2021-04-15T10:00:41-05:00 2020-06-30 420714325 RSM US LLP 1861 INTERNATIONAL DRIVE SUITE 400 MCLEAN VA 22102 990 2019-07-01 232093566 HOLCOMB ASSOCIATES INC HOLC 6103631488 467 CREAMERY WAY EXTON PA 19341 TERENCE G BLACKWELL JR PRESIDENT/CEO 6103631488 2021-04-13 1 KRISTEN BARNETT P01234578 7033366400 2021-04-13 2019 2022-09-23 18:48:47Z TERENCE G BLACKWELL JR 467 CREAMERY WAY EXTON PA 19341 32182644 0 X WWW.CHIMES.ORG; WWW.HOLCOMB-BHS.ORG X 1979 PA TO SUPPORT AND PROMOTE THE OVERALL HEALTH AND WELL-BEING OF PEOPLE BY HELPING THEM UNDERSTAND, MANAGE, AND OVERCOME PROBLEMS. 8 6 935 6 0 0 106575 439860 32959528 31742590 15 -46052 0 0 33066118 32136398 0 0 0 0 23573050 23250310 0 0 0 10074519 9786358 33647569 33036668 -581451 -900270 79318222 87519379 76175730 84833868 3142492 2685511 X TO SUPPORT AND PROMOTE THE OVERALL HEALTH AND WELL-BEING OF PEOPLE BY HELPING THEM UNDERSTAND, MANAGE, AND OVERCOME PROBLEMS. 0 0 27536461 31742590 HOLCOMB ASSOCIATES, INC. (THE ORGANIZATION), OPERATING AS HOLCOMB BEHAVIORAL HEALTH SYSTEMS, IS A 501(C)(3) NOT-FOR-PROFIT ORGANIZATION REGISTERED WITH THE PENNSYLVANIA BUREAU OF CHARITABLE ORGANIZATIONS. THE ORGANIZATION, FOUNDED IN 1979, IS A BEHAVIORAL HEALTH CARE NETWORK PROVIDING FIVE DISTINCT SERVICES TO THE POPULATION OF SOUTHEASTERN PENNSYLVANIA.TREATMENT AND ASSESSMENT SERVICES - THESE SERVICES ARE INCLUSIVE OF ALL PROGRAMS PROVIDING CLINICAL ASSESSMENT AND/OR TREATMENT INTERVENTIONS FOR MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. RESIDENTIAL SERVICES - THESE SERVICES ARE INCLUSIVE OF ALL PROGRAMS WHERE FORMAL HOUSING AND ANCILLARY SUPPORT SERVICES ARE OFFERED FOR MENTAL HEALTH, SUBSTANCE ABUSE, DUALLY DIAGNOSED AND /OR DEVELOPMENTALLY DISABLED CLIENTS.PSYCHOSOCIAL AND PSYCHIATRIC REHABILITATION - THESE SERVICES ARE INCLUSIVE OF ALL PROGRAMS THAT PROVIDE NON-TREATMENT, SUPPORTIVESERVICES TO MENTAL HEALTH SUBSTANCE ABUSE, DUALLY DIAGNOSED AND /OR DEVELOPMENTALLY DISABLED CLIENTS.PREVENTION AND EDUCATION SERVICES - THESE SERVICES ARE INCLUSIVE OF ALL PROGRAMS THAT PROVIDE PRIMARY INTERVENTIONS TO THE GENERAL PUBLIC OR SECONDARY INTERVENTIONS TO INDIVIDUALS IDENTIFIED AS BEING AT RISK. CASE MANAGEMENT AND INTAKE SERVICES - THESE SERVICES ARE INCLUSIVE OFALL PROGRAMS THAT PROVIDE LINKAGE SERVICES, INSTRUMENTAL SUPPORTS AND FACILITATING RECEIPT OF ADDITIONAL SERVICES FOR CLIENTS IN THE MENTAL HEALTH, SUBSTANCE ABUSE AND DEVELOPMENTALLY DISABLED CLIENTS. 27536461 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 50 0 1 935 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 8 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X STEPHEN DARE 6103631488 4815 SETON DRIVE BALTIMORE MD 21215 GEORGE CARLINO CHAIRPERSON 2.00 1.00 X X 0 0 0 KAREN HOLCOMB SECRETARY 1.00 X X 0 57824 449 THOMAS PALERMO ASST SECRETARY (UNTIL 1/17/2020) 1.00 46.00 X X 0 178650 16317 PETE DAKUNCHAK BOARD MEMBER 1.00 X 0 0 0 GEORGE HUMMEL BOARD MEMBER 1.00 X 0 0 0 JOSEPH J JEROME BOARD MEMBER 1.00 X 0 0 0 GEORGE ZUMBANO ESQ BOARD MEMBER 2.00 2.00 X 0 0 0 TERENCE G BLACKWELL JR PRESIDENT/CEO 