St. Luke's University Health Network, a nonprofit with a large presence in the Lehigh Valley and Northeastern Pennsylvania, is in talks to acquire Grand View Health in Bucks County. The talks became public last week, following two notable healthcare deals last month: The University of Pennsylvania Health System reached a definitive agreement to acquire Doylestown Health, also in Bucks County, and Thomas Jefferson University completed its acquisition of St. Luke's competitor Lehigh Valley Health Network. If St. Luke's completes the acquisition of the nonprofit Grand View in Sellersville, it would extend the system's reach into the Philadelphia market. In Grand View, which has close clinical ties to Penn Medicine, St. Luke's would acquire a hospital and related businesses that have had huge operating losses in recent years. In each of the last three fiscal years, Grand View has lost more than $40 million. The loss reached nearly $50 million in fiscal 2024, when Grand View had $279 million in revenue. Grand View spent $200 million to open a new patient pavilion in the summer of 2023. Grand View would be St. Luke's 12th full-service hospital. In fiscal 2024, St. Luke's had $3.6 billion in revenue and $111 million in operating income. Its rival Lehigh Valley Health Network had $4.5 billion in revenue and $16.5 million in operating income.