PORTAGE LEGACY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PORTAGE LEGACY INC (EIN 38-1381288)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-07-29
IRS object ID
201412109349301406
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-07-29T16:23:27-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1600 E FRONT STREET SUITE 300AddressLine1
CityTRAVERSE CITYCity
StateMIState
ZIP Code49686ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN381381288EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PORTAGE HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPORTNameControl
Phone9064878000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 CAMPUS DRIVEAddressLine1
CityHANCOCKCity
StateMIState
ZIP Code49930ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSUSAN BINKLEYName
TitleCFOTitle
Phone9064878000Phone
Date Signed2014-07-23DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL A BAKERName
PTINP00053797PTIN
Phone2319477800Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES BOGANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1500 CAMPUS DRIVEAddressLine1
CityHANCOCKCity
StateMIState
ZIP Code49930ZIPCode
FieldValueIRS element (for citing)
Gross Receipts94480880GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PORTAGEHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1948YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees875TotalNbrEmployees
Total Nbr Volunteers107TotalNbrVolunteers
Total Gross UBI1666764TotalGrossUBI
Net Unrelated Business Txbl Income37601NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year75256ContributionsGrantsPriorYear
Contributions Grants Current Year55961ContributionsGrantsCurrentYear
Program Service Revenue Prior Year80662704ProgramServiceRevenuePriorYear
Program Service Revenue CY82209455ProgramServiceRevenueCY
Investment Income Prior Year918391InvestmentIncomePriorYear
Investment Income Current Year1893096InvestmentIncomeCurrentYear
Other Revenue Prior Year1948956OtherRevenuePriorYear
Other Revenue Current Year2200123OtherRevenueCurrentYear
Total Revenue Prior Year83605307TotalRevenuePriorYear
Total Revenue Current Year86358635TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year67000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY41500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year44993242SalariesEtcPriorYear
Salaries Etc Current Year47329236SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year33508930OtherExpensePriorYear
Other Expenses Current Year34285409OtherExpensesCurrentYear
Total Expenses Prior Year78569172TotalExpensesPriorYear
Total Expenses Current Year81656145TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5036135RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4702490RevenuesLessExpensesCY
Total Assets BOY99612010TotalAssetsBOY
Total Assets EOY101728636TotalAssetsEOY
Total Liabilities BOY37762680TotalLiabilitiesBOY
Total Liabilities EOY32690463TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY61849330NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY69038173NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense22410803Expense
Revenue35440118Revenue
DescriptionOUTPATIENT SERVICES - (SURGERY, LAB, IMAGING, REHAB, INFUSIONS, ETC) 121,096 VISITSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense12576040Expense
Revenue14149290Revenue
DescriptionPHYSICIAN CLINICS - 71,373 VISITSDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense8164175Expense
Revenue16005501Revenue
DescriptionINPATIENT ROUTINE CARE - 1,501 DISCHARGES AND 332 NEWBORN DELIVERIESDescription

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense26146693Expense
Grants41500Grants
Revenue16614546Revenue
DescriptionALL OTHER PROGRAM SERVICESDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp26146693TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt41500TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev16614546TotalOfOtherProgramServiceRev
Total Program Service Expense69297711TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109694NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees875NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SUSAN BINKLEY CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9064831503TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 CAMPUS DRIVEAddressLine1
CityHANCOCKCity
StateMIState
ZIP Code49930ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BRUCE TRUSOCK MD
DIRECTOR40.000.40X298910026530
STEVE ZUTTER
CHAIR1.000.40X000X
MARTIN ISKRA
DIRECTOR1.000.40X000
JAMES BOGAN
PRESIDENT & CEO40.000.40X345968030690X
KIRK LUFKIN MD
MEDICAL DIRECTOR/CMO40.000.40X280638017969
ELLEN HORSCH
DIRECTOR1.000.40X000
DAVE MECHLIN
DIRECTOR1.000.40X000
MIKE NEUMAN MD PHD
VICE CHAIR1.000.40X000X
TIMOTHY SEARS MD
MEDICAL STAFF PRESIDENT40.000.40X446185030571
KRISTINE JUKURI-WEIDNER
SECRETARY1.000.40X000X
WILLIAM LISTON MD
DIRECTOR40.000.40X428736017707
TIM BARONI
TREASURER1.000.40X000X
DAWN NULF MD
DIRECTOR40.000.40X366150030822
JAY MARTINEAU
DIRECTOR1.000.40X000
BRIAN DONAHUE
CFO/VP FINANCE40.000.40178963027706X
CHRISTOPHER PEER
PHYSICIAN40.000.00607187015547X
KIRK KLEMME
PHYSICIAN40.000.00438532026995X
JENNIFER BOW
PHYSICIAN40.000.00500608016855X
WILLIAM SARAZIN
PHYSICIAN48.600.00347098030976X
REBECCA BAUDOIN
PHYSICIAN36.000.00311189017582X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4550164TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation289950TotalOtherCompensation
Number Individuals GT100 K54NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THOMAS J MOYLE JR INC
PO BOX 399HOUGHTONMI49931BUILDING CONSTRUCTION SERVICES2086170
MARQUETTE GENERAL HOSPITAL
580 W COLLEGE AVENUEMARQUETTEMI49855MEDICAL & COMPUTER SERVICES871222
MEDICAL LABS OF MARQUETTE PC
420 W MAGNETICMARQUETTEMI49855PATHOLOGY SERVICES472605
DELTA LOCUM TENENS
1755 WITTINGTON PLACEDALLASTX75234PHYSICIAN LOCUM SERVICES386056
AHSA LLC
PO BOX 945TRAVERSE CITYMI49685PHYSICIAN LOCUM SERVICES292275
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Related Organizations37990RelatedOrganizations
Government Grants8685GovernmentGrants
All Other Contributions9286AllOtherContributions
Total Contributions55961TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HEALTH SERVICES6221108073464380734643
