TY 2020 Form 990

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Judith D Ott MSW Secretary	4.0 ................. 0.5	X	X		0	0
(2) Mary Anne Poatsy Treasurer	4.0 ................. 0.5	X	X		0	0
(3) Robert G Loughery Vice Chairman	4.0 ................. 0.5	X	X		0	0
(4) Robert W Pritchard JD CPA Chairman	4.0 ................. 0.5	X	X		0	0
(5) Elaine S A Blue MD Trustee	4.0 ................. 0	X			0	0
(6) Jeffery K Landis ESQ Trustee	4.0 ................. 0.5	X			0	0
(7) Marc D Freeman MD Trustee	4.0 ................. 0.5	X			0	0
(8) Mark A Schlosser Trustee	4.0 ................. 0.5	X			0	0
(9) Sanford L Alderfer Trustee	4.0 ................. 0.5	X			0	0
(10) William Aichele Trustee	4.0 ................. 0	X			0	0
(11) Courtney Coffman Senior VP & CFO	60.0 ................. 1.0		X		252,906	27,421
(12) J Mark Horne Sr. VP, Ambulatory/COO	60.0 ................. 1.0		X		436,890	31,467
(13) Jean M Keeler JD President & Chief Executive Officer	60.0 ................. 1.0		X		708,874	24,968
(14) Cynthia Westphal VP, Nursing	40.0 ................. 0			X	227,347	27,001
(15) Doug Hughes VP, Strategy	40.0 ................. 0			X	353,519	24,110
(16) Jan Rossi VP, Human Resources	40.0 ................. 0			X	226,795	29,251
(17) Jane A Ferry MD VP, Chief Medical Officer	40.0 ................. 0			X	487,854	20,985

(A) Name and business address	(B) Description of services	(C) Compensation
GRAND VIEW ANESTHESIA ASSOCIATES 700 LAWN AVENUE SELLERSVILLE,PA18960	ANESTHESIA PHYSICIAN SERVICES	5,944,576
VALLEY BUILDERS LLC D/B/A ARTHUR P HOUSER 775 Furnace Street PO Box 189 EMMAUS,PA18049	CONSTRUCTION SERVICES	3,108,420
UPPER BUCKS ORTHOPAEDIC ASSOCIATES 711 LAWN AVENUE BUILDING 3 SELLERSVILLE,PA18960	ORTHO PHYSICIAN SERVICES	3,054,231
Montgomery County Pulmonary & Sleep Cons 325 W Germantown Pike STE 301 EAST NORRITON,PA19403	PULMONARY PHYSICIAN SERVICES	1,465,657
GRAND VIEW RADIOLOGY SERVICES 711 LAWN AVENUE BUILDING 1 SELLERSVILLE,PA18960	RADIOLOGY SERVICES	1,327,107
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 38

- TIN:

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2020

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2019. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2020

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2019. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2020

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2020

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2020

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Name of the organization

Grand View Hospital

Employer identification number

23-1352181

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization Grand View Hospital

Part I Contributors	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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 4


Name of organization Grand View Hospital			Employer identification number 23-1352181
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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) (2020)

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2020

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ...................................................................................................................	Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2017	(b) 2018	(c) 2019	(d) 2020	(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) 2020

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

3,973

Total. Add lines 1c through 1i ....................................................................................................

3,973

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	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) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB 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.

If the organization elected, as permitted under FASB 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)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2020

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(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 ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .......................

3a(i)

(ii) Related organizations .......................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. 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 .....	5,754,730		5,754,730
b	Buildings ....	157,853,781	102,739,856	55,113,925
c	Leasehold improvements	6,190,737	4,354,658	1,836,079
d	Equipment ....	95,045,212	73,503,079	21,542,133
e	Other .....	24,058,420	1,421,631	22,636,789
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				106,883,656

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	28,246,761
2. Liability for uncertain tax positions. 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) 2020

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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

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.

Return Reference

Explanation

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The Parent and the Hospital are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (IRC) and are exempt from federal income tax on their exempt income under Section 501(a) of the IRC. Trinity, GVHP and Urgent Care are limited liability companies and do not pay federal or state income taxes. The activity for Trinity, GVHP and Urgent Care is included in the Hospital's federal Exempt Organization Business Income Tax Return. Urgent Care is a for-profit entity that files their income tax returns on the accrual basis of accounting for federal and state income tax purposes. Accounting principles generally accepted in the United States of America require the Foundation to evaluate tax positions taken by the Foundation and recognize a tax liability (or asset) if the Foundation has taken an uncertain position that more likely than not would be sustained upon examination by the Internal Revenue Service. The Foundation has concluded that as of June 30, 2021 and 2020, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the consolidated financial statements.

Schedule D (Form 990) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization
Grand View Hospital

Employer identification number

23-1352181

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	Central America and the Caribbean	0	0	,EXPENDITURES	884,000
















3a	Sub-total ....	0	0		884,000
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		884,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2020

Schedule F (Form 990) 2020

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2020

Schedule F (Form 990) 2020Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2020

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2020

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation

Schedule F (Form 990) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization
Grand View Hospital

Employer identification number

23-1352181

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2020

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 Golf (event type)	(b) Event #2 Festival of Lights (event type)	(c) Other events 7 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	106,074	21,890	56,369	184,333
2	Less: Contributions . . . .	62,488	11,146	2,233	75,867
3	Gross income (line 1 minus line 2) . . . . . .	43,586	10,744	54,136	108,466

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .	23,940	10,744	4,268	38,952
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				38,952
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				69,514

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2020

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2020

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

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 50000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

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) . . .			1,043,397		1,043,397	0.45 %
b	Medicaid (from Worksheet 3, column a) . . . . .			18,150,143	11,242,493	6,907,650	2.95 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	19,193,540	11,242,493	7,951,047	3.40 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			516,853	1,226	515,627	0.22 %
f	Health professions education (from Worksheet 5) . . .			28,196		28,196	0.01 %
g	Subsidized health services (from Worksheet 6) . . . .			34,981,213	26,605,478	8,375,735	3.58 %
h	Research (from Worksheet 7) .					0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			30,000		30,000	0.01 %
j	Total. Other Benefits . .	0	0	35,556,262	26,606,704	8,949,558	3.82 %
k	Total. Add lines 7d and 7j .	0	0	54,749,802	37,849,197	16,900,605	7.22 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

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
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	0	0	0	0

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

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. ......

