Attach to Form 990 or Form 990-EZ.
See separate instructions.| (i) Name of supported organization |
(ii) EIN |
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) |
(iv) Is the organization in col. (i) listed in your governing document? |
(v) Did you notify the organization in col. (i) of your support? |
(vi) Is the organization in col. (i) organized in the U.S.? |
(vii) Amount of support? |
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| Yes | No | Yes | No | Yes | No | ||||
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| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
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| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3.. | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public Support. Subtract line 5 from line 4. | ||||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
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| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public Support (Subtract line 7c from line 6.) | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
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| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | ||||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | ||||||




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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| Form 990, Part VI, Section B, line 11 | 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. | |
| Explanation for "No" answer to the questions: | Form 990, Page 3, Part IV, Line 12a | Since Grand View Hospital is included in a consolidated audited Financial statement, it is required to answer "no" to the question on line 12 as per the 990 instructions and is not required to complete Parts XI, XII, and XIII on Schedule D. |
| 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 | 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 fhe 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 18 | Grand View Hospital's Form 990 is made available upon written request and within a reasonable time as required by IRS regs. | |
| Form 990, Part VI, Section C, line 19 | The Hospital's mission statement, as required, is posted throughout the Hospital. 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, Page 7, Part VII | Gregory Wuerstle was employed as Grand View Hospital's CFO/Senior VP of Finance through September 2010. Gregory had announced his decision to retire in December 2009 and agreed to stay on until a new CFO/Seinor VP of Finance could be selected. Grand View Hospital's Board of Directors formed a Selection Committee and within 10 months and with the assistance of an outside recruitment firm hired Michael Keen in October 2010, as Grand View Hospital's CFO/Senior VP of Finance. | |
| Changes in Net Assets or Fund Balances: | Form 990, Part XI, line 5: | Pension - Unrealized 15,753,094. Unrealized gains on investments 13,141,712. SWAPS 2,822,409. Total to Form 990, Part XI, Line 5: 31,717,215. |
| Supplemental Information of Tax Exempt Bonds: | Form 990, Schedule K, Page 1, Part Iorm 990, Page 1, Part 1, Line 1 | On November 1, 2008, the Bucks County Industrial Development Authority, on Behalf of Grand View Hospital, issued $144,740,000 of Hospital Revenue Bonds Series 2008. Approximately, $131,400,000 of bond proceeds were used to refund all of the outstanding Hospital Revenue Bonds. Approximately, $12 million of the proceeds of the Series 2008 Bonds were deposited into the Construction Fund and the Remaining proceeds used to fund various capital projects and pay the costs associated with the issuance of the Series 2008 Bonds. The Series 2008 Bonds include $73,965,000 principal amount of Series A Bonds and $70,775,000 principal amount of Series B Bonds. The Hospital recognized a loss on early extinguishment of debt of $4,858,000 in Fiscal year 2009 which resulted primarily from the write off the Series 2004 bonds deferred financing costs. The Series A and B bonds were issued under Trust indenture Agreements, both dated as of November 1, 2008. |
| Organization's mission or most significant activity: | Form 990, Page 1, Part 1, Line 1 | 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. Grand View strives to make quality programs and services available to the Community without regard to the ability to pay. Grand View shall endeavor to provide and coordinate the appropriate utilization of quality, cost effective healthcare and related services for the communities we serve while maintaining our traditional commitment to personalized, compassionate care which respects the dignity of the individual. Grand View shall strive to make quality programs and services available to, and accessible by our community. Consistent with our technological, financial and human resources, the organization shall work to address the changing healthcare needs, wants and preferences of those we serve. The mission of Grand View Hospital is accomplished through the combined efforts of its staff, physicians, volunteers and trustees. It is focused through the shared application and interpretation of our values and philosophies as they relate