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Granville Health System describes imaging upgrades, behavioral-health clinic closure and EMS staffing pressures

Granville County Board of Commissioners · February 27, 2026

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Summary

Hospital leaders reported imaging modernization and an ambulatory endoscopy expansion, said the behavioral-health practice will close (impacting roughly 680 patients), and EMS supervisors described a dynamic-deployment model, added peak coverage and estimated a new 24/7 ambulance would cost roughly $1.2—$1.3 million (staffing plus vehicle).

A Granville Health System representative (speaker 11) and EMS leadership updated commissioners on the health system's operations, capital projects and emergency medical services capacity.

Lede: Hospital staff said the system generated roughly $112 million in net revenues last year, employs about 733 people (approximately 530 full-time equivalents), and has several capital projects underway, including a $5.7 million imaging renovation and a new ambulatory endoscopy center intended to expand outpatient procedure access regionally.

Nut graf: Hospital leadership announced the planned closure of its behavioral-health practice (two psychiatrists) and said the hospital has identified community resources for an estimated roughly 680 affected patients; EMS supervisors described recent additions to 24-hour coverage and a move to dynamic deployment of ambulances, and provided a ballpark cost to add a permanently staffed 24/7 ambulance.

Key points and figures

- Imaging and outpatient expansion: Hospital staff described upgrades to MRI/CT and a new endoscopy center that leadership said will increase regional access and patient volumes.

- Behavioral health: The hospital representative said the behavioral-health practice will close, impacting roughly 680 patients over two years; staff said they are coordinating referrals so patients have time to find new care.

- EMS operations: EMS supervisor Jonathan Purnell (introduced during the presentation) summarized the county's dynamic-deployment model, which repositions ambulances by demand throughout the day. He said the county added a peak-hour staffed ambulance and a supervisory QRB; performance improvements reduced the frequency of periods with zero ambulances in county (code 20) but commissioners pressed officials about response delays in the northern end of the county.

- Costs: EMS staff estimated annual staffing for a fully staffed 24/7 ambulance at about $800,000 and vehicle costs near $500,000, for a combined one-time/staffing-equivalent cost roughly in the $1.2—$1.3 million range; EMS leaders said infrastructure and base-location constraints affect how quickly additional assets can be added.

Attribution: Direct quotes and the numeric estimates above come from the hospital representative and EMS supervisor during the retreat presentation.