70,310

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

Enter total revenue received from Medicare (including DSH and IME).....

44,624,503

Enter Medicare allowable costs of care relating to payments on line 5.....

55,406,742

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-10,782,239

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2020

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?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	Grand View Hospital 700 Lawn Avenue Sellersville,PA18960 WWW.GVH.ORG 071001	X	X	X

Schedule H (Form 990) 2020

Page 4

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
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://www.gvh.org/wp-content/uploads/2019/06/CHNA2019-FINAL-DIGITAL-FOR-POSTING.pdf

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): https://www.gvh.org/wp-content/uploads/2019/11/19_GVH_Comm_Action_Plan-FNL.pdf

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Grand View Hospital
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0%
and FPG family income limit for eligibility for discounted care of 500.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

https://www.gvh.org/financial-assistance-gvh/

The FAP application form was widely available on a website (list url):

https://www.gvh.org/financial-assistance-gvh/

A plain language summary of the FAP was widely available on a website (list url):
https://www.gvh.org/financial-assistance-gvh/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	Grand View Hospital
Name of hospital facility or letter of facility reporting group

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

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 individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	Grand View Hospital
Name of hospital facility or letter of facility reporting group

Yes

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2020

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - GRAND VIEW HOSPITAL (GVH) - MAIN CAMPUS. The following were done: 19 Community Meetings that were organized by PACDC and facilitated by the Qualitative Team, made up of experts from Children's Hospital of Philadelphia (CHOP), Jefferson Health, Penn Medicine, Holy Redeemer Health System, Grand View Health, and Chester County Hospital. Analysis of findings from these meetings was done by experts from CHOP, Jefferson Health, and Penn Medicine. 9 Key Stakeholder Focus Groups about steering committee-selected populations of special interest, including African American and Hispanic/Latino communities; individuals experiencing homelessness; Individuals experiencing housing security; prenatal and postpartum women; and individuals with behavioral/mental health conditions. 12 Key Informant Interviews with leadership and staff at Federally Qualified Health Centers (FQHCs), conducted by Health Federation of Philadelphia. Additional Key Informant Interviews with hospital patient advisory groups, employees, and other stakeholders conducted by hospitals and health systems. All data were synthesized by PDPH staff and a list of 16 community health priorities was presented to the Steering Committee. Using a modified Hanlon ranking method, each participating hospital and health system rated the priorities. An average rating was calculated, and the community health priorities were organized in priority order based on: * Size of health problem * Importance to community * Capacity of hospitals/health systems to address * Alignment with mission and strategic direction * Availability of existing collaborative efforts Potential solutions for each of the community health priorities, based on findings from the community meetings, stakeholder focus groups, and key informant interviews, were also included.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - Grand View Hospital. The FY2019 CHNA was conducted with the following hospital Facilities: Abington Hospital, Abington Lansdale Hospital, Chester County Hospital, Children's Hospital of Philadelphia, Einstein Medical Center Montgomery, Einstein Medical Center Philadelphia, Einstein Medical Center Elkins Park, Holy Redeemer Hospital, Jefferson Bucks Hospital, Jefferson Frankford Hospital, Jefferson Torresdale Hospital, Thomas Jefferson University Hospital, Jefferson Hospital for Neuroscience, Jefferson Methodist Hospital, Hospital of the University of Pennsylvania, Pennsylvania Hospital, and Penn Presbyterian Medical Center.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Grand View Hospital. The Hospital's FY2019 CHNA was conducted with Philadelphia Department of Public Health, Health Care Improvement Foundation, Philadelphia Association of Community Development Corporation, Chester County Health Department, and Montgomery County Office of Public Health.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - GRAND VIEW HOSPITAL. GVH identified and developed an implementation plan for these FOUR priorities during the hospital's FY2019 COMMUNITY HEALTH NEEDS ASSESSMENT - Behavioral Health Diagnosis and Treatment - Substance opioid use and abuse - Chronic disease prevention (cardiovascular, lung, diabetes/obesity, cancer) - Healthcare and health resource navigation The action plans implemented for these community health priorities are as follows: Behavioral Health Diagnosis and Treatment Behavioral health services were cited by the CHNA as a region-wide, top-priority need. Priority issues for Grand View Health include: - Limited number of behavioral health providers in the area - Long wait times for appointments - Inadequate inpatient resources to provide for psychiatric emergencies - Difficulty finding pediatric/adolescent behavioral health providers Objective: Increase access to behavioral health services through continued development and growth of community partnerships across the healthcare continuum. Action Plan: Expansion of improved transitions (warm handoffs) between care managers and behavioral health providers by creating an indexed resource of all social and other services available. This resource will be available to providers, care givers and transitions coaches across the organization via the hospital website to optimize referral opportunities. Substance opioid use and abuse There are limited substance use disorder providers, and inpatient detox facilities do not always provide ample support after discharge. Patients with substance abuse disorder are being admitted from the ED to inpatient and maternity. Grand View Health hospitalists are able to treat for withdrawal but have limited providers to refer to after discharge. Objective: Increase access to substance abuse disorder services for recovery and ongoing treatment. Action Plan: Reduce prescriptions and utilization of opioids through the work of the opioid stewardship committee. Increase warm handoff projects with post-acute and primary practices. Chronic disease prevention Chronic diseases include cardiovascular disease, diabetes, COPD (pulmonary), obesity, and cancer. The CHNA found that overall rates of cardiovascular disease continue to rise. Obesity rates in the Grand View Health community are 26.9% which is down from 30.6% in the 2016 CHNA, but higher than the Bucks County average of 25.1%. Objective: Increase awareness of the prevention of chronic diseases through healthy lifestyle choices with a combination of education and community outreach. Action Plan: Continue expansion and marketing of wellness programs through education of providers, care givers, and coaches; centralize health and social services resources information on hospital website. Explore technology applications for health education and support. Healthcare and health resource navigation Navigating healthcare services and other health resources, such as enrollment in public benefits and programs, remains a challenge because of a general lack of awareness of what services exist and the fragmented systems. Financial costs and logistics associated with transportation can be a barrier to accessing healthcare and health resources. Grand View Health addresses access and navigation with care coordinators in acute care, Emergency Department (ED), primary care practices, and the Grand View Healthcare Partnership. Objective: Increase access to healthcare navigators and patient advocates. Action Plan: Develop community health resource directories to provide more information about services available to providers, caregivers. and coaches for patient referrals. GVH's approach to community health needs is to focus its response to needs that are both documented in the assessment and that intersect with GVH's strengths, vision, and mission. In prioritizing the unmet needs, GVH's multidisciplinary physician group and executive leaders also considered: 1) whether GVH has the capability to address the need; 2) whether the healthcare need will align with GVH's mission; and 3) whether existing programs in the community address the need. The following identified community health priorities were not specifically addressed in GVH's implementation plan because of at least one of the three criteria described above. - Access to affordable primary and preventative care - Access to affordable specialty care - Food access and affordability - affordable and healthy housing - sexual and reproductive health - linguistically and culturally appropriate healthcare - maternal morbidity and mortality - socioeconomic disadvantage - community violence - racism and discrimination in healthcare settings - neighborhood conditions - homelessness

