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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 RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO BAD DEBT EXPENSE, NET OF RECOVERIES, TO ARRIVE AT THE ESTIMATED COST OF BAD DEBT $801,635.THE ESTIMATED AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY IS $571,290. 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HEALTH PROMOTION AND EARLY DETECTION OF DISEASE ARE BOTH IMPORTANT FOR US TO IMPROVE THE QUALITY OF LIFE IN THE COMMUNITY. 3.PORTAGE PARTNERED WITH THE KEWEENAW FAMILY RESOURCE CENTER TO ESTABLISH AN INDOOR PLAYGROUND KNOWN AS THE TREE HOUSE. ACCESS TO THIS FACILITY FOR CHILDREN AGES 3-7 HAS ALLOWED CHILDREN TO HAVE ANOTHER OPTION TO REMAIN PHYSICALLY ACTIVE. THIS HEALTH PROMOTION ACTIVITY IS IMPORTANT BECAUSE OF THE LONG WINTERS AND LACK OF ABILITY TO TAKE CHILDREN THAT AGE OUTSIDE. AS SHOWN HERE, PORTAGE HEALTH HAS COMMITTED TO PROVIDING THE LEADERSHIP IN HEALTH PROMOTION IN ACTIVITIES.","community_information":"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. 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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."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_300":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":1874895,"bad_debt_expense_attributable_to_financial_assistance":160000,"reimbursed_by_medicare":13526741,"cost_of_care_reimbursed_by_medicare":14154173,"medicare_surplus_or_shortfall":-627432,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":454349,"net_community_benefit_expense":454349,"total_expense_percentage":0.0059},"unreimbursed_medicaid":{"total_community_benefit_expense":10933921,"direct_offsetting_revenue":10796746,"net_community_benefit_expense":137175,"total_expense_percentage":0.0018},"total_financial_assistance":{"total_community_benefit_expense":11388270,"direct_offsetting_revenue":10796746,"net_community_benefit_expense":591524,"total_expense_percentage":0.0077},"community_health_services":{"total_community_benefit_expense":142762,"direct_offsetting_revenue":33815,"net_community_benefit_expense":108947,"total_expense_percentage":0.0014},"health_professions_education":{"total_community_benefit_expense":748120,"net_community_benefit_expense":748120,"total_expense_percentage":0.0098},"cash_and_inkind_contributions":{"total_community_benefit_expense":612008,"direct_offsetting_revenue":286608,"net_community_benefit_expense":325400,"total_expense_percentage":0.0042},"total_other_benefits":{"total_community_benefit_expense":1502890,"direct_offsetting_revenue":320423,"net_community_benefit_expense":1182467,"total_expense_percentage":0.0154},"total_community_benefits":{"total_community_benefit_expense":12891160,"direct_offsetting_revenue":11117169,"net_community_benefit_expense":1773991,"total_expense_percentage":0.0231}},"community_building":{"physical_improvements_and_housing":{"activities_or_programs":1,"total_community_benefit_expense":10000,"net_community_benefit_expense":10000,"total_expense_percentage":0.0001},"community_support":{"activities_or_programs":42,"persons_served":230,"total_community_benefit_expense":2635,"net_community_benefit_expense":2635,"total_expense_percentage":0.0},"coalition_building":{"activities_or_programs":43,"persons_served":2479,"total_community_benefit_expense":24748,"net_community_benefit_expense":24748,"total_expense_percentage":0.0003},"total_community_building_activities":{"activities_or_programs":86,"persons_served":2709,"total_community_benefit_expense":37383,"net_community_benefit_expense":37383,"total_expense_percentage":0.0004}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"PORTAGE HEALTH INC","address_line1":"500 CAMPUS DRIVE","city":"HANCOCK","state":"MI","zip":"49930","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"PORTAGE HEALTH INC","address":"500 CAMPUS DRIVE, HANCOCK, MI, 49930"}],"facility_policies":[{"business_name_line1":"PORTAGE HEALTH