Civic Intelligence

Adirondack Samaritan Licensed Clinical Social Work PC

990 • Fiscal year 2021 • EIN 26-4642350

Jan 01, 2021 to Dec 31, 2021 • Filed on Nov 13, 2022

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

15th percentile

0.00x

Higher debt load relative to assets than 15% of similar nonprofits.

2021 filings • NTEE F • $500k-$1M nonprofits • Source year 2021

Liabilities / Revenue

15th percentile

0.00x

Higher debt load relative to revenue than 15% of similar nonprofits.

2021 filings • NTEE F • $500k-$1M nonprofits • Source year 2021

Net Margin

52nd percentile

11%

Higher net margin than 52% of similar nonprofits.

2021 filings • NTEE F • $500k-$1M nonprofits • Source year 2021

Top Officer Pay

35th percentile

$0

Higher top officer pay than 35% of similar nonprofits.

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

2021 filings • NTEE F • $500k-$1M nonprofits • Source year 2021

Asset Growth

76th percentile

39%

Faster asset growth than 76% of similar nonprofits.

2021 filings • NTEE F • $500k-$1M nonprofits • Annualized from 2020 to 2021

Revenue Growth

48th percentile

14%

Faster revenue growth than 48% of similar nonprofits.

2021 filings • NTEE F • $500k-$1M nonprofits • Annualized from 2020 to 2021

Assets

Up

$322,266

Up $89,858 (+39%) from 2020

Net Assets

Up

$322,055

Up $89,647 (+39%) from 2020

Liabilities

Up

$211

Up $211 from 2020

Revenue

Up

$830,867

Up $104,286 (+14%) from 2020

Expenses

Up

$741,221

Up $30,918 (+4.4%) from 2020

Net Income

Up

$89,646

Up $73,368 (+451%) from 2020

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

2021

Assets$322,266
Liabilities$211
Net Assets$322,055

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

2021

Revenue$830,867
Expenses$741,221
Net Income$89,646
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 13, 2022
Return Version
2021v4.0
Gross Receipts
$830,867
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$145,426$184,876▲ $39,450
Accounts Receivable$47,455$70,866▲ $23,411
Other Notes and Loans Receivable, Net$39,528$66,524▲ $26,996
Total Assets$232,409$322,266▲ $89,857
Liabilities
Accounts Payable and Accrued Expenses-$211-
Total Liabilities$0$211▲ $211
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$232,409$322,055▲ $89,646
Total Net Assets Fund Balance$232,409$322,055▲ $89,646
Total Liabilities and Net Assets / Fund Balance$232,409$322,266▲ $89,857
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
$77,959
Program Service Revenue
$752,908
Investment Income
$0
Other Revenue
$0
All Other Contributions
$200
Change in Net Assets
$89,646
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$456,801
Other Expenses$284,420
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$412,029--$412,029
Payroll Taxes$34,250--$34,250
Other Employee Benefits$10,522--$10,522
Fees for Services Other-$4,325-$4,325
Advertising$1,638--$1,638
Other Expenses$2,446$1,564-$1,564
Total Functional Expenses$681,332$59,889$0$741,221
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
2022-11-13
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
Volunteers
16

Preparer

Firm
Joseph P Lafiura CPA Pc
Address
13 CENTER ST, GLENS FALLS, NY 12801-3638
Preparer
Joseph P Lafiura
Phone
5187457076
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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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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/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 12C
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ReturnHeader/BuildTS02022-09-23 18:48:47Z
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ReturnHeader/BusinessOfficerGrp/SignatureDt02022-11-13
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ReturnHeader/PreparerPersonGrp/PreparationDt02022-11-13
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JOSEPH P LAFIURA
ReturnHeader/ReturnTs02022-11-15T13:33:20-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0MEGAN
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0BOHAN
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

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