2025-05-15T10:23:28-05:00 2024-06-30 350921680 CROWE LLP 4801 OLYMPIA PARK PLAZA STE 4000 LOUISVILLE KY 402412098 990 2023-07-01 231352181 GRAND VIEW HOSPITAL GRAN 2154534000 700 LAWN AVENUE SELLERSVILLE PA 18960 ARTHUR ANDERSON VICE PRESIDENT/CFO 2154534000 2025-05-15 1 0 RACHEL SPURLOCK P00520729 5023263996 2025-05-15 2023 2025-03-06 01:10:19Z GRAND VIEW HEALTH DOUGLAS HUGHES 700 LAWN AVENUE SELLERSVILLE PA 18960 283006054 0 X WWW.GVH.ORG X 1916 PA LEADING OUR COMMUNITY TO A HEALTHIER FUTURE. 11 11 2354 130 37097 33796 13188117 9760000 228461059 256040863 2851303 5787837 5495995 11381636 249996474 282970336 0 0 0 0 154076962 173896451 0 0 0 135729951 156208265 289806913 330104716 -39810439 -47134380 515948245 455424531 379445449 364121981 136502796 91302550 X GRAND VIEW HOSPITAL PROVIDES A FULL RANGE OF MEDICAL, SURGICAL, MATERNITY AND OTHER ANCILLARY SERVICES IN A QUALITY HEALTH CARE SETTING TO MEET THE PRIMARY HEALTH NEEDS OF THE COMMUNITIES WE SERVICE IN BUCKS AND MONTGOMERY COUNTIES. 0 0 309580212 0 256040863 GRAND VIEW HEALTH'S MISSION, VISION AND VALUES STATEMENT REFLECTS OUR DEDICATION TO SERVING OUR COMMUNITY. OUR CREDO "LEADING OUR COMMUNITY TO A HEALTHIER FUTURE" IS ONE THAT IS TIGHTLY WOVEN INTO EVERYTHING WE DO, EVERY DAY.OUR BOARD OF TRUSTEES, LEADERSHIP AND CLINICAL CARE TEAM EMBRACE THESE WORDS AND SHARE THIS PHILOSOPHY THROUGHOUT THE HEALTH SYSTEM. IT IS INCORPORATED INTO OUR CULTURE THROUGH EMPLOYEE TRAINING, EDUCATION AND THROUGH OUR NEW-EMPLOYEE ORIENTATION PROGRAM. FOUNDED IN 1913, GRAND VIEW HEALTH HAS EVOLVED, GROWING IN SIZE, SERVICES AND CLINICAL ACUMEN TO BETTER SERVE OUR COMMUNITY. MORE THAN A HOSPITAL, GRAND VIEW HEALTH IS AN INDEPENDENT COMMUNITY HEALTH SYSTEM THAT CONTINUES TO COMPASSIONATELY SERVE GENERATIONS OF BUCKS AND MONTGOMERY COUNTY RESIDENTS THROUGH EVERY STAGE OF LIFE. IN APRIL 2023, THE PAVILION AT GRAND VIEW HEALTH OPENED ON THE SELLERSVILLE CAMPUS. THE 190,000-SQUARE-FOOT, $198 MILLION HOSPITAL EXPANSION PROJECT INCLUDES 10 NEW OPERATING ROOMS, 52 PRIVATE PATIENT ROOMS, AND A NEW EMERGENCY DEPARTMENT EQUIPPED WITH 32 TREATMENT ROOMS INCLUDING TWO TRAUMA BAYS TO SUPPORT OUR LEVEL II TRAUMA CENTER. THE CENTER WAS MOST RECENTLY RE-ACCREDITED FOR THREE YEARS IN SEPTEMBER 2024. THE PAVILION REPRESENTS A SIGNIFICANT UPGRADE TO HOSPITAL FACILITIES, MAKING IT POSSIBLE TO SUPPORT GRAND VIEW HEALTH'S HIGH-QUALITY PROGRAMS WITH THE LATEST TECHNOLOGIES INCLUDING TWO DA VINCIXI SURGICAL SUITES, TWO MAKO ROBOTIC ARM-ASSISTED SURGERY SYSTEM PLATFORMS FOR JOINT REPLACEMENT SURGERY, A WIDE-BORE MRI, TWO CT SCANNERS AND TWO HYBRID OPERATING ROOMS. A ROOFTOP HELIPAD FACILITATES TRANSFERS TO AND FROM GRAND VIEW HOSPITAL.THE HOSPITAL HAS 207 LICENSED BEDS. PLANS ARE UNDERWAY TO REPURPOSE SPACE IN THE LEGACY HOSPITAL, CALLED THE WEST BUILDING, TO FURTHER ENHANCE DIAGNOSTIC IMAGING, ONCOLOGY AND OTHER SERVICES.GRAND VIEW HEALTH OFFERS A RANGE OF OUTPATIENT SERVICES AT FIVE CONVENIENT LOCATIONS: DUBLIN, HARLEYSVILLE, PENNSBURG, SELLERSVILLE, LANSDALE, AND QUAKERTOWN. ADDITIONALLY, WE OFFER POST-ACUTE CARE SERVICES INCLUDING GRAND VIEW HOME CARE, GRAND VIEW HOSPICE, GRAND VIEW PALLIATIVE CARE AND GRAND VIEW MEDICAL COMPANY. WE OPERATE URGENT CARE FACILITIES IN KULPSVILLE AND QUAKERTOWN. GRAND VIEW ALSO OPERATES MEDIC 151, A STATE-CERTIFIED, LICENSED PROVIDER OF ROUTING AND EMERGENCY MEDICAL TRANSPORT SERVICES. THE COMPANY PROVIDES BASIC LIFE SUPPORT (BLS) AND ADVANCED LIFE SUPPORT (ALS) EMERGENCY SERVICES. IN 2024, GRAND VIEW RECEIVED NATIONAL RECOGNITION FOR SAFETY AND QUALITY, ACHIEVING AN "A" GRADE FROM LEAPFROG FOR SAFETY, AND "FIVE-STARS" FOR QUALITY FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.WITH NEARLY 400 AFFILIATED AND INDEPENDENT PHYSICIANS IN 45 SPECIALTIES ON ITS MEDICAL STAFF, GRAND VIEW HEALTH OFFERS EXPERTISE IN FAMILY MEDICINE, WOMEN'S HEALTH, PEDIATRICS, INFECTIOUS DISEASE, CARDIOLOGY, ORTHOPEDICS, GASTROENTEROLOGY, NEUROSURGERY, AND OTHER SPECIALTY AREAS. MORE THAN 170 PHYSICIANS ARE EMPLOYED BY GRAND VIEW HEALTH, INCLUDING THE STAFF OF OUR MEDICAL PRACTICES. GRAND VIEW HEALTH HAS NEARLY 2,100 EMPLOYEES AND SUPPORTS A DIVERSE WORK CULTURE.GRAND VIEW COMMUNICATES NEW SERVICES THROUGH OUR WEBSITE-GVH.ORG, AN ANNUAL MEETING, THROUGH PATIENT EMAILS AND CLASSES AND HEALTH VIEW INFORMATION AND CLASS CATALOG MAILINGS, WHICH ARE DISTRIBUTED THREE TIMES A YEAR TO NEARLY 125,000 HOUSEHOLDS IN OUR PRIMARY AND SECONDARY SERVICE AREAS. OUR SERVICES AND EVENTS ARE PROMOTED THROUGH SOCIAL MEDIA AND OTHER DIGITAL AND TRADITIONAL ADVERTISING CHANNELS.THE GRAND VIEW CONNECTION LINE PROVIDES CALLERS IN THE COMMUNITY WITH PHYSICIAN REFERRAL RECOMMENDATIONS, COMMUNITY HEALTH CLASS ENROLLMENTS AND HOSPITAL SERVICE LINE INFORMATION. THIS SERVICE IS FOR INDIVIDUALS SEEKING INFORMATION ABOUT OR A REFERRAL TO A GRAND VIEW HEALTH PHYSICIAN OR INFORMATION ABOUT OTHER PROGRAMS OFFERED THROUGH THE HOSPITAL. PATIENTS ALSO HAVE ACCESS TO A PATIENT PORTAL, MYGVH.ORG, TO MANAGE HEALTH INFORMATION. TO PROVIDE QUALITY HEALTH EDUCATION TO THE COMMUNITY, GRAND VIEW HEALTH HOSTS HEALTH EDUCATION WEBINARS AND SUPPORT GROUPS. TOPICS RANGE FROM ORTHOPAEDICS AND CARDIOVASCULAR HEALTH TO CHILDBIRTH AND WOMEN'S HEALTH. PARTICIPANTS OF ALL AGES, GENDERS, AND ETHNICITIES ARE ENCOURAGED TO ATTEND.GRAND VIEW ALSO