OTHER RELATED REVENUE62211010356911035691
EHR REVENUE622110439121439121
FieldValueIRS element (for citing)
Total Program Service Revenue82209455TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column960938TotalRevenueColumn
Exclusion$960,938ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real184834Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real5311Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real179523Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column179523TotalRevenueColumn
Exclusion$179,523ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities9042092Securities
Other7000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities8110976Securities
Other5958Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities931116Securities
Other1042Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column932158TotalRevenueColumn
Exclusion$932,158ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
MANAGEMENT FEES54161016667641666764
CAFETERIA INCOME722210353836$353,836
FieldValueIRS element (for citing)
Total Other Revenue2020600TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column86358635TotalRevenueColumn
Related Or Exempt Function Income82209455RelatedOrExemptFunctionIncome
Unrelated Business Revenue1666764UnrelatedBusinessRevenue
Exclusion$2,426,455ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total41500Total
Program Services41500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2520762Total
Program Services1636060ProgramServices
Management And General884702ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total34813998Total
Program Services30421128ProgramServices
Management And General4392870ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1892644Total
Program Services1474790ProgramServices
Management And General417854ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5760413Total
Program Services4895598ProgramServices
Management And General864815ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2341419Total
Program Services1770092ProgramServices
Management And General571327ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total77728Total
Management And General77728ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total128955Total
Management And General128955ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total157553Total
Management And General157553ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7993541Total
Program Services6133210ProgramServices
Management And General1860331ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total274651Total
Program Services12669ProgramServices
Management And General261982ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1019655Total
Program Services543172ProgramServices
Management And General476483ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total271196Total
Program Services177021ProgramServices
Management And General94175ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1207191Total
Program Services967238ProgramServices
Management And General239953ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total255063Total
Program Services241306ProgramServices
Management And General13757ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total285775Total
Program Services102759ProgramServices
Management And General183016ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1235632Total
Program Services1037931ProgramServices
Management And General197701ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3921501Total
Program Services3294061ProgramServices
Management And General627440ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total244188Total
Program Services2268ProgramServices
Management And General241920ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES & DRUG1190315711699444203713
QUALITY ASSURANCE TAXES21275782127578
PROVISION FOR BAD DEBTS17065151706515
AFFILIATION COSTS546415546415

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total929115Total
Program Services466956ProgramServices
Management And General462159ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total81656145Total
Program Services69297711ProgramServices
Management And General12358434ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7801785BOY
EOY9308260EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1313011BOY
EOY265979EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY750BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8332620BOY
EOY6444557EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1377623BOY
EOY1479656EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1162751BOY
EOY864490EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY981621BOY
EOY375363EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis96664193LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec52151622LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY43367712BOY
EOY44512571EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY28504132BOY
EOY31480503EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6770005BOY
EOY6997257EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY99612010BOY
EOY101728636EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7437764BOY
EOY5872689EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY6000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY25329900BOY
EOY23944900EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4995016BOY
EOY2866874EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY37762680BOY
EOY32690463EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY61849330BOY
EOY69038173EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY61849330BOY
EOY69038173EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY99612010BOY
EOY101728636EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4702490ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1007862ReconciliationUnrealizedInvest
Reconcilation Other Changes1478491ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$10,186OtherActivitiesAmount
Total Lobbying Expenditures IIB10186TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationDUES PAID TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, AND HCAM.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis157724OtherCostOrOtherBasis
