2013-02-06T14:11:08-07:00 2012-06-30 990 2011-07-01 351330771 PORTER-STARKE SERVICES INC PORT 2195313500 601 Wall Street Valparaiso IN 46383 Mary Idstein 2194764503 2012-11-20 2011 2016-02-25 16:41:14Z Porter Starke Services Inc 601 Wall Street Valparaiso IN 46383 24020968 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 12 261 12 0 0 6844446 6031966 14813577 16025060 8972 -78082 414369 503962 22081364 22482906 6626157 7028017 0 0 10270486 10468203 0 0 0 3878832 3656027 20775475 21152247 1305889 1330659 12125584 13496368 4542846 4582971 7582738 8913397 Porter-Starke Services, Inc. is dedicated to enhancing the quality of life within our communities. 0 0 6001175 0 6039457 Outpatient Clinic: The clinic provids mental health and addiction treatment to children, adolescents, and adults. The treatment provided includes crisis intervention, short-term counseling, medication management, group therapy and educational services. 4395510 0 4128143 Inpatient: Psychiatric Hospital for adults experiencing a mental, emotional or behavioral espisode or crisis. 3749016 0 3281136 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, Partial Hospitalization, Semi-Independent Living and Supervised Transition Living. 2786765 0 2576324 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. 2786765 0 2576324 16932466 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 1 261 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 X 0 0 0 Michael Bendicsen 2 X 0 0 0 Dee Haklin 2 X 0 0 0 Bob Jacobs 2 X 0 0 0 Larry Jarrett 2 X 0 0 0 Judith Jelinek 2 X 0 0 0 John Johnson 2 X 0 0 0 Susan Kelly-Johnson 2 X 0 0 0 Carol Loesche 2 X 0 0 0 Cynthia Minor 2 X 0 0 0 Dave Rose 2 X 0 0 0 Randy Zromkoski 2 X 0 0 0 Rocco Schiralli 40 X 184165 0 29230 Mary Idstein 40 X 119233 0 20291 Anand Popli 40 X 227932 0 31959 Samir Gupta 40 X 195878 0 8941 Linda Munson 40 X 194445 0 15784 Mitchell Goldstein 40 X 183990 0 24754 Sajiv John 40 X 197363 0 15606 1303006 0 146565 9 0 1 0 Korellis Roofing 1333-169th Street Hammond IN 46324 Roofing 132155 0 0 0 0 0 6028715 3251 0 6031966 Outpatient Services 621112 6039457 6039457 0 0 Inpatient 621112 4128143 4128143 0 0 Community Support 621112 3281136 3281136 0 0 2576324 2576324 0 0 16025060 4844 4844 0 0 0 0 0 0 0 0 0 0 199095 0 83781 0 115314 0 115314 115314 0 0 1370955 400 1444155 10126 -73200 -9726 -82926 -82926 0 0 0 0 0 0 Salary Reimbursement 900099 325518 325518 0 0 63130 63130 0 0 388648 22482906 16450940 0 0 0 0 7028017 7028017 0 0 0 531330 227932 303398 0 0 0 0 0 7763745 5847560 1916185 0 287046 184674 102372 0 1304211 949781 354430 0 581871 419911 161960 0 0 0 0 0 22050 0 22050 0 31415 8143 23272 0 0 0 0 0 0 0 0 0 0 0 112174 58277 53897 0 49571 0 49571 0 475071 200513 274558 0 167009 36878 130131 0 0 0 0 0 401565 192962 208603 0 159480 149078 10402 0 0 0 0 0 137894 94404 43490 0 65888 54415 11473 0 0 0 0 0 613529 251328 362201 0 143368 121538 21830 0 Bad Debt Expense 639401 639401 0 0 MRO Services 91472 91472 0 0 Dues Fees and Licenses 99550 33225 66325 0 All Other Expenses 446590 342957 103633 0 21152247 16932466 4219781 0 1393981 467004 1797592 3878367 0 0 637880 611413 10000 0 0 0 522542 832495 0 0 659679 706698 12897771 5897380 7103910 7000391 0 0 0 0 0 0 0 0 0 0 12125584 13496368 2654665 2744260 0 0 0 0 0 0 0 0 0 0 1392696 1444154 0 0 495485 394557 4542846 4582971 X 7582738 8913397 0 0 0 0 7582738 8913397 12125584 13496368 X 1330659 0 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1896 1896 0 SchC_P2B_S00_L01 Schedule C, Part II-B, Line 1 Portion of dues paid to a trade organization used for lobbying by the trade organization. 0 521365 521365 0 8819848 3770399 5049449 0 0 0 0 0 3193018 1968086 1224932 0 363540 158895 204645 7000391 0 Estimated Third Party Settlement 394557 394557 1 Charity Care and Contractual Adjustments 1592 0 7028018 FMV Mental Health and Addictions Services SchI_P01_S00_L02 Schedule I, Part I, Line 2 Information about discounts to clients available to clients and others through information 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: A. Gross declared income in combination with family size for the household is used to make determinations about sliding fee discounts. Clients are asked to complete a form that records their annual income and family size. Disclosure of this information is voluntary. The form indicates that the information is used to determine if the client is eligible for a discount. X 1 1 X X X X X X 0 1 0 0 0 0 0 0 0 Rocco Schiralli 150193 0 27027 0 6945 0 13424 0 15806 0 213395 0 0 0 Anand Popli 212684 0 8100 0 7148 0 16153 0 15806 0 259891 0 0 0 Samir Gupta 191218 0 4660 0 0 0 8941 0 0 0 204819 0 0 0 Sajiv John 193363 0 4000 0 0 0 8968 0 6638 0 212969 0 0 0 Linda Munson 191245 0 3200 0 0 0 9146 0 6638 0 210229 0 0 0 Mitchell Goldstein 181690 0 2300 0 0 0 8948 0 15806 0 208744 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 country club dues are provided to the Chief Executive Officer and the Medical Director. SchJ_P01_S00_L04 Schedule J, Part I, Line 4 $5000 per employee is contributed to a 457 Plan on behalf of the following individual: Rocco Schiralli, Mary Idstein and Anand Popli. City of Portage Indiana 356006948 2011-12-01 1400000 Economic Development Revenue Bond Series 2011 1 0 0 0 29046 1400000 0 0 0 35332 0 0 1400000 0 0 2011 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 1st Source Bank Fixed Rate Swap 10 1 0 0 0 0 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 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 the 990 being presented to the full board for approval. 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 determining salary for key employees consist of comparing salary to a state-wide salary survey of community mental health centers (like organization) and the salary decision is made by independent persons of the Board. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The documents are available upon request. F990_P11_S00_L02 Form 990, Part XI, Line 2 The Board of Directors assumes responsibility for oversight of the audited financial statements and no processes have changed from the prior year. 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 1 0 0 0 1 0 0 0 0 Porter Starke Services Foundation Inc j 19373 Based on signed lease agreeement Porter Starke Services Foundation Inc n 14400 Salary Reimbursement See attached Extension