to those individuals whom we serve. We believe in a concern for human life and personal needs that evidences respect for the acceptance of each person. We believe in offering quality, personalized service that meets or exceeds established standards of care and cost-effectiveness. We believe in honesty, forthrightness and candor in our relationships. We believe in enhancing each individual's self-esteem and in protecting each individual's dignity. We believe in encouraging initiative, assuming responsibility, maintaining accountability and exercising good judgment. We believe in affording our community facilities that are safe, attractive, comfortable and effective in meeting the needs and motivation of both patients and staff. We believe in providing to our community, consistent with our resources, needed healthcare services without regard for a patient's ability to pay. We believe that financial viability and responsible management are critical to the preservation and fulfillment of our mission. We believe that nothing we do is ever so good as to preclude efforts aimed at improvement. |
| Statement of Program Service Accomplishments | Form 990, Page 2, Part III, Line 4(a) | Grand View Hospital, Bucks County's first hospital, has provided residents of Bucks and Montgomery counties with comprehensive health care services since 1916. Grand View offers a range of inpatient and outpatient care - particularly emphasizing the areas of cancer treatment, heart care, surgery and orthopedics, and women's and children's health. Among the new services Grand View Hospital added in Fiscal 2011 is the new Critical Care Specialist group dedicated to the needs of critically ill and injured patients, Known as intensivists, these physicians are focused on helping critically ill and injured patients to recover faster and with fewer complications. The intensivists manage care at Grand View seven days a week, provided close monitoring and support to patients in the Intensive/Coronary Care Unit (ICCU). In addition, intensivists conduct daily disciplinary rounds with dietitians, nurses, respiratory therapists, pharmacists, and specialists. This facilitates communications of a patient's care plan among all health care providers, and provides an opportunity to address patient and family concerns. The intensivist also coordinates the overall care delivered by surgeons, cardiologists, pulmonologists, neurologists, and other specialists while the patient recovers in ICCU. Board-certified physicians, intensivists are trained in critical care medicine. Women's and Children's Health - In Fiscal year 2011, Grand View prepared for the addition of neonatology services, expected to be available at the hospital in January 2012. Extending its partnership with Children's Hospital of Philadelphia, Grand View intends to have neonatologists available on-site or on-call around the clock. Neonatology is the next step in Grand View's ongoing enhancement of its Birth and Family Center. In recent years, Grand View has invested more than $15 million to expand and equip this state-of-the-art unit. In breast health services, Grand View's Outpatient Center at Sellersville continued to be designated a Breast Imaging Center of Excellence according to the Commission on Quality and Safety and the Commission on Breast Excellence. Women's Conference - Nearly 100 women attended the Women's Health Seminar of "Staying Fit and Healthy into the Middle Years and Beyond" held at Grand View's Outpatient Center in Harleysville on Friday, October 15, 2010. The evening included presentations on women's health topics, osteoporosis screening, mini-exercise classes in Tai Chi and Zumba, and community health information displays. Guests also enjoyed health food samplings featuring a colorful array of seasonal selections specially prepared by Grand View's Nutrition Department. At this seminar, women had the opportunity to attend presentations and learn about: "Your Changing Body," a session on changes and management of symptoms associated with peri-menopause and menopause by Donald DeBrakeleer, DO, of the Center for Women's Health of Lansdale; "Staying Fit," a session shedding light on ways to fit in exercise on a busy schedule, by OB/GYN, Jennifer Landes, DO, of Grand View Medical Practices; How Your Gynecologist Can Help "When Healthy Eating Habits Aren't Enough," a discussion on special gynecological problems and surgical and non-surgical options to treat them, led by Mary Pagan, MD, of Stoneridge OB/GYN; "Eating for a Healthier Life," demonstrating how food choices affect how one feels, by Marge Fitzgerald, RD, LDN, of Grand View's Nutrition Department. Cancer Services - Grand View continued to offer inpatient and outpatient cancer care services at its hospital in Sellersville and at its Highpoint Outpatient location in Chalfont. At both locations, cancer patients can receive radiation therapy and chemotherapy. The Commission on Cancer (CoC) of the American College of Surgeons (ACS) has granted three-year Approval with Commendation to the Grand View Regional Cancer Program, Grand View Radiation Oncology and the High Point Cancer