2015-01-27T12:51:05-07:00 2014-06-30 990 2013-07-01 351330771 PORTER-STARKE SERVICES INC PORT 2195313500 601 Wall Street Valparaiso IN 46383 Mary Idstein Chief Financial Officer 2194764503 2015-02-13 2013 2016-04-25 22:37:26Z Porter Starke Services Inc 601 Wall Street Valparaiso IN 46383 25354604 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. 12 12 273 12 0 0 6255829 7030483 17404225 17689273 32823 -21856 703647 541055 24396524 25238955 7370583 7453680 0 0 10436660 11054753 0 0 0 4609934 4932431 22417177 23440864 1979347 1798091 16131920 18190610 5239176 5499775 10892744 12690835 Porter-Starke Services is dedicated to enhancing the quality of life within our communities. 0 0 6898623 6180848 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. 4478058 4401088 Inpatient Psychiatric Hospital for adults experiencing a mental, emotional or behavioral episode or crisis 4008680 3528092 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.` 3710829 3579245 Other Program Services - Day Treatment - This program provides partial hospitalizati0n day sevices for adults and children. The program serves chronically mentally ill individuals who may need more extensive support than can be offered in an outpatient setting. The focal point of the programs is group psychotherapy, group medication therapy, monitoring, psycho educational experiences, as well as activities of therapy of recreation. 3710829 0 3579245 19096190 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 54 0 1 273 1 0 0 0 0 0 0 X 12 12 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 Dee Haklin Member 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 Secretary/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 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 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 R Scott Carlson Member 2 0 X 0 0 0 1573753 0 174043 12 0 1 0 Archeon Inc 697 Pro Med Lane Carmel IN 460325323 Telemedicine 160619 1 0 0 0 0 7007395 23088 0 7030483 Outpatient Services 621420 6180848 6180848 0 0 Hospital Inpatient Services 622210 4401088 4401088 0 0 Community Support Services, Inc. 621420 3528092 3528092 0 0 3579245 3579245 0 0 17689273 13363 13363 0 0 0 0 0 0 0 0 0 0 214157 0 80430 0 133727 0 133727 133727 0 0 0 0 0 35219 0 -35219 -35219 -35219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Salary Reimbursement 900099 350576 350576 0 0 56752 56752 0 0 407328 25238955 18208472 0 0 0 0 7453680 7453680 0 0 0 0 571822 244860 326962 0 0 0 0 0 8318429 6350412 1968017 0 333915 248762 85153 0 1217703 898318 319385 0 612884 448687 164197 0 0 0 0 0 26845 0 26845 0 49664 21164 28500 0 0 0 0 0 0 0 0 0 0 0 85584 48579 37005 0 42466 972 41494 0 490522 255505 235017 0 214018 69781 144237 0 0 0 0 0 531001 261227 269774 0 235705 224366 11339 0 0 0 0 0 119969 62910 57059 0 41084 29035 12049 0 0 0 0 0 639544 263252 376292 0 153803 128751 25052 0 Bad Debt/HAF Fees 1087995 1087995 0 0 MRO Services 288426 288426 0 0 Psychology Services 254038 254038 0 0 Dues Fees LIcenses 119985 25150 94835 0 551782 430320 121462 23440864 19096190 4344674 0 461855 527911 5418273 7734562 0 0 636626 631905 0 0 0 0 1994739 1633403 0 0 802253 1017142 13676792 7031105 6818174 6645687 0 0 0 0 0 0 0 0 0 0 16131920 18190610 3023388 3332771 0 0 0 0 0 0 0 0 0 0 1326590 1261028 0 0 889198 905976 5239176 5499775 X 10892744 12690835 0 0 0 0 10892744 12690835 16131920 18190610 1798091 0 0 0 0 0 X 0 1 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2197 2197 0 Schedule C, Part II-B, Line 1 Portion of dues are paid to a trade organization used for lobbying by the trade organization. 0 521365 521365 0 9152486 4393566 4758920 0 0 0 0 0 3549290 2421120 1128170 0 453651 216419 237232 6645687 0 Estimated third party settlement 905976 905976 1 Charity Care and Contractual Care Adjustmens 7251 0 7453680 FMV Mental Health and Addiction Services 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 report. In addition all clients 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 form. Disclosure is voluntary. Criteria for 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 231537 0 9500 0 6823 0 11860 0 24893 0 284613 0 0 0 Sajiv John Psychiatrist 204009 0 4000 0 0 0 9291 0 9958 0 227258 0 0 0 Samir Gupta Psychiatrist 201210 0 4000 0 0 0 8369 0 0 0 213579 0 0 0 Linda Munson Psychiatrist 200111 0 4000 0 0 0 10360 0 9958 0 224429 0 0 0 Rocco Schiralli Chief Financial Officer 170667 0 23650 0 6679 0 9465 0 9958 0 220419 0 0 0 Mitchell Goldstein Psychiatrist 189456 0 1500 0 0 0 9122 0 24893 0 224971 0 0 0 Candice Hunter Psychiatrist 187345 0 3300 0 0 0 7359 0 9958 0 207962 0 0 0 Mary Idstein Chief Financial Officer 109796 0 9500 0 6670 0 7976 0 10623 0 144565 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 country club dues are provided to the Chief Executive Officer and the Medical Director. 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 and Anand Popli. A City of Portage Indiana 356006948 2011-12-01 1400000 Economic Development Revenue Bond Series 2011 1 0 0 A 0 168465 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 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) received copies of the 990 and reviewed 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 Extension approved for extending return date to 2 15 2015.