Schedule H (Form 990) 2020

Page 9

Part VFacility Information (continued)

Section D. 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?19
Name and address		Type of Facility (describe)
1	GVH - Sellersville Outpatient Center 915 Lawn Avenue Sellserville,PA18960	Diagnostic OP Center, Wound Care Center, Surgeons
2	GVH - HARLEYSVILLE OUTPATIENT CENTER 270 MAIN STREET HARLEYSVILLE,PA19438	DIAGNOSTIC OP CENTER
3	GVH - HOME CARE BUILDING LAWN AND EYRE AVENUES Sellersville,PA18960	HOME HEALTH CENTER
4	GVH- ALDERFER TRAVIS CARDIOLOGY 670 LAWN AVE SUITE 3A SELLERSVILLE,PA18960	CARDIOLOGIST, CARDIAC IMAGING
5	GVH - SILK MILL OFFICE 18 SOUTH 5TH STREET QUAKERTOWN,PA18951	HOSPICE
6	GVH - HEALTH CENTER AT QUAKERTOWN 99 NORTH WEST END BLVD QUAKERTOWN,PA18951	DIAGNOSTIC OP CENTER
7	GVH - GRAND VIEW MEDICAL CO 1561 BETHLEHEM PIKE HATFIELD,PA19440	DME PATIENT SERVICES
8	GVH - PRIMARY CARE SOUDERTON 3456 BETHLEHEM PIKE SOUDERTON,PA18964	PRIMARY CARE, PEDIATRIC MEDICAL CARE
9	GVH - CTR FOR ORTHOPAEDIC & NEUROSURGERY 103 BETHLEHEM PIKE COLMAR,PA18915	Orthopaedics, NEUROSURGERY, PT/OT
10	GVH - PRIMARY CARE LEDERACH 658 HARLEYSVILLE PIKE Suite 120 HARLEYSVILLE,PA19438	PRIMARY CARE
11	GVH - HEALTH CENTER AT CHALFRONT 700 HORIZON CIRCLE CHALFRONT,PA18914	DIAGNOSTIC OP CENTER
12	GVH - LMG MEDICAL BUILDING 1019 S BROAD STREET SUITE D LANSDALE,PA19446	DIAGNOSTIC OP CENTER
13	GVH - INFECTIOUS DISEASE UB MED ARTS 817 LAWN AVE Sellersville,PA18960	INFECTIOUS DISEASE PHYSICIAN
14	GVH - CARDIAC IMAGING BCA 3 LIFE MARK DRIVE Sellersville,PA18960	CARDIAC IMAGING
15	GVH - PENNSBURG OUTPATIENT CENTER 424 POTTSTOWN AVE PENNSBURG,PA18073	DIAGNOSTIC OP CENTER
16	GVH - STONERIDGE SLEEP CENTER 670 LAWN AVENUE Sellersville,PA18960	SLEEP CENTER
17	GVH - HARLEYSVILLE PRIMARY CARE 176 MAIN STREET HARLEYSVILLE,PA19438	PRIMARY CARE
18	GVH - THE PAVILLION 419 SOUTH BROAD STREET LANDSDALE,PA19446	ENDOCRINOLOGY, OB/GYN
19	GVH - Pulmonary Allergy & Sleep Medicine 817 Lawn Ave Suite 4 Sellersville,PA18960	Pulmonary, Allergy & Sleep Medicine