Center. They were awarded this three-year accreditation by the American College of Radiation Oncology (ACRO). The Grand View Outpatient Center at Sellersville has been awarded accreditation by the American College of Radiology (ACR). The center is now a designated Breast Imaging Center of Excellence, according to the Commission on Quality and Safety and the Commission on Breast Excellence. Cancer Survivors Day - Grand View Hospital held the 23rd Cancer Survivors Celebration in September 2010. Speakers included Martin Hightower, MD, Chairman of Radiation Oncology, and Eva Grayzel, an interactive performance artist and motivational speaker. Grayzel shared her personal journal and triumph over oral cancer. Grand View palliative care specialist, Chris Hansen, CRNP, discussed communication, decision-making, and coping. This event is a celebration of life and hope that draws together survivors. Heart and Vascular Care - The Grand View Hospital Cardiovascular Center of Excellence closely aligns the experience, knowledge and talents of specialists in cardiology, neurology and vascular surgery to diagnose and treat heart and vascular diseases in a collaborative manner. Areas of concentration are: 1) Cardiology - medical and interventional; 2) Vascular services - surgical and non-surgical interventions; 3) Neurology - stroke prevention and management. In fiscal year 2011, Grand View added cardiac MRI to the arsenal of diagnostic instruments used by cardiologists and radiologists. This new tool can help determine whether catheterization can benefit the patient after a heart attack. It is the only imaging method available to look for right ventricular dysplasia, a deadly arrhythmia, and is second to none for diagnosing cardiac masses. Having cardiac MEI keeps Grand View in the forefront of cardiovascular care. These studies guide care by adding to other information and better defining certain conditions of the heart that are difficult to diagnose. Also this year, The Grand View Hospital Stroke Program was awarded the Get With the GuidelinesSM Gold Performance Achievement Award by the American Stroke Association. Grand View Hospital has earned the Gold Seal of ApprovalTM from The Joint Commission for Primary Stroke Centers. The hospital was awarded this distinction after The Joint Commission conducted an on-site review of the program in December 2009. To receive the award, GVH achieved 85 percent or higher adherence to all Get With The Guidelines-Stroke Performance Achievement indicators for two or more consecutive 12-month intervals and achieved 75 percent or higher compliance with six of ten Get With the Guidelines-Stroke Quality Measures, which are reporting initiatives to measure quality of care. Joint Replacement Center - As home to the area's only Joint Replacement Center, Grand View Hospital provides comprehensive joint replacement services - close to home. Experienced orthopedic surgeons provide hip, knee and advance joint replacements. Patients recover in a recently constructed unit offering private rooms. Advance joint replacement technologies often result in quicker recoveries and shorter hospital stays. They include minimally invasive hip and knee replacement surgery, gender-specific knee implants, computer-assisted knee replacement, stationary or rotating platform knee implants, high-flex knee implants and reverse shoulder replacement. Grand View Hospital received HealthGrades five-star rating in joint replacement for the second straight year. HealthGrades, the nation's leading independent ratings organization, evaluates patient outcomes for 5,000 hospitals. This research is the only comprehensive analysis based solely on patient mortality and complication rates. Grand View was also five-star rated in the following: Total Knee Replacement for the second straight year (2010-2011). |
| Statement of Program Service Accomplishments | Form 990, Page 2, Part III, Line 4(a) | Surgery - Grand View Hospital provides high-quality, compassionate surgical care for adults and children. Our highly-experienced surgeons and surgical staff provide hands-on care using leading-edge technologies and techniques, designed for the best possible outcomes, Grand View offers convenient parking, a surgical short-stay unit, and diagnostic testing locations throughout the community. In addition to general surgery, surgical specialists available at Grand View are gynecology, maxillofacial, plastic & reconstructive, podiatry (feet), ophthalmology (eye) olaryngology (ear, nose and throat), urology, and vascular and endovascular. In 2011, Grand View received the Surgical Care Improvement Award of Excellence for implementing best practices relating to surgical care. Bestowed by Quality Insights of Pennsylvania, the hospital was recognized for its surgical patient safety record. The award is tied to the Surgical Care Improvement Project, a national partnership of organizations focused on quality. Only nine of Pennsylvania's one-hundred sixty-two (162) hospitals received this prestigious award. Other Awards - In addition to the awards mentioned in connection with the service lines above, in 2011 