PARTICIPATES IN HEALTH FAIRS, SENIOR EXPOS, AND COMMUNITY EVENTS. MEMBERS OF OUR STAFF PRESENT A VARIETY OF HEALTH AND WELL-BEING EDUCATION, INCLUDING FREE SCREENINGS, BLOOD DRIVES, STOP THE BLEED PRESENTATIONS, FALL RISK EDUCATION AND SMOKING CESSATION PROGRAMS. GUESTS CAN ALSO SPEAK WITH PHYSICAL THERAPISTS, ORTHOPEDIC, GENERAL AND TRAUMA SURGEONS AND OTHER RELATED CLINICIANS.TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY IT SERVES, AND TO MEET REQUIREMENTS OF THE AFFORDABLE CARE ACT (ACA), GRAND VIEW HEALTH IS PART OF PA (SEPA) REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), WITH A SPECIFIC FOCUS ON BUCKS, CHESTER, MONTGOMERY, AND PHILADELPHIA COUNTIES. THE COLLABORATIVE, COMMUNITY-ENGAGED APPROACH INVOLVED COLLECTING AND ANALYZING QUANTITATIVE AND QUALITATIVE DATA FROM A VARIETY OF SOURCES TO COMPREHENSIVELY ASSESS THE HEALTH STATUS OF THE REGION. THIS DATA PROVIDES A DETAILED LOOK AT THE SPECIFIC HEALTH CHALLENGES THAT FACE OUR COMMUNITY AND ENABLES US PRIORITIZE OUTREACH, PREVENTION, EDUCATION AND ADDITIONAL HEALTHCARE SERVICES TO MEET OUR COMMUNITIES' MOST PRESSING HEALTH NEEDS. SEVERAL AREAS IDENTIFIED INCLUDED SUBSTANCE/OPIOID USE AND ABUSE, BEHAVIORAL HEALTH DIAGNOSIS AND TREATMENT AND ACCESS TO AFFORDABLE PRIMARY/PREVENTIVE CARE.OUR JOINT REPLACEMENT CENTER OFFERS EXPERIENCED ORTHOPEDIC SURGEONS WHO PROVIDE COMPREHENSIVE JOINT REPLACEMENT SERVICES FOR HIP, KNEE, HAND, WRIST, SHOULDER, ELBOW, AND ANKLE. PATIENTS RECOVER IN A DESIGNATED UNIT OF THE HOSPITAL AND ALL ROOMS ARE PRIVATE. ADVANCED JOINT REPLACEMENT ROBOT-ASSISTED TECHNOLOGIES OFTEN RESULT IN QUICKER RECOVERIES AND SHORTER HOSPITAL STAYS. INCREASINGLY, PATIENTS RETURN HOME THE SAME DAY THAT THEY HAVE SURGERY.GRAND VIEW HEALTH PROVIDES HIGH-QUALITY, COMPASSIONATE SURGICAL CARE FOR ADULTS AND CHILDREN.WE OFFER OUR PATIENTS CONVENIENT PARKING, A SURGICAL SHORT-STAY UNIT AND DIAGNOSTIC TESTING LOCATIONS THROUGHOUT THE COMMUNITY. OUR HIGHLY EXPERIENCED SURGEONS AND SURGICAL STAFF PROVIDE HANDS-ON CARE USING LEADING-EDGE TECHNOLOGIES AND TECHNIQUES, DESIGNED FOR THE BEST POSSIBLE OUTCOMES. IN ADDITION TO GENERAL SURGERY, SURGICAL SPECIALTIES INCLUDE NEUROSURGERY, COLORECTAL, GYNECOLOGY/UROGYNECOLOGY, PLASTIC & RECONSTRUCTIVE SURGERY, PODIATRY, OPHTHALMOLOGY, OTOLARYNGOLOGY, UROLOGY, SURGICAL ONCOLOGY AS WELL AS VASCULAR AND ENDOVASCULAR OPTIONS.OTHER SIGNIFICANT SERVICES INCLUDE CARDIOLOGY MEDICAL AND INTERVENTIONAL, A 24/7 CARDIAC CATHETERIZATION LAB, VASCULAR SERVICES SURGICAL AND NON-SURGICAL INTERVENTIONS, NEUROLOGY STROKE PREVENTION AND MANAGEMENT AND ACUTE REHAB SERVICES. CANCER SERVICES INCLUDE INPATIENT AND OUTPATIENT CANCER CARE AS WELL AS BREAST SURGERY, SURGICAL ONCOLOGY, GENETIC TESTING, AND INTERVENTIONAL PULMONOLOGY.GRAND VIEW HEALTH PROVIDES FULL SERVICES FOR WOMEN AND CHILDREN INCLUDING MATERNITY, NEONATOLOGY AND INPATIENT PEDIATRICS AND EMERGENCY SERVICES. GRAND VIEW HOSPITAL IS AFFILIATED WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA AND PART OF THE CHOP CARE NETWORK.GRAND VIEW HEALTH OFFERS COMPREHENSIVE NUTRITION COUNSELLING SERVICES IN WHICH OUR TEAM WORKS ONE-ON-ONE WITH PATIENTS TO TAILOR PERSONAL NUTRITIONAL GOALS DESIGNED TO IMPROVE OVERALL HEALTH. OUR TEAM OF REGISTERED DIETICIANS AND CERTIFIED DIABETES EDUCATORS ALSO OFFER A DIABETES SELF-MANAGEMENT TRAINING PROGRAM FOR ANYONE WITH DIABETES OR PRE-DIABETES. THE PROGRAM IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION (ADA). 309580212 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 1 200 0 1 2354 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 1 1 1 1 PA X ARTHUR ANDERSON 2154534000 700 LAWN AVENUE SELLERSVILLE PA 18960 ROBERT G LOUGHERY CHAIR 4.00 0.00 X X 0 0 0 MARC D FREEMAN MD VICE CHAIR (BEGIN OCT 2023) 4.00 0.00 X X 0 0 0 BLAIR T RUSH TREASURER 4.00 0.00 X X 0 0 0 JUDITH D OTT MSW SECRETARY 4.00 0.00 X X 0 0 0 ROBERT W PRITCHARD JD CPA TRUSTEE/ (VICE CHAIR THRU SEPT 2023) 4.00 0.00 X 0 0 0 SANDFORD ALDERFER TRUSTEE 4.00 0.00 X 0 0 0 ELAINE S A BLUE MD TRUSTEE 4.00 0.00 X 0 0 0 PHILIP JACKSON TRUSTEE 4.00 0.00 X 0 0 0 JEFFREY K LANDIS ESQ TRUSTEE 4.00 0.00 X 0 0 0 MARY M MCCARTNEY RN TRUSTEE 4.00 0.00 X 0 0 0 MARK A SCHLOSSER TRUSTEE 4.00 0.00 X 0 0 0 DOUGLAS HUGHES RN MBA FACHE CHIEF EXECUTIVE OFFICER 60.00 0.00 X 686083 0 45894 J MARK HORNE SR. VP, AMBULATORY/COO 60.00 0.00 X 471730 0 38915 ARTHUR ANDERSON CFO 60.00 0.00 X 421249 0 39565 MICHAEL PRASTO CMO 40.00 0.00 X 401050 0 13067 JANE D LOVELESS VP, CIO 40.00 0.00 X 336401 0 32434 KEITH HAMMERSCHMIDT VP, STRATEGY / EXEC. DIR. OF IDN 40.00 0.00 X 264229 0 33660 JILLIAN LAUDENSLAGER CNO 40.00 0.00 X 219544 0 33676 RENEE ACCONCIAMESSA VP, PHYSICIAN SERVICES 40.00 0.00 X 234226 0 16077 JACQUELINE HOWENSTEIN AVP, OPERATIONS 40.00 0.00 X 196908 0 24991 ANTHONY GRYCEWICZ VP, HUMAN RESOURCES 40.00 0.00 X 184880 0 27273 DR PAUL WEIDNER PHYSICIAN 40.00 0.00 X 1667466 0 57191 DR HOWARD EISENBROCK PHYSICIAN 40.00 0.00 X 1113297 0 54402 DR JAMES HURLEY PHYSICIAN 40.00 0.00 X 992130 0 39904 DR PETER WANG JR PHYSICIAN 40.00 0.00 X 958194 0 40279 DR AMI B RAVAL PHYSICIAN 40.00 0.00 X 905147 0 42883 JEAN M KEELER FORMER OFFICER 40.00 0.00 X 158308 0 0 9210842 0 540211 346 1 1 0 GRAND VIEW ANESTHESIA ASSOCIATES 700 LAWN AVENUE SELLERSVILLE PA 18960 ANESTHESIOLOGY PHYSICIAN SERVICES 