Schedule H (Form 990) 2020

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
Schedule H, Part I, Line 7g Subsidized Health Services	SOME OF THE SUBSIDIZED HEALTH SERVICES PROVIDED BY GRAND VIEW HOSPITAL INCLUDE PHYSICIAN CLINIC SERVICES. THESE SERVICES INCLUDE: ALS/PARAMEDICS - AVAILABLE TO THOSE RESIDENTS IN NEED OF MEDICAL TRANSPORT AND IMMEDIATE LIFE-SAVING TREATMENT. THESE PROGRAMS AT GRAND VIEW PROVIDED 8,463 OCCASIONS OF SERVICE DURING FISCAL YEAR 2021. GIVEN RECENT DOWNWARD TRENDS IN THE STAFFING OF VOLUNTEER AMBULANCE SQUADS WHO SIMILARLY SERVICE THE REGION, THE NEED FOR GRAND VIEW'S PRESENCE IN THE AREA IS INTENSIFIED. SUCH A COMMITMENT YIELDED LOSSES OF $926,583 TO THE HOSPITAL DURING FISCAL YEAR 2021. HOMECARE & PALLIATIVE CARE - PROVIDING 51,946 VISITS TO HOME BOUND AND SERIOUSLY ILL MEMBERS OF THE COMMUNITY DURING FISCAL YEAR 2021, THE HOMECARE AND PALLIATIVE CARE PROGRAMS AT THE HOSPITAL HAVE SEEN CONTINUED GROWTH IN DEMAND FOR SUCH SERVICES. THESE PROGRAMS, DESIGNED TO MEET THE NEEDS OF THE FRAILEST MEMBERS OF THE COMMUNITY, GENERATED LOSSES OF $1,983,541 DURING FISCAL YEAR 2021.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	Grand View Hospital used the worksheets provided in form 990 instructions to calculate in Part 1, Line 7
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	FOR FINANCIAL STATEMENT PURPOSES, GRAND VIEW HOSPITAL HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS, THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	BASED ON HISTORICAL EXPERIENCE AND AN ANALYSIS OF THE BAD DEBT EXPENSE OVERALL, THE ORGANIZATION HAS DETERMINED THAT A PORTION OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	From the Net Patient Services Revenues footnote in the audited financial statements: Settlements with third-party payors for retroactive adjustments due to audits, reviews or investigations are considered variable consideration and are included in the determination of the estimated transaction price for providing patient care. These settlements are estimated based on the terms of the payment agreement with the payor, correspondence with the payor and the Foundation's historical settlement activity, including an assessment to ensure that it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainty associated with the retroactive adjustment is subsequently resolved. Estimated settlements are reconciled in future periods as adjustments become known (that is, new information becomes available), or as years are settled or no longer subject to such audits, reviews and investigations. Revenues received under third-party arrangements are subject to audit and retroactive adjustments. Net patient services revenues include favorable adjustments to prior year estimated third-party settlements of approximately $2,294 and $1,010 in 2021 and 2020, respectively, related to final settlements and/or adjustments of prior year cost reports and other third-party payor adjustments. Generally, patients who are covered by third-party payors are responsible for related deductibles and coinsurance, which vary in amount. The Foundation also provides services to uninsured patients, and offers those uninsured or underinsured patients a discount, either by policy or law, from standard charges. The Foundation estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charges by any contractual adjustment, discounts and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to net patient service revenues in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as provision for bad debts. Consistent with the Foundation's mission, care is provided to patients regardless of their ability to pay. Therefore, the Foundation has determined it has provided implicit price concessions to uninsured patients and other patient balances (for example, copays and deductibles). The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts the Foundation expects to collect based on its collection history with those patients.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	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 ALMOST $10.8 MILLION LOSS INCURRED DURING THE YEAR ENDED JUNE 30, 2021. THE COST METHODOLOGY UTILIZED IS FROM THE MEDICARE COST REPORT. GRAND VIEW HOSPITAL ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. GRAND VIEW HOSPITAL BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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 OR WHEN A PATIENT SUBMITS A FINANCIAL ASSISTANCE APPLICATION DURING THE TIME IN WHICH THE APPLICATION IS PROCESSING.
Schedule H, Part V, Section B, Line 16a FAP website	- Grand View Hospital: Line 16a URL: https://www.gvh.org/financial-assistance-gvh/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Grand View Hospital: Line 16b URL: https://www.gvh.org/financial-assistance-gvh/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Grand View Hospital: Line 16c URL: https://www.gvh.org/financial-assistance-gvh/;
Schedule H, Part VI, Line 2 Needs assessment	THE ORGANIZATION CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN FISCAL YEAR 2019. THE ORGANIZATION REGULARLY ASSESSES COMMUNITY NEEDS THROUGH ITS ONGOING STRATEGIC PLANNING PROCESS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE PATIENT FINANCIAL SERVICES STAFF AT GRAND VIEW HOSPITAL SCREENS REGISTERED INPATIENT AND OUTPATIENT ACCOUNTS WHERE THE TOTAL CHARGES ARE REASONABLY ANTICIPATED TO EXCEED $2,000 IN ORDER TO IDENTIFY PATIENT ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE REVIEW AND SCREENING OCCURS BOTH PROSPECTIVELY, AT THE TIME OF ADMISSION OR PROVISION OF SERVICES, AND ALSO DURING THE COURSE OF PATIENT ACCOUNT BILLING AND INSURANCE FOLLOW-UP. CONSIDERATION OF PATIENT ELIGIBILITY FOR FINANCIAL ASSISTANCE MAY OCCUR UPON THE REQUEST OF THE PATIENT OR GUARANTOR. PUBLIC NOTIFICATION CONCERNING THE EXISTENCE OF GRAND VIEW'S FINANCIAL ASSISTANCE POLICY SHALL BE POSTED ON THE HOSPITAL'S WEB SITE AND WITHIN THE HOSPITAL, AS WELL AS SHALL BE PROVIDED TO PATIENTS AT THE TIME OF THEIR REGISTRATION FOR SERVICES. AN ABBREVIATED STATEMENT OF NOTICE WILL ALSO BE PRINTED ON THE INITIAL SELF-PAY INPATIENT AND OUTPATIENT BILLS. UPON REQUEST, A COPY OF THE PERTINENT POLICY WILL BE MADE AVAILABLE BY THE STAFF OF THE PATIENT FINANCIAL SERVICES DEPARTMENT. REFERRALS OF PATIENTS IN NEED OF FINANCIAL ASSISTANCE ARE ALSO INITIATED BY THE PREADMISSION TESTING CENTER, PATIENT ACCOUNTING, CASE MANAGEMENT/SOCIAL WORK AND PATIENT RECOGNITION CENTER.
Schedule H, Part VI, Line 4 Community information	RACIAL COMPOSITION: THE RACIAL COMPOSITION OF GRAND VIEW HOSPITAL'S SERVICE AREA IS A MAJORITY WHITE POPULATION (84%), NEARLY ONE-IN-TEN ARE ASIAN (7%), OTHER MINOR REPRESENTED GROUPS: BLACK (3%) AND HISPANIC/LATINO (2%). AGE: IN THE ORGANIZATION'S SERVICE AREA, NEARLY ONE QUARTER OF RESIDENTS ARE BETWEEN THE AGES 0-17 (22%), ONE THIRD ARE 18-44 (31%), NEARLY ONE-IN-THREE ARE 45-64 (29%), AND 17% ARE 65 OR OLDER. THE PERCENTAGE OF OLDER ADULTS INCREASED BY 1% FROM 2015. WHEN COMPARED WITH 2015, THE SERVICE AREA SAW A SLIGHT DECREASE IN THE PERCENTAGE OF RESIDENTS AGES 0-17 AND 18-44, AND A SMALL INCREASE IN THE PERCENTAGE OF THOSE AGES 45-64 AND 65 AND OLDER. OVERALL, THE 2018 AGE BREAKDOWN OF THE SERVICE AREA'S RESIDENTS IS EXPECTED TO CONTINUE TRENDING TOWARDS AN AGING POPULATION THROUGH 2020. 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. THE GRAND VIEW CHNA AREA AGE DISTRIBUTION MIRRORS THE AGE DISTRIBUTION PATTERN SEEN IN BUCKS COUNTY AS A WHOLE. THERE ARE CURRENTLY 3 OTHER HOSPITALS SERVING THE COMMUNITY.
Schedule H, Part VI, Line 5 Promotion of community health	THE ORGANIZATION'S GOVERNING BODY IS COMPRISED PRIMARILY OF INDIVIDUALS WHO REPRESENT THE COMMUNITY SERVED BY GRAND VIEW HOSPITAL AND IS MADE UP OF PRIMARILY INDEPENDENT MEMBERS. THEY LIVE AND WORK IN THE PRIMARY SERVICE AREA OF THE HOSPITAL. THE HOSPITAL USES SURPLUS FUNDS TO EXPAND HEALTHCARE OPERATIONS AND TO PROVIDE ADDITIONAL NEEDED SERVICES TO THE COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN THE COMMUNITY SERVED.
Schedule H, Part VI, Line 6 Affiliated health care system	GRAND VIEW HOSPITAL IS A 169 BED ACUTE-CARE HOSPITAL SERVING THE EASTERN MONTGOMERY COUNTY AND UPPER BUCKS COUNTY AREAS OF PENNSYLVANIA. THE GRAND VIEW HEALTH FOUNDATION WAS ESTABLISHED TO RAISE FUNDS FOR THE PROMOTION OF QUALITY HEALTH CARE SERVICES, TO PROMOTE HEALTHCARE AWARENESS IN THE COMMUNITY, AND TO ELECT MEMBERS TO THE BOARD OF GRAND VIEW HOSPITAL. GRAND VIEW - LEHIGH VALLEY HEALTH SERVICES WAS ESTABLISHED TO PROVIDE HIGH QUALITY CARDIOVASCULAR SERVICES TO MONTGOMERY AND BUCKS COUNTIES IN PENNSYLVANIA. TOGETHER, GRAND VIEW HOSPITAL, THE GRAND VIEW HEALTH FOUNDATION, AND GRAND VIEW - LEHIGH VALLEY HEALTH SERVICES WORK TOGETHER TO IMPROVE HEALTH AND PROVIDE HIGH QUALITY HEALTHCARE SERVICES TO THE PRIMARY SERVICE AREA IN MONTGOMERY AND BUCKS COUNTIES.