INC","facility_number":1,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":300.0,"fpg_used_determine_discounted_care":true,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"other_method_used":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_request_no_charge":true,"fap_actions_on_nonpayment":true,"attached_to_invoice":true,"posted_in_admission_office":true,"posted_in_emergency_room":true,"collection_activities":false,"nondiscriminatory_emergency_care_policy":true,"medicaid_medicare":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"name":"PORTAGE HEALTH INC"}],"other_health_care_facility_count":7,"other_health_care_facilities":[{"business_name_line1":"PORTAGE HEALTH - UNIVERSITY CENTER","address_line1":"600 MACINNES DRIVE","city":"HOUGHTON","state":"MI","zip":"49931","facility_type":"OUTPATIENT CLINIC","name":"PORTAGE HEALTH - UNIVERSITY CENTER","address":"600 MACINNES DRIVE, HOUGHTON, MI, 49931"},{"business_name_line1":"PORTAGE HEALTH MEDICAL GROUP","address_line1":"945 NINTH STREET","city":"LAKE LINDEN","state":"MI","zip":"49945","facility_type":"OUTPATIENT CLINIC","name":"PORTAGE HEALTH MEDICAL GROUP","address":"945 NINTH STREET, LAKE LINDEN, MI, 49945"},{"business_name_line1":"PORTAGE HEALTH REHAB","address_line1":"MINE STREET STATION","city":"CALUMET","state":"MI","zip":"49913","facility_type":"OUTPATIENT REHAB","name":"PORTAGE HEALTH REHAB","address":"MINE STREET STATION, CALUMET, MI, 49913"},{"business_name_line1":"PORTAGE HEALTH SLEEP DISORDERS CENTER","address_line1":"890 CAMPUS DRIVE","city":"HANCOCK","state":"MI","zip":"49930","facility_type":"SLEEP DISORDERS CENTER","name":"PORTAGE HEALTH SLEEP DISORDERS CENTER","address":"890 CAMPUS DRIVE, HANCOCK, MI, 49930"},{"business_name_line1":"PORTAGE HEALTH - HOUGHTON","address_line1":"921 W SHARON AVE","city":"HOUGHTON","state":"MI","zip":"49930","facility_type":"EXPRESS CARE & FITNESS CENTER","name":"PORTAGE HEALTH - HOUGHTON","address":"921 W SHARON AVE, HOUGHTON, MI, 49930"},{"business_name_line1":"PORTAGE HEALTH INC","address_line1":"500 CAMPUS DRIVE","city":"HANCOCK","state":"MI","zip":"49930","facility_type":"LONG-TERM CARE","name":"PORTAGE HEALTH INC","address":"500 CAMPUS DRIVE, HANCOCK, MI, 49930"},{"business_name_line1":"PORTAGE HEALTH HOME CARE & HOSPICE","address_line1":"821 WATER STREET","city":"HANCOCK","state":"MI","zip":"49930","facility_type":"HOME HEALTH OFFICE","name":"PORTAGE HEALTH HOME CARE & HOSPICE","address":"821 WATER STREET, HANCOCK, MI, 49930"}],"supplemental_information":[{"explanation":"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."},{"explanation":"PART I, LINE 6A: N/A - NO RELATED PARTIES IDENTIFIED."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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"},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"PART VI, LINE 6: N/A - THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM."},{"explanation":"MI"}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":67000,"reported_domestic_org_grants_program_services":67000,"total_501c3_and_government_organizations":5,"total_other_organizations":1,"grants":[{"ein":381718440,"irc_section":"501(C)(3)","cash":10000,"noncash":0,"purpose":"COPPER COUNTRY EARLY CHILDHOOD FUND","address_line1":"850 W SHARON AVE SUITE 6","city":"HOUGHTON","state":"MI","zip":"49931","name":"COPPER COUNTRY GREAT START COLLABORATIVE","address":"850 W SHARON AVE SUITE 6, HOUGHTON, MI, 49931"},{"ein":381554664,"irc_section":"501(C)(3)","cash":27000,"noncash":0,"purpose":"DEPARTMENT DEVELOPMENT AND STUDENT PROJECT SUPPORT","address_line1":"1400 TOWNSEND DRIVE","city":"HOUGHTON","state":"MI","zip":"49931","name":"MICHIGAN TECH FUND","address":"1400 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ALL INCENTIVE BONUS AGREEMENTS HAVE OVERALL CAPS ON TOTAL COMPENSATION FOR WHICH THE PHYSICIAN IS ELIGIBLE IN A TWELVE MONTH TIME PERIOD."},{"form_and_line_reference":"PART I, LINE 6","explanation":"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)."