11690514 UNIV OF PENN MEDICAL GROUP P O BOX 824320 PHILADELPHIA PA 191824320 TRAUMA PHYSICIAN SERVICES 4303844 UPPER BUCKS ORTHOPAEDIC ASSOCIATES 915 LAWN AVENUE SELLERSVILLE PA 18960 BILLING & CLINICAL STAFF SERVICES 4176000 CRITACUITY MEDICAL GROUP 325 W GERMANTOWN PIKE EAST NORRITON PA 19403 HOSPITALIST PHYSICIAN SERVICES 4057944 GENERAL HEALTHCARE RESOURCES 2250 HICKORY ROAD PLYMOUTH MEETING PA 19462 PROFESSIONAL SERVICES 3625640 60 15050 840000 7930000 974950 9760000 PATIENT SERVICE REVENUE 621110 256040863 256040863 256040863 4533523 4533523 9874073 37097 0 0 9874073 37097 9911170 37097 9874073 1254314 0 1254314 1254314 1254314 163159 15050 35718 127441 127441 CAFETERIA 900099 1343025 1343025 1343025 282970336 256040863 37097 17132376 X 3721855 1555762 2166093 168673 168673 134813157 128072499 6740658 644857 606786 38071 15144052 14493069 650983 19403857 18433664 970193 445889 423595 22294 17000 17000 50934667 48404084 2530583 1799355 1709387 89968 607593 577213 30380 6600839 6270797 330042 7240847 6878805 362042 250823 238282 12541 295281 280517 14764 11709732 11124245 585487 20104716 19099480 1005236 4831514 4589938 241576 PATIENT SUPPLIES 24681934 23447837 1234097 OTHER PATIENT EXPENSES 16243611 15431430 812181 DRUGS 5270579 5007050 263529 LOSS ON FIXED ASSET DIS 2261150 2261150 2912735 2767099 145636 330104716 309580212 20524504 0 7302344 6769732 39466149 44141100 6278168 6898584 1948841 0 490649833 223093082 276960021 267556751 164765225 120940098 2141878 1437698 17085619 7680568 515948245 455424531 57128161 35904519 311780686 310428598 10536602 17788864 379445449 364121981 X 132578796 89908995 3924000 1393555 136502796 91302550 515948245 455424531 X -47134380 10270156 -1018 -8335005 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4024 4024 0 PART II-B, LINE 1: GRAND VIEW HOSPITAL IS A MEMBER OF THE HOSPITAL AND HEALTH ASSOCIATION OF PENNSYLVANIA AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. 6002905 6002905 347966912 123653386 224313526 133153 133153 136546863 99439696 37107167 267556751 ESTIMATED PROFESSIONAL INSURANCE LIABILITY 5340019 ESTIMATED SETTLEMENTS - 3RD PARTY PAYORS 12061192 OTHER LIABILITIES 387653 17788864 X PART X, LINE 2: THE PARENT AND THE HOSPITAL ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAX ON THEIR EXEMPT INCOME UNDER SECTION 501(A) OF THE IRC. TRINITY, GVHP AND URGENT CARE ARE LIMITED LIABILITY COMPANIES AND DO NOT PAY FEDERAL OR STATE INCOME TAXES. THE ACTIVITY FOR TRINITY, GVHP AND URGENT CARE IS INCLUDED IN THE HOSPITAL'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN. URGENT CARE IS A FORPROFIT ENTITY THAT FILES THEIR INCOME TAX RETURNS ON THE ACCRUAL BASIS OF ACCOUNTING FOR FEDERAL AND STATE INCOME TAX PURPOSES. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE FOUNDATION TO EVALUATE TAX POSITIONS TAKEN BY THE FOUNDATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE FOUNDATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE FOUNDATION HAS CONCLUDED THAT AS OF JUNE 30, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. CENTRAL AMERICA AND THE CARIBBEAN 0 0 EXPENDITURES 1389000 0 0 0 0 0 0 1389000 0 1389000 0 0 1 0 0 0 PART I, LINE 3: CENTRAL AMERICA AND THE CARIBBEAN - ACCRUAL GOLF OUTING 137581 12139 125442 25287 FESTIVAL OF LIGHTS 26548 0 26548 10431 164129 12139 151990 35718 35718 116272 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 0 905004 905004 0.00270 22725341 13002789 9722552 0.02950 23630345 13002789 10627556 0.03220 965626 965626 0.00290 412272 412272 0.00120 44075196 27846718 16228478 0.04920 20000 20000 0.00010 45473094 27846718 17626376 0.05340 69103439 40849507 28253932 0.08560 1 0 97819 51504109 76346794 -24842685 X 1 1 1 1 GRAND VIEW HOSPITAL 700 LAWN AVENUE SELLERSVILLE PA 18960 WWW.GVH.ORG 071001 X X X GRAND VIEW HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X HTTPS://WWW.GVH.ORG/ABOUT/COMMUNITY X 1 21 1 HTTPS://WWW.GVH.ORG/ABOUT/COMMUNITY 0 1 X 200.000000000000 500.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.GVH.ORG/FINANCIAL-ASSISTANCE-GVH X HTTPS://WWW.GVH.ORG/FINANCIAL-ASSISTANCE-GVH X HTTPS://WWW.GVH.ORG/FINANCIAL-ASSISTANCE-GVH X X X X X X 1 X 0 X X X X 1 X 0 0 GRAND VIEW HOSPITAL PART V, SECTION B, LINE 5: FACILITY NAME:GRAND VIEW HOSPITAL (GVH) - MAIN CAMPUSDESCRIPTION:THE FOLLOWING WERE DONE:19 COMMUNITY MEETINGS THAT WERE ORGANIZED BY PACDC AND FACILITATED BY THE QUALITATIVE TEAM, MADE UP OF EXPERTS FROM CHILDREN'S HOSPITAL OF PHILADELPHIA (CHOP), JEFFERSON HEALTH, PENN MEDICINE, HOLY REDEEMER HEALTH SYSTEM, GRAND VIEW HEALTH, AND CHESTER COUNTY HOSPITAL. ANALYSIS OF FINDINGS FROM THESE MEETINGS WAS DONE BY EXPERTS FROM CHOP, JEFFERSON HEALTH, AND PENN MEDICINE.9 KEY STAKEHOLDER FOCUS GROUPS ABOUT STEERING COMMITTEE-SELECTED POPULATIONS OF SPECIAL INTEREST, INCLUDING AFRICAN AMERICAN AND HISPANIC/LATINO COMMUNITIES; INDIVIDUALS EXPERIENCING HOMELESSNESS; INDIVIDUALS EXPERIENCING HOUSING SECURITY; PRENATAL AND POSTPARTUM WOMEN; AND INDIVIDUALS WITH BEHAVIORAL/MENTAL HEALTH CONDITIONS. 