2020-05-01T14:18:38-05:00 2019-06-30 420714325 RSM US LLP 1861 INTERNATIONAL DRIVE SUITE 400 MCLEAN VA 22102 990 2018-07-01 232093566 HOLCOMB ASSOCIATES INC HOLC 6103631488 467 CREAMERY WAY EXTON PA 19341 TERENCE G BLACKWELL JR PRESIDENT/CEO 6103631488 2020-05-01 1 KRISTEN BARNETT P01234578 7033366400 66.98.98.8 2020-05-01 14:11:11 ED P 9C094809E1B7091F026DF4A8AB44F39DF27D1C5E 9C094809E1B7091F026DF4A8AB44F39DF27D1C5E 2018 2021-01-29 14:40:06Z TERENCE G BLACKWELL JR 467 CREAMERY WAY EXTON PA 19341 33066118 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. 10 8 967 8 0 0 13670 106575 29998047 32959528 28 15 291123 0 30302868 33066118 0 0 0 0 20269023 23573050 0 0 0 10254072 10074519 30523095 33647569 -220227 -581451 11694787 79318222 8426525 76175730 3268262 3142492 X TO SUPPORT AND PROMOTE THE OVERALL HEALTH AND WELL-BEING OF PEOPLE BY HELPING THEM UNDERSTAND, MANAGE, AND OVERCOME PROBLEMS. 0 0 26747892 32959528 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. 26747892 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 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 0 0 0 1 43 0 1 967 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 8 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 1.00 1.00 X X 0 0 0 ROBERT WARD VICE CHAIRPERSON 1.00 1.00 X X 0 0 0 KAREN HOLCOMB SECRETARY 1.00 X X 0 136460 11489 THOMAS PALERMO ASST SECRETARY 1.00 44.00 X 0 180496 18518 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 53.00 X X 0 381684 29908 STEPHEN DARE CFO 3.00 53.00 X X 0 220499 9597 ROGER OSMUN CHIEF OPERATING OFFICER 40.00 X 219945 0 1452 NICOLE BROWN CHIEF OPERATING OFFICER 40.00 X 123316 0 2200 TENESA RIVERA JEFFRESS PSYCHIATRIST 40.00 X 248378 0 5090 APRIL S LADAVAC PSYCHIATRIST 40.00 X 225352 0 20532 NATALIE S BILYNSKY REGIONAL PROGRAM DIRECTOR 40.00 X 132633 0 9724 JANE L MEROLLA REGIONAL PROGRAM DIRECTOR 40.00 X 123606 0 2748 1073230 919139 111258 6 0 1 0 BDO PO BOX 642743 PITTSBURGH PA 15264 STAFFING SERVICES 515138 1 106575 106575 FEES/CONTRACTS FROM GO 624100 15489588 15489588 MEDICARE/MEDICAID PAYM 624100 15231075 15231075 CLIENT INCOME 624100 1586324 1586324 SERVICES/TRAINING INCO 624100 652541 652541 32959528 15 15 33066118 32959528 0 15 140242 116209 24033 19812010 16443040 3368970 259571 197619 61952 1297379 1117695 179684 2063848 1712656 351192 2746 2746 170617 5454 165163 486956 43037 443919 100 100 734580 546937 187643 257098 87121 169977 2902455 2002532 899923 478725 392556 86169 118428 118428 515881 232008 283873 168516 156014 12502 CENTRAL AGENCY ADMIN EX 1758907 1533930 224977 TEMPORARY STAFF 1364292 1160333 203959 PROGRAM ACTIVITY 380109 369648 10461 BAD DEBT EXPENSE 216156 65182 150974 518953 447393 71560 33647569 26747892 6899677 0 1656094 667447 4237159 3593542 187549 660466 10483668 5075258 5306369 5408410 307616 68988357 11694787 79318222 2330077 2113016 208179 217204 1909660 0 118122 0 3860487 73845510 8426525 76175730 X 3268262 3142492 3268262 3142492 11694787 79318222 -581451 455681 0 X X 0 1 X 1 0 X 104452 106686 102843 13670 106575 434226 104452 106686 102843 13670 106575 434226 434226 38 21 13 28 15 115 434341 145551678 0.99970 0.99800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 67050 67050 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: $67,050 INCLUDES PAYMENTS TO BIGLEY AND BLIKLE, LLC FOR LOBBYING PURPOSES. BIGLEY AND BLIKLE'S LOBBYING EFFORTS ON BEHALF OF HOLCOMB FOCUS ON IDENTIFYING OPPORTUNITIES FOR PENNSYLVANIA LEGISLATIVE GRANTS RELATED TO COMMUNITY SERVICES. 