Form990
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013
BCheck if applicable:
CName of organization
GRAND VIEW HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
700 Lawn Avenue
 
Room/suite
City or town, state or country, and ZIP + 4
Sellersville, PA18960
D Employer identification number

23-1352181
E Telephone number

G Gross receipts $ 174,732,573
F Name and address of principal officer:
JEAN M KEELER
700 Lawn Avenue
Sellersville,PA18960
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.GVH.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1916
M State of legal domicile: PA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: GRAND VIEW HOSPITAL SHALL ENDEAVOR TO PROVIDE AND COORDINATE THE APPROPRIATE UTILIZATION OF QUALITY, COST-EFFECTIVE HEALTH CARE AND RELATED SERVICES FOR THE UPPER BUCKS AND NORTHEASTERN MONTGOMERY COUNTY COMMUNITIES WHICH WE SERVE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 11
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 7
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 1,975
6 Total number of volunteers (estimate if necessary) ............. 6 390
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 22,729
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 21,729
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 625,707 646,314
9 Program service revenue (Part VIII, line 2g) ......... 165,826,113 164,527,501
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 9,804,758 6,032,327
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,004,957 3,526,431
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 179,261,535 174,732,573
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 96,130,751 97,166,337
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 69,599,161 68,418,505
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 165,729,912 165,584,842
19 Revenue less expenses. Subtract line 18 from line 12....... 13,531,623 9,147,731
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 323,928,327 342,596,754
21 Total liabilities (Part X, line 26)............. 183,456,418 171,851,114
22 Net assets or fund balances. Subtract line 21 from line 20..... 140,471,909 170,745,640
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: 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. (CONTINUED IN SCHEDULE O)
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 150,600,648 including grants of $   ) (Revenue $ 164,527,501 )
GRAND VIEW HOSPITAL, BUCKS COUNTY'S FIRST HOSPITAL, HAS PROVIDED COMPREHENSIVE HEALTH CARE SERVICES SINCE 1916 AND OFFERS A RANGE OF INPATIENT AND OUTPATIENT CARE - PARTICULARLY EMPHASIZING THE AREAS OF CANCER TREATMENT, HEART CARE, SURGERY, ORTHOPEDICS, WOMEN'S HEALTH AND CHILDREN'S HEALTH. GRAND VIEW HOSPITAL STRIVES TO MAKE QUALITY CARE AND PROGRAMS AND SERVICES AVAILABLE TO THE COMMUNITY REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES IS CRITICAL TO THE OPERATION AND FUTURE STABILITY OF GRAND VIEW HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE NEEDED AND /OR WANTED MEDICAL SERVICES.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet150,600,648
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III
............................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
.......................... Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
199
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
1,975
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
11
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
7
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
PA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletMichael Keen Senior VPCFO700 Lawn AvenueSellersvillePA18960 (215) 453-4000
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) JEFFERY LANDIS ESQUIRE........................................................................
SECRETARY
4.00
........................50
X   X       0 0 0
(2) MARY ANNE POATSY........................................................................
VICE CHAIRMAN
4.00
........................50
X   X       0 0 0
(3) WALTER CRESSMAN........................................................................
TREASURER
4.00
........................50
X   X       0 0 0
(4) WILLIAM AICHELE........................................................................
CHAIRMAN
4.00
........................50
X   X       0 0 0
(5) DR MICHAEL CORRADO MD........................................................................
TRUSTEE
4.00
.......................0.00
X           0 0 0
(6) DR NICHOLAS LINDBERG MD........................................................................
TRUSTEE
4.00
.......................0.00
X           0 0 0
(7) DR THOMAS HIPP MD........................................................................
TRUSTEE
4.00
.......................0.00
X           0 0 0
(8) GREGORY SHELLY........................................................................
TRUSTEE
4.00
.......................0.00
X           0 0 0
(9) MARK SCHLOSSER........................................................................
TRUSTEE
4.00
.......................0.00
X           0 0 0
(10) ROBERT PRITCHARD JD CPA........................................................................
TRUSTEE
4.00
.......................0.00
X           0 0 0
(11) STEVEN SWARTLEY........................................................................
TRUSTEE
4.00
........................50
X           0 0 0
(12) JEAN M KEELER JD........................................................................
CHIEF EXECUTIVE OFFICER - PARTIAL YEAR
60.00
.......................1.00
    X       248,844 0 11,054
(13) MARK HORNE........................................................................
CHIEF OPERATING OFFICER
60.00
.......................1.00
    X       204,316 0 29,174
(14) MICHAEL KEEN........................................................................
CHIEF FINANCIAL OFFICER
60.00
.......................1.00
    X       321,580 0 29,211
(15) STUART H FINE........................................................................
CHIEF EXECUTIVE OFFICER - PARTIAL YEAR
60.00
.......................0.00
    X       580,183 0 18,179
(16) DR JANE FERRY MD........................................................................
CHIEF MEDICAL OFFICER
40.00
.......................0.00
      X     240,113 0 29,527
(17) JANE DOLL LOVELESS........................................................................
CHIEF INFORMATION OFFICER
40.00
.......................0.00
      X     216,097 0 21,928
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) KATHLEEN M BURKEY........................................................................
CHIEF NURSING OFFICER
40.00
.......................0.00
      X     167,563 0 13,299
(19) DR ARTHUR FLATAU III........................................................................
VASCULAR SURGEON
40.00
.......................0.00
        X   573,969 0 17,384
(20) DR DAVID RILLING........................................................................
SURGEON
40.00
.......................0.00
        X   333,133 0 2,174
(21) DR GARY FINKELSTEIN........................................................................
SURGEON
40.00
.......................0.00
        X   416,556 0 19,444
(22) DR JOHN PAGAN........................................................................
SURGEON
40.00
.......................0.00
        X   423,500 0 0
(23) DR THOMAS COYLE........................................................................
SURGEON
40.00
.......................0.00
        X   403,263 0 20,241














1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 4,129,117 0 211,615
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet76
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
GRAND VIEW ANESTHESIA ASSOCIATES700 LAWN AVENUESELLERSVILLEPA18960 ANESTHESIA SERVICES 1,993,320
GRAND VIEW RADIOLOGY711 LAWN AVENUESELLERSVILLEPA18960 RADIOLOGY SERVICES 1,529,242
ADLER INSTITUTE FOR ADVANCE IMAGING LLC261 OLD YORK ROADJENKINTOWNPA19046 PET SCANNING SERVICES 751,325
QUEST DIAGNOSTICS NICHOLS INSTITUTE14225 NEWBROOK DRIVECHANTILLYVA20151 REFERENCE LAB SERVICES 570,343
CHILDREN'S HEALTH CARE ASSOC100 PENN SQUARE EASTPHILADELPHIAPA19107 PEDIATRIC PHYSICIAN SERVICES 541,987
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet27
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 530,000
e Government grants (contributions)1e 116,314
f All other contributions, gifts, grants, and
similar amounts not included above
1f
 
