PORTAGE LEGACY INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- PORTAGE LEGACY INC (EIN 38-1381288)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201311359349307546
- Schema version
- 2011v1.5
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T15:26:36-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381357951 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 E FRONT STREET SUITE 300 | AddressLine1 |
| City | TRAVERSE CITY | City |
| State | MI | State |
| ZIP Code | 49686 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381381288 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORTAGE HEALTH INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PORT | NameControl |
| Phone | 9064878000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 CAMPUS DRIVE | AddressLine1 |
| City | HANCOCK | City |
| State | MI | State |
| ZIP Code | 49930 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES BOGAN | Name |
| Title | PRESIDENT AND CEO | Title |
| Phone | 9064878000 | Phone |
| Date Signed | 2013-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00842339 | PTIN |
| Phone | 2319477800 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JAMES BOGAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 CAMPUS DRIVE | AddressLine1 |
| City | HANCOCK | City |
| State | MI | State |
| ZIP Code | 49930 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 91339099 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PORTAGEHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1948 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 855 | TotalNbrEmployees |
| Total Nbr Volunteers | 135 | TotalNbrVolunteers |
| Total Gross UBI | 1468211 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 28988 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 96147 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 75256 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 72338868 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 80662704 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2957486 | InvestmentIncomePriorYear |
| Investment Income Current Year | 918391 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1912747 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1948956 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 77305248 | TotalRevenuePriorYear |
| Total Revenue Current Year | 83605307 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 10000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 67000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 42716799 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 44993242 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 28594964 | OtherExpensePriorYear |
| Other Expenses Current Year | 33508930 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 71321763 | TotalExpensesPriorYear |
| Total Expenses Current Year | 78569172 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5983485 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5036135 | RevenuesLessExpensesCY |
| Total Assets BOY | 94170360 | TotalAssetsBOY |
| Total Assets EOY | 99612010 | TotalAssetsEOY |
| Total Liabilities BOY | 36168300 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 37762680 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 58002060 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 61849330 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 23001784 | Expense |
| Grants | 0 | Grants |
| Revenue | 35852131 | Revenue |
| Description | OUTPATIENT SERVICES - (SURGERY, LAB, IMAGING, REHAB, INFUSIONS, ETC) 121,646 VISITS | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 11809293 | Expense |
| Grants | 0 | Grants |
| Revenue | 13244743 | Revenue |
| Description | PHYSICIAN CLINICS - 68,615 VISITS | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7367730 | Expense |
| Grants | 0 | Grants |
| Revenue | 14142271 | Revenue |
| Description | INPATIENT ROUTINE CARE - 1,469 DISCHARGES AND 339 NEWBORN DELIVERIES | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 23750451 | Expense |
| Grants | 67000 | Grants |
| Revenue | 17423559 | Revenue |
| Description | ALL OTHER PROGRAM SERVICES | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 23750451 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 67000 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 17423559 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 65929258 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 74 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 855 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIAN DONAHUE CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9064831503 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 CAMPUS DRIVE | AddressLine1 |
