Civic Intelligence

Adirondack Samaritan Licensed Clinical Social Work PC

990 • Fiscal year 2020 • EIN 26-4642350

Jan 01, 2020 to Dec 31, 2020 • Filed on Oct 20, 2021

15 BoulevardHudson Falls, NY 12839

(518) 747-2994

Siviq Scores

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

Liabilities / Assets

13th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2020 filings • NTEE F • $500k-$1M nonprofits • Source year 2020

Liabilities / Revenue

12th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2020 filings • NTEE F • $500k-$1M nonprofits • Source year 2020

Net Margin

56th percentile

2.2%

Higher net margin than 56% of similar nonprofits.

2020 filings • NTEE F • $500k-$1M nonprofits • Source year 2020

Top Officer Pay

27th percentile

$0

Higher top officer pay than 27% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2020 filings • NTEE F • $500k-$1M nonprofits • Source year 2020

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2020

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2020

Assets

$232,408

No earlier filing loaded for comparison.

Net Assets

$232,408

No earlier filing loaded for comparison.

Liabilities

$0

No earlier filing loaded for comparison.

Revenue

$726,581

No earlier filing loaded for comparison.

Expenses

$710,303

No earlier filing loaded for comparison.

Net Income

$16,278

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$400K$300K$200K$100K$0Assets 2020: $232,408Liabilities 2020: $0Net Assets 2020: $232,4082020Assets 2021: $322,266Liabilities 2021: $211Net Assets 2021: $322,0552021Assets 2022: $242,954Liabilities 2022: $0Net Assets 2022: $242,9542022Assets 2023: $204,601Liabilities 2023: $0Net Assets 2023: $204,6012023Assets 2024: $280,912Liabilities 2024: $0Net Assets 2024: $280,9122024

Highlighted filing

2020

Assets$232,408
Liabilities$0
Net Assets$232,408

Operations Trend

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

$1.0M$500K$0-$500KRevenue 2020: $726,581Expenses 2020: $710,303Net Income 2020: $16,2782020Revenue 2021: $830,867Expenses 2021: $741,221Net Income 2021: $89,6462021Revenue 2022: $649,098Expenses 2022: $728,199Net Income 2022: -$79,1012022Revenue 2023: $644,056Expenses 2023: $682,409Net Income 2023: -$38,3532023Revenue 2024: $724,568Expenses 2024: $648,257Net Income 2024: $76,3112024

Highlighted filing

2020

Revenue$726,581
Expenses$710,303
Net Income$16,278
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Oct 20, 2021
Return Version
2020v4.0
Gross Receipts
$726,581
Mission and Program Overview

Mission

Provides counseling and educational programs for individuals, couples and families, through the use of licensed clinical social workers.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$71,995$145,426▲ $73,431
Accounts Receivable$56,581$47,455▼ $9,126
Other Notes and Loans Receivable, Net$87,555$39,527▼ $48,028
Total Assets$216,131$232,408▲ $16,277
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$216,131$232,408▲ $16,277
Total Net Assets Fund Balance$216,131$232,408▲ $16,277
Total Liabilities and Net Assets / Fund Balance$216,131$232,408▲ $16,277
Compensation and Service Providers

Board Members and Trustees

NameTitle
DENNIS O'CONNORPresident
Joe MelucciPresident
Eric LendrumDirector
John WinchellDirector
Laura Lovell MitchellDirector
Linda Diehl-perryDirector
Nicole BeaudetteDirector
Paul AlagnaDirector
Robert JohnsonDirector
Sandra HorowitzDirector
Sonya ScallyDirector
William ValenzaDirector
Jim Burkett1st Vice Pre
Ali Trowbridge2nd Vice Pre
Philip BarnesSecretary
Megan BohanTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$97,605
Program Service Revenue
$628,976
Investment Income
$0
Other Revenue
$0
All Other Contributions
$305
Change in Net Assets
$16,278
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$433,233
Other Expenses$277,070
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$391,193--$391,193
Payroll Taxes$31,210--$31,210
Other Employee Benefits$10,830--$10,830
Fees for Services Other-$4,026-$4,026
Other Expenses$2,608$1,640-$1,640
Advertising$1,500--$1,500
Total Functional Expenses$656,034$54,269$0$710,303
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
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
No
Other officer compensation reviewed
No
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

Finance committee reviews 990 and approves it.

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

Executive committee reviews conflicts of interest statements signed by board members on an annual basis.

Form 990, Page 6, Part VI, Line 19

The organization's governing documents are furnished upon request.

Filing and Contact Details

Filer

Filer Name
Adirondack Samaritan Licensed
EIN
26-4642350
Phone
5187472994
Address
15 BOULEVARD, HUDSON FALLS, NY 12839

Signing Officer

Name
Megan Bohan
Title
Treasurer
Phone
5187472994
Signed
2021-10-20
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Megan Bohan
Formed
2009
Legal Domicile
Ny
Voting Board Members
16
Independent Board Members
16
Employees
18

Preparer

Firm
Joseph P Lafiura CPA Pc
Address
13 CENTER ST, GLENS FALLS, NY 12801-3638
Preparer
Joseph P Lafiura
Phone
5187457076
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

ROUNDING -1

Raw XML Appendix382 raw XML fields

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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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FINANCE COMMITTEE REVIEWS 990 AND APPROVES IT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1EXECUTIVE COMMITTEE REVIEWS CONFLICTS OF INTEREST STATEMENTS SIGNED BY BOARD MEMBERS ON AN ANNUAL BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION'S GOVERNING DOCUMENTS ARE FURNISHED UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ROUNDING -1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XI, LINE 9
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IRS990/TaxablePartyNotificationInd0false
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IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0216131
IRS990/TotalAssetsEOYAmt0232408
IRS990/TotalAssetsGrp/BOYAmt0216131
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IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
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IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0656034
IRS990/TotalFunctionalExpensesGrp/TotalAmt0710303
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0216131
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0232408
IRS990/TotalProgramServiceExpensesAmt0656034
IRS990/TotalProgramServiceRevenueAmt0628976
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0628976
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0726581
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0216131
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0232408
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IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
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IRS990/USAddress/CityNm0HUDSON FALLS
IRS990/USAddress/StateAbbreviationCd0NY
IRS990/USAddress/ZIPCd012839
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IRS990/VotingMembersIndependentCnt016
IRS990/WebsiteAddressTxt0WWW.ADIRONDACKSAMARITAN.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0MEGAN BOHAN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum05187472994
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-10-20
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0ADIRONDACK SAMARITAN LICENSED
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0CLINICAL SOCIAL WORK PC
ReturnHeader/Filer/BusinessNameControlTxt0ADIR
ReturnHeader/Filer/EIN0264642350
ReturnHeader/Filer/PhoneNum05187472994
ReturnHeader/Filer/USAddress/AddressLine1Txt015 BOULEVARD
ReturnHeader/Filer/USAddress/CityNm0HUDSON FALLS
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NY
ReturnHeader/Filer/USAddress/ZIPCd012839
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0461667644
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0JOSEPH P LAFIURA CPA PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt013 CENTER ST
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0GLENS FALLS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0128013638
ReturnHeader/PreparerPersonGrp/PhoneNum05187457076
ReturnHeader/PreparerPersonGrp/PreparationDt02021-11-08
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JOSEPH P LAFIURA
ReturnHeader/ReturnTs02021-11-15T09:39:34-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0MEGAN
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0BOHAN
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

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