Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Virginia · Ranked 845 of 1033 by CEO pay.

Buchanan General Hospital

Robert Ruchti, CEO. Fiscal year ending 2025-06.

$311,972
CEO total compensation
Form 990 Part VII, columns D+E+F
0.12%
of expenses spent on charity care
Schedule H Part I line 7a
734.2%
CEO pay as a share of all charity care
In the most recent filing year, Robert Ruchti’s reported compensation was $311,972. The system’s charity care for the same year was $42,491. One person’s reported compensation was 7.3 times what the system gave to every patient who could not pay.

§1The filing

Total revenue
$32,838,222
Total expenses
$36,516,984
Net assets
$32,558,584
Employees
296
Hospitals covered
1 facilities across 1 filing
Charity care, net
$42,491
Bad debt
$3,933,246
Medicare surplus (shortfall), as filed
$2,010,751
CEO pay from the organization (Part VII col. D)
$263,391
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$48,581
CEO total compensation (D+E+F)
$311,972 to Robert Ruchti

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Buchanan General Hospital, EIN 54-0895648, fiscal year ending 2025-06, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$5.5M Of which charity care to patients who could not pay (line 7a)$42,491 (1%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($3.9M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Buchanan General Hospital: CEO pay $311,972, charity care 0.12% of expenses