1 69535 125182 123439 71278 0 930770 930770 5878575 2209058 3669517 295622 198978 96644 2274656 1723274 551382 1104045 943948 160097 5408410 DUE FROM RELATED ENTITY 68988357 68988357 DUE TO RELATED OTHER RELATED ORGS 73845510 73845510 X 204037274 170971156 170971156 33066118 0 33066118 210469939 176822370 176822370 33647569 0 33647569 PART IV, LINE 1B: THE ORGANIZATION ACTS AS AN AGENT ON BEHALF OF INDIVIDUALS SERVED REGARDING THE HOLDING OF CLIENT CASH FUNDS. 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 JUNE 30, 2016. PART XI, LINE 2D - OTHER ADJUSTMENTS: THE CHIMES REVENUE INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 50,629,923. CHIMES METRO REVENUE INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 26,006,423. CHIMES DC REVENUE INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 86,726,133. CHIMES VA REVENUE INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 5,788,188. CHIMES INT'L LTD. REVENUE INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 11,139,439. COAD REVENUE INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 641,231. CHIMES FOUNDATION REVENUE INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 1,937,847. ELIMINATION ENTRIES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS -11,898,028. PART XII, LINE 2D - OTHER ADJUSTMENTS: THE CHIMES EXPENSES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 51,552,205. CHIMES METRO EXPENSES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 31,925,782. CHIMES DC EXPENSES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 84,243,530. CHIMES VA EXPENSES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 6,114,639. CHIMES INT'L LTD. EXPENSES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 13,272,296. COAD EXPENSES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 593,127. CHIMES FOUNDATION EXPENSES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 1,018,819. ELIMINATION ENTRIES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS -11,898,028. X X X X X 1 0 0 0 0 0 0 0 0 THOMAS PALERMO ASST SECRETARY 0 180496 0 0 0 0 0 4578 0 13940 0 199014 0 0 TERENCE G BLACKWELL JR PRESIDENT/CEO 0 381664 0 20 0 0 0 9952 0 19956 0 411592 0 0 STEPHEN DARE CFO 0 220499 0 0 0 0 0 6231 0 3366 0 230096 0 0 ROGER OSMUN CHIEF OPERATING OFFICER 88687 0 0 0 131258 0 1452 0 0 0 221397 0 0 0 TENESA RIVERA JEFFRESS PSYCHIATRIST 248378 0 0 0 0 0 5090 0 0 0 253468 0 0 0 APRIL S LADAVAC PSYCHIATRIST 225352 0 0 0 0 0 576 0 19956 0 245884 0 0 0 PART I, LINE 4A DURING THE YEAR THERE WAS A SEVERANCE PAYMENT MADE TO THE CHIEF OPERATING OFFICER. ALL AMOUNTS ARE PROPERLY REPORTED ON FORM W-2 AND IN FORM 990, PART VII AND ON FORM 990, SCHEDULE J, PART II. DUE TO THE CONFIDENTIAL NATURE OF THE TERMS OF THE SEVERANCE AGREEMENT, THE DETAILS WILL BE PROVIDED TO THE IRS UPON REQUEST. 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 THE AUDIT COMMITTEE REVIEWS FORM 990 PRIOR TO THE FILING DEADLINE. THE REMAINING BOARD MEMBERS ARE SUBSEQUENTLY PROVIDED A COPY. 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 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 OPEN DOOR INC 467 CREAMERY WAY EXTON PA 19341 510217653 PROVIDES SERVICES FOR INDIVIDUALS WITH MENTAL HEALTH AND SUBSTANCE DE 501(C)(3) LINE 7 HOLCOMB ASSOCIATES INC 1 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 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 OPEN DOOR INC S 455681 CASH