Book Value157724BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis59008237OtherCostOrOtherBasis
Depreciation25122783Depreciation
Book Value33885454BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1329074OtherCostOrOtherBasis
Depreciation848299Depreciation
Book Value480775BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis33855369OtherCostOrOtherBasis
Depreciation26180540Depreciation
Book Value7674829BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2313789OtherCostOrOtherBasis
Book Value2313789BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings44512571TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
COST REPORT SETTLEMENT RECEIVABLE2461636
BOND ISSUE COST382328
INVESTMENT IN JOINT VENTURES556798
INVESTMENT IN SUBSIDIARIES3596495
FieldValueIRS element (for citing)
Total Book Value Other Assets6997257TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
FAIR VALUE OF INTEREST RATE SWAP$2,541,283
COST REPORT SETTLEMENT PAYABLE$325,591
FieldValueIRS element (for citing)
Total Of Amounts2866874TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense449155TotalCommunityBenefitExpense
Net Community Benefit Expense449155NetCommunityBenefitExpense
Percent Of Total Expense0.00560PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10200270TotalCommunityBenefitExpense
Direct Offsetting Revenue10190207DirectOffsettingRevenue
Net Community Benefit Expense10063NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense10649425TotalCommunityBenefitExpense
Direct Offsetting Revenue10190207DirectOffsettingRevenue
Net Community Benefit Expense459218NetCommunityBenefitExpense
Percent Of Total Expense0.00570PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs941NumberOfActivitiesOrPrograms
Persons Served21149PersonsServed
Total Community Benefit Expense163008TotalCommunityBenefitExpense
Net Community Benefit Expense163008NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served390PersonsServed
Total Community Benefit Expense900087TotalCommunityBenefitExpense
Net Community Benefit Expense900087NetCommunityBenefitExpense
Percent Of Total Expense0.01130PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense16000TotalCommunityBenefitExpense
Net Community Benefit Expense16000NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs831NumberOfActivitiesOrPrograms
Persons Served25544PersonsServed
Total Community Benefit Expense394520TotalCommunityBenefitExpense
Net Community Benefit Expense394520NetCommunityBenefitExpense
Percent Of Total Expense0.00490PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs1787NumberOfActivitiesOrPrograms
Persons Served47083PersonsServed
Total Community Benefit Expense1473615TotalCommunityBenefitExpense
Net Community Benefit Expense1473615NetCommunityBenefitExpense
Percent Of Total Expense0.01840PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs1787NumberOfActivitiesOrPrograms
Persons Served47083PersonsServed
Total Community Benefit Expense12123040TotalCommunityBenefitExpense
Direct Offsetting Revenue10190207DirectOffsettingRevenue
Net Community Benefit Expense1932833NetCommunityBenefitExpense
Percent Of Total Expense0.02410PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served295PersonsServed
Total Community Building Expense7500TotalCommunityBuildingExpense
Net Community Building Expense7500NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served374PersonsServed
Total Community Building Expense9820TotalCommunityBuildingExpense
Net Community Building Expense9820NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served793PersonsServed
Total Community Building Expense9823TotalCommunityBuildingExpense
Net Community Building Expense9823NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served1462PersonsServed
Total Community Building Expense27143TotalCommunityBuildingExpense
Net Community Building Expense27143NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,706,515BadDebtExpenseAmount
Amount Attributable To145054AmountAttributableTo
Amount Reimbursed By Medicare15559924AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare16290659CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-730735MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1PORTAGE HEALTH INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1500 CAMPUS DRIVEAddressLine1
CityHANCOCKCity
StateMIState
ZIP Code49930ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.PORTAGEHEALTH.ORGWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PORTAGE HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities1OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities9NumberOfOtherFacilities

Other Facilities OtherFacilities (9 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
PORTAGE HEALTH REHAB
MINE STREET STATIONCALUMETMI49913OUTPATIENT REHAB
PORTAGE HEALTH INC
500 CAMPUS DRIVEHANCOCKMI49930LONG-TERM CARE
MERCY EMS
23298 AIRPARK BLVDCALUMETMI49913AMBULANCE SERVICE JOINT VENTURE
PORTAGE HEALTH HOME CARE & HOSPICE
821 WATER STREETHANCOCKMI49930HOME HEALTH OFFICE
PORTAGE HEALTH - UNIVERSITY CENTER
600 MACINNES DRIVEHOUGHTONMI49931OUTPATIENT CLINIC
PORTAGE HEALTH MEDICAL GROUP
945 NINTH STREETLAKE LINDENMI49945OUTPATIENT CLINIC
PORTAGE HEALTH SLEEP DISORDERS CENTER
890 CAMPUS DRIVEHANCOCKMI49930SLEEP DISORDERS CENTER
PORTAGE HEALTH - HOUGHTON
921 W SHARON AVEHOUGHTONMI49930EXPRESS CARE & FITNESS CENTER
ONTONAGON COMMUNITY HEALTH CENTER INC
751 S SEVENTH STREETONTONAGONMI49953MEDICAL CLINIC JOINT VENTURE

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 3C: PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE (MEDICAID), HAVE A FAMILY NET WORTH OF LESS THAN $100,000 AND WHOSE ANNUAL FAMILY INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR FREE CARE. PATIENTS WHO DO NOT QUALIFY FOR MEDICAID OR THE COMMUNITY CARE PROGRAM MAY QUALIFY FOR THE OUR DISCOUNTED CARE PROGRAM. PATIENTS WHO HAVE A FAMILY NET WORTH OF LESS THAN $100,000 AND WHOSE ANNUAL FAMILY INCOME IS BETWEEN 200% AND 300% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR A 30% TO 90% WRITE-OFF OF THEIR BILL. ALL SELF PAY PATIENTS AUTOMATICALLY RECEIVE A 20% DISCOUNT.