12 KEY INFORMANT INTERVIEWS WITH LEADERSHIP AND STAFF AT FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), CONDUCTED BY HEALTH FEDERATION OF PHILADELPHIA. ADDITIONAL KEY INFORMANT INTERVIEWS WITH HOSPITAL PATIENT ADVISORY GROUPS, EMPLOYEES, AND OTHER STAKEHOLDERS CONDUCTED BY HOSPITALS AND HEALTH SYSTEMS.ALL DATA WERE SYNTHESIZED BY PDPH STAFF AND A LIST OF 16 COMMUNITY HEALTH PRIORITIES WAS PRESENTED TO THE STEERING COMMITTEE. USING A MODIFIED HANLON RANKING METHOD, EACH PARTICIPATING HOSPITAL AND HEALTH SYSTEM RATED THE PRIORITIES. AN AVERAGE RATING WAS CALCULATED, AND THE COMMUNITY HEALTH PRIORITIES WERE ORGANIZED IN PRIORITY ORDER BASED ON:* SIZE OF HEALTH PROBLEM* IMPORTANCE TO COMMUNITY* CAPACITY OF HOSPITALS/HEALTH SYSTEMS TO ADDRESS* ALIGNMENT WITH MISSION AND STRATEGIC DIRECTION* AVAILABILITY OF EXISTING COLLABORATIVE EFFORTSPOTENTIAL SOLUTIONS FOR EACH OF THE COMMUNITY HEALTH PRIORITIES, BASED ON FINDINGS FROMTHE COMMUNITY MEETINGS, STAKEHOLDER FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS, WERE ALSO INCLUDED. GRAND VIEW HOSPITAL PART V, SECTION B, LINE 6A: FACILITY NAME:GRAND VIEW HOSPITALDESCRIPTION:THE FY2022, CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE FOLLOWING HEALTH FACILITIES: HOSPITALS CHILDREN'S HOSPITAL OF PHILADELPHIA * CHILDREN'S HOSPITAL OF PHILADELPHIA * MIDDLEMAN FAMILY PAVILION AT CHOP, KING OF PRUSSIA DOYLESTOWN HEALTH: DOYLESTOWN HOSPITAL GRAND VIEW HEALTH: GRAND VIEW HOSPITAL JEFFERSON HEALTH * EINSTEIN MEDICAL CENTER ELKINS PARK * EINSTEIN MEDICAL CENTER MONTGOMERY * EINSTEIN MEDICAL CENTER PHILADELPHIA * JEFFERSON ABINGTON HOSPITAL * JEFFERSON BUCKS HOSPITAL * JEFFERSON FRANKFORD HOSPITAL * JEFFERSON HOSPITAL FOR NEUROSCIENCE * JEFFERSON LANSDALE HOSPITAL * JEFFERSON METHODIST HOSPITAL * JEFFERSON TORRESDALE HOSPITAL * MAGEE REHABILITATION HOSPITAL * MOSSREHAB * ROTHMAN ORTHOPEDIC SPECIALTY HOSPITAL * THOMAS JEFFERSON UNIVERSITY HOSPITAL MAIN LINE HEALTH * BRYN MAWR HOSPITAL * BRYN MAWR REHABILITATION HOSPITAL * LANKENAU MEDICAL CENTER * PAOLI HOSPITAL * RIDDLE HOSPITAL PENN MEDICINE * CHESTER COUNTY HOSPITAL * HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA * HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - CEDAR AVENUE * PENN PRESBYTERIAN MEDICAL CENTER * PENNSYLVANIA HOSPITAL REDEEMER HEALTH: HOLY REDEEMER HOSPITAL TEMPLE UNIVERSITY HEALTH SYSTEM * FOX CHASE CANCER CENTER * TEMPLE UNIVERSITY HOSPITAL * TEMPLE UNIVERSITY HOSPITAL - EPISCOPAL CAMPUS * TEMPLE UNIVERSITY HOSPITAL - JEANES CAMPUS * TEMPLE UNIVERSITY HOSPITAL - NORTHEASTERN CAMPUS TRINITY HEALTH MIDATLANTIC * MERCY CATHOLIC MEDICAL CENTER, MERCY FITZGERALD HOSPITAL CAMPUS * NAZARETH HOSPITAL * ST. MARY MEDICAL CENTER AND ST. MARY REHABILITATION HOSPITAL GRAND VIEW HOSPITAL PART V, SECTION B, LINE 6B: FACILITY NAME:GRAND VIEW HOSPITALDESCRIPTION:THE HOSPITAL'S FY2022 CHNA WAS CONDUCTED WITH PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH, HEALTH CARE IMPROVEMENT FOUNDATION, PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATION, CHESTER COUNTY HEALTH DEPARTMENT, AND MONTGOMERY COUNTY OFFICE OF PUBLIC HEALTH. GRAND VIEW HOSPITAL PART V, SECTION B, LINE 11: FACILITY NAME:GRAND VIEW HOSPITALDESCRIPTION:GVH IDENTIFIED AND DEVELOPED AN IMPLEMENTATION PLAN FOR THESE FOUR PRIORITIES DURING THE HOSPITAL'S FY2019 COMMUNITY HEALTH NEEDS ASSESSMENT- BEHAVIORAL HEALTH DIAGNOSIS AND TREATMENT- SUBSTANCE OPIOID USE AND ABUSE- CHRONIC DISEASE PREVENTION (CARDIOVASCULAR, LUNG, DIABETES/OBESITY, CANCER)- HEALTHCARE AND HEALTH RESOURCE NAVIGATIONTHE ACTION PLANS IMPLEMENTED FOR THESE COMMUNITY HEALTH PRIORITIES ARE AS FOLLOWS:BEHAVIORAL HEALTH DIAGNOSIS AND TREATMENTBEHAVIORAL HEALTH SERVICES WERE CITED BY THE CHNA AS A REGION-WIDE, TOP-PRIORITY NEED.PRIORITY ISSUES FOR GRAND VIEW HEALTH INCLUDE:- LIMITED NUMBER OF BEHAVIORAL HEALTH PROVIDERS IN THE AREA- LONG WAIT TIMES FOR APPOINTMENTS- INADEQUATE INPATIENT RESOURCES TO PROVIDE FOR PSYCHIATRIC EMERGENCIES- DIFFICULTY FINDING PEDIATRIC/ADOLESCENT BEHAVIORAL HEALTH PROVIDERSOBJECTIVE: INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH CONTINUED DEVELOPMENT AND GROWTH OF COMMUNITY PARTNERSHIPS ACROSS THE HEALTHCARE CONTINUUM.ACTION PLAN: EXPANSION OF IMPROVED TRANSITIONS (WARM HANDOFFS) BETWEEN CARE MANAGERS AND BEHAVIORAL HEALTH PROVIDERS BY CREATING AN INDEXED RESOURCE OF ALL SOCIAL AND OTHER SERVICES AVAILABLE. THIS RESOURCE WILL BE AVAILABLE TO PROVIDERS, CARE GIVERS AND TRANSITIONS COACHES ACROSS THE ORGANIZATION VIA THE HOSPITAL WEBSITE TO OPTIMIZE REFERRAL OPPORTUNITIES.SUBSTANCE OPIOID USE AND ABUSETHERE ARE LIMITED SUBSTANCE USE DISORDER PROVIDERS, AND INPATIENT DETOX FACILITIES DO NOT ALWAYS PROVIDE AMPLE SUPPORT AFTER DISCHARGE. PATIENTS WITH SUBSTANCE ABUSE DISORDER ARE BEING ADMITTED FROM THE ED TO INPATIENT AND MATERNITY. GRAND VIEW HEALTH HOSPITALISTS ARE ABLE TO TREAT FOR WITHDRAWAL BUT HAVE LIMITED PROVIDERS TO REFER TO AFTER DISCHARGE.OBJECTIVE: INCREASE ACCESS TO SUBSTANCE ABUSE DISORDER SERVICES FOR RECOVERY AND ONGOING TREATMENT.ACTION PLAN: REDUCE PRESCRIPTIONS AND UTILIZATION OF OPIOIDS THROUGH THE WORK OF THE OPIOID STEWARDSHIP COMMITTEE. INCREASE WARM HANDOFF PROJECTS WITH POST-ACUTE AND PRIMARY PRACTICES.CHRONIC DISEASE PREVENTIONCHRONIC DISEASES INCLUDE CARDIOVASCULAR DISEASE, DIABETES, COPD (PULMONARY), OBESITY, AND CANCER. THE CHNA FOUND THAT OVERALL RATES OF CARDIOVASCULAR DISEASE CONTINUE TO RISE. OBESITY RATES IN THE GRAND VIEW HEALTH COMMUNITY ARE 26.9% WHICH IS DOWN FROM 30.6% IN THE 2016 CHNA, BUT HIGHER THAN THE BUCKS COUNTY AVERAGE OF 25.1%.OBJECTIVE: INCREASE AWARENESS OF THE PREVENTION