Schedule H (Form 990) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Grand View Hospital

Employer identification number

23-1352181

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on 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 .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on 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 ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2020

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 on 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 in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Courtney Coffman Senior VP & CFO	(i) (ii)	252,375 ------------- 0	0 ------------- 0	531 ------------- 0	10,194 ------------- 0	17,227 ------------- 0	280,327 ------------- 0	0 ------------- 0
2J Mark Horne Sr. VP, Ambulatory/COO	(i) (ii)	367,785 ------------- 0	65,700 ------------- 0	3,406 ------------- 0	12,494 ------------- 0	18,973 ------------- 0	468,357 ------------- 0	0 ------------- 0
3Jean M Keeler JD President & Chief Executive Officer	(i) (ii)	608,027 ------------- 0	88,400 ------------- 0	12,447 ------------- 0	18,074 ------------- 0	6,894 ------------- 0	733,842 ------------- 0	0 ------------- 0
4Renee Acconciamessa VP, Physician Services	(i) (ii)	185,323 ------------- 0	27,200 ------------- 0	856 ------------- 0	6,515 ------------- 0	6,864 ------------- 0	226,757 ------------- 0	0 ------------- 0
5Jane A Ferry MD VP, Chief Medical Officer	(i) (ii)	374,586 ------------- 0	76,600 ------------- 0	36,668 ------------- 0	14,673 ------------- 0	6,312 ------------- 0	508,839 ------------- 0	0 ------------- 0
6Keith Hammerschmidt Executive Director of IDN	(i) (ii)	180,535 ------------- 0	27,261 ------------- 0	450 ------------- 0	8,041 ------------- 0	18,973 ------------- 0	235,259 ------------- 0	0 ------------- 0
7Doug Hughes VP, Strategy	(i) (ii)	269,048 ------------- 0	83,600 ------------- 0	871 ------------- 0	12,110 ------------- 0	12,000 ------------- 0	377,628 ------------- 0	0 ------------- 0
8Jane D Loveless VP, Chief Information Officer	(i) (ii)	240,448 ------------- 0	52,000 ------------- 0	29,722 ------------- 0	15,570 ------------- 0	17,064 ------------- 0	354,804 ------------- 0	0 ------------- 0
9Jan Rossi VP, Human Resources	(i) (ii)	200,765 ------------- 0	25,600 ------------- 0	430 ------------- 0	8,646 ------------- 0	20,605 ------------- 0	256,046 ------------- 0	0 ------------- 0
10Cynthia Westphal VP, Nursing	(i) (ii)	187,445 ------------- 0	38,200 ------------- 0	1,703 ------------- 0	8,030 ------------- 0	18,971 ------------- 0	254,348 ------------- 0	0 ------------- 0
11Dr Steven Casey Physician	(i) (ii)	564,843 ------------- 0	0 ------------- 0	27,290 ------------- 0	16,766 ------------- 0	17,064 ------------- 0	625,962 ------------- 0	0 ------------- 0
12Dr Ernest Cope III Physician	(i) (ii)	589,330 ------------- 0	26,848 ------------- 0	1,290 ------------- 0	17,259 ------------- 0	17,064 ------------- 0	651,791 ------------- 0	0 ------------- 0
13Dr James Hurley Physician	(i) (ii)	742,149 ------------- 0	0 ------------- 0	1,290 ------------- 0	19,829 ------------- 0	17,064 ------------- 0	780,332 ------------- 0	0 ------------- 0
14Dr David Travis Physician	(i) (ii)	543,314 ------------- 0	0 ------------- 0	27,290 ------------- 0	16,334 ------------- 0	9,948 ------------- 0	596,886 ------------- 0	0 ------------- 0
15Dr Paul Weidner Physician	(i) (ii)	1,072,732 ------------- 0	0 ------------- 0	1,980 ------------- 0	25,512 ------------- 0	13,092 ------------- 0	1,113,317 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2020

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation

Schedule J (Form 990) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Bucks County Industrial Development Authority	23-2174016	11861MBN5	03-11-2021	318,976,760	To refund 2008 series bonds & construction of new building		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0
2 Amount of bonds legally defeased ..............	0
3 Total proceeds of issue ..................	318,976,760
4 Gross proceeds in reserve funds .............	17,287,375
5 Capitalized interest from proceeds .............	0
6 Proceeds in refunding escrows ...............	0
7 Issuance costs from proceeds ...............	3,167,006
8 Credit enhancement from proceeds .............	0
9 Working capital expenditures from proceeds .............	0
10 Capital expenditures from proceeds .............	191,064,918
11 Other spent proceeds .............	107,457,461
12 Other unspent proceeds .............	0
13 Year of substantial completion .............	2023
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, 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