PART I, LINE 6A: N/A - NO RELATED PARTIES IDENTIFIED.
PART I, LINE 7: A COST TO CHARGE RATIO, DERIVED FROM WORKSHEET 2, IS USED FOR LINES 7A AND 7B. THE HOSPITAL'S INTERNAL ACCOUNTING RECORDS/ACTUAL COSTS ARE USED FOR LINES 7E, 7F, AND 7I.
PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24C - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $1,706,515.
PART II: PORTAGE HEALTH HAS ESTABLISHED ITSELF AS A LEADER IN PROMOTING THE HEALTH OF THE COMMUNITY. A FEW EXAMPLES OF THE MANY HEALTH PROMOTION ACTIVITIES THAT WE DO ARE MENTIONED HERE. THESE HEALTH PROMOTION ACTIVITIES TOUCH DIFFERENT AGE GROUPS. 1.MEALS ON WHEELS PROGRAM FOR THE ELDERLY IN WHICH WE PREPARE 1100 MEALS AT NOON EACH DAY. NOT ONLY DO WE PROVIDE THE MEAL, BUT MANY TIMES OUR MEAL TRANSPORTER IS THE ONLY PERSON THAT THE ELDERLY CITIZENS SEE. WE ATTEMPT TO MEET SOME OF THEIR EMOTIONAL NEEDS AS WELL AS THEIR PHYSICAL NEEDS.2.THE PROMOTION OF A SMOKE FREE CAMPUS MANY YEARS AGO HAS ESTABLISHED PORTAGE AS A LEADER IN OUR COMMUNITY TO STAMP OUT TOBACCO USE. HEALTH PROMOTION AND EARLY DETECTION OF DISEASE ARE BOTH IMPORTANT FOR US TO IMPROVE THE QUALITY OF LIFE IN THE COMMUNITY. 3. PORTAGE JOINED THE COPPER COUNTRY GREAT START COLLABORATIVE TO ASSIST IN MAKING SURE THAT EVERY CHILD IN BARAGA, HOUGHTON, AND KEWEENAW COUNTIES AND THEIR PARENTS HAS THE SERVICES THEY NEED FOR PHYSICAL HEALTH, SOCIAL AND EMOTIONAL HEALTH, QUALITY CARE AND EARLY LEARNING; AND PARENT LEADERSHIP AND SUPPORT.4. PORTAGE DONATED FUNDS TO SUPPORT THE COPPER HARBOR PLAYGROUND PROJECT. THE PROJECT PROMOTES THE VITAL DEVELOPMENT OF SOCIAL AND PHYSICAL HEALTH FOR CHILDREN OF ALL ABILITIES. THE PROJECT ALSO STRIVES TO ENRICH THE QUALITY OF LIFE FOR ALL LOCAL CITIZENS, PROVIDE ECONOMIC VALUE THROUGH FACILITIES THAT SUPPORT TOURISM, AND ENCOURAGE LONG-TERM COMMUNITY STABILITY AND GROWTH.AS SHOWN HERE, PORTAGE HEALTH HAS COMMITTED TO PROVIDING THE LEADERSHIP IN HEALTH PROMOTION IN ACTIVITIES.
PART III, LINE 4: ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.THE ESTIMATED AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY IS $145,054. THE HOSPITAL'S BEST ESTIMATE, 8.50 PERCENT OF BAD DEBT EXPENSE, WAS BASED UPON REVIEW OF EXTERNAL LITERATURE.THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.
PART III, LINE 8: MEDICARE SHORTFALL IS TAKEN FROM THE MEDICARE COST REPORT. THE HOSPITAL USED THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT. THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT.
