Civic Intelligence

Samaritan Licensed Clinical Social Work PC

990 • Fiscal year 2021 • EIN 26-4637457

Jan 01, 2021 to Dec 31, 2021 • Filed on Oct 06, 2022

220 North Ballston AvenueScotia, NY 12302

(518) 374-3514

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

65th percentile

0.22x

Higher debt load relative to assets than 65% of similar nonprofits.

2021 filings • NTEE E • $1M-$5M nonprofits • Source year 2021

Liabilities / Revenue

29th percentile

0.03x

Higher debt load relative to revenue than 29% of similar nonprofits.

2021 filings • NTEE E • $1M-$5M nonprofits • Source year 2021

Net Margin

36th percentile

2.1%

Higher net margin than 36% of similar nonprofits.

2021 filings • NTEE E • $1M-$5M nonprofits • Source year 2021

Top Officer Pay

78th percentile

$240,897

Higher top officer pay than 78% of similar nonprofits.

Top officer pay equals 13.0% of source-year revenue.

2021 filings • NTEE E • $1M-$5M nonprofits • Source year 2021

Asset Growth

59th percentile

12%

Faster asset growth than 59% of similar nonprofits.

2021 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2020 to 2021

Revenue Growth

37th percentile

-0.4%

Faster revenue growth than 37% of similar nonprofits.

2021 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2020 to 2021

Assets

Up

$247,343

Up $26,975 (+12%) from 2020

Net Assets

Up

$192,744

Up $38,951 (+25%) from 2020

Liabilities

Down

$54,599

Down $11,976 (-18%) from 2020

Revenue

Down

$1,853,131

Down $6,947 (-0.4%) from 2020

Expenses

Up

$1,814,180

Up $187,359 (+12%) from 2020

Net Income

Down

$38,951

Down $194,306 (-83%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400K$200K$0-$200K-$400KAssets 2010: $33,141Liabilities 2010: $139,966Net Assets 2010: -$106,8252010Assets 2012: $39,932Liabilities 2012: $255,034Net Assets 2012: -$215,1022012Assets 2013: $70,339Liabilities 2013: $249,335Net Assets 2013: -$178,9962013Assets 2014: $66,212Liabilities 2014: $240,494Net Assets 2014: -$174,2822014Assets 2015: $7,550Liabilities 2015: $178,123Net Assets 2015: -$170,5732015Assets 2016: $18,730Liabilities 2016: $185,060Net Assets 2016: -$166,3302016Assets 2017: $30,088Liabilities 2017: $202,386Net Assets 2017: -$172,2982017Assets 2018: $51,708Liabilities 2018: $177,172Net Assets 2018: -$125,4642018Assets 2019: $42,193Liabilities 2019: $121,657Net Assets 2019: -$79,4642019Assets 2020: $220,368Liabilities 2020: $66,575Net Assets 2020: $153,7932020Assets 2021: $247,343Liabilities 2021: $54,599Net Assets 2021: $192,7442021Assets 2022: $327,919Liabilities 2022: $86,432Net Assets 2022: $241,4872022Assets 2023: $353,537Liabilities 2023: $94,964Net Assets 2023: $258,5732023Assets 2024: $342,188Liabilities 2024: $83,921Net Assets 2024: $258,2672024

Highlighted filing

2021

Assets$247,343
Liabilities$54,599
Net Assets$192,744

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $1,039,4872010Expenses 2012: $1,259,3592012Revenue 2013: $1,341,701Expenses 2013: $1,305,595Net Income 2013: $36,1062013Revenue 2014: $1,328,648Expenses 2014: $1,323,934Net Income 2014: $4,7142014Revenue 2015: $1,411,665Expenses 2015: $1,407,956Net Income 2015: $3,7092015Revenue 2016: $1,482,186Expenses 2016: $1,477,943Net Income 2016: $4,2432016Revenue 2017: $1,254,719Expenses 2017: $1,260,687Net Income 2017: -$5,9682017Revenue 2018: $1,441,657Expenses 2018: $1,394,823Net Income 2018: $46,8342018Revenue 2019: $1,501,150Expenses 2019: $1,455,150Net Income 2019: $46,0002019Revenue 2020: $1,860,078Expenses 2020: $1,626,821Net Income 2020: $233,2572020Revenue 2021: $1,853,131Expenses 2021: $1,814,180Net Income 2021: $38,9512021Revenue 2022: $1,967,863Expenses 2022: $1,919,120Net Income 2022: $48,7432022Revenue 2023: $2,090,315Expenses 2023: $2,073,229Net Income 2023: $17,0862023Revenue 2024: $2,116,633Expenses 2024: $2,116,939Net Income 2024: -$3062024

Highlighted filing

2021

Revenue$1,853,131
Expenses$1,814,180
Net Income$38,951
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Oct 6, 2022
Return Version
2021v4.0
Gross Receipts
$1,853,131
Mission and Program Overview