}]},"ScheduleK":{"bond_issues":[{"issuer_ein":386004557,"business_name_line1":"CITY OF HANCOCK HOSPITAL FINANCE AUTHORITY","cusip_number":"410204AC5","date_issued":"2006-12-01T00:00:00","issue_price":27920000,"purpose":"HOSPITAL, NURSING HOME, MEDICAL CLINIC, REFUND BONDS ISSUED 3/5/98 & 3/11/04","defeased":false,"on_behalf_of_issuer":false,"pool_financing":false,"name":"CITY OF HANCOCK HOSPITAL FINANCE AUTHORITY"},{"issuer_ein":274398699,"business_name_line1":"CITY OF HANCOCK HOSPITAL FINANCE AUTHORITY","date_issued":"2010-12-30T00:00:00","issue_price":4000000,"purpose":"RENOVATION & ADDITION TO MEDICAL CLINIC AND RADIOLOGY/ENDOSCOPY EQUIPMENT","defeased":false,"on_behalf_of_issuer":false,"pool_financing":false,"name":"CITY OF HANCOCK HOSPITAL FINANCE 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AVE","city":"HOUGHTON","state":"MI","zip":"49930","facility_type":"EXPRESS CARE & FITNESS CENTER","name":"PORTAGE HEALTH - HOUGHTON","address":"921 W SHARON AVE, HOUGHTON, MI, 49930"},{"business_name_line1":"ONTONAGON COMMUNITY HEALTH CENTER INC","address_line1":"751 S SEVENTH STREET","city":"ONTONAGON","state":"MI","zip":"49953","facility_type":"MEDICAL CLINIC JOINT VENTURE","name":"ONTONAGON COMMUNITY HEALTH CENTER INC","address":"751 S SEVENTH STREET, ONTONAGON, MI, 49953"}],"supplemental_information":[{"explanation":"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."},{"explanation":"PART I, LINE 6A: N/A - NO RELATED PARTIES IDENTIFIED."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"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."},{"explanation":"MI"}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":41500,"reported_domestic_org_grants_program_services":41500,"total_501c3_and_government_organizations":5,"total_other_organizations":1,"grants":[{"ein":381718440,"irc_section":"501(C)(3)","cash":10000,"purpose":"COPPER COUNTRY EARLY CHILDHOOD FUND","address_line1":"850 W SHARON AVENUE SUITE 6","city":"HOUGHTON","state":"MI","zip":"49931","name":"COPPER COUNTRY GREAT START COLLABORATIVE","address":"850 W SHARON AVENUE SUITE 6, HOUGHTON, MI, 49931"},{"ein":386004557,"irc_section":"GOVERNMENT-ISD","cash":11500,"purpose":"CITY BUS TRANSPORTATION SYSTEM & SESQUICENTENNIAL CELEBRATION","address_line1":"339 QUINCY STREET","city":"HANCOCK","state":"MI","zip":"49930","name":"CITY OF HANCOCK","address":"339 QUINCY STREET, HANCOCK, MI, 49930"},{"ein":383511814,"irc_section":"501(C)(3)","cash":5000,"purpose":"DEFRAY COSTS/RAISE AWARENESS TO HOSPICE CARE AT THE OMEGA HOUSE","address_line1":"2211 MAUREEN LANE","city":"HOUGHTON","state":"MI","zip":"49931","name":"OMEGA HOUSE","address":"2211 MAUREEN LANE, HOUGHTON, MI, 49931"},{"ein":382026918,"irc_section":"501(C)(3)","cash":5000,"purpose":"FUND SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM","address_line1":"609 SHELDEN AVENUE","city":"HOUGHTON","state":"MI","zip":"49931","name":"DIAL HELP INC","address":"609 SHELDEN AVENUE, HOUGHTON, MI, 49931"},{"ein":383029498,"irc_section":"501(C)(3)","cash":5000,"purpose":"SUPPORT OF CULTURAL ARTS PROGRAMS","address_line1":"PO BOX 406","city":"HANCOCK","state":"MI","zip":"49930","name":"PINE MOUNTAIN MUSIC FESTIVAL","address":"PO BOX 406, HANCOCK, MI, 49930"},{"ein":382411631,"irc_section":"501(C)(3)","cash":5000,"purpose":"EXPANSION OF SERVICES TO THE ELDERLY IN 3 COUNTIES","address_line1":"527 HANCOCK STREET","city":"HANCOCK","state":"MI","zip":"49930","name":"LITTLE BROTHERS FRIENDS OF THE ELDERLY","address":"527 HANCOCK STREET, HANCOCK, MI, 49930"}],"total_domestic_grants":41500,"total_domestic_program_services":41500,"detail_org_grants_total":41500,"detail_domestic_grants_total":41500,"supplemental_information":[{"identifier":"PROCEDURE FOR MONITORING GRANTS IN THE U.S.:","form_and_line_reference":"PART I, LINE 2:","explanation":"SCHEDULE I, PART I, LINE 2: N/A - ALL AMOUNTS IN THIS SCHEDULE ARE DONATIONS OR SPONSORSHIPS AND ARE NOT GRANT FUNDS."