PART III, LINE 9B: EACH PATIENT RECEIVES 3 SYSTEM GENERATED STATEMENTS. IF THEY DO NOT MAKE SUFFICIENT PAYMENT, THE PATIENT RECEIVES A LETTER. AFTER THE LETTER IS SENT WITH NO RESOLUTION, THE PATIENT WILL RECEIVE A FINAL NOTICE LETTER, THEN A PHONE CALL. IF NO RESOLUTION AT THAT POINT, PATIENT IS TURNED TO COLLECTIONS. COLLECTION AGENCY WORKS ALL BAD DEBT ACCOUNTS. NON-EMERGENT CARE BAD DEBT PATIENTS OWING MORE THAN $100 WILL NOT BE SCHEDULED FOR ADDITIONAL MEDICAL CARE UNTIL THEY MEET WITH THE FINANCIAL COUNSELOR AND MAKE FULL PAYMENT OR SET UP PAYMENT PLAN. THESE NON-EMERGENT CARE PATIENTS MAY ALSO APPLY TO SEE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE FOR FUTURE VISITS. PATIENTS IN NEED OF URGENT CARE ARE SEEN REGARDLESS OF ABILITY TO PAY.
PART V, SECTION B, LINE 3: SEE THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT, LOCATED AT HTTP://WWW.PORTAGEHEALTH.ORG.THE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY WESTERN UPPER PENINSULA HEALTH DEPARTMENT IN PARTNERSHIP WITH HEALTH CARE PROVIDERS ASPIRUS GRAND VIEW, ASPIRUS KEWEENAW, ASPIRUS ONTONAGON HOSPITAL, BARAGA COUNTY MEMORIAL HOSPITAL, COPPER COUNTRY MENTAL HEALTH SERVICES, GOGEBIC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY, AND WESTERN UPPER PENINSULA SUBSTANCE ABUSE SERVICE COORDINATING AGENCY. THE LEAD INVESTIGATOR ON THE PROJECT WAS RAY SHARP, MANAGER, COMMUNITY PLANNING & PREPAREDNESS FROM WESTERN UPPER PENINSULA HEALTH DEPARTMENT. DATA FOR THE ASSESSMENT REPORT WERE GATHERED FROM A WIDE ARRAY OF PUBLISHED SOURCES, FROM A SURVEY OF MORE THAN 2,500 LOCAL ADULTS, AND FROM HEALTH CARE PROVIDERS. PUBLISHED SOURCES INCLUDED THE U.S. CENSUS, THE AMERICAN COMMUNITY SURVEY, AND STATISTICS COMPILED BY THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, THE WISCONSIN DIVISION OF PUBLIC HEALTH, AND OTHER GOVERNMENT AND PRIVATE AGENCIES. THE LOCAL SURVEY WAS DESIGNED AND ADMINISTERED BY HEALTH DEPARTMENT STAFF. DR. ADAM WELLSTEAD, ASSISTANT PROFESSOR AT MICHIGAN TECHNOLOGICAL UNIVERSITY, ASSISTED WITH THE STATISTICAL ANALYSIS OF THE SURVEY RESPONSES.PORTAGE HEALTH, INC.
PART V, SECTION B, LINE 4: THE CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES - ASPIRUS GRAND VIEW, ASPIRUS KEWEENAW, ASPIRUS ONTONAGON HOSPITAL AND BARAGA COUNTY MEMORIAL HOSPITAL.PORTAGE HEALTH, INC.
PART V, SECTION B, LINE 5C: THE COMPLETE CHNA REPORT WAS MADE AVAILABLE TO ALL OF PORTAGE HEALTH STAFF. SPECIAL PRESENTATIONS ON CHNA FINDINGS WERE MADE TO THE FOLLOWING GROUPS WITHIN PORTAGE HEALTH - EXECUTIVE MANAGEMENT, PHYSICIAN AND MANAGEMENT STAFF, AND THE BOARD OF DIRECTORS. AN EIGHT PAGE PRINTED SUMMARY WAS ALSO GIVEN TO MANY GROUPS WITHIN PORTAGE HEALTH AND MADE AVAILABLE AT ALL PORTAGE HEALTH FACILITIES.PORTAGE HEALTH, INC.
PART V, SECTION B, LINE 7: SEE THE HOSPITAL'S IMPLEMENTATION PLAN, LOCATED AT HTTP://WWW.PORTAGEHEALTH.ORG.PORTAGE HEALTH CREATED A WELLNESS ADVISORY COUNCIL TO REVIEW THE COMPLETED CHNA REPORT, PRIORITIZE NEEDS AND IDENTIFY IMPLEMENTATION STRATEGIES TO ADDRESS AREAS OF FOCUS. THE WELLNESS ADVISORY COUNCIL ALSO TOOK INTO CONSIDERATION CURRENT PROGRAMING AND SERVICES OFFERED IN THE COMMUNITY WHEN PRIORITIZING NEEDS. 3 AREAS OF FOCUS WERE IDENTIFIED CHILDHOOD OBESITY, COMMUNITY NUTRITION, PREVENTION/WELLNESS. AN IMPLEMENTATION PLAN INCLUDING STRATEGIES, ACTIONS, PARTNERS AND RESOURCES WAS THEN CREATED TO ADDRESS EACH AREA OF FOCUS. AVAILABILITY OF RESOURCES LIMITED ADDRESSING EVERY NEED IDENTIFIED WITHIN THE CHNA REPORT.PORTAGE HEALTH, INC.