| City | HANCOCK | City |
| State | MI | State |
| ZIP Code | 49930 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| BRUCE TRUSOCK MD | |||||||
| DIRECTOR | 40.00 | X | 349255 | 0 | 26282 | ||
| STEVE ZUTTER | |||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | X | |
| MARTIN ISKRA | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JAMES BOGAN | |||||||
| PRESIDENT & CEO | 40.00 | X | 333802 | 0 | 33293 | X | |
| KIRK LUFKIN MD | |||||||
| MEDICAL DIRECTOR/CMO | 40.00 | X | 317690 | 0 | 31398 | ||
| ELLEN HORSCH | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DAVID MECHLIN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL NEUMAN MD PHD | |||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | |
| TIMOTHY SEARS MD | |||||||
| MEDICAL STAFF PRESIDENT | 40.00 | X | 440506 | 0 | 27612 | ||
| KRISTINE JUKURI-WEIDNER | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |
| WILLIAM LISTON MD | |||||||
| DIRECTOR | 40.00 | X | 417437 | 0 | 14221 | ||
| PETER WICKLEY | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | |
| TIM BARONI | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DAWN NULF MD | |||||||
| DIRECTOR | 40.00 | X | 297628 | 0 | 31553 | ||
| JAY MARTINEAU | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| BRIAN DONAHUE | |||||||
| CFO/VP FINANCE | 40.00 | 185585 | 0 | 17674 | X | ||
| LARRY CARROLL MD | |||||||
| PHYSICIAN | 40.00 | 353490 | 0 | 30993 | X | ||
| KIRK KLEMME MD | |||||||
| PHYSICIAN | 40.00 | 349958 | 0 | 26321 | X | ||
| WILLIAM SARAZIN MD | |||||||
| PHYSICIAN | 40.00 | 341578 | 0 | 31403 | X | ||
| MOHANNAD RAJJOUB MD | |||||||
| PHYSICIAN | 40.00 | 425825 | 0 | 16103 | X | ||
| THOMAS MCCONNON MD | |||||||
| PHYSICIAN | 36.00 | 274210 | 0 | 29529 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4086964 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 316382 | TotalOtherCompensation |
| Number Individuals GT100 K | 49 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MARQUETTE GENERAL HOSPITAL | |||||
| 580 W COLLEGE AVENUE | MARQUETTE | MI | 49855 | MEDICAL AND COMPUTER SERVICES | 1032646 |
| THOMAS J MOYLE JR INC | |||||
| PO BOX 399 | HOUGHTON | MI | 49931 | BUILDING CONSTRUCTION | 1020571 |
| AHSA LLC | |||||
| PO BOX 945 | TRAVERSE CITY | MI | 49685 | PHYSICIAN LOCUMS | 659078 |
| YALMER MATTILA CONTRACTING | |||||
| PO BOX 456 | HOUGHTON | MI | 49931 | BUILDING CONSTRUCTION | 562695 |
| JOHN BOWMAN MD | |||||
| PO BOX 5101 | GYPSUM | MI | 81637 | PHYSICIAN LOCUM | 266694 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Related Organizations | 30440 | RelatedOrganizations |
| Government Grants | 38470 | GovernmentGrants |
| All Other Contributions | 6346 | AllOtherContributions |
| Total Contributions | 75256 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| HEALTH SERVICES | 622110 | 79836908 | 79836908 |
| OTHER RELATED REVENUE | 622110 | 825796 | 825796 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 80662704 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 895429 | TotalRevenueColumn |
| Exclusion | $895,429 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 180150 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 31081 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 149069 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 149069 | TotalRevenueColumn |
| Unrelated Business Revenue | 5835 | UnrelatedBusinessRevenue |
| Exclusion | $143,234 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7722673 | Securities |
| Other | 3000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7702711 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 19962 | Securities |
| Other | 3000 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22962 | TotalRevenueColumn |
| Exclusion | $22,962 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| MANAGEMENT FEES | 541610 | 1462376 | 1462376 | |
| CAFETERIA INCOME | 722210 | 337511 | $337,511 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1799887 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 83605307 | TotalRevenueColumn |
| Related Or Exempt Function Income | 80662704 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1468211 | UnrelatedBusinessRevenue |
| Exclusion | $1,399,136 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67000 | Total |
| Program Services | 67000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2736480 | Total |
| Program Services | 1763605 | ProgramServices |
| Management And General | 972875 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32545920 | Total |
| Program Services | 28103971 | ProgramServices |
| Management And General | 4441949 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1708637 | Total |