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 646,314
 Program Service Revenue Business Code
2a PATIENT SERVICE REVENUE 621110 164,527,501 164,527,501    
b     0      
c     0      
d     0      
e     0      
f All other program service revenue . 0 0 0 0
g Total. Add lines 2a–2f........MediumBullet 164,527,501
 Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 4,271,180     4,271,180
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 1,284,496  
b Less: rental expenses    
c Rental income or (loss) 1,284,496 0
d Net rental income or (loss).......MediumBullet 1,284,496   22,729 1,261,767
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 1,740,078 21,069
b Less: cost or other basis and sales expenses    
c Gain or (loss) 1,740,078 21,069
d Net gain or (loss)..........MediumBullet 1,761,147     1,761,147
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CAFETERIA, DAY CARE CENTER 900099 2,241,935     2,241,935
b     0      
c     0      
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... MediumBullet 2,241,935
12 Total revenue. See Instructions......MediumBullet 174,732,573 164,527,501 22,729 9,536,029
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 0  
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 2,011,310   2,011,310  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 118,964 118,964    
7 Other salaries and wages 76,278,832 72,221,889 4,056,943  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 1,236,053 753,333 482,720  
9 Other employee benefits ....... 12,064,565 11,755,091 309,474  
10 Payroll taxes ........... 5,456,613 4,693,204 763,409  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 289,838   289,838  
c Accounting ........... 101,200   101,200  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 0      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 22,182,219 17,078,475 5,103,744 0
12 Advertising and promotion .... 714,868   714,868  
13 Office expenses ....... 21,922,684 21,361,132 561,552  
14 Information technology ...... 1,706,280 1,662,511 43,769  
15 Royalties .. 0      
16 Occupancy ........... 5,725,833 5,585,769 140,064  
17 Travel ............ 0      
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 172,769 163,029 9,740  
20 Interest ........... 3,676,007 3,581,712 94,295  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 11,130,750 10,849,902 280,848  
23 Insurance .............. 796,057 775,637 20,420  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a
b
c
d
e All other expenses 0 0 0 0
25 Total functional expenses. Add lines 1 through 24e 165,584,842 150,600,648 14,984,194 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720). 0      
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 5,000 1 402,202
2 Savings and temporary cash investments ......... 14,600,733 2 25,715,281
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 15,418,092 4 12,529,071
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
115,472 5 116,758
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6 0
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 2,818,245 8 2,958,014
9 Prepaid expenses and deferred charges .......... 4,825,655 9 4,722,083
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 220,631,695
b Less: accumulated depreciation ..... 10b 135,856,491 87,011,527 10c 84,775,204
11 Investments—publicly traded securities .......... 181,584,618 11 189,372,388
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 ..... 8,336,314 13 5,138,088
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 9,212,671 15 16,867,665
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 323,928,327 16 342,596,754
Liabilities 17 Accounts payable and accrued expenses ......... 16,712,410 17 15,155,901
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities ............. 136,649,562 20 133,866,076
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22 0
23 Secured mortgages and notes payable to unrelated third parties .. 200,000 23 100,000
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 29,894,446 25 22,729,137
26 Total liabilities. Add lines 17 through 25......... 183,456,418 26 171,851,114
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 140,114,909 27 170,388,640
28 Temporarily restricted net assets ........... 357,000 28 357,000
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 140,471,909 33 170,745,640
34 Total liabilities and net assets/fund balances ........ 323,928,327 34 342,596,754
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
174,732,573
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
165,584,842
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
9,147,731
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
140,471,909
5
Net unrealized gains (losses) on investments ...............
5
5,473,000
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
15,653,000
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
170,745,640
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID: 12000266
Software Version: v2012.1.0
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
GRAND VIEW HOSPITAL
 
Employer identification number

23-1352181
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(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 monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
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.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
GRAND VIEW HOSPITAL
 
Employer identification number

23-1352181
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
GRAND VIEW HOSPITAL
 
Employer identification number

23-1352181
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
GRAND VIEW HOSPITAL
 
Employer identification number

23-1352181
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
GRAND VIEW HOSPITAL
 
Employer identification number

23-1352181
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
GRAND VIEW HOSPITAL
 
Employer identification number

23-1352181
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
5,006
j
Total. Add lines 1c through 1i ...............................
5,006
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
Description of the activities reported on Lines 1a through 1i Schedule C, 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.
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
GRAND VIEW HOSPITAL
 
Employer identification number

23-1352181
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   4,978,213 4,978,213
b Buildings ................   130,972,833 69,378,491 61,594,342
c Leasehold improvements ............   215,108 40,000 175,108
d Equipment ................   84,465,541 66,438,000 18,027,541
e Other .................       0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 84,775,204
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
FINANCIAL DERIVATIVE INSTRUMENTS 9,591,000
ACCRUED GENERAL LIABILITY 3,813,000
ESTIMATED SETTLEMENTS - 3RD PARTY INSURANCE 9,303,916
DEPOSITS 21,221





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 22,729,137
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
FIN 48 (ASC 740) footnote Schedule D, 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 AND ARE EXEMPT FROM FEDERAL INCOME TAX ON THEIR EXEMPT INCOME UNDER SECTION 501(A) OF THE CODE. THE PARENT AND THE HOSPITAL ACCOUNT FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 AND 2012. THE PARENT AND HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THE PARENT AND THE HOSPITAL FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2010. TRINITY IS A SINGLE MEMBER LIMITED LIABILITY COMPANY AND DOES NOT PAY FEDERAL OR STATE INCOME TAXES. THE ACTIVITY FOR TRINITY IS INCLUDED IN THE HOSPITAL'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN. THE SPORTS MEDICINE CENTER AND HIGHPOINT ARE FOR-PROFIT PARTNERSHIPS THAT FILE THEIR INCOME TAX RETURNS ON THE ACCRUAL BASIS OF ACCOUNTING FOR FEDERAL AND STATE INCOME TAX PURPOSES.
Schedule D (Form 990) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0




SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
GRAND VIEW HOSPITAL
 
Employer identification number

23-1352181
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    1,808,234 0 1,808,234 1.160 %
b Medicaid (from Worksheet 3,
column a) ....
    10,593,746 5,953,581 4,640,165 2.970 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
    0 0 0 0 %
d Total Financial Assistance
and Means-Tested
Government Programs .
0 0 12,401,980 5,953,581 6,448,399 4.130 %
Other Benefits
    531,384 0 531,384 0.340 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    20,045 0 20,045 0.010 %
g Subsidized health services
(from Worksheet 6) ..
    39,244,109 33,892,696 5,351,413 3.420 %
h Research (from Worksheet 7)     0 0 0 0 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    30,000 0 30,000 0.020 %
j Total. Other Benefits .. 0 0 39,825,538 33,892,696 5,932,842 3.790 %
k Total. Add lines 7d and 7j . 0 0 52,227,518 39,846,277 12,381,241 7.920 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and training for community members         0 0 %
6 Coalition building     20,000 0 20,000 0.010 %
7 Community health improvement advocacy         0 0 %
8 Workforce development     66,167 0 66,167 0.040 %
9 Other         0 0 %
10 Total 0 0 86,167 0 86,167 0.050 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
9,343,145
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
35,340,920
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
43,763,299
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-8,422,379
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1HIGH POINT RADIATION ONCOLOGY CENTER LLC
 