PART V, SECTION B, LINE 20D: ALL BILLS ARE GENERATED AT GROSS CHARGES FOR PROCEDURES PROVIDED. ALL SELF PAY PATIENTS AUTOMATICALLY RECEIVE A 20 PERCENT DISCOUNT. THE 20 PERCENT DISCOUNT IS BASED ON BEST PRACTICE BENCHMARKS. AFTER THE 20 PERCENT DISCOUNT IS APPLIED, THE PATIENT BILL WOULD BE LESS THAN GENERALLY CHARGED TO PATIENTS WITH INSURANCE.PORTAGE HEALTH, INC.
PART VI, LINE 2: PORTAGE HEALTH HAS PARTNERED WITH THE WESTERN U.P. HEALTH DEPARTMENT, ASPIRUS HOSPITALS, BARAGA COUNTY MEMORIAL HOSPITAL, WESTERN U.P. SUBSTANCE ABUSE SERVICE COORDINATING AGENCY, COPPER COUNTRY MENTAL HEALTH AND GOGEBIC COUNTY COMMUNITY MENTAL HEALTH TO CONDUCT A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). DATA WAS COLLECTED THROUGH MANY DIFFERENT FACETS, INCLUDING A LOCAL SURVEY OF THE COMMUNITY. THE FINALIZED CHNA REPORT WAS RELEASED IN 2013. PORTAGE HEALTH HAS A WELLNESS TASK FORCE WHICH HAS DEVELOPED INITIATIVES BASED ON THE NEEDS IDENTIFIED IN THE CHNA. THESE INITIATIVES WILL BE PRIORITIZED AND IMPLEMENTED IN FISCAL YEAR 2014.
PART VI, LINE 3: SOCIAL WORKERS CHECK IN-PATIENTS FOR INSURANCE AND MEET WITH THE PATIENT TO GIVE THEM THE MEDICAID AND FINANCIAL ASSISTANCE APPLICATION; THEY OFFER TO HELP COMPLETE THE FORMS. SELF PAY PATIENTS ARE CONTACTED BY FINANCIAL COUNSELORS TO EXPLORE OPTIONS. FINANCIAL ASSISTANCE BROCHURES ARE IN THE CLINICS, THE ER AND ON PORTAGE HEALTH'S WEBSITE. DOCTORS AND NURSES REFER PATIENTS IN FINANCIAL NEED TO THE FINANCIAL COUNSELORS.
PART VI, LINE 4: PORTAGE HEALTH SERVES A 4 COUNTY AREA, WITH POPULATION OF 53.461 AND COVERING A LAND AREA OF 3,768 SQUARE MILES.PORTAGE HEALTH IS A COMMUNITY BASED HEALTH CARE ORGANIZATION WHICH PROVIDES HEATH CARE SERVICES TO 28,000 PEOPLE IN A PRIMARY SERVICE AREA AND 20,000 IN A SECONDARY SERVICE AREA FOR A TOTAL OF 48,000 PEOPLE.OUR COMMUNITY IS RURAL IN NATURE BUT HAS 2 UNIVERSITIES WHICH OFFER AN ARRAY OF SERVICES WHICH ARE AVAILABLE BOTH TO THE STUDENT POPULATION AS WELL AS THE GENERAL COMMUNITY. OUR CONSTITUENTS ARE A COMBINATION OF RETIRED ELDERLY, PROFESSIONALS, TRADES, LOW INCOME PEOPLE AND STUDENTS. WE PROVIDE THE NEEDED SERVICES THAT THIS CONSTITUENCY NEEDS. WE OFFER SECONDARY CARE SERVICES WHICH INCLUDES EMERGENCY, DIAGNOSTICS, CLINICS, HOME CARE, HEALTH PROMOTION, ACUTE CARE AND REHAB.
PART VI, LINE 5: WE EVALUATE THE HEALTH BEHAVIORS AND ADDRESS CHANGES IN BEHAVIOR BY OFFERING PROGRAMS TO OUR COMMUNITY WHICH AFFECT CHANGE. SOME AREAS ARE TOBACCO ABUSE, OBESITY, SLEEP DEPRIVATION AND BAD EATING HABITS.