| Program Services | 1349653 | ProgramServices |
| Management And General | 358984 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5797890 | Total |
| Program Services | 4856495 | ProgramServices |
| Management And General | 941395 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2204315 | Total |
| Program Services | 1652924 | ProgramServices |
| Management And General | 551391 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92715 | Total |
| Management And General | 92715 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170795 | Total |
| Management And General | 170795 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145458 | Total |
| Management And General | 145458 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8251387 | Total |
| Program Services | 6346808 | ProgramServices |
| Management And General | 1904579 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 237388 | Total |
| Program Services | 11926 | ProgramServices |
| Management And General | 225462 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1003818 | Total |
| Program Services | 489443 | ProgramServices |
| Management And General | 514375 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1169335 | Total |
| Program Services | 937023 | ProgramServices |
| Management And General | 232312 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200934 | Total |
| Program Services | 176614 | ProgramServices |
| Management And General | 24320 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 268587 | Total |
| Program Services | 113474 | ProgramServices |
| Management And General | 155113 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1266314 | Total |
| Program Services | 1044950 | ProgramServices |
| Management And General | 221364 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4008228 | Total |
| Program Services | 3329127 | ProgramServices |
| Management And General | 679101 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 500231 | Total |
| Program Services | 2268 | ProgramServices |
| Management And General | 497963 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | 11456686 | 11252493 | 204193 |
| QUALITY ASSURANCE TAXES | 2227611 | 2227611 | |
| PROVISION FOR BAD DEBTS | 1874895 | 1874895 | |
| REPAIRS | 216368 | 93890 | 122478 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 418180 | Total |
| Program Services | 235088 | ProgramServices |
| Management And General | 183092 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78569172 | Total |
| Program Services | 65929258 | ProgramServices |
| Management And General | 12639914 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9809885 | BOY |
| EOY | 7801785 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1314114 | BOY |
| EOY | 1313011 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 750 | BOY |
| EOY | 750 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7728977 | BOY |
| EOY | 8332620 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 580801 | BOY |
| EOY | 1377623 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 909162 | BOY |
| EOY | 1162751 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 385920 | BOY |
| EOY | 981621 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 91678444 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 48310732 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41077776 | BOY |
| EOY | 43367712 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27944552 | BOY |
| EOY | 28504132 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4418423 | BOY |
| EOY | 6770005 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94170360 | BOY |
| EOY | 99612010 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5630607 | BOY |
| EOY | 7437764 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26869900 | BOY |
| EOY | 25329900 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3667793 | BOY |
| EOY | 4995016 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36168300 | BOY |
| EOY | 37762680 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58002060 | BOY |
| EOY | 61849330 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58002060 | BOY |
| EOY | 61849330 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94170360 | BOY |
| EOY | 99612010 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5036135 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -1188865 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $8,754 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 8754 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | DUES PAID TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, AND HCAM. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 157724 | OtherCostOrOtherBasis |