3.00 55.00 X X 0 405064 20494 STEVE DARE CFO/TREASURER 3.00 55.00 X X 0 330427 16051 NICOLE BROWN CHIEF OPERATING OFFICER 40.00 1.00 X 145284 0 2600 TENESA RIVERA JEFFRESS PSYCHIATRIST 40.00 X 258632 0 7934 APRIL S LADAVAC PSYCHIATRIST 40.00 X 231599 0 17153 SCOTT BERMAN PSYCHIATRIST 40.00 X 201825 0 6010 NATALIE S BILYNSKY REGIONAL PROGRAM DIRECTOR 40.00 X 130401 0 9462 967741 971965 96470 5 0 1 0 BDO PO BOX 642743 PITTSBURGH PA 15264 STAFFING SERVICES 300491 LINKE RESOURCES 106 BROOKHOLLOW DR DOWNINGTOWN PA 19335 RECRUITING SERVICES 151836 GORFINE SCHILLER & GARDYN 10045 RED RUN BLVD 250 OWINGS MILLS MD 21117 ACCOUNTING SERVICES 107670 3 439860 439860 MEDICARE/MEDICAID PAYM 624100 15615672 15615672 FEES/CONTRACTS FROM GO 624100 13624888 13624888 CLIENT INCOME 624100 1666099 1666099 PRIVATE FEES 624100 835931 835931 31742590 194 194 46246 -46246 -46246 -46246 32136398 31742590 0 -46052 147884 118906 28978 19439605 15643590 3796015 248603 190435 58168 1300430 1088146 212284 2113788 1806112 307676 46883 1801 45082 105097 17504 87593 36000 36000 132080 55099 76981 17745 16000 1745 765513 532197 233316 252582 25030 227552 2914855 1945837 969018 439988 346860 93128 299318 299318 436344 185577 250767 174433 157519 16914 CENTRAL AGENCY ADMIN EX 1929073 1618886 310187 TEMPORARY STAFF 999611 865965 133646 PROGRAM ACTIVITY 227591 227591 0 MG ALLOCATION 0 2039011 -2039011 1009245 355077 654168 33036668 27536461 5500207 0 667447 3550269 3593542 2191824 660466 401866 9121801 4758331 5408410 4363470 68988357 77011950 79318222 87519379 2113016 3155534 217204 183018 73845510 81495316 76175730 84833868 X 3142492 2685511 3142492 2685511 79318222 87519379 X -900270 443289 X X 0 1 X 1 0 X 106686 102843 13670 106575 439860 769634 106686 102843 13670 106575 439860 769634 9602 760032 21 13 28 15 194 271 769905 151060437 0.98720 0.99970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 36000 36000 0 PART II-B, LINE 1: PART II-B, LINE 1(B) PAID STAFF OR MANAGEMENT: MANAGEMENT IS INVOLVED IN LOBBYING ACTIVITIES TO THE EXTENT OF CONTRACTING GRANT WITH OTHER ORGANIZATIONS ON LINE 1(F). PART II-B, LINE 1(I), OTHER ACTIVITIES: $36,000 INCLUDES PAYMENTS TO XTRAGLOBEX, INC. FOR LOBBYING PURPOSES. XTRAGLOBEX, INC.'S LOBBYING EFFORTS ON BEHALF OF HOLCOMB FOCUS ON IDENTIFYING OPPORTUNITIES FOR PENNSYLVANIA LEGISLATIVE GRANTS RELATED TO COMMUNITY SERVICES. 1 71278 173940 176559 68659 0 680500 680500 4207024 1574887 2632137 437235 227384 209851 2692997 1953314 739683 1104045 1002746 101299 4363470 DUE FROM RELATED ENTITY 76938501 RESIDENT FUNDS 73449 77011950 DUE TO RELATED OTHER RELATED ORGS 81171454 RESIDENT FUNDS PAYABLE 73449 DEFERRED RENT 250413 81495316 X 32136398 0 32136398 0 32136398 33036668 0 33036668 0 33036668 PART X, LINE 2: THE ORGANIZATION'S ENTITIES ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE NOT CONSIDERED PRIVATE FOUNDATIONS. NONE OF THE ORGANIZATION'S ACTIVITIES, WITH THE EXCEPTION OF INTERNATIONAL, ARE SUBJECT TO THE TAX ON UNRELATED BUSINESS INCOME. THE ORGANIZATION FOLLOWS THE PROVISIONS OF THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC), ACCOUNTING FOR INCOME TAXES. THIS TOPIC REQUIRES THE ORGANIZATION TO RECOGNIZE OR DISCLOSE ANY TAX POSITIONS THAT WOULD RESULT IN UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION HAS NO POSITIONS THAT WOULD REQUIRE DISCLOSURE OR RECOGNITION UNDER THE TOPIC. NONE OF THE ORGANIZATION'S ACTIVITIES ARE SUBJECT TO THE TAX ON UNRELATED BUSINESS INCOME. GENERALLY, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2017. X X X X X 0 0 0 0 0 0 0 0 0 THOMAS PALERMO ASST SECRETARY (UNTIL 1/17/2020) 0 178475 0 105 0 70 0 5400 0 10917 0 194967 0 0 TERENCE G BLACKWELL JR PRESIDENT/CEO 0 397006 0 310 0 7748 0 6058 0 14436 0 425558 0 0 STEVE DARE CFO/TREASURER 0 328998 0 110 0 1319 0 9533 0 6518 0 346478 0 0 TENESA RIVERA JEFFRESS PSYCHIATRIST 258632 0 0 0 0 0 7934 0 0 0 266566 0 0 0 APRIL S LADAVAC PSYCHIATRIST 231213 0 386 0 0 0 7307 0 9846 0 248752 0 0 0 SCOTT BERMAN PSYCHIATRIST 200559 0 0 0 1266 0 6010 0 0 0 207835 0 0 0 PART II: THE COMPANY PROVIDES BASIC LIFE INSURANCE EQUAL TO THE AMOUNT OF THE EMPLOYEES SALARY, UP TO $200,000. THE EMPLOYEES ARE TAXED ON THE COST OF THE INSURANCE IN EXCESS OF $50,000. NONTAXABLE PAYMENTS ARE RECORDED IN COLUMN D. ANY POTENTIAL TAXABLE PAYMENTS ARE REPORTED IN COLUMN B. THE COMPANY'S CONTRIBUTION TOWARDS THE EMPLOYEE'S COMPANY-PROVIDED HEALTH INSURANCE IS REPORTED IN COLUMN D. THE COMPANY'S CONTRIBUTIONS TO AN INDIVIDUAL'S 403(B) RETIREMENT PLAN ACCOUNT ARE REPORTED IN COLUMN C. FORM 990, PART VI, SECTION B, LINE 11B COPY FROM ANOTHER CHIMES ENTITY. ALL ENTITIES FOLLOW THE SAME PRACTICE. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. AT EACH MEETING OF THE BOARD A SCHEDULE OF CONFLICTS OF INTEREST, IF ANY ARE PROVIDED TO MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 THE INDEPENDENT COMPENSATION COMMITTEE OF THE CHIMES INTERNATIONAL BOARD OF DIRECTORS FOLLOWS THE PROCESS DESCRIBED IN THE IRS INTERMEDIATE SANCTIONS RULES WHEN DETERMINING THE COMPENSATION OF THE INDIVIDUALS ON PART VI, LINES 15A AND 15B. MEMBERS OF THE INDEPENDENT COMPENSATION COMMITTEE OF THE CHIMES INTERNATIONAL BOARD OF DIRECTORS SIT ON VARIOUS BOARDS OF RELATED CHIMES FAMILY OF SERVICES ENTITIES. THIS COMMITTEE SERVES AS THE INDEPENDENT COMPENSATION COMMITTEE FOR ALL BOARDS OF RELATED ORGANIZATIONS. SPECIFICALLY, THE COMMITTEE: (1) IS COMPOSED ENTIRELY OF NON-EMPLOYEE VOLUNTEER DIRECTORS WHO HAVE NO FAMILIAL, BUSINESS OR SIGNIFICANT PERSONAL RELATIONSHIPS WITH CHIMES INTERNATIONAL, ITS RELATED COMPANIES OR ITS EXECUTIVES. (2) ENGAGES AN INDEPENDENT COMPENSATION CONSULTING FIRM TO COMPILE APPROPRIATE COMPARABILITY DATA (INCLUDING COMPENSATION MARKET INFORMATION FOR PEERS WITH WHOM CHIMES FAMILY OF SERVICES COMPETES FOR EXECUTIVE TALENT) FOR COMMITTEE RELIANCE. THE COMMITTEE WILL MEET WITH REPRESENTATIVES OF THE CONSULTING FIRM OR COUNSEL TO REVIEW THIS DATA IN DETAIL. (3) REVIEWS ALL ELEMENTS OF EXECUTIVES' TOTAL COMPENSATION, INCLUDING BUT NOT LIMITED TO BASE SALARY, BONUSES, PERQUISITES, FRINGE BENEFITS, AND INCENTIVE AND DEFERRED COMPENSATION