PART VI, LINE 6: AFFILIATES OF PORTAGE HEALTH INC. INCLUDE THE FOLLOWING ORGANIZATIONS, EACH OF WHICH CONTRIBUTE TO HEALTH PROMOTION IN THE MANNER INDICATED: * PORTAGE HEALTH RESOURCES, INC PROVIDES MEALS TO SENIORS IN THE COMMUNITY* PORTAGE HEALTH HOME SERVICES PROVIDES HOME HEALTH SERVICES, HOME MEDICAL EQUIPMENT AND SUPPLIES, HOSPICE SERVICES, AND PRIVATE DUTY SERVICES.* PORTAGE HEALTH FOUNDATION RAISES, MANAGES, AND DISPENSES FUNDS TO SUPPORT THE MISSION OF PORTAGE HEALTH INC. AND PROVIDE PROGRAMS THAT ENHANCE THE WELL-BEING OF THE COMMUNITY.* ONTONAGON COMMUNITY HEALTH CENTER, INC. - PROVIDES PRIMARY HEALTH CARE SERVICES AND VISITING PHYSICIAN SPECIALISTS TO ONTONAGON COMMUNITY RESIDENTS.* MERCY EMS PROVIDES EMERGENCY TRANSPORTATION SERVICES. * COPPER COUNTRY APOTHECARIES, INC. - OFFERS RETAIL PHARMACY SERVICES.
MIREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
COPPER COUNTRY GREAT START COLLABORATIVE
850 W SHARON AVENUE SUITE 6HOUGHTONMI49931381718440501(C)(3)10000N/AN/ACOPPER COUNTRY EARLY CHILDHOOD FUND
CITY OF HANCOCK
339 QUINCY STREETHANCOCKMI49930386004557GOVERNMENT-ISD11500N/AN/ACITY BUS TRANSPORTATION SYSTEM & SESQUICENTENNIAL CELEBRATION
OMEGA HOUSE
2211 MAUREEN LANEHOUGHTONMI49931383511814501(C)(3)5000N/AN/ADEFRAY COSTS/RAISE AWARENESS TO HOSPICE CARE AT THE OMEGA HOUSE
DIAL HELP INC
609 SHELDEN AVENUEHOUGHTONMI49931382026918501(C)(3)5000N/AN/AFUND SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM
PINE MOUNTAIN MUSIC FESTIVAL
PO BOX 406HANCOCKMI49930383029498501(C)(3)5000N/AN/ASUPPORT OF CULTURAL ARTS PROGRAMS
LITTLE BROTHERS FRIENDS OF THE ELDERLY
527 HANCOCK STREETHANCOCKMI49930382411631501(C)(3)5000N/AN/AEXPANSION OF SERVICES TO THE ELDERLY IN 3 COUNTIES
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: N/A - ALL AMOUNTS IN THIS SCHEDULE ARE DONATIONS OR SPONSORSHIPS AND ARE NOT GRANT FUNDS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRUCE TRUSOCK MD
DIRECTOR1471560150154016000136280129020325440000
JAMES BOGAN
PRESIDENT & CEO286165051990078130148130158770376658000
KIRK LUFKIN MD
MEDICAL DIRECTOR/CMO2411710311360833109514084550298607000
TIMOTHY SEARS MD
MEDICAL STAFF PRESIDENT2591900185395016000160190145520476756000
WILLIAM LISTON MD
DIRECTOR241741018539501600016292014150446443000
DAWN NULF MD
DIRECTOR349850015000013000159180149040396972000
BRIAN DONAHUE
CFO/VP FINANCE158076019733011540128730148330206669000
CHRISTOPHER PEER
PHYSICIAN5148870920000300000155470622734000
KIRK KLEMME
PHYSICIAN395682041250016000162680107270465527000
JENNIFER BOW
PHYSICIAN4402580600000350036510132040517463000
WILLIAM SARAZIN
PHYSICIAN331998012500026000156470153290378074000
REBECCA BAUDOIN
PHYSICIAN310889000300050000125820328771000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF HANCOCK HOSPITAL FINANCE AUTHORITY
A386004557410204AC52006-12-0127920000HOSPITAL, NURSING HOME, MEDICAL CLINIC, REFUND BONDS ISSUED 3/5/98 & 3/11/04000
CITY OF HANCOCK HOSPITAL FINANCE AUTHORITY
B2743986992010-12-304000000RENOVATION & ADDITION TO MEDICAL CLINIC AND RADIOLOGY/ENDOSCOPY EQUIPMENT000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A76301002792000042679113052051875972217509220071111
B345000400000080000392000020120011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00000.000000.000000.00000000
B00000.000000.000000.00000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
MORGAN STANLEY
A00101126.00000000000000000
(no name)
B000010000

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A0
B0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S AUDIT COMMITTEE AND COPIES OF THE FORM 990 ARE PROVIDED TO EACH BOARD MEMBER FOR REVIEW AFTER THE RETURN HAS BEEN FILED.
