2014-02-10T13:11:36-07:00 2013-06-30 990 2012-07-01 351330771 PORTER-STARKE SERVICES INC PORT 2195313500 601 Wall Street Valparaiso IN 46383 Mary Idstein 2194764503 2014-02-14 2012 2015-11-30 17:44:51Z Porter Starke Services Inc 601 Wall Street Valparaiso IN 46383 25756493 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 12 272 12 0 0 6031966 6255829 16025060 17404225 -78082 32823 503962 703647 22482906 24396524 7028017 7370583 0 0 10468203 10436660 0 0 0 3656027 4609934 21152247 22417177 1330659 1979347 13496368 16131920 4582971 5239176 8913397 10892744 Porter-Starke Services, Inc. is dedicated to enhancing the quality of life within our communities. 0 0 6188268 0 6363809 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. 4491074 4208076 Inpatient Psychiatric Hospital for adults experiencing a mental, emotional or behavioral episode or crisis 4120441 3836574 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.` 3364582 2995766 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. 3364582 0 2995766 18164365 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 51 0 1 272 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 2 0 X 0 0 0 Michael Bendicsen 2 0 X 0 0 0 Dee Haklin 2 0 X 0 0 0 Bob Jacobs 2 X 0 0 0 Larry Jarrett 2 0 X 0 0 0 Judith Jelinek 2 0 X 0 0 0 John Johnson 2 0 X 0 0 0 Susan Kelly-Johnson 2 0 X 0 0 0 Carol Loesche 2 0 X 0 0 0 Janet Carpenter 2 0 X 0 0 0 Randy Zromkoski 2 0 X 0 0 0 Rocco Schiralli 40 X 202015 0 20846 Mary Idstein 40 0 X 126809 0 22823 Anand Popli 40 0 X 255559 0 36845 Samir Gupta 40 0 X 204268 0 8224 Linda Munson 40 0 X 202339 0 14181 Mitchell Goldstein 40 X 196119 0 29581 Sajiv John 40 0 X 207294 0 17684 Candice Hunter 40 0 X 189534 0 5034 1583937 0 155218 11 0 1 0 0 0 0 0 0 6238568 17261 0 6255829 Outpatient Services 621420 6363809 6363809 0 0 Community Support Services 621420 3836574 3836574 0 0 Hospital Inpatient Services 622210 4208076 4208076 0 0 2995766 2995766 0 0 17404225 7407 7407 0 0 0 0 0 0 0 0 0 0 205683 0 84140 0 121543 0 121543 121543 0 0 1301245 0 1275829 0 25416 0 25416 25416 0 0 0 0 0 0 0 0 Salary Reimbursement 900099 327798 327798 0 0 Meaningful Use 900099 170000 170000 0 0 84306 84306 0 0 582104 24396524 18140695 0 0 0 0 7370583 7370583 0 0 0 0 584383 255559 328824 0 0 0 0 0 7812586 5857106 1955480 0 309291 225469 83822 0 1143528 829582 313946 0 586872 417494 169378 0 0 0 0 0 24915 0 24915 0 33349 12030 21319 0 0 0 0 0 0 0 0 0 0 0 94213 65234 28979 0 51804 603 51201 0 474669 219924 254745 0 185088 50626 134462 0 0 0 0 0 413221 204913 208308 0 173868 160170 13698 0 0 0 0 0 136359 61198 75161 0 43524 33827 9697 0 0 0 0 0 643325 266729 376596 0 147138 123840 23298 0 Bad Debt 1254123 1254123 0 0 MRO Services 295247 295247 0 0 Dues Fees and Licenses 92640 19755 72885 0 Client Housing and Assistance 194182 194182 0 0 352269 246171 106098 22417177 18164365 4252812 0 467004 461855 3878367 5418273 0 0 611413 636626 0 0 0 0 832495 1994739 0 0 706698 802253 13256825 6438651 7000391 6818174 0 0 0 0 0 0 0 0 0 0 13496368 16131920 2744260 3023388 0 0 0 0 0 0 0 0 0 0 1444154 1326590 0 0 394557 889198 4582971 5239176 X 8913397 10892744 0 0 0 0 8913397 10892744 13496368 16131920 1979347 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 1693 1693 0 SchC_P2B_S00_L01 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 9030370 5745077 3285293 0 0 0 0 0 3306297 507415 2798882 0 398793 186159 212634 6818174 0 Estimated Third Party Settlement 889198 889198 1 Charity Care and Contractual Care Adjustments 7167 0 7370583 FMV Mental Health and Addictions Services SchI_P01_S00_L02 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 Determiniation: Sliding Fee Discounts are based on the Gross declared income in combination with the family size for the household. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 Anand Popli 231986 0 17500 0 6073 0 16337 0 20508 0 292404 0 0 Sajiv John 205794 0 1500 0 0 0 9378 0 8306 0 224978 0 0 0 Samir Gupta 202768 0 1500 0 0 0 8224 0 0 0 212492 0 0 0 Linda Munson 200772 0 1567 0 0 0 9147 0 5034 0 216520 0 0 Rocco Schiralli 165947 0 29956 0 6111 0 13072 0 7774 0 222860 0 0 0 Mitchell Goldstein 194619 0 1500 0 0 0 9073 0 20508 0 225700 0 0 0 Candice Hunter 188034 0 1500 0 0 0 0 0 5034 0 194568 0 0 0 SchJ_P01_S00_L01a Schedule J, Part I, Line 1a YMCA family annual memberships are provided to the Chief Executive Officer and Chief Financial Officer. In addition acountry club dues are provided to the Cheif Executive Officer and the Medical Director. SchJ_P01_S00_L04 Schedule J, Part I, Line 4 $6000 per employee is contributed to a 457 Plan on behalp 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 69710 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 F990_P04_S00_L20a Form 990, Part IV, Line 20a While the organization has been granted public charity status as a hospital by the IRS, for state purposes the organization is licensed as a Community Mental Health Center. Community Mental Health Centers are not recognized by the state of Indiana as a hospital. For this reason, the organization has not completed schedule H. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The full board receives copies of the 990 for review and approval prior to the filing. F990_P06_S0B_L12c 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. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The process for determinng salary for key employees consist of comparing salary to a state-wide salary survey of community mental health centers and like organizations' 990's. The salary decision is made by independent persons on the Board. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The 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 Porter Starke Services Foundation Inc k 13446 Rent paid for Residential Assisted Living Home for men and women. Porter Starke Services Foundation Inc o 14400 Salary Reimbursement for Shared Employee. Porter Starke Services Foundation Inc c 5000 Start up funds for revolving client loan fund. Extension approved extending return due date to 2 14 2014.