| Book Value | 157724 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 55136403 | OtherCostOrOtherBasis |
| Depreciation | 23368783 | Depreciation |
| Book Value | 31767620 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1329074 | OtherCostOrOtherBasis |
| Depreciation | 783041 | Depreciation |
| Book Value | 546033 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 30612616 | OtherCostOrOtherBasis |
| Depreciation | 24158908 | Depreciation |
| Book Value | 6453708 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4442627 | OtherCostOrOtherBasis |
| Book Value | 4442627 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 43367712 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| COST REPORT SETTLEMENT RECEIVABLE | 2603830 |
| BOND ISSUE COST | 410911 |
| INVESTMENT IN JOINT VENTURES | 604266 |
| INVESTMENT IN SUBSIDIARIES | 3150998 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6770005 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| FAIR VALUE OF INTEREST RATE SWAP | $3,782,431 |
| COST REPORT SETTLEMENT PAYABLE | $1,212,585 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4995016 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | ACCOUNTING 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, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 454349 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 454349 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00590 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10933921 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10796746 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 137175 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11388270 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10796746 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 591524 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00770 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 142762 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33815 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 108947 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 748120 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 748120 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00980 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 612008 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 286608 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 325400 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1502890 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 320423 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1182467 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01540 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12891160 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11117169 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1773991 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02310 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 10000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 10000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 42 | NumberOfActivitiesOrPrograms |
| Persons Served | 230 | PersonsServed |
| Total Community Building Expense | 2635 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2635 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 43 | NumberOfActivitiesOrPrograms |
| Persons Served | 2479 | PersonsServed |
| Total Community Building Expense | 24748 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 24748 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 86 | NumberOfActivitiesOrPrograms |
| Persons Served | 2709 | PersonsServed |
| Total Community Building Expense | 37383 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 37383 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,874,895 | BadDebtExpenseAmount |
| Amount Attributable To | 160000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 13526741 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 14154173 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -627432 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORTAGE HEALTH INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 CAMPUS DRIVE | AddressLine1 |
| City | HANCOCK | City |
| State | MI | State |
| ZIP Code | 49930 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORTAGE HEALTH INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 7 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (7 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| PORTAGE HEALTH - UNIVERSITY CENTER | ||||
| 600 MACINNES DRIVE | HOUGHTON | MI | 49931 | OUTPATIENT CLINIC |
| PORTAGE HEALTH MEDICAL GROUP | ||||
| 945 NINTH STREET | LAKE LINDEN | MI | 49945 | OUTPATIENT CLINIC |
