2016-02-03T09:39:49-07:00 2015-06-30 990 2014-07-01 351330771 PORTER-STARKE SERVICES INC PORT 2195313500 601 Wall Street Valparaiso IN 46383 Mary Idstein Chief Financial Officer 2194764503 2016-02-05 2014 2016-04-25 22:37:26Z Porter Starke Services Inc 601 Wall Street Valparaiso IN 46383 25693868 0 X www.porterstarke.org X 1967 IN Porter-Starke Services, Inc. is responsible for the operation and maintenance of a comprehensive mental health facility. 10 10 290 0 0 0 7030483 7502820 17689273 17485465 -21856 14004 541055 604802 25238955 25607091 7453680 6923564 0 0 11054753 11779898 0 0 0 4932431 4813065 23440864 23516527 1798091 2090564 18190610 20011454 5499775 5230055 12690835 14781399 Porter-Starke Services is dedicated to enhancing the quality of life within our communities. 0 0 8410150 0 8204609 Outpatient Clinic: The clinic provides mental health and addiction treatment to children, adolescents, and adults. The treatment provided includes crisis intervention, short term counseling, medication manaagement, group theray and educatinal services. 3706937 0 3800308 Inpatient Psychiatric Hospital for adults experiencing a mental, emotional or behavioral episode or crisis 2970073 0 2385661 Community Support Services: This program provides a means by which chronically mentally ill patients may find successful adjustments in the community and help avoid long-term facilities. Community Support Services provides several types of programs such as Case Management, Group Supervised Living, Adult Day Treatment, Semi-Independent Living and Supervised Transition Living.` 3913138 0 3094887 Other Program Services - These programs include Admissions, Experiential Therapy, Integrated Care, Opioid, Child Case Management, Child Alternative School, Child Day Treatment and MRO Services.. 3913138 0 3094887 19000298 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 57 0 1 290 1 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X Mary Idstein 2194764503 601 Wall Street Valparaiso IN 46383 Dale Clapp Board Chair 2 0 X 0 0 0 Bob Jacobs Vice Chairman 2 0 X 0 0 0 Larry Jarrett Member 2 0 X 0 0 0 Judith Jelinek Member 2 0 X 0 0 0 John Johnson Treasurer 2 0 X 0 0 0 Susan Kelly-Johnson Member 2 0 X 0 0 0 Carol Loesche Member 2 0 X 0 0 0 Janet Carpenter Member 2 0 X 0 0 0 Randy Zromkoski Member 2 0 X 0 0 0 R Scott Carlson Secretary 2 0 X 0 0 0 Rocco Schiralli Chief Financial Officer 40 0 X 200996 0 19423 Mary Idstein Chief Financial Officer 40 0 X 125966 0 18599 Anand Popli Medical Director 40 0 X 247860 0 36753 Samir Gupta Psychiatrist 40 0 X 205210 0 8369 Linda Munson Psychiatrist 40 0 X 204111 0 20318 Mitchell Goldstein Psychiatrist 40 0 X 190956 0 34015 Sajiv John Psychiatrist 40 0 X 208009 0 19249 Candice Hunter Psychiatrist 40 0 X 190645 0 17317 1573753 0 174043 11 0 1 0 Archeon Inc Aspire Indiana Behavioral Health 9615 East 148th Street Suite 1 Noblesville IN 46060 Telemedicine 290569 Golden Technologies 2402 Beech Street Valparaiso IN 46383 Technologies Services 102286 SDG Global Inc 556 W Taft Drive South Holland IL 60473 Security 105691 3 0 0 0 0 7479250 23570 0 7502820 Inpatient 622210 3800308 3800308 0 0 Community Suppoprt Services, Inc 621420 2385661 2385661 0 0 Outpatient Services 621420 5568142 5568142 0 0 Chemical Dependency & Addictions 621420 2636467 2636467 0 0 3094887 3094887 0 0 17485465 18751 18751 0 0 0 0 0 0 0 0 0 0 261008 0 82030 0 178978 0 178978 178978 0 0 0 0 3747 1000 -3747 -1000 -4747 -4747 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Salary Reimbursement 900099 379466 379466 0 0 46358 46358 0 0 425824 25607091 18104271 0 0 0 0 6923564 6923564 0 0 0 0 604757 249964 354793 0 0 0 0 0 8831632 6807443 2024189 0 360188 268803 91385 0 1307930 972636 335294 0 675391 496951 178440 0 0 0 0 0 13571 0 13571 0 37500 12000 25500 0 0 0 0 0 0 0 0 0 0 0 164565 75968 88597 0 45756 4022 41734 0 511154 275595 235559 0 214939 27332 187607 0 0 0 0 0 523309 240558 282751 0 240912 226015 14897 0 0 0 0 0 155245 102479 52766 0 38676 27333 11343 0 0 0 0 0 627088 276598 350490 0 161072 135917 25155 0 Bad Debt and HAF