irs program accomplishments · form 990 part iii · fy2024
What they reported doing
- #1 primary $10.62MCOMMUNITY ACTIVITIES - COMMUNITY ACTIVITIES AIDS PEOPLE WITH DEVELOPMENTAL DISABILITIES TO FURTHER INTEGRATE THEM INTO THEIR COMMUNITIES. THE ORGANIZATION SERVES INDIVIDUALS RANGING FROM AGES 3 TO 88 WITH A BROAD SPECTRUM OF DEVELOPMENTAL DISABILITIES PROVIDING ACCESS TO CLINICAL SERVICES AND LIFE SKILL SUPPORTS. SUPPORTS ARE PROVIDED IN PEOPLE'S OWN HOMES, CERTIFIED FACILITIES, AND THE COMMUNITY. THE ARRAY OF SERVICES CURRENTLY OFFERED THROUGH PARTICIPATION IN DAY PROGRAMS IS AVAILABLE IN NORTHERN AND SOUTHERN FRANKLIN COUNTY, AS WELL AS CLINTON AND ST. LAWRENCE COUNTIES. PROVIDED SERVICES TO APPROXIMATELY 306 INDIVIDUALS.
- #2 $27.04MBEHAVIORAL HEALTH - PROVIDE INTAKE, ASSESSMENT, REFERRAL AND TREATMENT, DISCHARGE AND FOLLOW-UP SERVICES, AS WELL AS CRISIS INTERVENTION AND CASE MANAGEMENT FOR 8,996 INDIVIDUALS.
named programs · 5 · from sources
What they call their work
24/7 Crisis Residence
Provides emergency psychiatric stabilization and short-term residential care for individuals in behavioral health crisis.
Behavioral Health Services
Provides intake, assessment, treatment, crisis intervention, and case management for individuals with mental health and substance use disorders across Upstate New York.
Community Activities
Offers day programs and life skill supports for individuals with developmental disabilities, promoting community integration through clinical and support services in Franklin, Clinton, and St. Lawrence Counties.
Harison Place
Innovative supportive housing community designed to promote stability, independence, and recovery for individuals receiving behavioral health and addiction services.
Mobile Crisis Team
Field-based team offering rapid response to mental health emergencies in St. Lawrence County, providing on-site assessment and de-escalation.
activities · 11 groups
What they do
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Outpatient Substance Use Treatment 2 activities
- Addiction treatment and recovery servicesProvides inpatient and residential addiction treatment programs serving nearly 500 individuals in 2025, along with specialized gambling addiction treatment using trained professionals, medication-assisted therapy, and prevention services in schools and communities using evidence-based practices.
- Treatment for co-occurring mental health and addiction disordersOperates outpatient clinics certified to treat co-occurring mental health and substance use conditions, among the first in New York State to achieve this certification, offering integrated care through specialized programming.
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Outpatient Mental Health Clinic Services 2 activities
- Behavioral and mental health services including counseling, crisis intervention, and psychiatric careDelivers comprehensive behavioral health services such as intake, assessment, treatment, crisis intervention, case management, individual and group counseling, marriage and family therapy, psychiatric treatment planning, and medication management to approximately 8,996 individuals annually, with over 122,000 outpatient clinic visits in 2025 across six clinic locations in Upstate New York.
- Crisis response and emergency mental health supportOperates 24/7 Crisis Residence programs providing short-term, 24-hour mental health stabilization for youth and adults, launched a 24/7 Crisis Hotline and Mobile Crisis Team in 2025, and established the St. Lawrence County Mobile Crisis Team to expand access to emergency behavioral health services.
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Nonprofit Organizational Mergers and Integrations 1 activity
- Capacity building through shared services and organizational affiliationStrengthened community-based services through a formal affiliation with CWI, Inc., preserving local leadership and enhancing sustainability by providing shared services in finance, compliance, and information technology to improve operational efficiency and long-term resilience.
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Medicaid Health Home Care Coordination 1 activity
- Care coordination and integrated service deliveryDelivers care coordination services to ensure individuals receive timely and appropriate mental health, addiction, and chronic condition care, operating behavioral health campuses that integrate multiple disciplines under one roof to improve access to mental health, substance use, disability, and housing services.
