2011-02-07T14:47:15-06:00 2010-06-30 990 2009-07-01 351330771 Porter-Starke Services Inc PORT 2194764503 601 Wall Street Valparaiso IN 46383 Mary Idstein 2194764503 2011-02-07 2009 2016-02-24 21:20:13Z Mary Idstein 601 Wall Street Valparaiso IN 46383 22711204 0 X www.porterstarke.org X 1967 IN PORTER-STARKE SERVICES, INC. IS RESPONSIBLE FOR THE OPERATION AND MAINTENANCE OF A COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER THAT FOCUSES ON THE TREATMENT AND PREVENTION OF MENTAL ILLNESS, CHEMICAL DEPENDENCY AND ADDITIONS. THIS SERVICES ARE PROVIDED TO CHILDREN AND ADULTS UPON ADMISSION OR REFERRAL. THE CENTER EMPLOYS QUALIFIED PSYCHIATRISTS, PSYCHOLOGISTS, SOCIAL WORKERS, AND OTHER TO CONSULT AND TREAT INDIVIDUALS AND FAMILIES. THESE SERVICES INCLUDE INPATIENT SERVICES, OUTPATIENT TREATMENT INCLUDING INDIVIDUAL, GROUP AND FAMILY THERAPY, PSYCHIATRIC SERVICES INCLUDING MEDICATION MANAGEMENT, CONSULTATION, 24-HOUR SERVICES, CHEMICAL DEPENDENCY AND ADDICTION SERVICES, METHADONE CLINIC, COMMUNITY EDUCATION, PARTIAL HOSPITALIZATION DAY SERVICES, RESIDENTIAL SERVICES FOR SEVERAL POPULATIONS, TREATMENT PROGRAMS FOR ELEMENTARY AND SECONDARY STUDENTS, EMPLOYEE ASSISTANCE PROGRAMMING, EXPERImENTAL THERAPY AND CORPORATE TRAINING AND TEAM BUILDING PROGRAMS. 13 13 253 13 0 0 6565095 6254400 12732754 15822025 118 -36500 347733 491753 19645700 22531678 5712488 7795459 0 9565583 10372165 0 0 3845128 3792810 19123199 21960434 522501 571244 9537373 11152865 3831684 4876016 5705689 6276849 Porter-Starke Services, Inc. is dedicated to enhancing the quality of life within our communities. 0 0 6180424 0 5981294 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 educational services. 3683501 0 3181522 Inpatient - Psychiatric hospital for adults experiencing a mental, emotional, or behavioral episode or crisis. 5388898 0 5146262 COMMUNITY SUPPORT SERVICES - 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. THEY ARE DIVIDED INTO SEVERAL PROGRAMS: CASE MANAGEMENT, GROUP SUPERVISED LIVING, PARTIAL HOSPITALIZATION, SEMI-INDEPENDENT LIVING, AND SUPERVISED TRANSITION. 2484762 0 1639353 DAY TREATMENT - THIS PROGRAM PROVIDES PARTIAL HOSPITALIZATION DAY SERVICES FOR ADULT AND CHILDREN. THE PROGRAM PROVES TREATMENT TO 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 AND RECREATION. 2484762 1639353 17737585 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 65 0 1 253 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 13 13 0 0 0 0 1 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 RANDY ZROMkOSKI 2.00 X 0 0 0 Dale Clapp 2.00 X 0 0 0 Bob Jacobs 2.00 X 0 0 0 Vincent Galbiati 2.00 X 0 0 0 Michael Bendicsen 2.00 X 0 0 0 Larry Jarrett 2.00 X 0 0 0 Judith Jelinek 2.00 X 0 0 0 John Johnson 2.00 X 0 0 0 Dee Haklin 2.00 X 0 0 0 Carol Loesche 2.00 X 0 0 0 Dave Rose 2.00 X 0 0 0 Rocco Schiralli 40.00 X 154601 0 22095 Mary K Idstein 40.00 X 120275 0 17446 Anand Popli 40.00 X 218508 0 27317 Samir Gupta 40.00 X 189503 0 8828 Sajiv John 40.00 X 187438 0 12597 Linda Munson 40.00 X 184961 0 14357 Mitchell Goldstein 40.00 X 176067 0 21578 Jennifer Carlos 20.00 X 118981 0 0 1350334 0 124218 8 0 1 0 Boyd Asphalt 306 North 400 East Valparaiso IN 46383 Asphalt 162634 1 6233352 21048 6254400 Outpatient 621110 5981294 5981294 Community Support Serv 621110 5146262 5146262 Inpatient 621110 3181522 3181522 1512947 1512947 15822025 7786 7786 191859 135240 56619 56619 56619 44286 -44286 -44286 -44286 Miscellaneous Rev 900099 435134 69787 365347 435134 22531678 15948431 0 328847 7795459 7795459 493250 493250 7600881 5922727 1678154 323144 236216 86928 1381610 1015301 366309 573280 414865 158415 12275 12275 31283 4190 27093 319947 133083 186864 58832 58832 505830 215566 290264 425438 192045 233393 167498 151929 15569 108411 48306 60105 41319 20648 20671 528468 217119 311349 164243 134888 29355 Bad Debt 462735 462735 MRO Services 321935 321935 Dues & Sub. 95845 25364 70481 548751 425209 123542 21960434 17737585 4222849 0 1010200 2990688 1281910 707765 1715837 432045 7158 436672 499831 11887013 5364477 5085596 6522536 9537373 11152865 2392746 2349115 889285 2043181 549653 483720 3831684 4876016 X 5705689 6276849 5705689 6276849 9537373 11152865 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 2140 2140 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: Portion of dues paid to a Trade organization used for lobbying by the trade organization. 418700 418700 8126318 3602640 4523678 3032433 1652077 1380356 309562 109760 199802 6522536 Estimated Third-party Settlement 483720 483720 Part XI, XII, and XIII are not required as the organization is part of a consolidated financial statement. The consolidated financial statements are audited by an independent accounting firm and prepared in accordance with Generally accepted accounting principles. 1 1 0 1 X 1 1 0 1 1 3474452 3474452 0.16160 3474452 3474452 0.16160 3474452 3474452 0.16160 1 639320 657085 742359 -85274 X 1 1 Porter-Starke Services Inc