Grand View was recognized by Hospitals and Health Networks magazine as one of the nation's most wired hospitals. Based on the 2011 Most Wired Survey, this designation acknowledges Grand View's efforts to expand and adopt information technology to promote improved patient care, safety, and efficiency. A cornerstone of Grand View's health information technology is its electronic medical record (EMR), which also earned a coveted Stage 6 EMR Award from the Healthcare Information and Management Systems Society last year. Only 2.6 percent of all U.S. hospitals - and only four hospitals in Pennsylvania - achieved this distinction. In April 2011, Grand View Hospital was named among the best hospitals in the Philadelphia Metro area by U.S. News & World Report. Grand View is also recognized as "High Performing" in two adult specialties of orthopedics and geriatrics. Grand View performed nearly at the level of nationally ranked U.S. New Best Hospitals in the orthopedics and geriatric categories. The mission of the annual U.S. New Best Hospitals rankings is to help guide patients who need an unusually high level of expertise. The compilation of Best Hospitals in the Philadelphia Metro Area can help patients and their families find a high-performing hospital close to home. Other Major Community Educational Events - Grand View held more than 200 community education and health promotion events in fiscal year 2011, ranging from childbirth education sessions to yoga classes to smoking cessation. Besides the women's conference described above, Grand View hosted seminars on integrative medicine and caring for aging parents. Integrative Medicine Conference - Over 100 people attended Grand View's Integrative Medicine conference in March 2011 to learn about an innovative, whole-person approach to medical care that considers the mind, body, and spirit. Held in Grand View's Outpatient Center at Sellersville, the conference was a first on the topic for the hospital, which is exploring ways to broaden access to Integrative Medicine in Upper Bucks and Montgomery Counties. Through physician lectures, demonstrations, and interactive question and answer sessions led by experienced practitioners, guests explored how combining conventional medicine with evidence-based complementary and alternative medicine can enhance ones health and well-being. Aging Parents Conference - Grand View staff and physicians presented a variety of health and safety topics at a special conference, "Supporting Your Aging Parent to Stay Healthy and Independent: An Event for Adult Children and the Parents They Love." The event included a keynote lecture on Successful Aging presented by internal medicine physician Jeffrey Thatcher, MD, Tri-Valley Primary Care. Other sessions included: Planning for the Future, presented by licensed clinical social worker Barbara Kimball; Diabetic Medication Management, presented by Grant View certified diabetes educator Carol Knauff, RN; Vestibular (Balance) Therapy, presented by Miriam Kozak of Grand View Hospital physical medicine and rehabilitation; Wound Care, presented by Grand View Wound Care Center Director, Dawn Wilkes, MD and Alzheimer's Disease/Dementia, presented by neurologist Xin Wang, MD, Penn Neurologic Associates. |
| Statement of Program Service Accomplishments | Form 990, Page 2, Part III, Line 4(a) | Health Promotion & Wellness - The Health Promotion and Wellness department of Grand View Hospital, in conjunction with other Grand View departments as well as external organizations, coordinates and provides numerous supportive and educational health-related programs to the community, most at no cost. Such programs include health programs, which provide education and promote self-responsibility for the individual's good health. Led by health professionals, these classes feature a variety of topics including cancer, diabetes, heart care, orthopaedics, maternity, women's and children's health, fitness, safety and more. Grand View also provides free health screenings and immunizations to the community including blood pressure screenings, and flu and pneumonia vaccinations. Approximate Number of Classes/Programs and Approximate Number of People Reached: -Birth and Family Education Classes: 120 classes / 2,105 people reached. Many participants pay for these classes but we also offer them free to Health Beginnings patients. -Car Seat Checks: 21 checks / 190 people reached -Exercise and Fitness Classes: 26 classes / 385 people reached -Heart Health Programs: 4 programs / 92 people reached -Orthopaedic Programs: 15 programs / 467 people reached -Smoking Cessation Programs: 3 classes / 43 people reached -Cancer Programs: 8 programs / 164 people reached -Special Health Events: 3 programs / 260 people reached -Other Misc. (women's health, nutrition): 46 programs / 1,064 people reached Approximate Number of Telephone and Nursing Consultations and Approximate Number of People Reached: -Health Consultations (Lactation): 31 Consultations Grand View Information Line: The Grand View Information Line provides callers with physician referral service, class enrollment and hospital information. This