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Residential Support for Developmental Disabilities 1 activity
- Community integration and life skills support for individuals with developmental disabilitiesProvides community integration services, clinical supports, and life skill development for individuals with developmental disabilities in Franklin, Clinton, and St. Lawrence Counties, supporting over 6,500 individuals and families annually through intellectual and developmental disability services.
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Supported Employment for Developmental Disabilities 1 activity
- Employment and job training services for people with disabilitiesProvides employment and pre-employment services to individuals with intellectual, physical, and emotional disabilities, including support to obtain and maintain community-based jobs, delivered in part through Clean Sweep—an affirmative business offering commercial and municipal cleaning services in Franklin and Clinton counties.
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Opioid Harm Reduction Services 1 activity
- Harm reduction servicesExpands access to harm reduction services through 24/7 vending machines at the Malone Behavioral Health Campus and Saranac Lake Outpatient Clinic that distribute free Narcan kits, fentanyl test strips, and hygiene items, with service expansion efforts noted in 2025.
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Non-Emergency Medical & Essential Transportation 1 activity
- Mobile and home-based care deliveryTraveled over 1.14 million miles in 2025 to deliver behavioral health and support services directly to individuals’ homes, expanding access to care in rural areas of Upstate New York.
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Youth Substance Abuse Prevention Education 1 activity
- Outreach, prevention, and community educationConducts outreach and awareness activities in collaboration with local school districts and community partners on youth substance abuse and mental health issues, including prevention services using evidence-based practices focused on substance use and destructive behaviors.
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Direct Mental Health Counseling and Support Services 1 activity
- Specialized trauma-informed therapiesOffers EMDR (Eye Movement Desensitization and Reprocessing) therapy as a treatment for trauma and post-traumatic stress disorder.
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Supportive and Emergency Housing Services 1 activity
- Supportive housing and housing stability programsOperates Harison Place, a supportive housing community promoting recovery and independence, and provides housing support services as part of integrated care across a seven-county region in Upstate New York.
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financials · form 990 · fy2024
revenue
Total revenue$64.85M
Contributions & grants$7.43M11%
Program service revenue$53.45M82%
Investment income$00%
Other revenue$3.97M
expenses
Total expenses$62.64M
Program expenses93%
Admin / overhead7%
Fundraising0%
Salaries & benefits$48.64M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$34.48M
Cash$4.95M
Investments$0
Liabilities$15.00M
Net assets$19.49M
Liquid reserves0.9 mo
5 years on record · 2020–2024 · YoY revenue +11.7%
leadership · form 990 part vii · fy2024
Who runs it
paid leadership · 10
| Name | Title | Hours/wk | Compensation |
|---|---|---|---|
| RAMNEESH TREHAN | PSYCHIATRIST | 40 | $444K |
| JAMES BUTTON | CHIEF EXECUTIVE OFFICER | 40 | $443K |
| JANE MAXWELL | PSYCHIATRIST | 38 | $367K |
| KATI JOCK | CHIEF OPERATING OFFICER | 40 | $298K |
| HAIZHU LIU | MEDICAL DIRECTOR | 20 | $263K |
| ASHLEY LAVALLEY | SENIOR DIRECTOR OF NURSING & PATIENT CARE | 40 | $216K |
| JENNIFER M SIMMONS | CHIEF OF STAFF | 40 | $215K |
| COURTNEY L FRANK | NETWORK ASSOCIATE VICE PRESIDENT OF FINANCE | 40 | $199K |
| JENNIFER DITULLIO | NETWORK ASSOCIATE VICE PRESIDENT OF OPERATIONS | 40 | $194K |
| AMANDA TAGLIARINO | SENIOR DIRECTOR OF FIELDSTONE FOUNDATION | 40 | $155K |
board members · 10
- BROCK ARNOLD — DIRECTOR
- DALLAS SUTTON — TREASURER
- FELIX TAM — DIRECTOR
- JEFFREY SPRIGGS — DIRECTOR
- LORETTA FOWLER — SECRETARY
- MARC GITLITZ — DIRECTOR
- NANCE ARQUIETT — DIRECTOR
- NICHOLAS EELLS — CHAIR
- PAUL GOODROW — DIRECTOR
- REBECCA PREVE — DIRECTOR
relationships · 33
Who they work with
- Adirondack Health Institute Partner — Collaborates on installing harm reduction vending machines at Citizen Advocates clinics.
