401k Plan data: PORTAGE HEALTH 401(K) RETIREMENT PLAN plan

PORTAGE HEALTH 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	PORTAGE HEALTH 401(K) RETIREMENT PLAN
Plan identification number	001

PORTAGE HEALTH 401(K) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

PORTAGE HEALTH, INC. has sponsored the creation of one or more 401k plans.

Company Name: PORTAGE HEALTH, INC.

Employer identification number (EIN): 381381288

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PORTAGE HEALTH 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 SUSAN BINKLEY
001 2013-01-01 SUSAN BINKLEY SUSAN BINKLEY 2014-10-14
001 2012-01-01 BRIAN K DONAHUE
001 2011-01-01 BRIAN K DONAHUE BRIAN K DONAHUE 2012-10-11

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	SUSAN BINKLEY
001	2013-01-01	SUSAN BINKLEY	SUSAN BINKLEY	2014-10-14
001	2012-01-01	BRIAN K DONAHUE
001	2011-01-01	BRIAN K DONAHUE	BRIAN K DONAHUE	2012-10-11

Plan Statistics for PORTAGE HEALTH 401(K) RETIREMENT PLAN

401k plan membership statisitcs for PORTAGE HEALTH 401(K) RETIREMENT PLAN

Measure Date Value
2014: PORTAGE HEALTH 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 772
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PORTAGE HEALTH 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 854
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 677
Number of retired or separated participants receiving benefits 2013-01-01 20
Number of other retired or separated participants entitled to future benefits 2013-01-01 75
Total of all active and inactive participants 2013-01-01 772
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 772
Number of participants with account balances 2013-01-01 587
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PORTAGE HEALTH 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 680
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 781
Number of retired or separated participants receiving benefits 2012-01-01 2
Number of other retired or separated participants entitled to future benefits 2012-01-01 71
Total of all active and inactive participants 2012-01-01 854
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 854
Number of participants with account balances 2012-01-01 648
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PORTAGE HEALTH 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 849
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 736
Number of retired or separated participants receiving benefits 2011-01-01 32
Number of other retired or separated participants entitled to future benefits 2011-01-01 99
Total of all active and inactive participants 2011-01-01 867
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 867
Number of participants with account balances 2011-01-01 680
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1

Measure	Date	Value
2014: PORTAGE HEALTH 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	772
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PORTAGE HEALTH 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	854
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	677
Number of retired or separated participants receiving benefits	2013-01-01	20
Number of other retired or separated participants entitled to future benefits	2013-01-01	75
Total of all active and inactive participants	2013-01-01	772
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	772
Number of participants with account balances	2013-01-01	587
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PORTAGE HEALTH 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	680
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	781
Number of retired or separated participants receiving benefits	2012-01-01	2
Number of other retired or separated participants entitled to future benefits	2012-01-01	71
Total of all active and inactive participants	2012-01-01	854
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	854
Number of participants with account balances	2012-01-01	648
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PORTAGE HEALTH 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	849
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	736
Number of retired or separated participants receiving benefits	2011-01-01	32
Number of other retired or separated participants entitled to future benefits	2011-01-01	99
Total of all active and inactive participants	2011-01-01	867
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	867
Number of participants with account balances	2011-01-01	680
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1