RADIATION ONCOLOGY 66.67 % 0 % 33.33 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 GRAND VIEW HOSPITAL (GVH) - MAIN CAMPUS
700 LAWN AVENUE
SELLERSVILLE,PA18960
X X         X      
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
GRAND VIEW HOSPITAL (GVH) - MAIN CAMPUS
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 500%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?13
Name and address Type of Facility (describe)
1 GVH - SELLERSVILLE OUTPATIENT CENTER
915 LAWN AVENUE
SELLSERVILLE,PA18960
DIAGNOSTIC OP CENTER
2 GVH - HOME CARE BUILDING
LAWN AND EYRE AVENUES
SELLERSVILLE,PA18960
HOME HEALTH CENTER
3 GVH - NURSING BUILDING
FIRST FLOOR - LAWN AVENUE
SELLERSVILLE,PA18960
HOSPICE/PALLIATIVE PATIENT CARE SERVICES
4 GVH - SKYVIEW BUILDING
3456 BETHLEHEM PIKE
SOUDERTON,PA18964
FAMILY MEDICAL CARE, PEDIATRIC MEDICAL CARE
5 GVH - DUBLIN BUILDINGS
ROUTE 313
DUBLIN,PA18917
DIVF PATIENT SERVICES, FAMILY MEDICAL CARE
6 GVH - PENNSBURG OUTPATIENT CENTER
101 SEVENTH STREET
PENNSBURG,PA18073
DIAGNOSTIC OP CENTER
7 GVH - UB HEALTH & DIAGNOSTIC CENTER
99 NORTH WEST END BLVD ROUTE 309N
QUAKERTOWN,PA18951
DIAGNOSTIC OP CTR., FAMILY MED CARE, OB/GYN
8 GVH - HIGHPOINT CENTER
700 HORIZON CIRCLE
CHALFONT,PA18914
FAMILY MEDICAL CARE & RADIATION ONCOLOGY
9 GVH - HARLEYSVILLE OUTPATIENT CENTER
270 MAIN STREET
HARLEYSVILLE,PA19438
DIAGNOSTIC OP CENTER
10 GVH - LEDERACH OFFICE
658 HARLEYSVILLE PIKE
HARLEYSVILLE,PA19438
FAMILY MEDICAL OFFICES
11 GVH - STONERIDGE SLEEP CENTER
LAWN AVENUE
SELLERSVILLE,PA18960
SLEEP CENTER
12 GVH - INFECTIOUS DISEASE
UB MED ARTS 817 LAWN AVE
SELLERSVILLE,PA18960
INFECTIOUS DISEASE PHYSICIAN
13 GVH - CARDIAC IMAGING BCA
3 LIFE MARK DRIVE
SELLERSVILLE,PA18960
CARDIAC IMAGING
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
ANNUAL COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6A GRAND VIEW HOSPITAL ISSUES AN ANNUAL REPORT WHICH HIGHLIGHTS VARIOUS SERVICES PROVIDED TO THE COMMUNITY. THIS REPORT IS MADE AVAILABLE TO THE PUBLIC BY WAY OF WEBSITE ACCESS AND HARD COPY MAILING.
Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 9,343,145
Subsidized Health Services Schedule H, Part I, Line 7g SOME OF THE SUBSIDIZED HEALTH SERVICES PROVIDED BY GRAND VIEW HOSPITAL INCLUDE: ALS/PARAMEDICS - AVAILABLE TO THOSE RESIDENTS IN NEED OF MEDICAL TRANSPORT AND IMMEDIATE LIFE-SAVING TREATMENT, THESE PROGRAMS AT GRAND VIEW PROVIDED OVER 7,449 OCCASIONS OF SERVICE DURING THE FISCAL YEAR 2012. 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 ARENA IS INTENSIFIED. SUCH A COMMITTMENT YIELDED LOSSES OF $432,219 TO THE HOSPITAL DURING FISCAL YEAR 2012. HOMECARE & PALLIATIVE CARE - PROVIDING 31,671 VISITS TO HOME BOUND AND SERIOUSLY ILL MEMBERS OF THE COMMUNITY DURING FISCAL YEAR 2012, 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 MEMBER OF THE COMMUNITY, GENERATES LOSSES OF $1,157,267 DURING THE FISCAL YEAR 2012.
Community Building Activities Schedule H, Part II COALITION BUILDING - BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP (BCHIP); THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP (BCHIP) IS A COLLABORATIVE OF BUCKS COUNTY'S SIX ACUTE CARE HOSPITALS, THE BUCKS COUNTY DEPARTMENT OF HEALTH AND THE BUCKS COUNTY MEDICAL SOCIETY. FOUNDED IN 1993, BCHIP IS A 501(C)(3) NON-PROFIT CORPORATION WHOSE NUMEROUS TASK FORCES AND PROJECTS ADDRESS THE NEEDS AND OPPORTUNITIES IDENIFIED THROUGH HEALTH ASSESSMENT ACTIVITIES AND THROUGH ONGOING ANALYSIS OF THE COMMUNITY. PARTICIPANTS IN BCHIP PROGRAMS WORK NONCOMPETITIVELY TO ADDRESS GAPS IN SERVICE AND TO IMPROVE THE GENERAL HEALTH OF BUCKS COUNTY RESIDENTS. AS ONE OF THE SIX HOSPITALS IN BUCKS COUNTY, GRAND VIEW SUPPORTS THE PARTNERSHIP THROUGH MEMBERSHIP ON THE VARIOUS COMMITTEES, BOARD OF DIRECTORS AND PROGRAM PARTICIPATION. IN ADDITION, GRAND VIEW HOSPITAL MAKES A DONATION OF $20,000 TO BCHIP FOR PROGRAM EXPENSES. WORKFORCE DEVELOPMENT - GRAND VIEW EVALUATES THE PHYSICIAN NEEDS WITHIN THE COMMUNITY BY CONDUCTING A MEDICAL STAFF DEVELOPMENT PLAN (MSDP). THE MSDP CONTAINS AN INVENTORY OF THE NUMBER OF PHYSICIANS AND OTHER PROVIDERS (SUCH AS NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, ETC) PRACTICING IN THE COMMUNITY (BOTH THOSE AFFILIATED WITH GRAND VIEW AND THOSE AFFILIATED WITH OTHER INSTITUTIONS) AND POPULATION BASED RATIOS OF PHYSICIAN PER CAPITA BY SPECIALTY. THE RATIOS ARE PROVIDED THROUGH CONSULTANT RESEARCH AND EXPERTISE. COMPARING THE AVAILABLE PHYSICIANS WITHIN THE COMMUNITY TO THE POPULATION BASED RATIOS, GRAND VIEW CAN DETERMINE THOSE SPECIALTIES THAT ARE CONSIDERED A SHORTAGE AND HAVE A STATED NEED FOR INCREASED PHYSICIAN PRESENCE. FINALLY, GRAND VIEW PRIORITIZES THE SPECIALTIES AND ATTEMPTS TO BRIDGE THE GAP THROUGH EMPLOYMENT OF RETIREMENT ASSISTANCE ARRANGEMENTS. THE FY 2012 GRAND VIEW MSDP SHOWED GREAT NEED FOR ADDITIONAL OB/GYN PHYSICIANS WITHIN THE GRAND VIEW SERVICE AREA (SPECIFICALLY A NEED OF 5-12 PHYSICIAN FTES). SINCE GRAND VIEW IS THE ONLY HOSPITAL IN THE SERVICE AREA THAT PROVIDES MATERNITY SERVICES, OB/GYN WAS PRIORITIZED AS A SPECIALTY THAT SHOULD SUPPORT THE RECRUITMENT OF PHYSICIANS IN THE COMMUNITY. AS A RESULT OF THIS IDENTIFIED COMMUNITY NEED, AN OB/GYN JOINED GRAND VIEW'S MEDICAL STAFF AS A NEW PROVIDER IN THE COMMUNITY. THE PHYSICIAN, DR. KIMBERLY SMITH, JOINED STONERIDGE OB/GYN AND GRAND VIEW PROVIDED RECRUITMENT ASSISTANCE. THE COMMUNITY BUILDING EXPENSE REPRESENTS THE RECRUITMENT ASSISTANCE PROVIDED TO STONERIDGE OB/GYN FOR RECRUITMENT OF DR. SMITH.
Bad debt expense - methodology used to estimate amount Schedule H, Part III, Line 2 THE BAD DEBT EXPENSE REPORTED IN SCHEDULE H, PART III, LINE 2 REPRESENTS THE ORGANIZATION'S GROSS BAD DEBT EXPENSE.
Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 FROM THE ACCOUNTS RECEIVABLE FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS: ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCES FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
Community benefit & methodology for determining medicare costs Schedule H, 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 $8.4 MILLION LOSS INCURRED DURING THE YEAR ENDED JUNE 30, 2013. THE COST METHODOLOGY UTILIZED IS FROM THE MEDICARE COST REPORT.
Collection practices for patients eligible for financial assistance Schedule H, 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 COMMONWEALTH 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.
Needs not addressed in Needs Assessment Schedule H, Part V Section B, Line 7 (1) GRAND VIEW HOSPITAL (GVH) - MAIN CAMPUS - THE CHNA PLAN WAS ADOPTED AT THE END OF MAY 2013 AND THERE WAS NOT SUFFICIENT TIME WITHIN TH FISCAL 2013 YEAR TO IMPLEMENT ALL ASPECTS OF THE PLAN.;
CHARGES FOR MEDICAL CARE SCHEDULE H, PART V, SECTION B, LINE 20C THE HOSPITAL FACILITY USES THE FEDERAL POVERTY GUIDELINES AS PUBLISHED IN THE FEDERAL REGISTER AS A MEANS TO DETERMINE AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. INDIVIDUALS WHO QUALIFY FOR SUCH DSCOUNTS FROM CHARGES PAY THE LESSER OF THE CALCULATED PATIENT RESPONSIBILITY OR THE COMPARABLE MEDICARE RATE FOR THE SERVICE PROVIDED.
Needs assessment. Schedule H, Part VI, Line 2 INFORMATION ON THE HEALTH STATUS AND HEALTH CARE NEEDS OF THE RESIDENTS OF THE HOSPITAL SERVICE AREA WAS COLLECTED FROM COMMUNITY MEMBERS THROUGH COMMUNITY MEETINGS WITH RESIDENTS, PUBLIC HEALTH REPRESENTATIVES, SERVICE PROVIDERS, AND ADVOCATES KNOWLEDGEABLE ABOUT COMMUNITY HEALTH. THE MEETINGS WERE GUIDED BY A SET OF WRITTEN QUESTIONS AND FACILITATED BY PHMC STAFF MEMBERS. THE MEETINGS WERE HELD AT GRAND VIEW HOSPITAL'S COMMUNITY EDUCATION CENTER, 700 LAWN AVENUE, SELLERSVILLE, PA ON JULY 1, 2012 AND LANSDALE HOSPITAL, 100 MEDICAL CAMPUS DRIVE, LANSDALE, PA ON JUNE 6, 2012. FOR A LIST OF PARTICIPANTS TITLES, AND AREAS OF EXPERTISE, PLEASE SEE APPENDIX A OF THE GVH CHNA REPORT.
Patient education of eligibility for assistance. Schedule H, 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 CHARITY SERVICES. 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 HOSPITAL'S WEB SITE AND WITHIN THE HOSPITAL AND ITS SATELLITE FACILITIES THROUGH WHICH PATIENTS SEEK TO OBTAIN SERVICES, 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 IN A REASONABLY TIMELY MANNER 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.
Community information. Schedule H, Part VI, Line 4 POPULATION SIZE: THE TOTAL POPULATION OF GRAND VIEW HOSPITAL'S SERVICE AREA INCREASED TO APPROXIMATELY 226,900 RESIDENTS IN 2010 FROM 208,000 RESIDENTS IN 2000. THE SERVICE AREA'S POPULATION IS PROJECTED TO CONTINUE INCREASING THROUGH 2018. AGE: IN THE ORGANIZATION'S SERVICE AREA, NEARLY ONE QUARTER OF RESIDENTS ARE BETWEEN THE AGES 0-17 (24%), ONE THIRD ARE 18-44 (33%), NEARLY ONE-IN-THREE ARE 45-64 (29%), AND 15% ARE 65 OR OLDER. WHEN COMPARED WITH 2000, THE SERVICE AREA SAW A DECREASE IN THE PERCENTAGE OF RESIDENTS AGES 0-17 AND 18-44, AND AN INCREASE IN THE PERCENTAGE OF THOSE AGES 45-64 AND 65 AND OLDER. OVERALL, THE 2010 AGE BREAKDOWN OF THE SERVICE AREA'S RESIDENTS IS EXPECTED TO CONTINUE TRENDING TOWARDS AN AGING POPULATION THROUGH 2018. PERCENTAGES OF RESIDENTS IN EACH AGE CATEGORY IN THE SERVICE AREA ARE LARGELY COMPARABLE TO BUCKS AND MONTGOMERY COUNTIES, AS WELL AS THE STATE OF PENNSYLVANIA AS A WHOLE.
Schedule H (Form 990) 2012
Additional Data