FORM 990, PART VI, SECTION B, LINE 12CAN ANNUAL CONFLICT OF INTEREST STATEMENT IS COMPLETED AND SIGNED BY EACH BOARD MEMBER. THE PRESIDENT AND CEO REVIEWS THE COMPLETED CONFLICT OF INTEREST FORMS. IF A CONFLICT IS IDENTIFIED, THAT BOARD MEMBER IS EXCUSED FROM ANY DICUSSION OR VOTE RELATING TO THE IDENTIFIED CONFLICT. IN ADDITION, COMPENSATION AND AUDIT ISSUES ARE ACTED ON BY INDEPENDENT BOARD MEMBERS ONLY. THE CONFLICT OF INTEREST POLICY COVERS THE FOLLOWING INDIVIDUALS: * INTERESTED PERSONS - BOARD MEMBERS, COMMITTEE MEMBERS, OFFICERS AND ADMINISTRATIVE STAFF, INCLUDING DIRECTORS, MANAGERS, COORDINATORS AND SUPERVISORS OF PORTAGE HEALTH. * ASSOCIATES - EMPLOYEES, MEDICAL STAFF, VOLUNTEERS, DIRECTORS, OFFICERS, SUPPLIERS, VENDORS, CONTRACTORS, CONSULTANTS AND AGENTS OF PORTAGE HEALTH.
FORM 990, PART VI, SECTION B, LINE 15OCCASIONALLY, AN INDEPENDENT CONSULTANT IS RETAINED TO RESEARCH THE MARKET DATA AND PERFORM COMPARISONS FOR THE CEO AND OTHER OFFICER POSITIONS. THE RESULTS OF THE COMPARISON AND MARKET DATA ARE PRESENTED TO THE COMPENSATION COMMITTEE. THIS WAS LAST PERFORMED IN 2011. IF NO OUTSIDE CONSULTANT IS RETAINED, MARKET SURVEYS ARE UTILIZED TO DETERMINE ADJUSTMENTS TO THE CEO'S AND THE OTHER OFFICERS COMPENSATION. IN EITHER CASE, THE COMPENSATION COMMITTEE RECOMMENDS ANY ADJUSTMENTS TO THE BOARD OF TRUSTEES. THE INDEPENDENT BOARD MEMBERS VOTE ON THE CEO'S COMPENSATION AMOUNT AND IF APPROVED, IT IS FORMALLY PUT INTO A WRITTEN EMPLOYMENT CONTRACT AND DOCUMENTED IN THE MINUTES OF THE COMPENSATION COMMITTEE AND OF THE BOARD OF TRUSTEES. THE OTHER OFFICERS COMPENSATION STRUCTURE AND SALARY RANGES ARE APPROVED BY THE COMPENSATION COMMITTEE VERSUS SPECIFIC DOLLAR AMOUNTS. THIS PROCESS WAS LAST UNDERTAKEN IN MARCH 2012 BASED ON 2011 DATA.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:CLEARING ACCOUNT ADJUSTMENT 627. CHANGE IN INTEREST RATE SWAP 1,241,148. SHARE OF NET ASSETS OF RELATED PARTIES 400,000. EQUITY IN LOSSES OF UNCONSOLIDATED INVESTEES -163,284.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
PORTAGE HEALTH RESOURCES INC
500 CAMPUS DRIVEHANCOCKMI49930383041729SENIOR MEALSMI501(C)(3)LINE 11A, IPORTAGE HEALTH INC1
PORTAGE HEALTH HOME SERVICES INC
500 CAMPUS DRIVEHANCOCKMI49930383565553PRIVATE DUTY CAREMI501(C)(3)LINE 9PORTAGE HEALTH INC1
PORTAGE HEALTH FOUNDATION
500 CAMPUS DRIVEHANCOCKMI49930383022945FUNDRAISINGMI501(C)(3)LINE 11A, IPORTAGE HEALTH INC1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1COPPER COUNTRY APOTHECARIES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 CAMPUS DRIVEAddressLine1
CityHANCOCKCity
StateMIState
ZIP Code49930ZIPCode
FieldValueIRS element (for citing)
EIN302083778EIN
Primary ActivityRETAIL PHARMACYPrimaryActivity
Legal Domicile StateMILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PORTAGE HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income570252ShareOfTotalIncome
Share Of EOY Assets3349396ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COPPER COUNTRY APOTHECARIES INC
A85511FMV - CONTRACT PRICE
COPPER COUNTRY APOTHECARIES INC
M1666764COST
PORTAGE HEALTH RESOURCES INC
M90000COST
COPPER COUNTRY APOTHECARIES INC
P550683FMV - CONTRACT PRICE ($/RX)
PORTAGE HEALTH RESOURCES INC
A31800FMV
PORTAGE HEALTH HOME SERVICES INC
A16404FMV
PORTAGE HEALTH HOME SERVICES INC
M80150COST
PORTAGE HEALTH HOME SERVICES INC
S400000COST
COPPER COUNTRY APOTHECARIES INC
S570253COST

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