| PORTAGE HEALTH REHAB | ||||
| MINE STREET STATION | CALUMET | MI | 49913 | OUTPATIENT REHAB |
| PORTAGE HEALTH SLEEP DISORDERS CENTER | ||||
| 890 CAMPUS DRIVE | HANCOCK | MI | 49930 | SLEEP DISORDERS CENTER |
| PORTAGE HEALTH - HOUGHTON | ||||
| 921 W SHARON AVE | HOUGHTON | MI | 49930 | EXPRESS CARE & FITNESS CENTER |
| PORTAGE HEALTH INC | ||||
| 500 CAMPUS DRIVE | HANCOCK | MI | 49930 | LONG-TERM CARE |
| PORTAGE HEALTH HOME CARE & HOSPICE | ||||
| 821 WATER STREET | HANCOCK | MI | 49930 | HOME HEALTH OFFICE |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | IdentifierIdentifier | Return 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 $1,874,895. | ||
| 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:AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL LOSS RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD THEY ARE DEEMED TO BE UNCOLLECTIBLE. THE ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDED AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.THE ESTIMATED AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY IS $160,000. 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, WORKSHEET B, LINE 5. THE HOSPITAL USED THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT. | ||
| 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. | ||
| AS PER THE INSTRUCTIONS, SCHEDULE H, PART III, LINES 5 AND 6 ARE DERIVED DIRECTLY FROM THE MEDICARE COST REPORT. THOSE MEDICARE COSTS NOT INCLUDED IN THE MEDICARE COST REPORT (MEDICARE ADVANTAGE AND FEE FOR SERVICE PHYSICIANS) ARE SUMMARIZED AS FOLLOWS:TOTAL COST: 5,980,464TOTAL REIMBURSEMENT: 5,533,061COST IN EXCESS OF REIMBURSEMENT: 447,404 | ||
| PART V, SECTION B, LINE 19D: 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. | 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. WORK BEGAN IN JANUARY 2012 AND IS EXPECTED TO CONTINUE OVER THE NEXT 12 MONTHS. DATA WILL BE COLLECTED THROUGH MANY DIFFERENT FACETS, INCLUDING A LOCAL SURVEY OF THE COMMUNITY. THE FINALIZED CHNA REPORT WILL BE RELEASED IN FEBRUARY 2013. PORTAGE HEALTH HAS A WELLNESS TASK FORCE WHICH WILL DEVELOP INITIATIVES BASED ON THE NEEDS IDENTIFIED IN THE CHNA. THESE INITIATIVES WILL BE PRIORITIZED AND IMPLEMENTED IN FY14. | ||
| 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: N/A - THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. | ||
| MI | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|---|
| COPPER COUNTRY GREAT START COLLABORATIVE | ||||||||||
| 850 W SHARON AVE SUITE 6 | HOUGHTON | MI | 49931 | 381718440 | 501(C)(3) | 10000 | 0 | N/A | N/A | COPPER COUNTRY EARLY CHILDHOOD FUND |
| MICHIGAN TECH FUND | ||||||||||
| 1400 TOWNSEND DRIVE | HOUGHTON | MI | 49931 | 381554664 | 501(C)(3) | 27000 | 0 | N/A | N/A | DEPARTMENT DEVELOPMENT AND STUDENT PROJECT SUPPORT |
| KEWEENAW TRAIL ALLIANCE | ||||||||||
| PO BOX 336 | HOUGHTON | MI | 49931 | 381621057 | NOT APPLICABLE | 5000 | 0 | N/A | N/A | SPONSORSHIP |
| CITY OF HANCOCK | ||||||||||
| 339 QUINCY STREET | HANCOCK | MI | 49930 | 386004557 | GOVERNMENT | 10000 | 0 | N/A | N/A | CITY BUS TRANSPORTATION SYSTEM |
| COPPER HARBOR PLAYGROUND | ||||||||||
| PO BOX 106 | COPPER HARBOR | MI | 49918 | 320042815 | 501(C)(3) | 10000 | 0 | N/A | N/A | COPPER HARBOR PLAYGROUND PROJECT |
| FINNFEST USA 2013 | ||||||||||
| PO BOX 13 | HANCOCK | MI | 49930 | 352409675 | 501(C)(3) | 5000 | 0 | N/A | N/A | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 5 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRUCE TRUSOCK MD | |||||||||||||
| 132581 | 0 | 204674 | 0 | 12000 | 0 | 13686 | 0 | 12596 | 0 | 375537 | 0 | 0 | 0 |
| JAMES BOGAN | |||||||||||||
| 259582 | 0 | 68515 | 0 | 5705 | 0 | 17850 | 0 | 15443 | 0 | 367095 | 0 | 0 | 0 |
| KIRK LUFKIN MD | |||||||||||||
| 271385 | 0 | 45034 | 0 | 1271 | 0 | 16625 | 0 | 14773 | 0 | 349088 | 0 | 0 | 0 |
| TIMOTHY SEARS MD | |||||||||||||
| 223467 | 0 | 217039 | 0 | 0 | 0 | 13232 | 0 | 14380 | 0 | 468118 | 0 | 0 | 0 |
| WILLIAM LISTON MD | |||||||||||||
| 230498 | 0 | 177789 | 0 | 9150 | 0 | 13082 | 0 | 1139 | 0 | 431658 | 0 | 0 | 0 |
| DAWN NULF MD | |||||||||||||
| 260768 | 0 | 17500 | 0 | 19360 | 0 | 17150 | 0 | 14403 | 0 | 329181 | 0 | 0 | 0 |
| BRIAN DONAHUE | |||||||||||||
| 158635 | 0 | 26492 | 0 | 458 | 0 | 13132 | 0 | 4542 | 0 | 203259 | 0 | 0 | 0 |
| LARRY CARROLL MD | |||||||||||||
| 348490 | 0 | 5000 | 0 | 0 | 0 | 16342 | 0 | 14651 | 0 | 384483 | 0 | 0 | 0 |
| KIRK KLEMME MD | |||||||||||||
| 199958 | 0 | 150000 | 0 | 0 | 0 | 16489 | 0 | 9832 | 0 | 376279 | 0 | 0 | 0 |
| WILLIAM SARAZIN MD | |||||||||||||
| 326478 | 0 | 12500 | 0 | 2600 | 0 | 17746 | 0 | 13657 | 0 | 372981 | 0 | 0 | 0 |
| MOHANNAD RAJJOUB MD | |||||||||||||
| 311854 | 0 | 113971 | 0 | 0 | 0 | 608 | 0 | 15495 | 0 | 441928 | 0 | 0 | 0 |