Software ID: 12000266
Software Version: v2012.1.0
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
GRAND VIEW HOSPITAL
 
Employer identification number

23-1352181
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)JEAN M KEELER JDCHIEF EXECUTIVE OFFICER - PARTIAL YEAR (i)
(ii)
225,054
0
0
0
23,790
0
1,744
0
9,310
0
259,898
0
0
0
(2)MICHAEL KEENCHIEF FINANCIAL OFFICER (i)
(ii)
298,890
0
0
0
22,690
0
7,080
0
22,131
0
350,791
0
0
0
(3)MARK HORNECHIEF OPERATING OFFICER (i)
(ii)
198,626
0
5,000
0
690
0
5,470
0
23,704
0
233,490
0
0
0
(4)STUART H FINECHIEF EXECUTIVE OFFICER - PARTIAL YEAR (i)
(ii)
555,145
0
0
0
25,038
0
4,303
0
13,876
0
598,362
0
0
0
(5)KATHLEEN M BURKEYCHIEF NURSING OFFICER (i)
(ii)
165,583
0
0
0
1,980
0
2,499
0
10,800
0
180,862
0
0
0
(6)DR JANE FERRY MDCHIEF MEDICAL OFFICER (i)
(ii)
216,823
0
0
0
23,290
0
7,549
0
21,978
0
269,640
0
0
0
(7)JANE DOLL LOVELESSCHIEF INFORMATION OFFICER (i)
(ii)
188,907
0
10,000
0
17,190
0
3,871
0
18,057
0
238,025
0
0
0
(8)DR GARY FINKELSTEINSURGEON (i)
(ii)
394,556
0
0
0
22,000
0
19,444
0
0
0
436,000
0
0
0
(9)DR JOHN PAGANSURGEON (i)
(ii)
407,000
0
0
0
16,500
0
0
0
0
0
423,500
0
0
0
(10)DR THOMAS COYLESURGEON (i)
(ii)
403,263
0
0
0
0
0
20,241
0
0
0
423,504
0
0
0
(11)DR ARTHUR FLATAU IIIVASCULAR SURGEON (i)
(ii)
547,679
0
25,000
0
1,290
0
0
0
17,384
0
591,353
0
0
0
(12)DR DAVID RILLINGSURGEON (i)
(ii)
333,133
0
0
0
0
0
2,174
0
0
0
335,307
0
0
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
Severance or change-of-control payment Schedule J, Part I, Line 4a THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, STUART H. FINE, RECEIVED A SEVERANCE PAYMENT DURING 2012.
Non-fixed payments Schedule J, Part I, Line 7 MARK HORNE RECEIVED A NON-FIXED BONUS PAYMENT DURING THE YEAR ENDED JUNE 30, 2013.
SCHEDULE J, PART II SCHEDULE J, PART II COLUMN B(I) REPRESENTS BASE WAGES LESS PRETAX ITEMS AND ALONG WITH B(II) AND B(III) EQUALS BOX 5 (MEDICARE WAGES) OF THE INDIVIDUALS W-2 FOR CALENDAR YEAR 2012. COLUMN C REPRESENTS REDUCTIONS IN WAGES FOR HOSPITALIZATION PREMIUMS, DEPENDENT AND MEDICAL SPENDING, SHORT TERM DISABILITY - ALL PAID BY THE EMPLOYEE WITH PRETAX DOLLARS. THESE PRETAX ITEMS ARE DEDUCTED FROM GROSS WAGES WHEN REPORTED IN BOX 5 OF THE EMPLOYEES W-2 (MEDICARE WAGES). COLUMN D REPRESENTS AN ALLOCATION OF BENEFITS PROVIDED TO THE EMPLOYEES FOR NET HOSPITALIZATION, DENTAL, LIFE, AND LTD. GRAND VIEW HOSPITAL PROVIDES HEALTH INSURANCE, LIFE INSURANCE, DENTAL INSURANCE, AND DISABILITY INSURANCE TO EMPLOYEES PER HOSPITAL POLICIES. COLUMN D DOES NOT REFLECT ANY ALLOCATIONS FOR PENSION EXPENSE SINCE THE HOSPITAL HAS A DEFINED BENEFIT PENSION PLAN AND AS SUCH, CONTRIBUTIONS TO THE PLAN ARE NOT SPECIFICALLY DESIGNATED TO INDIVIDUAL EMPLOYEES.
Schedule J (Form 990) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
GRAND VIEW HOSPITAL
 
Employer identification number
23-1352181
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A BUCKS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY
 