OF CHRONIC DISEASES THROUGH HEALTHY LIFESTYLE CHOICES WITH A COMBINATION OF EDUCATION AND COMMUNITY OUTREACH.ACTION PLAN: CONTINUE EXPANSION AND MARKETING OF WELLNESS PROGRAMS THROUGH EDUCATION OF PROVIDERS, CARE GIVERS, AND COACHES; CENTRALIZE HEALTH AND SOCIAL SERVICES RESOURCES INFORMATION ON HOSPITAL WEBSITE. EXPLORE TECHNOLOGY APPLICATIONS FOR HEALTH EDUCATION AND SUPPORT.HEALTHCARE AND HEALTH RESOURCE NAVIGATIONNAVIGATING HEALTHCARE SERVICES AND OTHER HEALTH RESOURCES, SUCH AS ENROLLMENT IN PUBLIC BENEFITS AND PROGRAMS, REMAINS A CHALLENGE BECAUSE OF A GENERAL LACK OF AWARENESS OF WHAT SERVICES EXIST AND THE FRAGMENTED SYSTEMS. FINANCIAL COSTS AND LOGISTICS ASSOCIATED WITH TRANSPORTATION CAN BE A BARRIER TO ACCESSING HEALTHCARE AND HEALTH RESOURCES. GRAND VIEW HEALTH ADDRESSES ACCESS AND NAVIGATION WITH CARE COORDINATORS IN ACUTE CARE, EMERGENCY DEPARTMENT (ED), PRIMARY CARE PRACTICES, AND THE GRAND VIEW HEALTHCARE PARTNERSHIP.OBJECTIVE: INCREASE ACCESS TO HEALTHCARE NAVIGATORS AND PATIENT ADVOCATES.ACTION PLAN: DEVELOP COMMUNITY HEALTH RESOURCE DIRECTORIES TO PROVIDE MORE INFORMATION ABOUT SERVICES AVAILABLE TO PROVIDERS, CAREGIVERS. AND COACHES FOR PATIENT REFERRALS. GVH'S APPROACH TO COMMUNITY HEALTH NEEDS IS TO FOCUS ITS RESPONSE TO NEEDS THAT ARE BOTH DOCUMENTED IN THE ASSESSMENT AND THAT INTERSECT WITH GVH'S STRENGTHS, VISION, AND MISSION. IN PRIORITIZING THE UNMET NEEDS, GVH'S MULTIDISCIPLINARY PHYSICIAN GROUP AND EXECUTIVE LEADERS ALSO CONSIDERED: 1) WHETHER GVH HAS THE CAPABILITY TO ADDRESS THE NEED; 2) WHETHER THE HEALTHCARE NEED WILL ALIGN WITH GVH'S MISSION; AND 3) WHETHER EXISTING PROGRAMS IN THE COMMUNITY ADDRESS THE NEED.THE FOLLOWING IDENTIFIED COMMUNITY HEALTH PRIORITIES WERE NOT SPECIFICALLY ADDRESSED IN GVH'S IMPLEMENTATION PLAN BECAUSE OF AT LEAST ONE OF THE THREE CRITERIA DESCRIBED ABOVE.- ACCESS TO AFFORDABLE PRIMARY AND PREVENTATIVE CARE- ACCESS TO AFFORDABLE SPECIALTY CARE- FOOD ACCESS AND AFFORDABILITY- AFFORDABLE AND HEALTHY HOUSING- SEXUAL AND REPRODUCTIVE HEALTH- LINGUISTICALLY AND CULTURALLY APPROPRIATE HEALTHCARE- MATERNAL MORBIDITY AND MORTALITY- SOCIOECONOMIC DISADVANTAGE- COMMUNITY VIOLENCE- RACISM AND DISCRIMINATION IN HEALTHCARE SETTINGS- NEIGHBORHOOD CONDITIONS- HOMELESSNESS PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. 21 1 - GVH - SELLERSVILLE OUTPATIENT CENTER 915 LAWN AVENUE SELLERSVILLE PA 18960 DIAGNOSTIC OP CENTER, WOUND CARE, SURGEONS, ORTHOPAEDICS, PT/OT, PULMONARY R 2 - GVH - HARLEYSVILLE OUTPATIENT CENTER 270 MAIN STREET HARLEYSVILLE PA 19438 DIAGNOSTIC OP CENTER, ORTHOPAEDICS, OB/GYN, CARDIOLOGIST, PT/OT, WORKPLACE H 3 - GVH - HOME CARE BUILDING 4 LIFE MARK DRIVE SELLERSVILLE PA 18960 HOME HEALTH CENTER, PALLIATIVE CARE 4 - GVH -ALDERFER TRAVIS CARDIOLOGY 670 LAWN AVE SUITE 3A SELLERSVILLE PA 18960 CARDIOLOGIST, CARDIAC IMAGING 5 - GVH - SILK MILL OFFICE 18 SOUTH 5TH STREET QUAKERTOWN PA 18951 HOSPICE 6 - GVH - HEALTH CENTER AT QUAKERTOWN 99 NORTH WEST END BOULEVARD QUAKERTOWN PA 18951 DIAGNOSTIC OP CENTER, CARDIOLOGIST, OB/GYN, ORTHOPAEDICS, PRIMARY CARE 7 - GVH - GRAND VIEW MEDICAL CO 1561 BETHLEHEM PIKE HATFIELD PA 19440 DME PATIENT SERVICES 8 - GVH - CTR FOR ORTHOPAEDIC & NEUROSURGERY 103 BETHLEHEM PIKE COLMAR PA 18915 ORTHOPAEDICS, NEUROSURGERY, PT/OT, SPORTS MEDICINE, IMAGING 9 - GVH - PRIMARY CARE SOUDERTON 3456 BETHLEHEM PIKE SOUDERTON PA 18964 PRIMARY CARE, PEDIATRIC MEDICAL CARE 10 - GVH - PRIMARY CARE LEDERACH 658 HARLEYSVILLE PIKE SUITE 120 HARLEYSVILLE PA 19438 PRIMARY CARE 11 - GVH - HARLEYSVILLE PRIMARY CARE 176 MAIN STREET HARLEYSVILLE PA 19438 PRIMARY CARE 12 - GVH - HEAL TH CENTER AT CHALFONT 700 HORIZON CIRCLE CHALFONT PA 18914 DIAGNOSTIC OP CENTER, OB/GYN, PRIMARY CARE, WEIGHT MANAGEMENT, CANCER SPECIA 13 - GVH - LMG MEDICAL BUILDING 1045 SOUTH BROAD ST SUITE D LANSDALE PA 19446 DIAGNOSTIC IMAGING AND TESTING 14 - GVH - HATFIELD PRIMARY CARE 2701 COWPATH ROAD HATFIELD PA 19440 PRIMARY CARE 15 - GVH - INFECTIOUS DISEASE 817 LAWN AVE SELLERSVILLE PA 18960 INFECTIOUS DISEASE SPECIALIST 16 - GVH - THE PAVILLION 419 SOUTH BROAD STREET LANSDALE PA 19446 ENDOCRINOLOGY, OB/GYN, CARDIOLGIST, ORTHOPAEDICS 17 - GVH - PENNSBURG OUTPATIENT CENTER 424 POTTSTOWN AVE PENNSBURG PA 18073 DIAGNOSTIC OP CTR, CARDIOLOGIST, OB/GYN 18 - GVH - STONERIDGE SLEEP CENTER 670 LAWN AVENUE SELLERSVILLE PA 18960 SLEEP CENTER 19 - GVH - CARDIAC IMAGING BCA 3 LIFE MARK DRIVE SELLERSVILLE PA 18960 CARDIAC IMAGING 20 - GVH - DUBLIN OUTPATIENT CENTER 145 N MAIN STREET DUBLIN PA 18917 DIAGNOSTIC IMAGING & TESTING, ORTHOPAEDICS, OB/GYN, CARDIOLOGIST, PRIMARY CA 21 - GVH - PULMONARY ALLERGY & SLEEP MEDICINE 817 LAWN AVE SUITE 4 SELLERSVILLE PA 18960 PULMONARY, ALLERGY & SLEEP MEDICINE PART I, LINE 7: GRAND VIEW HOSPITAL USED THE WORKSHEETS PROVIDED IN FORM 990 INSTRUCTIONS TO CALCULATE IN PART 1, LINE 7. PART I, LINE 7G: SOME OF THE SUBSIDIZED HEALTH SERVICES PROVIDED BY GRAND VIEW HOSPITAL INCLUDE PHYSICIAN CLINIC SERVICES. THESE SERVICES INCLUDE:ALS/PARAMEDICS - AVAILABLE TO THOSE RESIDENTS IN NEED OF MEDICAL TRANSPORT AND IMMEDIATE LIFE-SAVING TREATMENT. THESE PROGRAMS AT GRAND VIEW PROVIDED 7,870 OCCASIONS OF SERVICE DURING FISCAL YEAR 2024. GIVEN RECENT DOWNWARD TRENDS IN THE STAFFING OF VOLUNTEER AMBULANCE SQUADS WHO SIMILARLY SERVICE THE REGION, THE NEED FOR GRAND