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

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
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?
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?
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 ....	0 %
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 .........	0 %
6 Total of lines 4 and 5 .............	0 %
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. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		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 "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
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
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. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation

Schedule K (Form 990) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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), section 501(c)(4), and section 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting 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) 2020

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) VICTORIA KEELER	SISTER-IN-LAW OF JEAN KEELER, PRESIDENT & CEO OF GRAND VIEW HOSPITAL	141,112	EMPLOYEE COMPENSATION		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

Grand View Hospital

Employer identification number

23-1352181

Return Reference	Explanation
Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS	(continued from Part III) Since our humble beginnings in 1913, Grand View Health has grown. More than a hospital, we are Grand View Health, a community health system that has served generations of Bucks and Montgomery County residents through every stage of life. We continue our passionate dedication to our larger mission: to provide the best healthcare and wellness programs as well as services to our region. Grand View Health is in the process of upgrading its facilities to match its high-quality programs and create the ideal patient experience-one that integrates exciting breakthroughs in medicine with Grand View's distinctive culture of caring. The 190,000-square-foot, six-story, $197 million hospital expansion project includes 10 new Operating Rooms, 52 private patient rooms, and a new Emergency Department with 28 treatment rooms including three trauma bays to support our new Level II Trauma Center that was accredited on September 1. Grand View Health offers a range of outpatient services at six convenient locations: Chalfont, Dublin, Harleysville, Pennsburg, Sellersville and Quakertown. Additionally, we offer post-acute care services including Grand View Home Care, Grand View Hospice, Grand View Palliative Care and Grand View Medical Company. We also offer urgent care at two locations in Kulpsville and Quakertown. Our Department of Emergency Medicine provides care to 29,000 annual patients and is the first Geriatric Emergency Department in Pennsylvania accredited by the American College of Emergency Physicians. With nearly 400 affiliated and independent physicians in 45 specialties on its medical staff, Grand View Health offers expertise in family medicine, women's health, pediatrics, urology, infectious disease, gastroenterology, neurology and other specialty areas. Nearly 100 physicians are employed by Grand View Health, including the staff of our medical practices with over ten locations across Bucks and Montgomery counties. Grand View Health has nearly 2,000 employees and over 600 volunteers. Grand View communicates new services through our website, gvh.org, an annual meeting and the HealthView health information and class catalog mailings, which are distributed to nearly 125,000 households in our primary and secondary service areas. Other print and digital projects are continually distributed to the residents in our service area to inform them of the resources available to the communities we serve. We actively promote our services and events on social media and other digital channels. The Grand View Connection Line provides callers in the community with physician referral recommendations, community health class enrollments and hospital service line information. This service is for individuals seeking information about or a referral to a Grand View Health physician or information about other programs offered through the hospital. Patients also have access to a patient portal, mygvh.org, to retrieve any necessary health information. In an effort to provide quality health education to the community, Grand View health hosts health education webinars and support groups. Topics range from orthopaedics and cardiovascular health to family and childbirth education and healthy lifestyle. Participants of all ages, genders, and ethnicities are encouraged to attend. In addition, Grand View participates in health fairs, expos and community events. Members of our staff present a variety of health fair offerings, including free screenings and smoking cessation programs with physicians and medical professionals. Guests may also speak with physical therapists, orthopaedic surgeons and other related clinicians. To identity and prioritize the health needs of the community it serves, and to meet requirements of the Affordable Care Act (ACA), Grand View Health joined a first-ever Southeastern PA (SEPA) Regional Community Health Needs Assessment (CHNA), with a specific focus on Bucks, Chester, Montgomery and Philadelphia counties. The collaborative, community-engaged approach involved collecting and analyzing quantitative and qualitative data from a variety of sources to comprehensively assess the health status of the region. This gives us a detailed look at the specific health challenges that face our community. It helps us prioritize outreach, prevention, education and additional healthcare services to meet our communities' most pressing health needs. Several areas identified included substance/opioid use and abuse, behavioral health diagnosis and treatment and access to affordable primary/preventive care. As a result of these findings we will be able to offer educational opportunities to address many of these critical gaps. Our Joint Replacement Center offers experienced orthopaedic surgeons who provide comprehensive joint replacement services for hip, knee, shoulder, elbow and ankle. Patients recover in a specially constructed unit offering private rooms. Advanced joint replacement technologies often result in quicker recoveries and shorter hospital stays. They include minimally invasive hip and knee replacement surgery, shoulder replacement and ankle replacement. Grand View Health provides high-quality, compassionate surgical care for adults and children. We offer our patients convenient parking, a surgical short-stay unit and diagnostic testing locations throughout the community. Our highly experienced surgeons and surgical staff provide hands-on care using leading-edge technologies and techniques, designed for the best possible outcomes. We offer robotic-assisted knee replacement using the Mako Robotic Arm-Assisted Surgery System, leading to more precise surgery and possibly less pain and quicker recovery. We also offer robotic-assisted surgery with the da VinciXI system from Intuitiv, which can be used to perform general surgeries. In addition to general surgery, surgical specialties include colo-rectal, gynecology/urogynecology, maxillofacial, plastic & reconstructive, podiatry, ophthalmology, otolaryngology, urology, surgical oncology as well as vascular and endovascular options. Other significant services include: Cardiology - medical and interventional, Cardiac Cath Lab, Vascular services - surgical and non-surgical interventions, Neurology - stroke prevention and management and acute rehab services. Cancer services include inpatient and outpatient cancer care as well as Breast Surgery, Surgical Oncology and