}],"grant_monitoring":{"claims_monitoring_procedures":true,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false,"monitoring_description":"SCHEDULE I, PART I, LINE 2: N/A - ALL AMOUNTS IN THIS SCHEDULE ARE DONATIONS OR SPONSORSHIPS AND ARE NOT GRANT FUNDS.","form_and_line_reference":"PART I, LINE 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CAMPUS DRIVE, HANCOCK, MI, 49930"},{"business_name_line1":"PORTAGE HEALTH HOME CARE & HOSPICE","address_line1":"821 WATER STREET","city":"HANCOCK","state":"MI","zip":"49930","facility_type":"HOME HEALTH OFFICE","name":"PORTAGE HEALTH HOME CARE & HOSPICE","address":"821 WATER STREET, HANCOCK, MI, 49930"}],"supplemental_information":[{"explanation":"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."},{"explanation":"PART I, LINE 6A: N/A - NO RELATED PARTIES IDENTIFIED."},{"explanation":"PART I, LINE 7: A COST TO CHARGE RATIO, DERIVED FROM WORKSHEET 2, IS USED."},{"explanation":"PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24F - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $1,195,555."},{"explanation":"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 PARTNERED WITH THE KEWEENAW FAMILY RESOURCE CENTER TO ESTABLISH AN INDOOR PLAYGROUND KNOWN AS THE TREE HOUSE. ACCESS TO THIS FACILITY FOR CHILDREN AGES 3-7 HAS ALLOWED CHILDREN TO HAVE ANOTHER OPTION TO REMAIN PHYSICALLY ACTIVE. THIS HEALTH PROMOTION ACTIVITY IS IMPORTANT BECAUSE OF THE LONG WINTERS AND LACK OF ABILITY TO TAKE CHILDREN THAT AGE OUTSIDE. AS SHOWN HERE, PORTAGE HEALTH HAS COMMITTED TO PROVIDING THE LEADERSHIP IN HEALTH PROMOTION IN ACTIVITIES."},{"explanation":"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 RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO BAD DEBT EXPENSE, NET OF RECOVERIES, TO ARRIVE AT THE ESTIMATED COST OF BAD DEBT $653,430.THE ESTIMATED AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY IS $566,641. THE HOSPITAL'S BEST ESTIMATE WAS BASED ON GROSS AMOUNTS WRITTEN OFF UNDER THE HOSPITALS CHARITY CARE POLICY X THE COST TO CHARGE RATIO FROM WORKSHEET 2."},{"explanation":"PART III, LINE 8: MEDICARE SHORTFALL IS TAKEN FROM THE MEDICARE COST REPORT, WORKSHEET B, LINE 5. $33,280 IS TREATED AS MEDICARE SHORTFALL FOR THE COMMUNITY BENEFIT SURVEY. THE HOSPITAL USED THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT."},{"explanation":"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."},{"explanation":"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: 4,124,484TOTAL REIMBURSEMENT: 3,287,843COST IN EXCESS OF REIMBURSEMENT: 836,640"},{"explanation":"PART VI, LINE 2: IN 2005 PORTAGE HEALTH CONDUCTED A NEEDS ASSESSMENT, SURVEYING PATIENTS IN OUR SERVICE AREA. PORTAGE HEALTH INTENDS TO PERFORM ANOTHER NEEDS ASSESSMENT IN FY2012. IN JANUARY OF 2010 PORTAGE HEALTH HIRED A CONSULTANT TO PERFORM AN ASSESSMENT TO ASCERTAIN THE MEDICAL PROVIDER NEEDS OF/FOR THE COMMUNITY. PORTAGE HEALTH IS CURRENTLY ENGAGING A CONSULTANT TO PERFORM A MARKETING CONSULTANT TO STUDY PORTAGE HEALTH'S COMMUNITY NEEDS."},{"explanation":"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."},{"explanation":"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."},{"explanation":"PART VI, LINE 6: 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."},{"explanation":"PART VI, LINE 7: N/A - THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM."},{"explanation":"MI"}]},"ScheduleI":{"grant_records_maintained":false,"reported_domestic_org_grants":10000,"reported_domestic_org_grants_program_services":10000,"total_501c3_and_government_organizations":1,"total_other_organizations":0,"grants":[{"ein":381718440,"irc_section":"GOVERNMENT-ISD","cash":10000,"purpose":"MATCH MONEY FOR FEDERAL GRANT FOR PRESCHOOL SCHOLARSHIPS. COPPER COUNTRY INTERMEDIATE SCHOOL DISTRICT IS FIDUCIARY FOR THE COLLABORATIVE.","address_line1":"809 HECLA STREET","city":"HANCOCK","state":"MI","zip":"49930","name":"COPPER COUNTRY GREAT START COLLABORATIVE","address":"809 HECLA STREET, HANCOCK, MI, 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