701 Wall St Valparaiso IN 46383

X Psychiatric 16-Bed Hospital Part III, Line 4: CHARGES FOR SERVICES TO PATIENTS ARE PRIMARILY BASED ON THE PATIENTS ABILITY TO PAY. THE ALLOWANCES OFFSET AGAINST PATIENT ACCOUNTS RECEIVABLE REPRESENTS MANAGEMENTS ESTIMATE OF THE EXPECTED LOSSES TO BE REALIZED, AND IS BASED ON HISTORICAL EXPERIENCE, CURRENT ECONOMIC CONDITIONS, AND OTHER relevant factors.COSTING METHODS FOR LINES 2 AND 3 USED THE SAME CALCULATION DEVELOPED IN WORKSHEET 2 - RATIO OF PATIENT CARE for charges. Part III, Line 8: Other: Cost per day. Part III, Line 9b: PATIENTS UPON ADMISSION ARE ASKED TO SELF REPORT INCOME AND THEREFORE ARE SENT TO COLLECTIONS FOR FEES ALREADY DISCOUNTED BASED ON FAMILY SIZE AND INCOME. Part VI, Line 2: Porter-Starke Services periodically conducts focus groups and regularly administers satisfaction surveys to patients which help determine community needs. Porter-Starke Services, Inc. is active in the community and works with community groups to provide requested mental health and addiction services. Part VI, Line 3: All patients go through Porter-Starke's admission office where they are informed of the fees and eligible discounts. Inpatient clients if they currently do not have insurance and are Medicaid-eligible are assisted in applying for Medicaid. Part VI, Line 4: Porter-Starke Services, Inc. is a community mental health center which services Porter and Starke counties in Indiana. The clients are treated for mental health and addiction issues. Clients vary significantly in their income ranges, but over half the services are for clients with Medicaid or clients at 200% or below of the poverty level. Part VI, Line 5: None Part VI, Line 6: Porter-Starke Services, Inc. promotes wellness through a Learn at Lunch series and qualified mental health professional speakers' bureau made available at public forums. IN 1 Charity Care & Contractual Adjustment 3898 0 7795459 FMV Mental Health & Addiction services Procedure for Monitoring Grants in the U.S.: Part I, Line 2: 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 Center also adjusts charges based on contractual agreements 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 equivalent service statistics. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 Rocco Schiralli 128904 0 15600 0 10097 0 9818 0 12277 0 176696 0 0 0 Anand Popli 196698 0 6000 0 15810 0 14374 0 12943 0 245825 0 0 0 Samir Gupta 182111 0 7392 0 0 0 8828 0 0 0 198331 0 0 0 Sajiv John 184438 0 3000 0 0 0 7183 0 5414 0 200035 0 0 0 Linda Munson 180961 0 4000 0 0 0 8943 0 5414 0 199318 0 0 0 Mitchell Goldstein 174067 0 2000 0 0 0 8635 0 12943 0 197645 0 0 0 Part I, Line 1a YMCA Family annual memberships are provided to Chief executive officer and chief financial officer. Listed on Form 990, Part VII, Section A, line 1a. In addition country club dues are provided for the Chief Executive Officer, chief financial officer, and Medical Director. Part I, Line 4a $5,000 per Employee was contributed to a 457 plan on behalf of the following individuals listed on Form 990, Part VII, Section A, line 1a: Rocco Schiralli, Mary K. Idstein, and Anand Popli. Anand Popli To purchase LLC membership interests in Northwest Indiana Health Systems X 10000 10000 0 1 1 10000 Form 990, Part VI, Section A, line 6 The organization is organized as a nonprofit corporation with a board of directors. Form 990, Part VI, Section B, line 11 The Finance Committee (consisting of Board Chair, Vice-Chair, Secretary, and Treasurer, along with the CEO and CFO) received copies of the 990 and reviewed the form prior to the 990 being presented to the full board for approval. 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. 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 survey of community health centers (like organizations) and the salary decision was made by independent persons on the board. Form 990, Part VI, Section C, line 19 The documents are available upon request. Part XI, Line 2B Audited Financial Statements The organization is part of a consolidated financial statement. The consolidated financial statements are audited by an independent accounting firm and prepared in accordance with generally accepted accounting principles. Part XI, LIne 2c The board of directors assumes responsibility for oversight of the audi of the financial statements and no processes have chagned 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 Vale Park Psychiatric Services Inc 601 Wall Street Valparaiso IN 46383 311087816 Handicapped housing IN 501c3 Line 9 N/A 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 Porter-Starke Foundation inc J 56619