant to the consolidated financial statements for the years ended June 30, 2024 and 2023.

Schedule D, Part XI, Line 4(B) Other revenues in form 990 not in audited financial statements

Bad Debt Expense - 2114002

Schedule D, Part XII, Line 4(B) Other expenses in form 990 not in audited financial statements

Bad Debt Expense - 2114002

Raw XML AppendixShowing 400 of 901 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm1Harold Musick
IRS990/Form990PartVIISectionAGrp/PersonNm2James W Childress
IRS990/Form990PartVIISectionAGrp/PersonNm3Mary Ruth Spencer
IRS990/Form990PartVIISectionAGrp/PersonNm4Brad Vandyke
IRS990/Form990PartVIISectionAGrp/PersonNm5David Tolliver
IRS990/Form990PartVIISectionAGrp/PersonNm6Philip Vandyke
IRS990/Form990PartVIISectionAGrp/PersonNm7Roger Coleman
IRS990/Form990PartVIISectionAGrp/PersonNm8Willis Smith
IRS990/Form990PartVIISectionAGrp/PersonNm9KIMETHA BOYD
IRS990/Form990PartVIISectionAGrp/PersonNm10ROBERT RUCHTI
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IRS990/Form990PartVIISectionAGrp/PersonNm15SCOTT PITTMAN
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IRS990/Form990PartVIISectionAGrp/TitleTxt13PHARMACIST
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