VIEW'S PRESENCE IN THE AREA IS INTENSIFIED. SUCH A COMMITMENT YIELDED LOSSES OF $1,431,694 TO THE HOSPITAL DURING FISCAL YEAR 2024. HOMECARE & PALLIATIVE CARE - PROVIDING 42,364 VISITS TO HOME BOUND AND SERIOUSLY ILL MEMBERS OF THE COMMUNITY DURING FISCAL YEAR 2023, THE HOMECARE AND PALLIATIVE CARE PROGRAMS AT THE HOSPITAL HAVE SEEN CONTINUED GROWTH IN DEMAND FOR SUCH SERVICES. THESE PROGRAMS, DESIGNED TO MEET THE NEEDS OF THE FRAILEST MEMBERS OF THE COMMUNITY, GENERATED LOSSES OF $1,659,377 DURING FISCAL YEAR 2024. PART III, LINE 2: FOR FINANCIAL STATEMENT PURPOSES, GRAND VIEW HOSPITAL HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS, THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. PART III, LINE 3: BASED ON HISTORICAL EXPERIENCE AND AN ANALYSIS OF THE BAD DEBT EXPENSE OVERALL, THE ORGANIZATION HAS DETERMINED THAT A PORTION OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE. PART III, LINE 4: FROM THE NET PATIENT SERVICES REVENUES FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS:SETTLEMENTS WITH THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS DUE TO AUDITS, REVIEWS OR INVESTIGATIONS ARE CONSIDERED VARIABLE CONSIDERATION AND ARE INCLUDED IN THE DETERMINATION OF THE ESTIMATED TRANSACTION PRICE FOR PROVIDING PATIENT CARE. THESE SETTLEMENTS ARE ESTIMATED BASED ON THE TERMS OF THE PAYMENT AGREEMENT WITH THE PAYOR, CORRESPONDENCE WITH THE PAYOR AND THE FOUNDATION'S HISTORICAL SETTLEMENT ACTIVITY, INCLUDING AN ASSESSMENT TO ENSURE THAT IT IS PROBABLE THAT A SIGNIFICANT REVERSAL IN THE AMOUNT OF CUMULATIVE REVENUE RECOGNIZED WILL NOT OCCUR WHEN THE UNCERTAINTY ASSOCIATED WITH THE RETROACTIVE ADJUSTMENT IS SUBSEQUENTLY RESOLVED. ESTIMATED SETTLEMENTS ARE RECONCILED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN (THAT IS, NEW INFORMATION BECOMES AVAILABLE), OR AS YEARS ARE SETTLED OR NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS.REVENUES RECEIVED UNDER THIRD-PARTY ARRANGEMENTS ARE SUBJECT TO AUDIT AND RETROACTIVE ADJUSTMENTS. NET PATIENT SERVICES REVENUES INCLUDE FAVORABLE ADJUSTMENTS TO PRIOR YEAR ESTIMATED THIRD-PARTY SETTLEMENTS OF APPROXIMATELY $3,400 AND $2,400 IN 2024 AND 2023, RESPECTIVELY, RELATED TO FINAL SETTLEMENTS AND/OR ADJUSTMENTS OF PRIOR YEAR COST REPORTS AND OTHER THIRD-PARTY PAYOR ADJUSTMENTS.GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE FOUNDATION ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED OR UNDERINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE FOUNDATION ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGES BY ANY CONTRACTUAL ADJUSTMENT, DISCOUNTS AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT SERVICE REVENUES IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS PROVISION FOR BAD DEBTS.CONSISTENT WITH THE FOUNDATION'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE FOUNDATION HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND OTHER PATIENT BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE FOUNDATION EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. PART III, LINE 8: GRAND VIEW HOSPITAL BELIEVES THAT THE ENTIRE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THE HOSPITAL CONTINUES TO PROVIDE CARE TO MEDICARE PATIENTS DESPITE THE $24.8 MILLION LOSS INCURRED DURING THE YEAR ENDED JUNE 30, 2024. THE COST METHODOLOGY UTILIZED IS FROM THE MEDICARE COST REPORT.GRAND VIEW HOSPITAL ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEAL TH OF THE COMMUNITY. GRAND VIEW HOSPITAL BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES. PART III, LINE 9B: GRAND VIEW HOSPITAL'S CREDIT AND COLLECTION POLICY STATES THAT EVERY EFFORT WILL BE MADE BY THE HOSPITAL TO SEE THAT, AS APPLICABLE, APPLICATIONS FOR COVERAGE BY THE MEDICAL ASSISTANCE PROGRAM OF COMMONWEAL TH OF PENNSYLVANIA'S DEPT. OF PUBLIC WELFARE AND FINANCIAL ASSISTANCE WILL BE PROVIDED WHENEVER REQUESTED BY A PATIENT OR AS DEEMED APPROPRIATE BY THE HOSPITAL. ALL COLLECTION ATTEMPTS ARE CEASED WHEN A PATIENT IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE OR WHEN A PATIENT SUBMITS A FINANCIAL ASSISTANCE APPLICATION DURING THE TIME IN WHICH THE APPLICATION IS PROCESSING. PART VI, LINE 2: THE ORGANIZATION CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN FISCAL YEAR 2023. THE ORGANIZATION REGULARLY ASSESSES COMMUNITY NEEDS THROUGH ITS ONGOING STRATEGIC PLANNING PROCESS. PART VI, LINE 3: THE PATIENT FINANCIAL SERVICES STAFF AT GRAND VIEW HOSPITAL SCREENS REGISTERED INPATIENT AND OUTPATIENT ACCOUNTS WHERE THE TOTAL CHARGES ARE REASONABLY ANTICIPATED TO EXCEED $2,000 IN ORDER TO IDENTIFY PATIENT ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE REVIEW AND SCREENING OCCURS BOTH PROSPECTIVELY, AT THE TIME OF ADMISSION OR PROVISION OF SERVICES, AND ALSO DURING THE COURSE OF PATIENT ACCOUNT BILLING AND INSURANCE FOLLOW-UP. 