23-2174016 11861MAC0 11-20-2008 144,740,000 CONSTRUCTION/EQUIP/REFUNDING   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 10,720,000      
2 Amount of bonds legally defeased . . . . . . . . . . . 0      
3 Total proceeds of issue . . . . . . . . . . . . . . 144,740,000      
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0      
5 Capitalized interest from proceeds . . . . . . . . . . . 0      
6 Proceeds in refunding escrows . . . . . . . . . . . . 0      
7 Issuance costs from proceeds . . . . . . . . . . . . 982,355      
8 Credit enhancement from proceeds . . . . . . . . . . . 273,075      
9 Working capital expenditures from proceeds . . . . . . . . . 0      
10 Capital expenditures from proceeds . . . . . . . . . . . 12,057,570      
11 Other spent proceeds . . . . . . . . . . . . . . 131,427,000      
12 Other unspent proceeds . . . . . . . . . . . . . . 0      
13 Year of substantial completion . . . . . . . . . . . . 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X              
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X            
16 Has the final allocation of proceeds been made? . . . . . . . . X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X            
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X            
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .   X            
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X            
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .   X            
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.0000%   %   %   %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.0000%   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0.0000%   %   %   %
7 Does the bond issue meet the private security or payment test? . . . . .   X            
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X            
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of. 0%   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X            
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
  X            
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X            
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X              
b Exception to rebate? . . . . . . . .   X            
c No rebate due? . . . . . . . . . .
  X            
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X              
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X              
b Name of provider . . . . . . . . . CITYBANK & DEUTSCHE
 
 
 
 
 
 
 
c Term of hedge . . . . . . . . . . 30.0      
d Was the hedge superintegrated? . . . . . .   X            
e Was a hedge terminated? . . . . . . .   X            
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X            
b Name of provider . . . . . . . . .  
 
 
 
 
 
 
 
c Term of GIC . . . . . . . . . . 0.0      
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .   X            
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X            
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X            
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X            
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SUPPLEMENTAL INFORMATION OF TAX EXEMPT BONDS SCHEDULE K, PART I 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 INCLUDED $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.
WRITTEN PROCEDURES SCHEDULE K, PART III, LINE 9 THE ORGANIZATION IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES TO ENSURE ALL NONQUALIFIED BONDS (IF ANY) OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE ASSOCIATED REGULATIONS. THE ORGANIZATION STRIVES TO STAY ABREAST OF FEDERAL REGULATIONS AND CONSIDERS THE REPERCUSSIONS OF ALL SIGNIFICANT ACTIVITIES WHICH COULD FORESEEABLY HAVE AN IMPACT ON THE ORGANIZATION'S TAX EXEMPT BONDS AND THE ASSOCIATED FEDERAL TAX REGULATIONS.
WRITTEN PROCEDURES SCHEDULE K, PART IV, LINE 7 THE ORGANIZATION IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES TO MONITOR THE ORGANIZATION'S ABILITY TO REMAIN IN COMPLIANCE WITH THE ARBITRAGE REQUIREMENTS UNDER SECTION 148 OF THE INTERNAL REVENUE CODE. THE ORGANIZATION STRIVES TO STAY ABREAST OF FEDERAL REGULATIONS AND CONSIDERS THE REPERCUSSIONS OF ALL SIGNIFICANT ACTIVITIES WHICH COULD FORESEEABLY HAVE AN IMPACT ON THE ORGANIZATION'S TAX EXEMPT BONDS AND THE ASSOCIATED FEDERAL TAX REGULATIONS.
WRITTEN PROCEDURES SCHEDULE K, PART V THE ORGANIZATION IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES WHICH DICTATE HOW MANAGEMENT TIMELY IDENTIFIES AND CORRECTS VIOLATIONS OF FEDERAL TAX REQUIREMENTS USING THE VOLUNTARY CLOSING AGREEMENT PROGRAM PROVIDED BY THE IRS WHEN SELF-REMEDIATION IS NOT AVAILABLE TO THE ORGANIZATION. THE ORGANIZATION STRIVES TO STAY ABREAST OF FEDERAL REGULATIONS AND CONSIDERS THE REPERCUSSIONS OF ALL SIGNIFICANT ACTIVITIES WHICH COULD FORESEEABLY HAVE AN IMPACT ON THE ORGANIZATION'S TAX EXEMPT BONDS AND THE ASSOCIATED FEDERAL TAX REGULATIONS. IN THE EVENT A VIOLATION IS IDENTIFIED THE ORGANIZATION'S POLICY IS TO CORRECT THE VIOLATION AS SOON AS POSSIBLE, WHILE WORKING WITH THE FEDERAL AUTHORITIES AS NECESSARY TO ENSURE THAT SUFFICIENT CONTROLS ARE PRESENT WHICH WILL GUARD AGAINST FUTURE VIOLATIONS.
Schedule K (Form 990) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
GRAND VIEW HOSPITAL
 
Employer identification number

23-1352181
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
(1) DR ARTHUR FLATAU
 
EMPLOYEE RELOCATE   X 116,758 116,758   No Yes   Yes  
Total ......Small Bullet $ 116,758
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) UNIVEST
 
THREE TRUSTEES (WILLIAM AICHELE, MARK SCHLOSSER AND GREGORY SHELLY) ARE BOARD MEMBERS OF UNIVEST 268,484 INVESTMENT MANAGEMENT FEES   No
(2) SANDY CORRADO
 
SPOUSE OF MICHAEL CORRADO, TRUSTEE OF GRAND VIEW HOSPITAL 118,964 COMPENSATION   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
LOANS TO AND FROM INTERESTED PERSONS SCHEDULE L, PART II DR. ARTHUR FLATAU IS A VASCULAR SURGEON WHO RELOCATED FROM FLORIDA TO PENNSYLVANIA TO PROVIDE VASCULAR SERVICE TO HELP GRAND VIEW HOSPITAL FILL THE COMMUNITY'S NEED FOR A VASCULAR SURGEON.
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
GRAND VIEW HOSPITAL
 
