CHILD MIND MEDICAL PRACTICE PLLC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- CHILD MIND MEDICAL PRACTICE PLLC (EIN 27-3037790)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-08-15
- IRS object ID
- 202412289349301936
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-08-15T12:16:26-05:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 871353108 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EISNER ADVISORY GROUP LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 733 THIRD AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100172703 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273037790 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILD MIND MEDICAL PRACTICE PLLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHIL | BusinessNameControlTxt |
| Phone | 2123083118 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 215 EAST 50TH STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10022 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARYANA GELLER | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 2123083118 | PhoneNum |
| Signature | 2024-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
| Form8822 B Attached | Yes (X) | Form8822BAttachedInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM EPSTEIN | PreparerPersonNm |
| PTIN | P01307171 | PTIN |
| Phone | 2129498700 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | HAROLD KOPLEWICZ MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 215 EAST 50TH STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10022 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $31,998,487 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHILDMIND.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TRANSFORMING THE LIVES OF CHILDREN STRUGGLING WITH MENTAL HEALTH & LEARNING DISORDERS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 1 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 189 | TotalEmployeeCnt |
| Total Volunteers | 75 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,871,830 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,324,192 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $27,608,453 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,082,098 | PYOtherRevenueAmt |
| CY Other Revenue | $518,204 | CYOtherRevenueAmt |
| PY Total Revenue | $24,406,290 | PYTotalRevenueAmt |
| CY Total Revenue | $31,998,487 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,962,288 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,353,031 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,289,010 | PYOtherExpensesAmt |
| CY Other Expenses | $6,794,014 | CYOtherExpensesAmt |
| PY Total Expenses | $24,251,298 | PYTotalExpensesAmt |
| CY Total Expenses | $30,147,045 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $154,992 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,851,442 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,598,542 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,256,324 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,301,600 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,216,422 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,703,058 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $39,902 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,011,798 | ExpenseAmt |
| Revenue | $2,018,998 | RevenueAmt |