| THOMAS MCCONNON MD | |||||||||||||
| 133471 | 0 | 140739 | 0 | 0 | 0 | 15199 | 0 | 14330 | 0 | 303739 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 5 | EMPLOYED PHYSICIANS ARE PAID AN INCENTIVE BONUS BASED ON THE RELATIVE VALUE UNIT OF PROCEDURES PERFORMED TO ALL PATIENTS, REGARDLESS OF THE PATIENTS' ABILITY TO PAY. ALL INCENTIVE BONUS AGREEMENTS HAVE OVERALL CAPS ON TOTAL COMPENSATION FOR WHICH THE PHYSICIAN IS ELIGIBLE IN A TWELVE MONTH TIME PERIOD. |
| PART I, LINE 6 | THE CEO AND THE VICE PRESIDENTS ARE PAID AN INCENTIVE BONUS BASED ON THE ACHIEVEMENT OF SPECIFIC PERFORMANCE GOALS AND THE CONSOLIDATED NET EARNINGS OF THE ORGANIZATION. PERFORMANCE GOALS AND PERCENTAGE OF BONUS AVAILABLE TO BE PAID ARE BOTH APPROVED BY THE BOARD OF DIRECTORS. THE PHYSICIANS ARE PAID A BONUS PAYMENT BASED ON RELATIVE VALUE UNITS (RVU'S). |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CITY OF HANCOCK HOSPITAL FINANCE AUTHORITY | |||||||
| 386004557 | 410204AC5 | 2006-12-01 | 27920000 | HOSPITAL, NURSING HOME, MEDICAL CLINIC, REFUND BONDS ISSUED 3/5/98 & 3/11/04 | 0 | 0 | 0 |
| CITY OF HANCOCK HOSPITAL FINANCE AUTHORITY | |||||||
| 274398699 | 2010-12-30 | 4000000 | RENOVATION & ADDITION TO MEDICAL CLINIC AND RADIOLOGY/ENDOSCOPY EQUIPMENT | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|
| 6460100 | 27920000 | 426791 | 130520 | 5187597 | 22175092 | 2007 | 1 | 1 | 1 | 1 |
| 130000 | 4000000 | 80000 | 3920000 | 2012 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 |
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|
| MORGAN STANLEY | ||||||||
| 0 | 1 | 1 | 26.000000000000 | 0 | 0 | 0 | 0 | 1 |
| (no name) | ||||||||
| 0 | 1 | 0 | 0 | 0 | 1 | |||
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | PORTAGE HEALTH IS CURRENTLY WORKING WITH LEGAL COUNSEL TO DRAFT WRITTEN POST ISSUANCE COMPLIANCE PROCEDURES COVERING ARBITRAGE REBATE, PRIVATE BUSINESS USE, DOCUMENT RETENTION, THE REMEDIATION PROVISIONS AND VCAP. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 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 12C | AN 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 15 | OCCASIONALLY, 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 FEBRUARY/MARCH 2009. 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 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART VII, SECTION A: | THESE INDIVIDUALS DEVOTE THE FOLLOWING HOURS PER WEEK TO, RELATED ORGANIZATION, PORTAGE HEALTH FOUNDATION: JAMES BOGAN 1 HOUR BRIAN DONAHUE 1 HOUR THE REMAINING BOARD MEMBERS DEVOTE APPROXIMATELY 1 HOUR PER WEEK, IN TOTAL, TO THE RELATED ORGANIZATIONS LISTED IN SCHEDULE R. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -384,138. CLEARING ACCOUNT ADJUSTMENT -1,592. CHANGE IN INTEREST RATE SWAP -1,518,866. SHARE OF NET ASSETS OF RELATED PARTIES 715,731. TOTAL TO FORM 990, PART XI, LINE 5: -1,188,865. | 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/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| PORTAGE HEALTH RESOURCES INC | ||||||||||
| 500 CAMPUS DRIVE | HANCOCK | MI | 49930 | 383041729 | SENIOR MEALS | MI | 501(C)(3) | LINE 11A, I | PORTAGE HEALTH INC | 1 |
| PORTAGE HEALTH HOME SERVICES INC | ||||||||||
| 500 CAMPUS DRIVE | HANCOCK | MI | 49930 | 383565553 | PRIVATE DUTY CARE | MI | 501(C)(3) | LINE 9 | PORTAGE HEALTH INC | 1 |
| PORTAGE HEALTH FOUNDATION | ||||||||||
| 500 CAMPUS DRIVE | HANCOCK | MI | 49930 | 383022945 | FUNDRAISING | MI | 501(C)(3) | LINE 11A, I | PORTAGE HEALTH INC | 1 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COPPER COUNTRY APOTHECARIES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 CAMPUS DRIVE | AddressLine1 |
| City | HANCOCK | City |
| State | MI | State |
| ZIP Code | 49930 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 302083778 | EIN |
| Primary Activity | RETAIL PHARMACY | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORTAGE HEALTH INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 468963 | ShareOfTotalIncome |
| Share Of EOY Assets | 2685538 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| COPPER COUNTRY APOTHECARIES INC | ||
| A | 83021 | FMV - CONTRACT PRICE |
| COPPER COUNTRY APOTHECARIES INC | ||
| P | 1462376 | COST |
| PORTAGE HEALTH RESOURCES INC | ||
| P | 90000 | COST |
| PORTAGE HEALTH HOME SERVICES INC | ||
| P | 70622 | COST |
| COPPER COUNTRY APOTHECARIES INC | ||
| Q | 520268 | FMV - CONTRACT PRICE ($/RX) |
| COPPER COUNTRY APOTHECARIES INC | ||
| R | 468963 | COST |
| PORTAGE HEALTH HOME SERVICES INC | ||
| R | 246768 | COST |
| PORTAGE HEALTH RESOURCES INC | ||
| A | 31800 | FMV |
| PORTAGE HEALTH HOME SERVICES INC | ||
| A | 16404 | FMV |
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