Employer identification number

23-1352181
Identifier Return Reference Explanation
ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 (CONTINUED FROM PART III) 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.
PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A GRAND VIEW HOSPITAL, BUCKS COUNTY'S FIRST HOSPITAL, HAS PROVIDED QUALITY CARE CLOSE TO HOME SINCE 1913. AS A 202-BED MEDICAL CENTER, GRAND VIEW PROVIDES COMPREHENSIVE, COST-EFFECTIVE HEALTHCARE SERVICES TO THE UPPER BUCKS AND NORTHEASTERN MONTGOMERY COUNTY COMMUNITIES IT SERVES. IN ADDITION TO THE MAIN CAMPUS, GRAND VIEW OFFERS A RANGE OF INPATIENT AND OUTPATIENT CARE AT SEVERAL CONVENIENT LOCATIONS: - HARLEYSVILLE OUTPATIENT CENTER - PENNSBURG OUTPATIENT CENTER - SELLERSVILLE OUTPATIENT CENTER - THE UPPER BUCKS HEALTH & DIAGNOSTIC CENTER (QUAKERTOWN) - HIGHPOINT CANCER CENTER (CHALFONT). WITH MORE THAN 400 AFFILIATED AND INDEPENDENT PHYSICIANS ON ITS MEDICAL STAFF, GRAND VIEW OFFERS EXPERTISE IN FAMILY MEDICINE, WOMEN'S HEALTH, PEDIATRICS, UROLOGY, INFECTIOUS DISEASE, GASTROENTEROLOGY, NEUROLOGY AND OTHER SPECIALTY AREAS. NEARLY 100 PHYSICIANS ARE EMPLOYED BY THE HOSPITAL, INCLUDING THE STAFF OF GRAND VIEW MEDICAL PRACTICES-WITH EIGHT LOCATIONS ACROSS BUCKS AND MONTGOMERY COUNTIES-GRAND VIEW SURGICAL ASSOCIATES, AND THE GRAND VIEW WOUND CARE CENTER. IN AN EFFORT TO PROVIDE QUALITY HEALTH EDUCATION TO THE COMMUNITY, GRAND VIEW HELD HUNDREDS OF HEALTH PROGRAMS IN FY2013. PROGRAMS INCLUDED TOPICS SUCH AS ORTHO HEALTH DAY, HEALTHY HEARTS TOGETHER AND HEALTHY LIFESTYLES FOR WOMEN, AMONG OTHERS. PARTICIPANTS IN GRAND VIEW'S HEALTH EDUCATION PROGRAMS ENCOMPASSED ALL AGES, GENDERS, RACES AND ETHNICITIES. IN ADDITION, GRAND VIEW PARTICIPATED IN NUMEROUS HEALTH FAIRS, EXHIBITS AND COMMUNITY EVENTS. GRAND VIEW OPERATES A SPEAKERS BUREAU, WHEREBY GRAND VIEW EMPLOYEES AND MEMBERS OF THE MEDICAL STAFF PRESENT A VARIETY OF HEALTHCARE TOPICS TO AREA COMMUNITY GROUPS AND BUSINESSES. ENGAGEMENTS INCLUDE RETIREMENT COMMUNITIES, SCHOOLS, BUSINESSES AND FAITH-BASED GROUPS. MARKETING AND PUBLIC RELATIONS SCHEDULED SPEAKERS FOR ALMOST 40 PROGRAMS WITH MORE THAN 1,100 ATTENDEES IN FISCAL YEAR 2013. IN APRIL, GRAND VIEW HOSTED A HEALTH FAIR OFFERING FREE BLOOD PRESSURE CHECKS, CHOLESTEROL SCREENINGS AND ONE-ON-ONE MEETINGS WITH PHYSICIANS AND MEDICAL PROFESSIONALS TO 750 ATTENDEES. GUESTS COULD ALSO SPEAK WITH PHYSICAL THERAPISTS, ORTHOPAEDIC SURGEONS AND GRAND VIEW'S JOINT REPLACEMENT CENTER COORDINATOR IN THE SPORTS MEDICINE LOUNGE. WOMEN'S AND CHILDREN'S HEALTH - IN RECENT YEARS, GRAND VIEW INVESTED MORE THAN $15 MILLION TO EXPAND AND EQUIP THE STATE-OF-THE-ART UNIT. IN 2013, GRAND VIEW CONTINUES TO PARTNER WITH CHILDREN'S HOSPITAL OF PHILADELPHIA, BRINGING SPECIALLY TRAINED PEDIATRICIANS TO THE HOSPITAL TO ENSURE NEWBORNS RECEIVE THE BEST CARE. 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. IN MAY, GRAND VIEW HOSPITAL BECAME THE FIRST AND ONLY HEALTHCARE ORGANIZATION IN THE REGION TO OFFER THE MOST ADVANCED METHOD OF SCANNING DENSE BREAST TISSUE WITH THE ACQUISITION OF AN INNOVATIVE NEW 3D ULTRASOUND IMAGING SYSTEM DESIGNED TO PROVIDE THREE-DIMENSIONAL VIEWS OF BREAST TISSUE FOR USE IN BREAST CANCER SCREENINGS. THIS IS A BREAKTHROUGH IN DEPICTING ANOMALIES IN DENSE GLANDULAR BREAST TISSUE, THE TYPE OF TISSUE THAT MAKES UP MOST OF THE BREAST STRUCTURE OF MORE THAN HALF OF WOMEN UNDER 50. PATIENTS WHO HAVE BEEN TOLD THEY HAVE DENSE BREAST TISSUE DURING A REGULAR MAMMOGRAM NOW BENEFIT FROM 3D-ULTRASOUND SCREENINGS AS PART OF GRAND VIEW HOSPITAL'S NEW PROCEDURE. BREAST CANCER IS THE MOST FREQUENTLY DIAGNOSED CANCER IN WOMEN. IT IS ALSO ONE OF THE MOST TREATABLE TYPES OF CANCER, AVERAGING A FIVE-YEAR SURVIVAL RATE OF 90 PERCENT WHEN CAUGHT EARLY. GRAND VIEW CONTINUED TO COVER TOPICS RELATED TO WOMEN'S AND CHILDREN'S HEALTH THROUGH ITS ANNUAL REPORT AND HEALTH VIEW CALENDAR, WHICH ARE DISTRIBUTED TO NEARLY 110,000 HOUSEHOLDS. IN ADDITION, LIFE STAGES, A SPECIAL PUBLICATION FOCUSING ON WOMEN'S AND CHILDREN'S TOPICS WAS DISTRIBUTED IN APRIL 2013. JOINT REPLACEMENT CENTER - EXPERIENCED ORTHOPAEDIC SURGEONS AT GRAND VIEW HOSPITAL PROVIDE COMPREHENSIVE JOINT REPLACEMENT SERVICES FOR HIP, KNEE, SHOULDER, ELBOW AND ANKLE. PATIENTS RECOVER IN A RECENTLY CONSTRUCTED UNIT OFFERING PRIVATE ROOMS, EQUIPPED WITH FLAT-SCREEN TVS. ADVANCED 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. IN 2012, ORTHOPAEDIC SURGEONS AT GRAND VIEW HOSPITAL'S JOINT REPLACEMENT CENTER ADDED A SPECIAL OPERATING ROOM TABLE TO BEGIN PERFORMING A NEW HIP REPLACEMENT TECHNIQUE KNOWN AS THE "ANTERIOR APPROACH". THE NEW PROCEDURE CAN MAKE A PATIENT'S REHABILITATION AND RECOVERY FASTER AND EASIER. THIS NEW TECHNIQUE GIVES SURGEONS ACCESS TO THE HIP JOINT FROM THE PATIENT'S FRONT SIDE, MINIMIZING MUSCLE AND TENDON DISRUPTION. IN THIS MINIMALLY-INVASIVE PROCEDURE, SURGEONS USE SPECIAL INSTRUMENTS THAT ALLOW THEM TO OPERATE WITH AN INCISION OF THREE TO FOUR INCHES, RATHER THAN THE STANDARD EIGHT TO 12 INCHES. BONINGUP / INMOTION, GRAND VIEW HOSPITAL'S ORTHOPAEDICS NEWSLETTER, WAS DISTRIBUTED TO MORE THAN 90,000 HOUSEHOLDS. ARTICLE TOPICS INCLUDED SPORTS INJURIES, TIPS FOR ALLEVIATING HIGH-HEEL PAIN AND WARNING SIGNS FOR FOOT AND ANKLE HEALTH. GRAND VIEW'S JOINT REPLACEMENT CENTER WAS RECOGNIZED FOR ITS QUALITY ACHIEVEMENTS. IN 2012, A REPORT RELEASED BY HEALTHGRADES, AN INDEPENDENT SOURCE OF PHYSICIAN INFORMATION AND HOSPITAL QUALITY RATINGS, GAVE GRAND VIEW HOSPITAL A FIVE-STAR RATING FOR JOINT REPLACEMENT, TOTAL KNEE REPLACEMENT AND TOTAL HIP REPLACEMENT. ACCORDING TO HEALTHGRADES, A WIDE VARIATION IN QUALITY EXISTS AMONG AMERICAN HOSPITALS. PATIENTS WERE 61 PERCENT LESS LIKELY TO EXPERIENCE A MAJOR IN-HOSPITAL COMPLICATION WHEN BEING TREATED AT A HOSPITAL RECEIVING FIVE STARS WHEN COMPARED WITH HOSPITALS RECEIVING ONE STAR ACROSS A RANGE OF COMMON PROCEDURES, INCLUDING TOTAL KNEE REPLACEMENT. 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 SPECIALTIES AVAILABLE AT GRAND VIEW ARE GYNECOLOGY, MAXILLOFACIAL, PLASTIC & RECONSTRUCTIVE, PODIATRY (FEET), OPHTHALMOLOGY (EYE), OLARYNGOLOGY (EAR, NOSE AND THROAT), UROLOGY AND VASCULAR AND ENDOVASCULAR. 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 2013, GRAND VIEW HOSPITAL'S STROKE AND HEART FAILURE TREATMENT PROGRAMS WERE RECOGNIZED BY THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES. GRAND VIEW HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD, ITS HIGHEST HONOR, FOR THE FOURTH CONSECUTIVE YEAR. THE AWARD RECOGNIZES GRAND VIEW'S COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE FOR STROKE PATIENTS USING EVIDENCE-BASED GUIDELINES. IN ADDITION, HEALTHGRADES GAVE GRAND VIEW A 5-STAR QUALITY RATING IN THE TREATMENT OF HEART ATTACK AND HEART FAILURE IN 2013. 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 RECEIVED 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 WERE AWARDED THREE-YEAR ACCREDITATION BY THE AMERICAN COLLEGE OF RADIATION ONCOLOGY (ACRO). THE GRAND VIEW OUTPATIENT CENTER AT SELLERSVILLE WAS AWARDED ACCREDITATION BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR) AND BREAST IMAGING CENTER OF EXCELLENCE BY COMMISSION ON QUALITY AND SAFETY AND COMMISSION ON BREAST EXCELLENCE.
PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A OTHER AWARDS - -RESPIRATORY CARE - GRAND VIEW RECEIVED SEVERAL OTHER RECOGNITIONS THROUGHOUT THE YEAR. IN FEBRUARY, THE GRAND VIEW MEDICAL COMPANY, AN AFFILIATE OF GRAND VIEW HOSPITAL, WAS NAMED A QUALITY RESPIRATORY CARE PROVIDER FOR RESIDENTS OF HOME CARE ORGANIZATIONS BY THE AMERICAN ASSOCIATION FOR RESPIRATORY CARE (AARC). THIS IS THE SECOND TIME GRAND VIEW MEDICAL COMPANY HAS ACHIEVED QUALITY RESPIRATORY CARE RECOGNITION (QRCR). -WOUND CARE CENTER - A TEAM OF PHYSICIANS AND STAFF SPECIALLY TRAINED IN WOUND CARE COLLABORATE WITH THE PATIENT'S PHYSICIAN TO DEVELOP A PERSONALIZED CARE PLAN. THE CENTER HAS A PATIENT SATISFACTION RATE OF MORE THAN 96%, ACCORDING TO DATA REVIEWED DURING THE CRITERIA EVALUATION PROCESS. HEALING RATES ARE ABOVE 96 % IN LESS THAN 28 MEDIAN DAYS TO HEAL FOR 12 CONSECUTIVE MONTHS. RESULTS WERE BENCHMARKED AGAINST 325 CENTERS MANAGED BY DIVERSIFIED CLINICAL SERVICES. THESE ACHIEVEMENTS HAVE EARNED GRAND VIEW AN EXCELLENT REPUTATION FOR SPECIALIZED WOUND CARE. -OVERALL PERFORMANCE - IN SEPTEMBER 2012, GRAND VIEW HOSPITAL WAS NAMED ONE OF THE NATION'S TOP PERFORMERS ON KEY QUALITY MEASURES BY THE JOINT COMMISSION, THE LEADER IN ACCREDITATION OF HEALTHCARE ORGANIZATIONS IN AMERICA. THE JOINT COMMISSION RECOGNIZED GRAND VIEW FOR THE SECOND YEAR IN A ROW FOR EXEMPLARY PERFORMANCE IN USING EVIDENCE-BASED CLINICAL PROCESSES SHOWN TO IMPROVE CARE FOR CERTAIN CONDITIONS, INCLUDING HEART ATTACK, HEART FAILURE, PNEUMONIA AND SURGICAL CARE. GRAND VIEW IS ONE OF ONLY SIX PHILADELPHIA-AREA ACUTE CARE HOSPITALS EARNING THE DISTINCTION OF TOP PERFORMER ON KEY QUALITY MEASURES FOR ATTAINING AND SUSTAINING EXCELLENCE IN ACCOUNTABILITY MEASURE PERFORMANCE. GRAND VIEW IS ONLY ONE OF 405 IN THE NATION EARNING THE DISTINCTION OF TOP PERFORMER ON KEY QUALITY MEASURES FOR ATTAINING AND SUSTAINING EXCELLENCE IN ACCOUNTABILITY MEASURE PERFORMANCE. THE 405 HOSPITALS RECOGNIZED REPRESENT THE TOP 14 PERCENT OF JOINT COMMISSION ACCREDITED HOSPITALS REPORTING CORE MEASURE PERFORMANCE DATA. INCLUSION ON THE LIST IS BASED ON AN AGGREGATION OF ACCOUNTABILITY MEASURE DATA REPORTED TO THE JOINT COMMISSION DURING THE PREVIOUS CALENDAR YEAR, 2011. GRAND VIEW HOSPITAL ALSO RECEIVED THE DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE FROM HEALTHGRADES IN 2013. ACCORDING TO HEALTHGRADES' QUALITY REPORT, DISTINGUISHED HOSPITALS FOR CLINICAL EXCELLENCE, GRAND VIEW PERFORMS IN THE TOP FIVE PERCENT NATIONALLY FOR OVERALL CLINICAL EXCELLENCE. WHILE MANY HOSPITALS HAVE SPECIFIC AREAS OF EXPERTISE, THESE 262 HOSPITALS OUT OF NEARLY 4,500 NATIONWIDE WERE FOUND TO DELIVER COMPREHENSIVE, HIGH-QUALITY CARE ACROSS A BROAD SPECTRUM OF CONDITIONS AND PROCEDURES. -GASTROINTESTINAL - GRAND VIEW WAS AWARDED THE HEALTHGRADES GENERAL SURGERY EXCELLENCE AWARD IN 2013. THIS AWARD RECOGNIZES HOSPITALS FOR SUPERIOR OUTCOMES IN CARE AND TREATMENT OF THE DIGESTIVE TRACT, INCLUDING GASTROINTESTINAL (GI) BLEEDING, BOWEL OBSTRUCTION AND SURGERY. GRAND VIEW WAS RANKED AMONG THE TOP 10 PERCENT IN AMERICA FOR GENERAL SURGERY AND FOURTH IN PENNSYLVANIA. ALSO IN 2013, GRAND VIEW RECEIVED THE HEALTHGRADES GASTROINTESTINAL CARE EXCELLENCE AWARD. THIS AWARD RECOGNIZES HOSPITALS FOR SUPERIOR OUTCOMES IN THE AREAS OF BOWEL OBSTRUCTION, GALLBLADDER REMOVAL, GI SURGERY AND PROCEDURES. GRAND VIEW RECEIVED THE FOLLOWING RECOGNITIONS: * 5-STAR RECIPIENT FOR GI PROCEDURES AND SURGERIES THREE YEARS IN A ROW BY HEALTHGRADES, 2011-2013 * 5-STAR RECIPIENT FOR TREATMENT OF BOWEL OBSTRUCTION BY HEALTHGRADES, 2013 * RANKING IN THE TOP 10 PERCENT OF AMERICA'S HOSPITALS FOR OVERALL GI SERVICES AND FOURTH IN PENNSYLVANIA BY HEALTHGRADES, 2013 -CRITICAL CARE - GRAND VIEW RECEIVED A FIVE-STAR RANKING FOR TREATMENT OF SEPSIS BY HEALTHGRADES FOR THE FIFTH YEAR IN 2013. -"MOST WIRED" HOSPITALS - GRAND VIEW SECURED A SPOT AMONG AMERICA'S "MOST WIRED" HOSPITALS THREE YEARS IN A ROW FOR STATE-OF-THE-ART HEALTH INFORMATION TECHNOLOGY SHOWN TO IMPROVE PATIENT CARE, SAFETY, PRIVACY AND COMMUNICATION. HEALTH PROMOTION & WELLNESS - THE HEALTH PROMOTION AND WELLNESS DEPARTMENT OF GRAND VIEW HOSPITAL, IN CONJUNCTION WITH OTHER GRAND VIEW DEPARTMENTS AND 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. IN FY2013, GRAND VIEW HELD HUNDREDS OF CLASSES WITH THOUSANDS OF PARTICIPANTS. SOME OF THE CLASSES INCLUDED BIRTH AND FAMILY EDUCATION, CAR SEAT CHECKS, EXERCISE AND FITNESS, HEART HEALTH, ORTHOPAEDICS, SMOKING CESSATION, CANCER AND OTHER SPECIAL HEALTH EVENTS. IN ADDITION TO THE CLASSES OFFERED, GRAND VIEW PROVIDED NURSING AND HEALTH CONSULTATIONS BOTH IN-PERSON AND VIA TELEPHONE. ALSO DURING FY2013, GRAND VIEW OFFERED FREE HEALTH SCREENINGS TO THE COMMUNITY INCLUDING BLOOD PRESSURE SCREENINGS AND A SEASONAL FLU CLINIC. GRAND VIEW ALSO HELD COMMUNITY BLOOD DRIVES IN PARTNERSHIP WITH MILLER KEYSTONE BLOOD CENTER. A WIDE VARIETY OF SUPPORT GROUPS ARE OFFERED FREE OF CHARGE AT GRAND VIEW AND LED BY HOSPITAL STAFF TO HELP PEOPLE UNDERSTAND AND COPE WITH PARTICULAR PROBLEMS OR ILLNESSES. THESE GROUPS INCLUDE: - BETTER BREATHERS (PULMONARY DISEASE) - BREAST CANCER - HOSPICE BEREAVEMENT - MULTIPLE SCLEROSIS - INFANT BEREAVEMENT MEETING SPACE, ADVERTISING AND REGISTRATION SERVICES - GRAND VIEW PROVIDES FREE-OF-CHARGE MEETING SPACE AND PROMOTION FOR SEVERAL COURSES AND SUPPORT GROUPS OFFERED BY COMMUNITY BASED ORGANIZATIONS. OFTEN, GRAND VIEW ALSO FURNISHES REGISTRATION SERVICES FOR THESE COURSES AND GROUPS. SOME OF THE GROUPS INCLUDE: - ALCOHOLICS ANONYMOUS - CHILD, HOME AND COMMUNITY (TEENAGE PARENTING) - ABC DIABETES - AARP (SENIOR DRIVING SAFETY) - BABYSITTING COURSES -FIRST AID AND CPR HEALTH FAIRS/EXHIBITS - PROVIDED IN VARIOUS LOCATIONS WITHIN THE COMMUNITY, HEALTH FAIRS ARE OPPORTUNITIES TO EDUCATE A LARGE NUMBER OF COMMUNITY MEMBERS ON PRUDENT HEALTH PRACTICES AND A WAY TO PROVIDE FREE PAMPHLETS ON MANY IMPORTANT HEALTH TOPICS. FAIRS WERE HELD AT COMMUNITY EVENTS, LOCAL SENIOR CENTERS, SCHOOLS AND OTHER CIVIC BUILDINGS. MORE THAN 1,000 PEOPLE WERE REACHED THROUGH THESE EVENTS IN FY2013. GRAND VIEW INFORMATION LINE - THE GRAND VIEW INFORMATION LINE PROVIDES CALLERS WITH PHYSICIAN REFERRAL SERVICE, CLASS ENROLLMENT AND HOSPITAL INFORMATION. THIS SERVICE IS FOR INDIVIDUALS SEEKING INFORMATION ABOUT OR A REFERRAL TO A GRAND VIEW HOSPITAL PHYSICIAN OR INFORMATION ABOUT OTHER PROGRAMS OFFERED THROUGH THE HOSPITAL. HEALTH PROMOTION CAMPAIGNS - THROUGHOUT THE YEAR, 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 HEART HEALTH DAY TO RAISE AWARENESS OF THE FOUR MAIN RISK FACTORS FOR HEART DISEASE - HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, SMOKING AND DIABETES. - PAINT THE TOWN PINK - TAKING PLACE IN OCTOBER DURING BREAST CANCER AWARENESS MONTH, 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 WEBSITE (GVH.ORG) AND ADVERTISING, INCLUDING PRINT ADS AND BILLBOARDS. *GRAND VIEW PARTNERED 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 OTHERS. *WORKING WITH PENNRIDGE HIGH SCHOOL, GRAND VIEW PARTICIPATED IN THE THIRD ANNUAL "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.
PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A - HEART HEALTH DAY - TAKING PLACE IN FEBRUARY, FOR AMERICAN HEART MONTH, THE CAMPAIGN INCLUDED: *EDUCATION DIRECTED TO AREA RESIDENTS THROUGH SPECIAL PROGRAMS, PUBLISHED IN THE GRAND VIEW HEALTH VIEW CALENDAR, WHICH IS DISTRIBUTED TO APPROXIMATELY 110,000 HOUSEHOLDS IN THE AREA: TOUR YOUR GROCERY STORE - HEART-HEALTHY FOODS. *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. *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.
Family/business relationships amongst interested persons Form 990, Part VI, Section A, Line 2 WILLIAM AICHELE, MARK SCHLOSSER, AND GREGORY SHELLY - BUSINESS RELATIONSHIP
Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS GRAND VIEW HEALTH FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION.
Members or stockholders electing members of governing body 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.
Review of form 990 by 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.
Conflict of interest policy 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.
Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a 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 used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b 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.
Governing documents, conflict of interest policy and financial statements available to the public 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.
Other Expenses Form 990, Part IX, Line 11g OTHER FEES FOR SERVICES - TOTAL EXPENSE: 22182219, PROGRAM SERVICE EXPENSE: 17078475, MANAGEMENT AND GENERAL EXPENSES: 5103744, FUNDRAISING EXPENSES: ;
Other changes in net assets or fund balances Form 990 , Part XI, Line 9 PENSION - UNREALIZED GAIN ON MARKET VALUE CHANGE - 8819000; SWAP DERIVATIVE ACTIVITY - UNREALIZED GAIN ON MARKET TO MARKET CHANGE - 6834000;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
GRAND VIEW HOSPITAL
 