service for individuals seeking information about or a referral to a Grand View Hospital physician or information about other programs offered through the hospital. Free Health Screenings and Immunizations and Approximate Number of People Reached: -Blood Pressure: 142 screenings / 1,400 people reached (estimated) -Flu Clinic Shots: 1 annual flu shot clinic / 323 people reached. Miller Keystone Blood Drives at Grand View Hospital and Approximate Number of Donors: -Miller Keystone Blood Drives: 6 Drives / 330 people donated Support Groups and Approximate Number of Participants: A wide variety of support groups are offered free of charge at Grand View Hospital and led by Grand View staff, to help people understand and cope with particularly problems or illnesses. Many of these numbers are approximate and may include repeat participants. Groups held include: -Better Breather (pulmonary disease): 10 sessions / 268 participants -Breast Cancer: 8 sessions / 25 participants (estimated) -Young Survivors Breast Cancer Coalition: 1 session / 16 participants (estimated) -Hospice Bereavement: 97 sessions / 630 participants (estimated) -Multiple Sclerosis: 10 sessions (estimated) / 96 participants (estimated) -Infant Bereavement: 12 sessions / 266 participants (estimated) -Cancer: 8 sessions / 29 participants Meeting Space, Advertising and Registration Services: Grand View provides free-of-charge meeting space and promotion for several courses and support froups offered by community based organizations. Often, Grand View also furnishes registration services for these courses and groups. The following numbers are approximate and include: -Alcoholic Anonymous: 48 sessions -Child Home and Community (Teenage Parenting): 12 sessions -ABC Diabetes: 117 sessions -AARP (Senior Driving Safety): 12 sessions -CPR Classes: 11 sessions -Babysitting Courses: 4 sessions -First Aid and CPE: 13 sessions Health Fairs/Exhibits: Provided in varying locations within the community, health fairs are large scale opportunities for educating the public on prudent health practices, as well as providing free pamphlets on many important health topics. Fairs were held at community events, local senior centers, schools and other civic buildings. An estimated 1,000 persons were reached through these events in fiscal year 2011. Health Promotion Campaigns: Throughout the year, the Health Promotion & Wellness Department of Grand View Hospital develops and implements various health promotion campaigns, designed to increase awareness throughout the community of pertinent health issues. In effect, the campaigns encourage community members to take action for that particular health issue. The most extensive public health campaigns were Paint the Town Pink, to promote breast cancer awareness and the importance of screening, and Know Your Numbers to raise awareness of the four main risk factors for heart disease - high blood pressure, high cholesterol, smoking and diabetes. Paint the Town Pink (Breast Cancer) Taking place in the fall, the campaign had several major components: -Education directed to area residents through special events, the Grand View Health View calendar distributed to approximately 110,000 households, the web site (gvh.org) and advertising, including print ads and billboards. -Partnering with area businesses to raise awareness of breast cancer and the importance of screenings through posters, countertop flyers, ribbons, and other educational materials. Business participants included beauty salons, banks, restaurants, automotive services, and other retail businesses (11 businesses in total participated in Paint the Town Pink). -Working with the local high school to raise awareness among students and community members. Grand View participated in the first annual Pennridge High School Pink Out event, which raised money for Grand View's Breast Care Services. Grand View provided educational brochures and promotional materials to raise awareness at the high school's football game. Know Your Numbers (Heart Disease): Taking place in February, the campaign included: -Education directed to area residents through special programs, through the Grand View Health View publication, which is distributed to approximately 110,000 households in the area: Tour Your Grocery Store: Heart-Healthy Foods and Protecting Your Valentine's Heart. -Partnering with physicians to raise awareness among community members of four main risk factors for heart disease through take-home education pieces, posters, wallet cards, posters, notepads, and other materials. Physician offices - (26 physician offices participated in the campaign). Although the number of people directly affected by these campaigns cannot be quantified, it is estimated that thousands of people were reached with the pertinent, health messages of each campaign. |
| Loans To and From Interested Persons: | Schedule L, Part II, | (a) Name of Person: Dr. Arthur Flatau, III - Vascular Surgeon (a) Purpose of Loan: To assist Dr. Flatau with his move to Pennsylvania to help fill a need for a vascular surgeon. |
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