In March 1862, because of its strategic location, the Exchange Hotel became part of the Gordonsville Receiving Hospital, admitting more than 23,000 sick and wounded in less than a year. The wounded and dying from nearby battlefields such as Cedar Mountain, Chancellorsville, Trevilian Station, Mine Run, Brandy Station, and the Wilderness were brought by the trainloads. Although this was primarily a Confederate facility, the hospital treated the wounded from both sides. Twenty-six Union soldiers died here. By war's end more than 70,000 men had been treated at the Gordonsville Receiving Hospital and just over 700 would be buried on its surrounding grounds. The scene of untold agony and death, the building survived the conflict.