Employer identification number

23-1352181
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) TRINITY HEALTH CARE ALLIANCE LLC
700 LAWN AVENUE
SELLERSVILLE,PA18960
20-3001561
RADIATION ONCOLOGY SERVICES PA -131,687 2,562,643 GRAND VIEW HOSPITAL
 










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1) GRAND VIEW HEALTH FOUNDATION

700 LAWN AVENUE

SELLERSVILLE,PA18960
SUPPORT HOSPITAL'S CHARITABLE MISSION PA 501(C)(3) 7 NA
 
 
No
(2) GRAND VIEW LEHIGH VALLEY HEALTH SERVICES

3 LIFE MARK DRIVE

SELLERSVILLE,PA18960
HEALTHCARE PA 501(C)(3) 9 NA
 
 
No










For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) GRAND VIEW SPORTS MEDICINE CENTER

PO BOX 310
SELLERSVILLE,PA18960
23-2530075
PHYSICAL THERAPY PA GRAND VIEW HOSPITAL
 
RELATED -31,319 250,609   No -31,319 Yes   66.667 %
(2) QUAKERTOWN HEALTH VENTURE

2545 SCHOENERSVILLE ROAD
BETHLEHEM,PA18017
26-0707848
MEDICAL DIAGNOSTIC SERVICES PA GRAND VIEW HOSPITAL
 
RELATED -210,779 2,858,685   No 0   No 50 %
(3) HIGH POINT RADIATION ONCOLOGY CENTER LLC

700 LAWN AVENUE
SELLERSVILLE,PA18960
23-2988981
RADIATION ONCOLOGY PA GRAND VIEW HOSPITAL
 
RELATED 70,910 129,600   No 0   No 66.66 %








Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) GRAND VIEW SPORTS MEDICINE

J 200,277 FAIR MARKET VALUE
(2) GRAND VIEW HEALTH FOUNDATION

Q 254,593 FAIR MARKET VALUE
(3) GRAND VIEW HEALTH FOUNDATION

C 530,000 FAIR MARKET VALUE
(4) GRAND VIEW LEHIGH VALLEY HEALTH SERVICES

O 163,855 FAIR MARKET VALUE
(5) GRAND VIEW LEHIGH VALLEY HEALTH SERVICES

L 100,006 FAIR MARKET VALUE

Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


Software ID: 12000266
Software Version: v2012.1.0