Interventional Pulmonology. Grand View Health provides full services for women and children including maternity, neonatology and inpatient pediatrics and emergency services. Grand View Hospital is affiliated with The Children's Hospital of Philadelphia and part of the CHOP care network. Grand View Health is a member of the Penn Cancer Network, part of Penn Medicine, and a partner in providing greater expertise and access to subspecialty care for patients in the region. Grand View Health is also an affiliate of Penn Medicine Orthopaedic Surgery and Penn Medicine Teleneurology. Grand View Health weight management offers bariatric surgery eligibility testing and evaluation, weight-loss education on surgical and non-surgical options, and teams up with Grand View's registered dieticians to create nutritional plans, fitness programs and lifestyle management techniques. Grand View Health offers comprehensive nutrition counselling services in which our team works one-on-one with patients to tailor personal nutritional goals designed to improve overall health. Our team of registered dieticians and certified diabetes educators also offer a Diabetes Self-Management Training program for anyone with diabetes or pre-diabetes, and is recognized by the American Diabetes Association (ADA). Quality Accreditations & Awards: GRAND VIEW HEALTH * Grand View Health has The Joint Commission's Gold Seal of Approval for accreditation by demonstrating compliance with standards for healthcare quality and safety. CANCER * Grand View Health has been granted an accreditation designation by the National Accreditation Program for Breast Centers (NAPBC), a program by the American College of Surgeons. Accreditation by the NAPBC is only given to those centers that have voluntarily committed to provide the highest level of quality breast care. * Accredited by the Commission on Cancer of the American College of Surgeons for commitment to providing high-quality, multidisciplinary, patient-centered cancer care. * Grand View Health's Breast Care Program has been recognized as a Hidden Scar Center of Excellence for Hidden Scar Breast Cancer Surgery. * Recognized as a Comprehensive Community Cancer Program by the Commission on Cancer of the American College of Surgeons
Form 990, Part VI, Line 6 Classes of members or stockholders	The organization's sole corporate member is Grand View Health Foundation, a related tax-exempt organization.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Grand View Health Foundation has the power to appoint the members of the board of Grand View Hospital
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	The organization does not have any committees with the authority to act on behalf of the governing body.
Form 990, Part VI, Line 11b Review of form 990 by governing body	The Board of Trustees delegated responsibility for reviewing the form 990 to the Finance Committee. The Finance Committee was presented with a draft of the report for their review and input. In addition, a draft of the report was provided to the full Board before being filed.
Form 990, Part VI, Line 12c Conflict of interest policy	Grand View Hospital has a Conflict of Interest Policy that is strongly enforced. The Conflict of Interest Policy is reviewed annually and all Board Members and Vice Presidents must disclose any conflicts or potential conflicts of interest. The Board monitors potential conflicts throughout the year. Any person with a conflict is requested to leave the discussion and is not present during any voting about the conflict. In addition, legal counsel may be engaged to assist with resolving the conflict.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	The Executive Review Committee of the Board of Trustees is charged with annually evaluating the performance and remuneration of the President/Chief Executive Officer, and reviewing the actions taken by the President/Chief Executive Officer with regard to the remuneration and appraisal of the performance of members of the organization's Senior Management team. As part of its charge, this Committee also reviews third party compensation survey data, and has defined a compensation philosophy calling for compensation parameters to be maintained within fair market value ranges.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	The Executive Review Committee of the Board of Trustees is charged with annually evaluating the performance and remuneration of the other officers and key employees and reviewing the remuneration and appraisal of the performance of members of the organization's Senior Management team. As part of its charge, this Committee also reviews third party compensation survey data, and has defined a compensation philosophy calling for compensation parameters to be maintained within fair market value ranges.
Form 990, Part VI, Line 19 Required documents available to the public	Grand View Hospital's other governing documents, financial statements and conflict of interest policy are available to the public upon request and at the CEO, CFO or Senior VP, General Counsel's discretion and authorization.
Form 990, Part IX, Line 11g Other Fees	Other Purchased Services - Total Expense: 12221296, Program Service Expense: 11610231, Management and General Expenses: 611065, Fundraising Expenses: ; Management Services - Total Expense: 9259771, Program Service Expense: 8796782, Management and General Expenses: 462989, Fundraising Expenses: ; Consulting Services - Total Expense: 1171365, Program Service Expense: 1112797, Management and General Expenses: 58568, Fundraising Expenses: ; Agency Services - Total Expense: 3606376, Program Service Expense: 3426057, Management and General Expenses: 180319, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Change in FMV of Derivatives - 2069614; Pension Liability Adjustment - 7058000; Change in Investment in Subs - -2798222; Transfer from Foundation - 561000; Net Periodic Pension Credit - 3000000; Loss on Extinguishment of Debt - -412000;
Form 990, Part III, Line 4a Program Service Accomplishments (continued)	CARDIOVASCULAR * Get with the Guidelines Heart Failure Gold Plus by the American Heart Association * Get with the Guidelines Atrial Fibrillation Gold Award by the American Heart Association * Corazon, Inc. Accredited Program * Cardiac Rehabilitation and Pulmonary Rehabilitation Certifications by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) * Echocardiography/Vascular Lab Accreditation by the Intersocietal Commission for the Accreditation of Echocardiography Laboratories DIAGNOSTIC IMAGING * Breast Ultrasound, Computed Tomography (CT), Nuclear Medicine/PET, MRI and Ultrasound Services Accredited Programs by the American College of Radiology * Breast Imaging Center of Excellence Designation by the American College of Radiology MATERNITY * Blue Distinction Designation for Maternity Care by Independence Blue Cross, an independent licensee of Blue Cross Blue Shield Association * Keystone 10 Initiative Participant by the Pennsylvania Department of Health in partnership with the PA Chapter of the American Academy of Pediatrics and with the support of the Hospital and Health System Association of Pennsylvania ORTHOPAEDICS * Recognized as a "High Performer" for knee surgery and hip fractures by U.S. News & World Reports STROKE * Accredited as a Primary Stroke Center by The Joint Commission for demonstrating compliance with standards for healthcare quality and safety. * Get with the Guidelines Stroke Silver Plus Achievement Award 2021 by the American Heart Association for maintaining specific Stroke care measures over a designated time period. TRAUMA * Level II Adult Trauma Center from the Pennsylvania Trauma Systems Foundation (PTSF) * Accredited Geriatric Emergency Department in Pennsylvania by American College of Emergency Physicians (ACEP)

