2012-03-30T08:22:29-07:00 2011-06-30 990 2010-07-01 351330771 PORTER-STARKE SERVICES INC PORT 2195313500 601 Wall Street Valparaiso IN 46383 Mary Idstein 2194764503 2012-03-28 2010 2016-02-24 21:20:13Z Mary Idstein 601 Wall Street Valparaiso IN 46383 22168135 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. 13 13 269 13 0 0 6254400 6844446 15822025 14813577 -36500 8972 491753 414369 22531678 22081364 7795459 6626157 0 0 10372165 10270486 0 0 0 3792810 3878832 21960434 20775475 571244 1305889 11152865 12125584 4876016 4542846 6276849 7582738 Porter-Starke Services, Inc. is dedicated to enhancing the quality of life within our communities. 0 0 5367228 0 4933182 Outpatient - The clinic provides mental health and addiction treatment to children, adolescents and adults. The treatment provided includes crisis intervention, short-term counseling, medication management, group therapy and education services. 3868256 0 3617766 Inpatient- Psychiatric Hospital for adults experiencing a mental, emotional or behavioral episode or crisis. 4630759 0 4015434 Community Support Services(CSS) - This program provides a means by which chronically mentally ill patients may find successful adjustments in the community and avoid returning to long term facilities. CSS is divided into several programs: Case Management, Group Supervised Living, Partial Hospitalization, Semi-Independent Living and Supervised Transition. 2704841 0 2247195 Day Treatment this program provides partial hospitalization day services for adults and children. The program provides treatment to chronically mentally ill individuals who may need more extensive support other than can be offered in an oupatient setting. The focal point of the program is group psychotherapy, group medication therapy, monitoring, psycho educational experiences, as well as activities of therapy and recreation. 2704841 0 2247195 16571084 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 71 0 1 269 1 0 0 0 0 0 0 X 13 13 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 170919 0 24089 Mary Idstein 40 X 113795 0 18669 Anand Popli 40 X 220534 0 28830 Samir Gupta 40 X 190865 0 8987 Linda Munson 40 X 189349 0 14527 Mitchell Goldstein 40 X 182312 0 21918 Sajiv John 40 X 193229 0 13542 1261003 0 130562 8 0 1 0 Chester Inc 555 Eastport Centre Drive Valparaiso IN 46383 Building Construction 550128 0 0 0 0 0 6822445 22001 0 6844446 Outpatient 621110 4933182 4933182 0 0 Inpatient 621110 3617766 3617766 0 0 Community Support 621110 4015434 4015434 0 0 2247195 2247195 0 0 14813577 8897 0 0 8897 0 0 0 0 0 0 0 0 194029 0 86771 0 107258 0 107258 107258 0 0 0 75 0 0 0 75 75 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Miscellaneous 900099 307111 36838 0 270273 0 0 0 0 307111 22081364 14957673 0 279245 0 0 6626157 6626157 0 0 0 0 505248 220534 284714 0 0 0 0 0 7678931 5743448 1935483 0 274142 178292 95850 0 1251267 923278 327989 0 560898 407309 153589 0 0 0 0 0 34624 1754 32870 0 31144 9599 21545 0 0 0 0 0 0 0 0 0 0 0 319546 167178 152368 0 52216 0 52216 0 534273 230660 303613 0 0 0 0 0 0 0 0 0 379170 183554 195616 0 179491 165266 14225 0 0 0 0 0 149170 100047 49123 0 107090 92800 14290 0 0 0 0 0 570048 230123 339925 0 147560 126036 21524 0 Bad Debt 419975 419975 0 0 MRO Services 185888 185888 0 0 Dues, Fees and Licenses 147834 59082 88752 0 620803 500104 120699 0 20775475 16571084 4204391 0 2990688 2394386 0 797187 0 0 707765 637880 10000 10000 0 0 422045 522542 0 0 499831 659679 12797776 5693866 6522536 7103910 0 0 0 0 0 0 0 0 0 0 11152865 12125584 2349115 2654665 0 0 0 0 0 0 0 0 0 0 2043181 1392696 0 0 483720 495485 4876016 4542846 X 6276849 7582738 0 0 0 0 6276849 7582738 11152865 12125584 1305889 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 A portion of dues paid to a trade organization is used for lobbying by the trade organization. 0 521365 521365 0 8782359 3732040 5050319 0 0 0 0 0 3184490 1826959 1357531 0 309562 134867 174695 7103910 0 Estimated third party settlement 495485 495485 22081364 20775475 1305889 0 0 0 0 0 0 1305889 22081364 0 0 0 0 0 22081364 0 0 0 22081364 20775475 0 0 0 0 0 20775475 0 0 0 20775475 1 Charity Care and Contractual Adjustments 1427 0 6626127 FMV Mental Health and Addictions Services SchI_P01_S00_L02 Schedule I, Part I, Line 2 In accordance with its grant requirements and state regulations the Center provides services to patients and charges them based on their ability to pay according to a sliding fee scale. The Cener also adjusts charges based on contractual agreemetns with Third party Payors. The Center maintains records to identify and monitor the level of charges foregone for services and supplies furnished under the charity care policy and contractual adjustments, the estimated cost of those services and the equivalent service statistics. X 1 1 X 0 1 0 0 0 0 0 0 0 Rocco Schiralli 139372 0 21450 0 10097 0 11812 0 12277 0 195008 0 0 0 Anand Popli 204724 0 0 0 15810 0 15887 0 12943 0 249364 0 0 0 Samir Gupta 190865 0 0 0 0 0 8987 0 0 0 199852 0 0 0 Sajiv John 193229 0 0 0 0 0 8128 0 5414 0 206771 0 0 0 Linda Munson 189349 0 0 0 0 0 9113 0 5414 0 203876 0 0 0 Mitchell Goldstein 182312 0 0 0 0 0 8975 0 12943 0 204230 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 for the Chief Executive Office and 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 individuals : Rocco Schiralli, Mary Idstein and Anand Popli. Anand Popli Purchase LLC membership in Northwest Indiana Health Systems X 10000 10000 0 1 1 10000 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 something other than a hospital. Under IRC 501(r), organizations licensed, registered, or similarly recognized by the State as a hospital are required to complete Schedule H. 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_L11a Form 990, Part VI, Section B, Line 11a 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 The board regularly discloses any conflict which may exist with any business of the organization. No such conflict existed in this fiscal year. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The process for determining salary for key employees consisted of comparing salary to a state-wide salary survery of community mental health centers (like organizations) and the salary decision ws 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 MH 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 31226 Porter Starke Services Foundation Inc n 14400 An extension was filed and IRS granted an automatic extension due to March 30, 2012