'CONSIDERATION OF PATIENT ELIGIBILITY FOR FINANCIAL ASSISTANCE MAY OCCUR UPON THE REQUEST OF THE PATIENT OR GUARANTOR. PUBLIC NOTIFICATION CONCERNING THE EXISTENCE OF GRAND VIEW'S FINANCIAL ASSISTANCE POLICY SHALL BE POSTED ON THE HOSPITAL'S WEB SITE AND WITHIN THE HOSPITAL, AS WELL AS SHALL BE PROVIDED TO PATIENTS AT THE TIME OF THEIR REGISTRATION FOR SERVICES. AN ABBREVIATED STATEMENT OF NOTICE WILL ALSO BE PRINTED ON THE INITIAL SELF-PAY INPATIENT AND OUTPATIENT BILLS. UPON REQUEST, A COPY OF THE PERTINENT POLICY WILL BE MADE AVAILABLE BY THE STAFF OF THE PATIENT FINANCIAL SERVICES DEPARTMENT. REFERRALS OF PATIENTS IN NEED OF FINANCIAL ASSISTANCE ARE ALSO INITIATED BY THE PREADMISSION TESTING CENTER, PATIENT ACCOUNTING, CASE MANAGEMENT/SOCIAL WORK AND PATIENT RECOGNITION CENTER. PART VI, LINE 4: RACIAL COMPOSITION: THE RACIAL COMPOSITION OF GRAND VIEW HOSPITAL'S SERVICE AREA IS A MAJORITY WHITE POPULATION (79%), WITH MINOR REPRESENTED GROUPS AS FOLLOWS: ASIAN (7%), BLACK (3.9%), AND HISPANIC/LATINO (5.3%).AGE:IN THE ORGANIZATION'S SERVICE AREA, JUST OVER ONE QUARTER OF RESIDENTS ARE BETWEEN THE AGES 0-17 (28.4%), OVER 40 PERCENT ARE 18-44 (42.8%), ONE IN FIVE ARE 45-64 (20.4%), AND 8.4% ARE 65 OR OLDER. THE PERCENTAGE OF OLDER ADULTS INCREASED BY 1% FROM 2015.THERE ARE CURRENTLY 3 OTHER HOSPITALS SERVING THE COMMUNITY. PART VI, LINE 5: THE ORGANIZATION'S GOVERNING BODY IS COMPRISED PRIMARILY OF INDIVIDUALS WHO REPRESENT THE COMMUNITY SERVED BY GRAND VIEW HOSPITAL AND IS MADE UP OF PRIMARILY INDEPENDENT MEMBERS. THEY LIVE AND WORK IN THE PRIMARY SERVICE AREA OF THE HOSPITAL. THE HOSPITAL USES SURPLUS FUNDS TO EXPAND HEALTHCARE OPERATIONS AND TO PROVIDE ADDITIONAL NEEDED SERVICES TO THE COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN THE COMMUNITY SERVED. PART VI, LINE 6: GRAND VIEW HOSPITAL IS A 194 BED ACUTE-CARE HOSPITAL SERVING THE EASTERN MONTGOMERY COUNTY AND UPPER BUCKS COUNTY AREAS OF PENNSYLVANIA. THE GRAND VIEW HEALTH FOUNDATION WAS ESTABLISHED TO RAISE FUNDS FOR THE PROMOTION OF QUALITY HEALTH CARE SERVICES, TO PROMOTE HEALTHCARE AWARENESS IN THE COMMUNITY, AND TO ELECT MEMBERS TO THE BOARD OF GRAND VIEW HOSPITAL. GRAND VIEW - LEHIGH VALLEY HEALTH SERVICES WAS ESTABLISHED TO PROVIDE HIGH QUALITY CARDIOVASCULAR SERVICES TO MONTGOMERY AND BUCKS COUNTIES IN PENNSYLVANIA. TOGETHER, GRAND VIEW HOSPITAL, THE GRAND VIEW HEALTH FOUNDATION, AND GRAND VIEW - LEHIGH VALLEY HEALTH SERVICES WORK TOGETHER TO IMPROVE HEALTH AND PROVIDE HIGH QUALITY HEALTHCARE SERVICES TO THE PRIMARY SERVICE AREA IN MONTGOMERY AND BUCKS COUNTIES. X X X 0 0 0 0 0 0 0 0 0 DR PAUL WEIDNER PHYSICIAN 1639987 0 0 0 27479 0 37020 0 20171 0 1724657 0 0 0 DR HOWARD EISENBROCK PHYSICIAN 1112211 0 0 0 1086 0 28086 0 26316 0 1167699 0 0 0 DR JAMES HURLEY PHYSICIAN 966954 0 0 0 25176 0 24040 0 15864 0 1032034 0 0 0 DR PETER WANG JR PHYSICIAN 956228 0 0 0 1966 0 24955 0 15324 0 998473 0 0 0 DR AMI B RAVAL PHYSICIAN 904484 0 0 0 663 0 23885 0 18998 0 948030 0 0 0 DOUGLAS HUGHES RN MBA FACHE CHIEF EXECUTIVE OFFICER 603237 0 80427 0 2419 0 19578 0 26316 0 731977 0 0 0 J MARK HORNE SR. VP, AMBULATORY/COO 408077 0 57809 0 5844 0 15202 0 23713 0 510645 0 0 0 ARTHUR ANDERSON CFO 378588 0 38750 0 3911 0 13249 0 26316 0 460814 0 0 0 MICHAEL PRASTO CMO 370951 0 29063 0 1036 0 13067 0 0 0 414117 0 0 0 JANE D LOVELESS VP, CIO 265646 0 43584 0 27171 0 11746 0 20688 0 368835 0 0 0 KEITH HAMMERSCHMIDT VP, STRATEGY / EXEC. DIR. OF IDN 227581 0 35650 0 998 0 9947 0 23713 0 297889 0 0 0 JILLIAN LAUDENSLAGER CNO 211145 0 8000 0 399 0 7360 0 26316 0 253220 0 0 0 RENEE ACCONCIAMESSA VP, PHYSICIAN SERVICES 201531 0 30467 0 2228 0 7305 0 8772 0 250303 0 0 0 JACQUELINE HOWENSTEIN AVP, OPERATIONS 173302 0 21935 0 1671 0 6799 0 18192 0 221899 0 0 0 ANTHONY GRYCEWICZ VP, HUMAN RESOURCES 175158 0 8000 0 1722 0 7446 0 19827 0 212153 0 0 0 JEAN M KEELER FORMER OFFICER 158197 0 0 0 111 0 0 0 0 0 158308 0 0 0 A BUCKS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 232174016 11861MBN5 2021-03-11 318976760 TO REFUND 2008 SERIES BONDS & CONSTRUCTION OF NEW BUILDING 0 0 0 A 318976760 17287375 3167006 191064918 107457461 2023 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 VICTORIA KEELER SISTER-IN-LAW OF JEAN KEELER, FORMER PRESIDENT & CEO OF GRAND VIEW HOSPITAL 168673 EMPLOYEE COMPENSATION 0 PART III, LINE 4A (CONT.) QUALITY ACCREDITATIONS & AWARDS GRAND VIEW HEALTH - GRAND VIEW HEALTH HAS THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ACCREDITATION BY DEMONSTRATING COMPLIANCE WITH STANDARDS FOR HEALTHCARE QUALITY AND SAFETY. CANCER - GRAND VIEW HEALTH HAS BEEN GRANTED AN ACCREDITATION DESIGNATION BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC), A PROGRAM BY THE AMERICAN COLLEGE OF SURGEONS. ACCREDITATION BY THE NAPBC IS ONLY GIVEN TO THOSE CENTERS THAT HAVE VOLUNTARILY COMMITTED TO PROVIDE THE HIGHEST LEVEL OF QUALITY BREAST CARE. - AMERICAN SOCIETY FOR RADIATION ONCOLOGY (ASTRO) THROUGH APEX ACCREDITATION PROGRAM FOR EXCELLENCE - ACCREDITED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS FOR COMMITMENT TO PROVIDING HIGH-QUALITY, MULTIDISCIPLINARY, PATIENT-CENTERED CANCER CARE. - GRAND VIEW HEALTH'S BREAST CARE PROGRAM HAS BEEN RECOGNIZED AS A HIDDEN SCAR CENTER OF EXCELLENCE FOR HIDDEN SCAR BREAST CANCER SURGERY. - RECOGNIZED AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS CARDIOVASCULAR - GET WITH THE GUIDELINES HEART FAILURE GOLD PLUS BY THE AMERICAN HEART ASSOCIATION - GRAND VIEW HOSPITAL'S CARDIAC CATH LAB / CORONARY INTERVENTION PROGRAM IS ACCREDITED BY CORIZON, INC., A NATIONAL LEADER IN SERVICES FOR THE CARDIOVASCULAR SPECIALTY. - CARDIAC REHABILITATION AND PULMONARY REHABILITATION CERTIFICATIONS BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR) - ECHOCARDIOGRAPHY/VASCULAR LAB ACCREDITATION BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOGRAPHY LABORATORIES DIAGNOSTIC IMAGING - BREAST ULTRASOUND, COMPUTED TOMOGRAPHY (CT), NUCLEAR MEDICINE/PET, MRI AND ULTRASOUND SERVICES ACCREDITED PROGRAMS BY THE AMERICAN COLLEGE OF RADIOLOGY - BREAST IMAGING CENTER OF EXCELLENCE DESIGNATION BY THE AMERICAN COLLEGE OF RADIOLOGY MATERNITY - BLUE DISTINCTION DESIGNATION FOR MATERNITY CARE BY INDEPENDENCE BLUE CROSS, AN INDEPENDENT LICENSEE OF BLUE CROSS BLUE SHIELD ASSOCIATION - KEYSTONE 10 INITIATIVE PARTICIPANT BY THE PENNSYLVANIA DEPARTMENT OF HEALTH IN PARTNERSHIP WITH THE PA CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS AND WITH THE SUPPORT OF THE HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA ORTHOPAEDICS - RECOGNIZED AS A "HIGH PERFORMER" FOR KNEE SURGERY AND HIP FRACTURES BY U.S. NEWS & WORLD REPORTS STROKE - ACCREDITED AS A PRIMARY STROKE CENTER BY THE JOINT COMMISSION FOR DEMONSTRATING COMPLIANCE WITH STANDARDS FOR HEALTHCARE QUALITY AND SAFETY. - GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD 2024 BY THE AMERICAN HEART ASSOCIATION FOR MAINTAINING SPECIFIC STROKE CARE MEASURES OVER A DESIGNATED TIME PERIOD. TRAUMA - LEVEL II ADULT TRAUMA CENTER FROM THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION (PTSF) FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS GRAND VIEW HEALTH FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A GRAND VIEW HEALTH FOUNDATION HAS THE POWER TO APPOINT THE MEMBERS OF THE BOARD OF GRAND VIEW HOSPITAL FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES DELEGATED RESPONSIBILITY FOR REVIEWING THE FORM 990 TO THE FINANCE COMMITTEE. THE FINANCE COMMITTEE WAS PRESENTED WITH A DRAFT OF THE REPORT FOR THEIR REVIEW AND INPUT. IN ADDITION, A DRAFT OF THE REPORT WAS PROVIDED TO THE FULL BOARD BEFORE BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C GRAND VIEW HOSPITAL HAS A CONFLICT OF INTEREST POLICY THAT IS STRONGLY ENFORCED. THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AND ALL BOARD MEMBERS AND VICE PRESIDENTS MUST DISCLOSE ANY CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THE BOARD MONITORS POTENTIAL CONFLICTS THROUGHOUT THE YEAR. ANY PERSON WITH A CONFLICT IS REQUESTED TO LEAVE THE DISCUSSION AND IS NOT PRESENT DURING ANY VOTING ABOUT THE CONFLICT. IN ADDITION, LEGAL COUNSEL MAY BE ENGAGED TO ASSIST WITH RESOLVING THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL: THE EXECUTIVE REVIEW COMMITTEE OF THE BOARD OF TRUSTEES IS CHARGED WITH ANNUALLY EVALUATING THE PERFORMANCE AND REMUNERATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER, AND REVIEWING THE ACTIONS TAKEN BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH REGARD TO THE REMUNERATION AND APPRAISAL OF THE PERFORMANCE OF MEMBERS OF THE ORGANIZATION'S SENIOR MANAGEMENT TEAM. AS PART OF ITS CHARGE, THIS COMMITTEE ALSO REVIEWS THIRD PARTY COMPENSATION SURVEY DATA, AND HAS DEFINED A COMPENSATION PHILOSOPHY CALLING FOR COMPENSATION PARAMETERS TO BE MAINTAINED WITHIN FAIR MARKET VALUE RANGES. PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES: THE EXECUTIVE REVIEW COMMITTEE OF THE BOARD OF TRUSTEES IS CHARGED WITH ANNUALLY EVALUATING THE PERFORMANCE AND REMUNERATION OF THE OTHER OFFICERS AND KEY EMPLOYEES AND REVIEWING THE REMUNERATION AND APPRAISAL OF THE PERFORMANCE OF MEMBERS OF THE ORGANIZATION'S SENIOR MANAGEMENT TEAM. AS PART OF ITS CHARGE, THIS COMMITTEE ALSO REVIEWS THIRD PARTY COMPENSATION SURVEY DATA, AND HAS DEFINED A COMPENSATION PHILOSOPHY CALLING FOR COMPENSATION PARAMETERS TO BE MAINTAINED WITHIN FAIR MARKET VALUE RANGES. FORM 990, PART VI, SECTION C, LINE 19 GRAND VIEW HOSPITAL'S OTHER GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND AT THE CEO, CFO OR SENIOR VP, GENERAL COUNSEL'S DISCRETION AND AUTHORIZATION. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 32,570,233. MANAGEMENT AND GENERAL EXPENSES 1,697,223. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,267,456. MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 5,702,957. MANAGEMENT AND GENERAL EXPENSES 300,156. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,003,113. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 2,273,483. MANAGEMENT AND GENERAL EXPENSES 119,657. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,393,140. AGENCY SERVICES: PROGRAM SERVICE EXPENSES 7,857,411. MANAGEMENT AND GENERAL EXPENSES 413,547. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,270,958. FORM 990, PART XI, LINE 9: NET PERIODIC PENSION CREDIT 2,377,000. PENSION SETTLEMENT COSTS -15,012,069. CHANGE IN INVESTMENT IN SUBSIDIARY -4,780,936. CHANGE IN PENSION OBLIGATION 9,081,000. TRINITY HEALTH CARE ALLIANCE LLC 700 LAWN AVENUE SELLERSVILLE PA 18960 203001561 MEDICAL SERVICES PA 171843 784817 GRAND VIEW HOSPITAL GRAND VIEW HEALTHCARE PARTNERSHIP LLC 700 LAWN AVENUE SELLERSVILLE PA 18960 812329816 HEALTH SERVICES PA 217000 11000 GRAND VIEW HOSPITAL GRAND VIEW URGENT CARE LLC 700 LAWN AVENUE SELLERSVILLE PA 18960 320502543 URGENT CARE PA -804000 613000 GRAND VIEW HOSPITAL THE GRAND VIEW HEALTH FOUNDATION 700 LAWN AVENUE SELLERSVILLE PA 18960 232622621 SUPPORT HOSPITAL'S CHARITABLE MISSION PA 501(C)(3) LINE 7 0 GRAND VIEW - LEHIGH VALLEY HEALTH SERVICES 700 LAWN AVENUE SELLERSVILLE PA 18960 452039743 CARDIOLOGY SERVICES PA 501(C)(3) LINE 10 0 0 0 1 1 1 0 0 0 0 1 0 1 0 0 1 0 1 0 1