Community Benefit Insight - Tax-exempt hospital

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Portage Health Inc

Portage Health Hospital

500 Campus Drive
Hancock, MI 49930

Bed count	36	Medicare provider number	230108	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

EIN: 381381288

Display data for year:

Community Benefit Spending- 2012
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

2.37%

Spending by Community Benefit Category- 2012
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2012

Additional data

Community Benefit Expenditures: 2012

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 449,155 0.55 %
Medicaid as % of operating expenses	$ 10,063 0.01 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 900,087 1.10 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 16,000 0.02 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 163,008 0.20 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 394,520 0.48 %
Community building* as % of operating expenses	$ 27,143 0.03 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	16
Physical improvements and housing	0
Economic development	3
Community support	8
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	5
Workforce development	0
Other	0
Persons served (optional)	1,462
Physical improvements and housing	0
Economic development	295
Community support	374
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	793
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 27,143 0.03 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 7,500 27.63 %
Community support as % of community building expenses	$ 9,820 36.18 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 9,823 36.19 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2012

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 1,706,515 2.09 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	YES

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 145,054 8.50 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:

Reported to credit agency	Not available
Filed lawsuit	Not available
Placed liens on residence	Not available
Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court)	Not available

Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2012

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES
Did the tax-exempt hospital execute the implementation strategy?	Not available
Did the tax-exempt hospital participate in the development of a community-wide plan?	Not available

Supplemental Information: 2012

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 22410803 including grants of $ 0) (Revenue $ 35440118)
OUTPATIENT SERVICES - (SURGERY, LAB, IMAGING, REHAB, INFUSIONS, ETC) 121,096 VISITS

4B (Expenses $ 12576040 including grants of $ 0) (Revenue $ 14149290)
PHYSICIAN CLINICS - 71,373 VISITS

4C (Expenses $ 8164175 including grants of $ 0) (Revenue $ 16005501)
INPATIENT ROUTINE CARE - 1,501 DISCHARGES AND 332 NEWBORN DELIVERIES

4D (Expenses $ 26146693 including grants of $ 41500) (Revenue $ 16614546)
ALL OTHER PROGRAM SERVICES

Supplemental Information

Schedule H (Form 990) Part VI

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.

PORTAGE HEALTH, INC.
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.

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.

REPORTS FILED WITH STATES PART VI, LINE 7
MI

Operating expenses	$ 81,656,145
Total amount spent on community benefits as % of operating expenses	$ 1,932,833 2.37 %