| Desc | EDUCATION AND OUTREACHEDUCATING THE PUBLIC: THE NY PRACTICE CREATES, PUBLISHES, AND OTHERWISE DISSEMINATES FREE EDUCATIONAL RESOURCES ABOUT MENTAL HEALTH AND HOW TO SUPPORT CHILDREN WHO HAVE MENTAL HEALTH DISORDERS AND CONDITIONS. FOR EXAMPLE, THE NY PRACTICE HAS CONTRIBUTED THE CLINICAL EXPERTISE THAT INFORMS DOZENS OF GUIDES ON CMI'S WEBSITE THAT COVER A WIDE VARIETY OF TOPICS RELATING TO MENTAL HEALTH, INCLUDING BASIC INFORMATION AND INFORMATION ABOUT THE PREVALENCE AND IDENTIFYING MARKERS OF CERTAIN DISORDERS AND CONDITIONS, COPING WITH DISTRESSING EVENTS AND TRAUMA, AND HOW TO SUPPORT PEOPLE WHO HAVE CERTAIN DISORDERS AND CONDITIONS. THE NY PRACTICE ALSO CONTRIBUTES THE CLINICAL EXPERTISE THAT INFORMS DOZENS OF ARTICLES ON CMI'S WEBSITE TO HELP FAMILIES AND EDUCATORS LEARN HOW TO SUPPORT PEOPLE WITH MENTAL HEALTH CONDITIONS, IMPROVE THEIR ACADEMIC PERFORMANCE, AND OTHERWISE ADDRESS A MULTITUDE OF CHALLENGES THAT CAN ARISE ON A DAY-TO-DAY BASIS.IN CONJUNCTION WITH CMI, THE NY PRACTICE ALSO CONDUCTS ONLINE AND IN-PERSON EDUCATIONAL PROGRAMS, INCLUDING LECTURES, TRAININGS, CLASSES, AND WORKSHOPS, ON TOPICS RELATING TO MENTAL HEALTH FOR PEOPLE WITH MENTAL HEALTH CONDITIONS AND THEIR FAMILIES, EDUCATORS, CAREGIVERS, AND OTHERS WHO WORK WITH PEOPLE WITH MENTAL HEALTH CONDITIONS, PEOPLE WHO HAVE EXPERIENCED TRAUMA, AND STUDENTS IN GENERAL.THE NY PRACTICE CONTRIBUTES EDUCATIONAL SERVICES THAT ARE REQUIRED FOR CMI'S SCHOOL AND COMMUNITY PROGRAMS, INCLUDING WORKSHOPS FOR TEACHERS AND PARENTS ON TOPICS LIKE STRESS MANAGEMENT, LEARNING SUPPORTS, BEHAVIOR MANAGEMENT, AND TRAUMA-INFORMED STUDENT SUPPORT, AS WELL AS TRAINING FOR SCHOOL COUNSELORS AND EDUCATORS TO DELIVER THE NY PRACTICE'S INTERVENTIONS INDEPENDENTLY.THE NY PRACTICE ALSO PROVIDES TUTORING AND REMEDIATION ON SCHOOL SUBJECTS AND EDUCATIONAL SKILLSETS, AND SCHOOL PLACEMENT CONSULTATIONS FOR STUDENTS WHO HAVE LEARNING AND DEVELOPMENT DISORDERS AND CONDITIONS.MEDIA AND PUBLIC OUTREACH: THE NY PRACTICE'S LICENSED THERAPISTS AND CLINICIANS AND BOARD-CERTIFIED PSYCHIATRISTS CONDUCT MEDIA APPEARANCES AND INTERVIEWS ON BEHALF OF CMI IN PRINT, ONLINE AND ON-AIR MEDIA OUTLETS SUCH AS NBC, ABC, CBS, AND CNN, AND ON TOPICS INCLUDING RESEARCH INTERPRETATION, PARENTING, AND SUICIDE PREVENTION. THE NY PRACTICE SPENDS APPROXIMATELY 5% OF THE NY PRACTICE'S ORGANIZATIONAL TIME AND RESOURCES ON MEDIA AND PUBLIC OUTREACH. THESE APPEARANCES, FOR WHICH THE NY PRACTICE IS NOT COMPENSATED AND WHICH HAVE REACHED MILLIONS OF VIEWERS AROUND THE WORLD, PROVIDE INVALUABLE SUPPORT FOR THE PUBLIC AWARENESS AND EDUCATIONAL COMPONENT OF CMI'S CHARITABLE PURPOSES BY HELPING TO DISSEMINATE EVIDENCE-BASED INFORMATION ABOUT CHILD AND ADOLESCENT MENTAL HEALTH CONDITIONS AND DISORDERS TO THE PUBLIC. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,612,969 | ExpenseAmt |
| Revenue | $1,612,969 | RevenueAmt |
| Desc | RESEARCHTHE NY PRACTICE CONTRIBUTES CLINICAL SERVICES THAT ARE REQUIRED FOR CMI'S SCIENTIFIC RESEARCH RELATING TO MENTAL HEALTH, THE RESULTS OF WHICH ARE FREELY SHARED WITH THE GLOBAL SCIENTIFIC AND MEDICAL COMMUNITY. THIS SCIENTIFIC RESEARCH IS INTENDED TO HELP ACQUIRE A FULL PICTURE OF HOW THE HUMAN BRAIN MATURES AND FUNCTIONS THROUGHOUT LIFE AND TO DEVELOP SCIENTIFIC ADVANCEMENTS THAT FACILITATE THE TREATMENT, PREVENTION AND EARLY DETECTION OF MENTAL HEALTH CONDITIONS AND DISORDERS. FOR EXAMPLE, ONE PROJECT IS TO CREATE A NEUROIMAGING AND DNA DATABASE OF MORE THAN 10,000 CHILDREN AND ADOLESCENTS THAT IS SHARED FREELY WITH THE SCIENTIFIC COMMUNITY. THE PURPOSE OF THE DATABASE IS TO DISCOVER BIOLOGICAL MARKERS OF MENTAL HEALTH DISORDERS IN THE DEVELOPING BRAIN AND THEREBY ADVANCE THE STUDY OF CHILD AND ADOLESCENT MENTAL HEALTH CONDITIONS AND DISORDERS AND ACCELERATE THE DISCOVERY OF SCIENTIFIC BREAKTHROUGHS THAT WILL HELP PEOPLE WITH MENTAL HEALTH CONDITIONS AND DISORDERS. ANOTHER AREA OF RESEARCH INVOLVES BUILDING AND APPLYING TECHNOLOGIES, SUCH AS WEARABLE DEVICES, MOBILE APPS, AND ANALYTICS TOOLS, TO HELP DIAGNOSE, ASSESS, MONITOR, AND IMPROVE MENTAL HEALTH. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $18,367,582 | ExpenseAmt |