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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" on 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	MEDICAL SERVICES	PA	535,478	814,309	GRAND VIEW HOSPITAL
(2) Grand View Healthcare Partnership LLC 700 Lawn Avenue Sellersville,PA18960 81-2329816	Health Services	PA	1,521,222	119,395	Grand View Hospital
(3) GRAND VIEW URGENT CARE LLC 700 LAWN AVENUE SELLERSVILLE,PA18960 32-0502543	URGENT CARE	PA	2,190,312	1,988,701	GRAND VIEW HOSPITAL

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on 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?
(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	Yes	No
(1)THE GRAND VIEW HEALTH FOUNDATION 700 LAWN AVENUE SELLERSVILLE,PA18960 23-2622621	SUPPORT HOSPITAL'S CHARITABLE MISSION	PA	501(c)(3)	7	NA		No
(2)GRAND VIEW - LEHIGH VALLEY HEALTH SERVICES 700 LAWN AVENUE SELLERSVILLE,PA18960 45-2039743	CARDIOLOGY SERVICES	PA	501(c)(3)	10	NA		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2020

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on 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	(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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on 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?
(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	Yes	No

Schedule R (Form 990) 2020

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on 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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2020

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on 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)	(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
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2020

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

1	Briefly describe the organization’s mission or most significant activities: Leading our community to a healthier future.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	2,035
6	Total number of volunteers (estimate if necessary) .............	6	329
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	28,792
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	26,247

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,736,049	1,271,491
9	Program service revenue (Part VIII, line 2g) .........	189,107,220	210,575,970
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	11,712,600	17,888,263
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,245,630	2,691,686
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	208,801,499	232,427,410
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
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	122,491,132	128,854,671
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	86,669,366	105,192,444
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	209,160,498	234,047,115
19	Revenue less expenses. Subtract line 18 from line 12.......	-358,999	-1,619,705
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	365,934,156	599,037,850
21	Total liabilities (Part X, line 26).............	171,384,938	371,425,945
22	Net assets or fund balances. Subtract line 21 from line 20.....	194,549,218	227,611,905

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 224,120,533 including grants of $ 0 ) (Revenue $ 210,575,970 )
	Grand View Health's mission, vision and values statement exemplifies how we are dedicated to serving our community. Our Board of Trustees, management and the patient experience team supports these words which are the very essence of Grand View Health's important role in the region. We share this philosophy throughout the health system and incorporate it into our new employee orientation program. We are proud that "leading our community to a healthier future" is our credo, one that is tightly woven in to everything we do, every day. Our Mission: Leading the Community to a Healthier Future. Our Vision: To be recognized for excellence and chosen for caring. Our Values: Compassion, Integrity, Respect, Collaboration, Leadership, Excellence and Service.

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 expenses224,120,533

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)			(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
(A) Name and title
(18) Jane D Loveless VP, Chief Information Officer	40.0 .......................0	X		322,171	0	32,634
(19) Keith Hammerschmidt Executive Director of IDN	40.0 .......................0	X		208,245	0	27,014
(20) Renee Acconciamessa VP, Physician Services	40.0 .......................0	X		213,379	0	13,379
(21) Dr David Travis Physician	40.0 .......................0		X	570,604	0	26,282
(22) Dr Ernest Cope III Physician	40.0 .......................0		X	617,468	0	34,323
(23) Dr James Hurley Physician	40.0 .......................0		X	743,439	0	36,893
(24) Dr Paul Weidner Physician	40.0 .......................0		X	1,074,712	0	38,604
(25) Dr Steven Casey Physician	40.0 .......................0		X	592,133	0	33,830

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	7,036,336	0	428,160

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	75,867
d	Related organizations		1d	840,000
e	Government grants (contributions)		1e	355,624

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		1,271,491

		Business Code
2a	Patient Service Revenue	621110	210,575,970	210,575,970
b
c
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		210,575,970

3 Investment income (including dividends, interest, and othersimilar amounts) ......			3,839,963			3,839,963
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents	28,792	1,751,001	6a
b	Less: rental expenses			6b
c	Rental income or (loss)	28,792	1,751,001	6c
d	Net rental income or (loss).......			1,779,793		28,792	1,751,001
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	6,000	264,837,295	7a
b	Less: cost or other basis and sales expenses	232,758	250,562,237	7b
c	Gain or (loss)	-226,758	14,275,058	7c
d	Net gain or (loss).........			14,048,300			14,048,300
8a	Gross income from fundraising events (not including $ 75,867of contributions reported on line 1c). See Part IV, line 18 ....
			8a	108,466
b	Less: direct expenses ...		8b	38,952
c	Net income or (loss) from fundraising events..			69,514			69,514
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	CAFETERIA		900099	842,379			842,379
b
c
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			842,379
12	Total revenue. See instructions.....			232,427,410	210,575,970	28,792	20,551,157

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	3,437,980	1,375,192	2,062,788
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	145,943	145,943
7	Other salaries and wages........	107,012,918	103,546,407	3,466,511
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	473,647	473,647
9	Other employee benefits .......	10,609,271	10,157,628	451,643
10	Payroll taxes ...........	7,174,912	6,816,166	358,746
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	388,185		388,185
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	26,258,808	24,945,867	1,312,941	0
12	Advertising and promotion ....	1,813,642	1,722,960	90,682
13	Office expenses .......	813,065	772,412	40,653
14	Information technology ......	4,598,646	4,368,714	229,932
15	Royalties ..
16	Occupancy ...........	6,356,193	6,038,383	317,810
17	Travel ............	242,509	230,384	12,125
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	219,043	208,091	10,952
20	Interest ...........	2,713,791	2,578,101	135,690
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	14,652,002	13,919,402	732,600
23	Insurance ...	1,234,114	1,172,408	61,706
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	PATIENT SUPPLIES	22,586,156	22,586,156
b	OTHER PATIENT EXPENSES	12,431,525	12,431,525
c	DRUGS	5,812,411	5,812,411
d	REPAIRS AND MAINTENANCE	1,081,376	1,027,307	54,069
e	All other expenses	3,990,978	3,791,429	199,549	0
25	Total functional expenses. Add lines 1 through 24e	234,047,115	224,120,533	9,926,582	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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			43,761	1	122,042
2	Savings and temporary cash investments .........			26,815,773	2	22,106,061
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			18,577,710	4	25,631,741
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			4,850,719	8	5,240,998
9	Prepaid expenses and deferred charges ......			1,037,733	9	1,536,086
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	288,902,880
b	Less: accumulated depreciation	10b	182,019,224	86,420,243	10c	106,883,656
11	Investments—publicly traded securities .			220,126,275	11	422,788,704
12	Investments—other securities. See Part IV, line 11 .....			-4,632,448	12	-5,091,714
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			12,694,390	15	19,820,276
16	Total assets. Add lines 1 through 15 (must equal line 33)...			365,934,156	16	599,037,850

17	Accounts payable and accrued expenses .....	21,437,731	17	28,687,731
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	102,622,226	20	314,491,453
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
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	47,324,981	25	28,246,761
26	Total liabilities. Add lines 17 through 25..	171,384,938	26	371,425,945

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	193,377,218	27	226,468,905
28	Net assets with donor restrictions ...........	1,172,000	28	1,143,000
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	194,549,218	32	227,611,905
33	Total liabilities and net assets/fund balances ........	365,934,156	33	599,037,850

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No