- Alliance for Positive Health Partner — Collaborates on installing harm reduction vending machines at Citizen Advocates clinics.
- CARF Government — Accrediting body for organizational standards as indicated by CARF Gold Seal logo
- CARF Network — Accredited by CARF, indicating adherence to service quality standards in intellectual and developmental disability services.
- CARF International Government — Holds CARF accreditation for its services.
- CQL Government — Accrediting body for quality standards as indicated by CQL Accreditation logo
- CQL Network — Accredited by CQL, reflecting commitment to quality of life standards in disability services.
- CQL | The Council on Quality and Leadership Government — Accredited by CQL for quality and leadership standards.
- CWI, Inc. Partner — Formal affiliation allowing CWI to retain local leadership while accessing shared services from the Citizen Advocates Network.
- Fieldstone Partner — Partner organization as indicated by logo display on website
- Fieldstone Partner — Partner organization collaborating with Citizen Advocates in providing services to individuals with intellectual and developmental disabilities.
- Fieldstone Partner — Partner organization working alongside Citizen Advocates in supporting behavioral health and community integration.
- Fieldstone Foundation Network — Member organization within the Daxia Integrated Health Network led by Citizen Advocates.
- Fieldstone Foundation Partner — Affiliated foundation supporting Citizen Advocates' mission through fundraising and community engagement.
- Fieldstone Foundation Partner — Network partner managing philanthropic initiatives within the Citizen Advocates network.
- Fieldstone Health Partner — Collaborative partner in service delivery, as indicated by logo placement.
- Harison Place Partner — Network partner offering community housing and living supports under the Citizen Advocates network.
- Harison Place Partner — Supportive housing community operated in affiliation with Citizen Advocates to promote stability, independence, and recovery.
- Harison Place Housing Development Corporation Network — Member organization within the Daxia Integrated Health Network led by Citizen Advocates.
- MATTERS Network Partner — Collaborates on installing harm reduction vending machines at Citizen Advocates clinics.
- North Country Freedom Homes Network — Member organization within the Daxia Integrated Health Network led by Citizen Advocates.
- North Country Freedom Homes Partner — Network partner providing freedom homes and community-based supports under the Citizen Advocates network.
- Not specified Partner — Partnerships mentioned in the context of community-based supports, but specific organizations not named.
- OPWDD Government — Provides Supervised and Supportive Housing programs in partnership with Citizen Advocates.
- St. Joseph's Partner — Partner organization as indicated by logo display on website
- St. Joseph's Partner — Partner organization working with Citizen Advocates to support individuals with intellectual and developmental disabilities.
- St. Joseph's Health Partner — Collaborative partner in providing youth and mental health services, as indicated by logo placement.
- St. Joseph's Rehabilitation and Residence Partner — Collaborative partner organization providing rehabilitation and residential services.
- St. Joseph’s Addiction Treatment & Recovery Centers Network — Member organization within the Daxia Integrated Health Network led by Citizen Advocates.
- St. Joseph’s Addiction Treatment & Recovery Centers Partner — Collaborative affiliate organization working alongside Citizen Advocates to provide integrated addiction treatment and recovery services.
+ 3 more
strategies · 3
How they approach the work
Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.
- Community-Based Integration and Inclusionmethodology: community_integrationBy delivering services in homes, local facilities, and community settings—and creating shared social experiences—we promote inclusion and sustained engagement because accessible, localized care reduces institutionalization and fosters belonging.
- Integrated Care for Co-Occurring Conditionsmethodology: integrated_careBy combining mental health, addiction, physical health, and developmental disability services into a single coordinated system, we produce better health outcomes and holistic recovery because integrated models reduce fragmentation and treat the whole person.
- Person-Centered Care Modelmethodology: person_centered_careBy prioritizing individual choice and autonomy in treatment planning and service delivery, we produce greater engagement and personal well-being because it affirms the dignity and agency of individuals with mental health conditions, substance use disorders, and developmental disabilities.