ARRANGEMENTS. UPON THE EXECUTIVE'S HIRE, AND AT EACH POINT IN TIME THEREAFTER AT WHICH A NEW OR REVISED COMPENSATION ARRANGEMENT IS UNDER CONSIDERATION WITH RESPECT TO THE EXECUTIVE, THE COMMITTEE MEETS WITH COUNSEL AND/OR WITH ITS INDEPENDENT COMPENSATION CONSULTING FIRM BEFORE THE ARRANGEMENT IS IMPLEMENTED TO EVALUATE THE REASONABLENESS OF THE ARRANGEMENT BY COMPARING BOTH THE ARRANGEMENT ITSELF AND THE EXECUTIVE'S ENTIRE COMPENSATION PACKAGE TO COMPENSATION PACKAGES PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS. (4) DOCUMENTS, CONCURRENTLY WITH ITS DETERMINATION, THE BASIS FOR ITS DETERMINATION IN THE MINUTES OF ITS MEETING. THESE MINUTES ARE REVIEWED, REVISED IF NECESSARY AND APPROVED AT THE FOLLOWING MEETING OF THE COMMITTEE. (5) RETAINS RECORDS CONCERNING THE COMMITTEE'S COMPLIANCE WITH THE IRS INTERMEDIATE SANCTIONS RULES. II. ON A PERIODIC BASIS, THE COMMITTEE USES THE PROCESS DESCRIBED ABOVE TO EVALUATE THE POSITIONS OF COO/EVP OPERATIONS, CFO/EVP FINANCE ANDCEO/PRESIDENT. IN ADDITION, PERIODIC COMPENSATION STUDIES ARE OBTAINED FOR PURPOSES OF ESTABLISHING BASELINE COMPENSATION INFORMATION FOR THE COMMITTEE. CURRENTLY, THE COMMITTEE IS USING COMPENSATION STUDIES OBTAINED IN THE FOLLOWING TAX YEARS FOR THEIR RESPECTIVE POSITIONS: POSITION & YEAR COO/EVP OPERATIONS - 2019 CFO/EVP FINANCE - 2019 CEO/PRESIDENT - 2019 COO'S RELATED ORGANIZATIONS - 2019 FORM 990, PART VI, SECTION C, LINE 18 THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE TO ANY MEMBER OF THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS FROM CHESTER COUNTY COUNCIL ON ADDICTIVE DISEASES 443,289. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT THAT AUDITED THE FINANCIAL STATEMENTS HAS BEEN CONSISTENT WITH PRIOR YEARS. CHESTER COUNTY COUNCIL ON ADDICTIVE DISEASES INC 467 CREAMERY WAY EXTON PA 19341 236461750 TO ADDRESS THE USE AND ABUSE OF DRUGS & ALCOHOL AND FOCUSES ON MENTAL PA 501(C)(3) LINE 10 HOLCOMB ASSOCIATES INC 1 CHIMES DISTRICT OF COLUMBIA INC 4815 SETON DRIVE BALTIMORE MD 21215 541691953 SUPPORTING SERVICE ORGANIZATION DC 501(C)(3) LINE 12B, II THE CHIMES INC 0 CHIMES INTERNATIONAL LTD 4815 SETON DRIVE BALTIMORE MD 21215 522000359 SUPPORTING SERVICE ORGANIZATION DE 501(C)(3) LINE 12C, III-FI N/A 0 CHIMES METRO INC 4815 SETON DRIVE BALTIMORE MD 21215 521773885 SERVICES FOR INDIVIDUALS WITH BARRIERS TO INDEPENDENT LIVING. MD 501(C)(3) LINE 10 CHIMES INTERNATIONAL LTD 0 CHIMES PA INC 467 CREAMERY WAY EXTON PA 19341 233007932 SERVICES FOR INDIVIDUALS WITH BARRIERS TO INDEPENDENT LIVING. PA 501(C)(3) PF HOLCOMB ASSOCIATES INC 1 CHIMES VIRGINIA INC 4815 SETON DRIVE BALTIMORE MD 21215 541691952 SERVICES FOR INDIVIDUALS WITH BARRIERS TO INDEPENDENT LIVING. VA 501(C)(3) LINE 10 CHIMES INTERNATIONAL LTD 0 THE CHIMES INC 4815 SETON DRIVE BALTIMORE MD 21215 520575305 SERVICES FOR INDIVIDUALS WITH BARRIERS TO INDEPENDENT LIVING. MD 501(C)(3) LINE 10 CHIMES INTERNATIONAL LTD 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 CHESTER COUNTY COUNCIL ON ADDICTIVE DISEASES INC S 443289 TRANSFER OF NET ASSETS