fees 670538 670538 0 0 MRO Services 244843 244843 0 0 Psychology Fees 327546 327546 0 0 Lab Fees 182801 182801 0 0 653550 451392 202158 0 23516527 19000298 4516229 0 527911 270406 7734562 8592287 0 0 631905 987490 0 0 0 0 1633403 1760345 0 0 1017142 1129945 14811212 7540231 6645687 7270981 0 0 0 0 0 18190610 20011454 3332771 3084485 0 0 0 0 0 0 0 0 0 0 1261028 1195065 0 0 905976 950505 5499775 5230055 X 12690835 14781399 0 0 0 0 12690835 14781399 18190610 20011454 2090564 0 0 0 0 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2097 2097 0 Schedule C, Part II-B, Line 1 Schedule C, Part II-B, Line 1 - Portion of dues are paid to a trade organization used for lobbying by the trade organization. 713993 0 713993 9856400 0 4726042 5130358 0 0 0 0 3770864 0 2564963 1205901 469955 0 249226 220729 7270981 0 Accrued Refunds 34513 Audit Reserve 908287 MRO Payback 7705 950505 1 Charity Care and Contractual Care Adjustments 6735 0 6923593 FMV Schedule I, Part I, Line 2 Information about discounts to clients and others are posted on the Porter Starke Services website and through the annual review are asked to disclose their income and family size so that they can be considered for a discount with the purpose of that disclosure indicated on the Charity Care Determination: Sliding Fee Discounts are based on the Gross declared income in combination with the family size household. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 Anand Popli Medical Director 232088 0 10114 0 7762 0 11345 0 12538 0 273847 0 0 Sajiv John Psychiatrist 206790 0 3000 0 0 0 9153 0 5119 0 224062 0 0 0 Samir Gupta Psychiatrist 207790 0 3000 0 0 0 8717 0 0 0 219507 0 0 0 Linda Munson Psychiatrist 202700 0 2250 0 0 0 11259 0 5119 0 221328 0 0 0 Rocco Schiralli Chief Financial Officer 182678 0 33109 0 7357 0 9925 0 5119 0 238188 0 0 0 Mitchell Goldstein Psychiatrist 187116 0 1500 0 0 0 9360 0 12538 0 210514 0 0 0 Candice Hunter Psychiatrist 188243 0 2250 0 0 0 9392 0 9905 0 209790 0 0 0 Mary Idstein Chief Financial Officer 114295 0 10114 0 7240 0 8312 0 5119 0 145080 0 0 0 Schedule J, Part I, Line 1a YMCA family annual memberships are provided to the Chief Executive Officer and Chief Financial Officer. In addition county clubs dues are provided for the Chief Executive Officer and Medical Director. Schedule J, Part I, Line 3 The process for determining the salary for key employees consist of comparing salaries to a state wide survey of community mental health centers (like organizations, like organizations' 990's). The salary decision if made by independent persons on the board. Schedule J, Part I, Line 4 $6000 per employee is contributed to a 457 Plan on behalf of the following individuals: Rocco Schiralli, Mary Idstein, Anand Popli. A City of Portage Indiana 356006948 2011-12-01 1400000 Economic Development Revenue Bond Series 2011 1 0 0 A 0 238174 1400000 0 0 0 0 0 0 1400000 0 0 2011 0 0 1 1 A 0 0 0 0 0 0 0 1 0 1 A 0 1 0 0 1 1 1st Source Bank Fixed Rate Swap 10 1 0 0 0 1 A 1 Form 990, Part VI, Section B, Line 11b The Finance Committee (consisting of the Board Chair, Vice Chair, Secretary and Treasurer, along with the CEO and CFO) receive copies of the 990 and review prior to being presented to the full board for approval. Form 990, Part VI, Section B, Line 12c Board members are required to complete a conflict of interest form and must abstain from voting if a conflict of interest arises. Form 990, Part VI, Section B, Line 15 The process for determining the salary for key employees consist of comparing salaries to a state wide survey of community mental health centers (like organizations, like organizations' 990's). The salary decision is made by independent persons on the Board. Form 990, Part VI, Section C, Line 19 Documents are available upon request. Porter Starke Services Foundation Inc 601 Wall Street Valparaiso IN 46383 311087577 Improve Mental Health Services IN 501c3 Line 7 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 Form 8868 Application for Extension of time file return approved with new due date of February 15, 2016.