Financial Data on PORTAGE HEALTH 401(K) RETIREMENT PLAN

Measure	Date	Value
2014 : PORTAGE HEALTH 401(K) RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$460,817
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$30,827,324
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$30,646,434
Expenses. Certain deemed distributions of participant loans	2014-12-31	$90,955
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,880
Value of total assets at end of year	2014-12-31	$0
Value of total assets at beginning of year	2014-12-31	$30,366,507
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$89,935
Total interest from all sources	2014-12-31	$88
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$10,120
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$10,120
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$98,199
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$7,480
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$74
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-30,366,507
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$30,366,507
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$44,822
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$8,715,482
Interest on participant loans	2014-12-31	$88
Value of interest in common/collective trusts at end of year	2014-12-31	$0
Value of interest in common/collective trusts at beginning of year	2014-12-31	$21,470,386
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$153,974
Net investment gain or loss from common/collective trusts	2014-12-31	$294,755
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$1,806
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$74,960
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$30,646,434
Contract administrator fees	2014-12-31	$45,113
Did the plan have assets held for investment	2014-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	RUKKILA, NEGRO & ASSOC., CPAS, PC
Accountancy firm EIN	2014-12-31	383435918
2013 : PORTAGE HEALTH 401(K) RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets from this plan	2013-12-31	$647,781
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$8,511,693
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$5,469,868
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$5,315,826
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$3,935,037
Value of total assets at end of year	2013-12-31	$30,366,507
Value of total assets at beginning of year	2013-12-31	$27,972,463
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$154,042
Total interest from all sources	2013-12-31	$29,550
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$441,442
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$441,442
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,888,329
Participant contributions at end of year	2013-12-31	$98,199
Participant contributions at beginning of year	2013-12-31	$695,491
Participant contributions at end of year	2013-12-31	$7,480
Participant contributions at beginning of year	2013-12-31	$1,512
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$196,336
Administrative expenses (other) incurred	2013-12-31	$85,150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$3,041,825
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$30,366,507
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$27,972,463
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$68,892
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$8,715,482
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$7,600,552
Interest on participant loans	2013-12-31	$29,550
Value of interest in common/collective trusts at end of year	2013-12-31	$21,470,386
Value of interest in common/collective trusts at beginning of year	2013-12-31	$19,588,588
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,152,107
Net investment gain or loss from common/collective trusts	2013-12-31	$2,953,557
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,850,372
Employer contributions (assets) at end of year	2013-12-31	$74,960
Employer contributions (assets) at beginning of year	2013-12-31	$86,320
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$5,315,826
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	RUKKILA, NEGRO & ASSOC., CPA'S PC
Accountancy firm EIN	2013-12-31	383435918
2012 : PORTAGE HEALTH 401(K) RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$1,569
Total income from all sources (including contributions)	2012-12-31	$6,562,478
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$2,006,118
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,870,517
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$3,658,123
Value of total assets at end of year	2012-12-31	$27,972,463
Value of total assets at beginning of year	2012-12-31	$23,417,672
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$135,601
Total interest from all sources	2012-12-31	$28,192
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$252,970
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$252,970
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,832,349
Participant contributions at end of year	2012-12-31	$695,491
Participant contributions at beginning of year	2012-12-31	$613,416
Participant contributions at end of year	2012-12-31	$1,512
Participant contributions at beginning of year	2012-12-31	$727
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$99,796
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$1,569
Administrative expenses (other) incurred	2012-12-31	$76,217
Total non interest bearing cash at beginning of year	2012-12-31	$1,567
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Income. Non cash contributions	2012-12-31	$811
Value of net income/loss	2012-12-31	$4,556,360
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$27,972,463
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$23,416,103
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$59,384
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$7,600,552
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$7,959,173
Interest on participant loans	2012-12-31	$28,192
Value of interest in common/collective trusts at end of year	2012-12-31	$19,588,588
Value of interest in common/collective trusts at beginning of year	2012-12-31	$14,778,999
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$629,510
Net investment gain or loss from common/collective trusts	2012-12-31	$1,993,683
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,725,167
Employer contributions (assets) at end of year	2012-12-31	$86,320
Employer contributions (assets) at beginning of year	2012-12-31	$63,790
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,870,517
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	RUKKILA, NEGRO & ASSOC., CPA'S PC
Accountancy firm EIN	2012-12-31	383435918
2011 : PORTAGE HEALTH 401(K) RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$1,569
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$316
Total income from all sources (including contributions)	2011-12-31	$3,131,495
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$2,471,077
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,321,660
Expenses. Certain deemed distributions of participant loans	2011-12-31	$21,246
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$3,483,832
Value of total assets at end of year	2011-12-31	$23,417,672
Value of total assets at beginning of year	2011-12-31	$22,756,001
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$128,171
Total interest from all sources	2011-12-31	$24,975
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$288,748
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$288,748
Administrative expenses professional fees incurred	2011-12-31	$431
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,669,618
Participant contributions at end of year	2011-12-31	$613,416
Participant contributions at beginning of year	2011-12-31	$596,292
Participant contributions at end of year	2011-12-31	$727
Participant contributions at beginning of year	2011-12-31	$544
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$135,131
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$1,569
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$316
Other income not declared elsewhere	2011-12-31	$745
Total non interest bearing cash at end of year	2011-12-31	$1,567
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Income. Non cash contributions	2011-12-31	$4,542
Value of net income/loss	2011-12-31	$660,418
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$23,416,103
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$22,755,685
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$53,711
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$7,959,173
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$7,942,491
Interest on participant loans	2011-12-31	$24,975
Value of interest in common/collective trusts at end of year	2011-12-31	$14,778,999
Value of interest in common/collective trusts at beginning of year	2011-12-31	$14,201,453
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-407,161
Net investment gain/loss from pooled separate accounts	2011-12-31	$-259,644
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$1,674,541
Employer contributions (assets) at end of year	2011-12-31	$63,790
Employer contributions (assets) at beginning of year	2011-12-31	$15,221
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,321,660
Contract administrator fees	2011-12-31	$74,029
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	RUKKILA, NEGRO & ASSOCIATES
Accountancy firm EIN	2011-12-31	383435918
2010 : PORTAGE HEALTH 401(K) RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$316
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$6,028,264
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,008,112
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$841,525
Expenses. Certain deemed distributions of participant loans	2010-12-31	$54,790
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$3,488,056
Value of total assets at end of year	2010-12-31	$22,756,001
Value of total assets at beginning of year	2010-12-31	$17,735,533
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$111,797
Total interest from all sources	2010-12-31	$25,659
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$154,165
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$154,165
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,714,847
Participant contributions at end of year	2010-12-31	$596,292
Participant contributions at beginning of year	2010-12-31	$461,387
Participant contributions at end of year	2010-12-31	$544
Participant contributions at beginning of year	2010-12-31	$1,675
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$57,721
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$316
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$5,020,152
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$22,755,685
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$17,735,533
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$44,005
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$7,942,491
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$5,597,782
Interest on participant loans	2010-12-31	$25,659
Value of interest in common/collective trusts at end of year	2010-12-31	$14,201,453
Value of interest in common/collective trusts at beginning of year	2010-12-31	$11,669,092
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$604,661
Net investment gain or loss from common/collective trusts	2010-12-31	$1,755,723
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$1,715,488
Employer contributions (assets) at end of year	2010-12-31	$15,221
Employer contributions (assets) at beginning of year	2010-12-31	$5,597
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$841,525
Contract administrator fees	2010-12-31	$67,792
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	BRUCE RUKKILA, CPA, PC
Accountancy firm EIN	2010-12-31	383435918

Form 5500 Responses for PORTAGE HEALTH 401(K) RETIREMENT PLAN

2014: PORTAGE HEALTH 401(K) RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PORTAGE HEALTH 401(K) RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PORTAGE HEALTH 401(K) RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PORTAGE HEALTH 401(K) RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PORTAGE HEALTH, INC.
Employer identification number (EIN):	381381288
NAIC Classification:	622000
NAIC Description:	Hospitals