Mission

Counseling and psychiatric services

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$129,678$88,476▼ $41,202
Total Assets$220,368$247,343▲ $26,975
Other Assets Total$90,690$158,867▲ $68,177
Liabilities
Accounts Payable and Accrued Expenses$66,575$54,438▼ $12,137
Other Liabilities-$161-
Total Liabilities$66,575$54,599▼ $11,976
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$153,793$192,744▲ $38,951
Total Net Assets Fund Balance$153,793$192,744▲ $38,951
Total Liabilities and Net Assets / Fund Balance$220,368$247,343▲ $26,975

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$158,867--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
David OlsenPresidentFT$158,521$46,242$204,763

Board Members and Trustees

NameTitle
Douglas StephensOfficer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,705,431
Investment Income
$0
Other Revenue
$147,700
Change in Net Assets
$38,951
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,488,925
Other Expenses$325,255
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,120,772--$1,120,772
Current Officers, Directors, Trustees, and Key Employees$204,763--$204,763
Payroll Taxes$84,938--$84,938
Payments to Affiliates-$75,000-$75,000
Occupancy$62,342--$62,342
Other Employee Benefits$60,003--$60,003
Fees for Services Other$52,605--$52,605
Fees for Services Accounting$33,645--$33,645
Insurance$25,680--$25,680
Pension Plan Contributions$18,449--$18,449
Fees for Services Legal$16,756--$16,756
Conferences and Meetings$10,354--$10,354
Office Expenses$7,362--$7,362
Other Expenses$4,643--$4,643
All Other Expenses$1,872--$1,872
Travel$134--$134
Total Functional Expenses$1,739,180$75,000$0$1,814,180
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Credit Card Payable$161
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

Executive director and board member reviewed return to verify its accuracy.

Form 990, Page 6, Part VI, Line 12C

Noted in by-laws and communicated regularly during monthly board meetings.

Form 990, Page 6, Part VI, Line 15A

Personnel committee will interview all hires and make recommendations to the board for its approval.

Form 990, Page 6, Part VI, Line 15B

Personnel committee will interview all hires and make recommendations to the board for its approval.

Form 990, Page 6, Part VI, Line 19

UPON REQUEST.

Filing and Contact Details

Filer

Filer Name
Samaritan Licensed Clinical
EIN
26-4637457
Phone
5183743514
Address
220 NORTH BALLSTON AVENUE, SCOTIA, NY 12302

Signing Officer

Name
David Olsen
Title
President
Phone
5183743514
Signed
2022-10-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
David Olsen
Formed
2009
Legal Domicile
Ny
Voting Board Members
2
Independent Board Members
2
Employees
20

Preparer

Firm
Cusack & Company Cpas LLC
Address
7 AIRPORT PARK BLVD, LATHAM, NY 12110
Preparer
Jason D Marra CPA
Phone
5187863550
Supplemental Narrative

Financial Statement Notes

Schedule D, Page 3, Part X

The organizations implemented the asc accounting for income taxes and their current accounting policy for evaluating uncertain tax positions is in accordance with generally accepted accounting principles. The organizations have not recognized any benefits from uncertain tax positions and believe they have no uncertain tax positions for which it is reasonably possible that the total amounts of unrecognized tax benefits will significantly increase or decrease within 12 months of the balance sheet date.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1NOTED IN BY-LAWS AND COMMUNICATED REGULARLY DURING MONTHLY BOARD MEETINGS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2PERSONNEL COMMITTEE WILL INTERVIEW ALL HIRES AND MAKE RECOMMENDATIONS TO THE BOARD FOR ITS APPROVAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3PERSONNEL COMMITTEE WILL INTERVIEW ALL HIRES AND MAKE RECOMMENDATIONS TO THE BOARD FOR ITS APPROVAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4UPON REQUEST.
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ReturnHeader/BuildTS02022-09-23 18:48:47Z
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ReturnHeader/PreparerPersonGrp/PreparationDt02022-10-06
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ReturnHeader/ReturnTs02022-10-06T09:54:15-04:00
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.34$0.08$0.26$2.12$2.12$0.00
2023Detailed filing. Detailed filing data is available for this year.$0.35$0.09$0.26$2.09$2.07$0.02
2022Detailed filing. Detailed filing data is available for this year.$0.33$0.09$0.24$1.97$1.92$0.05
2021Detailed filing. Detailed filing data is available for this year.$0.25$0.05$0.19$1.85$1.81$0.04
2020Detailed filing. Detailed filing data is available for this year.$0.22$0.07$0.15$1.86$1.63$0.23
2019Detailed filing. Detailed filing data is available for this year.$0.04$0.12$0.08$1.50$1.46$0.05
2018Detailed filing. Detailed filing data is available for this year.$0.05$0.18$0.13$1.44$1.39$0.05
2017Detailed filing. Detailed filing data is available for this year.$0.03$0.20$0.17$1.25$1.26$0.01
2016Detailed filing. Detailed filing data is available for this year.$0.02$0.19$0.17$1.48$1.48$0.00
2015Detailed filing. Detailed filing data is available for this year.$0.01$0.18$0.17$1.41$1.41$0.00
2014Detailed filing. Detailed filing data is available for this year.$0.07$0.24$0.17$1.33$1.32$0.00
2013Detailed filing. Detailed filing data is available for this year.$0.07$0.25$0.18$1.34$1.31$0.04
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.04$0.26$0.22$1.26
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.03$0.14$0.11$1.04