| Revenue | $24,319,353 | RevenueAmt |
| Desc | CLINICAL SERVICES AND CLINICIAN PROFESSIONAL DEVELOPMENTTHE NY PRACTICE PROVIDES CLINICAL SERVICES TO CHILDREN AND ADOLESCENTS WITH MENTAL HEALTH CONDITIONS AND DISORDERS AND THEIR FAMILIES, INCLUDING PROVIDING DIAGNOSTIC EVALUATIONS, SPECIALTY TREATMENT PROGRAMS FOR A WIDE VARIETY OF CONDITIONS AND DISORDERS (INCLUDING ADHD AND BEHAVIORAL DISORDERS, ANXIETY DISORDERS, AUTISM, LEARNING AND DEVELOPMENT DISORDERS, MOOD DISORDERS, AND TIC AND TOURETTE SYNDROME, AMONG OTHERS), AND PSYCHOPHARMACOLOGY CARE. THE NY PRACTICE SPENDS APPROXIMATELY 70% OF THE NY PRACTICE'S ORGANIZATIONAL TIME AND RESOURCES ON CLINICAL SERVICES. THE NY PRACTICE'S CLINICAL SERVICES FOR PATIENTS AND THEIR FAMILIES INCLUDE THERAPY, BEHAVIORAL AND EMOTIONAL SKILLS TRAINING, IN-SCHOOL SUPPORT SERVICES AND INTERVENTIONS (INCLUDING IN-CLASS OBSERVATIONS AND COACHING, CONSULTATIONS WITH TEACHERS, ESTABLISHING BEHAVIOR PLANS, AND OTHER SERVICES DESIGNED TO IMPROVE ACADEMIC OUTCOMES FOR CHILDREN WITH MENTAL HEALTH CONDITIONS AND DISORDERS), GROUP PROGRAMS (INCLUDING GROUP THERAPY, PEER-BASED TRAINING PROGRAMS, SUPPORT GROUPS, AND OTHER PEER-ORIENTED CLINICAL SERVICES), AND OTHER THERAPEUTIC AND BENEFICIAL SERVICES. THE NY PRACTICE TAILORS EACH PATIENT'S TREATMENT PLAN TO FIT THE PATIENT'S NEEDS AND THE NEEDS OF THE PATIENT'S FAMILY. POSTDOCTORAL FELLOWSHIP PROGRAM: THE NY PRACTICE CONDUCTS ONE-YEAR (PSYCHOLOGISTS) AND TWO-YEAR (NEUROPSYCHOLOGISTS) FULL-TIME POSTDOCTORAL FELLOWSHIPS TO PROVIDE PROFESSIONAL TRAINING AND PREPARE FELLOWS WHO HAVE DEGREES IN CLINICAL PSYCHOLOGY OR CLINICAL CHILD PSYCHOLOGY FOR SUCCESSFUL CAREERS IN CHILD AND ADOLESCENT PSYCHOLOGY. FELLOWS IN THE PROGRAM ARE SUPERVISED BY THE NY PRACTICE LICENSED THERAPISTS AND CLINICIANS AND BOARD-CERTIFIED PSYCHIATRISTS AND THEY PARTICIPATE IN A VARIETY OF LEARNING EXPERIENCES, INCLUDING ATTENDING MULTIDISCIPLINARY CASE CONFERENCES, PARTICIPATING IN CLINICAL MEETINGS WITH PATIENTS, SUPPORTING GROUP TREATMENT AND OTHER CLINICAL PROGRAMS, ATTENDING LECTURES AND OTHER EDUCATIONAL PROGRAMMING PROVIDED BY THE NY PRACTICE, GIVING EDUCATIONAL PRESENTATIONS AT SCHOOLS AND OTHER COMMUNITY-BASED ORGANIZATIONS, AUTHORING OR CO- AUTHORING EDUCATIONAL PAPERS, ARTICLES, AND GUIDES, AND OTHERWISE TRAINING UNDER THE NY PRACTICE'S LICENSED THERAPISTS AND CLINICIANS AND BOARD-CERTIFIED PSYCHIATRISTS. FELLOWS IN THE PROGRAM FULFILL POSTDOCTORAL CLINICAL HOURS AND RECEIVE THE SUPERVISION NEEDED FOR LICENSURE. ALL FELLOWS ARE PAID A SALARY AND FULL BENEFITS DURING THE PROGRAM.CLINICAL EXTERNSHIP PROGRAM: THE NY PRACTICE CONDUCTS YEAR-LONG, PART-TIME CLINICAL EXTERNSHIP PROGRAMS IN FIVE DIFFERENT SUBJECT AREAS FOR PSYCHOLOGY GRADUATE STUDENTS IN DOCTORAL PROGRAMS. THE SUBJECT AREAS ARE ADHD AND BEHAVIOR DISORDERS, ANXIETY DISORDERS, MOOD DISORDERS, NEUROPSYCHOLOGY, AND CLINICAL RESEARCH. DURING THE PROGRAM, EXTERNS ATTEND CLINICAL DIDACTIC SEMINARS, CLINICAL CASE CONFERENCES, EDUCATIONAL LECTURES, AND EXTERN GROUP MEETINGS THAT ARE CONDUCTED AND LED BY THE NY PRACTICE. EXTERN TRAINING DIFFERS DEPENDING ON THE SUBJECT AREA BUT GENERALLY INCLUDES TRAINING WITH RESPECT TO DIAGNOSTIC ASSESSMENTS, WRITING, TREATMENT STRATEGIES AND RECOMMENDATIONS, AND RESEARCH. EXTERNS IN THE PROGRAMS ARE SUPERVISED BY THE NY PRACTICE'S LICENSED THERAPISTS AND CLINICIANS AND BOARD-CERTIFIED PSYCHIATRISTS.INTERNSHIP PROGRAM: THE NY PRACTICE CONDUCTS A SUMMER INTERNSHIP PROGRAM FOR UNDERGRADUATE STUDENTS WHO ARE INTERESTED IN CAREERS IN CHILD MENTAL HEALTH, MEDICINE, EDUCATION AND SPECIAL EDUCATION, PUBLIC HEALTH, NEUROSCIENCE, AND OTHER RELATED AREAS. THE INTERNSHIP PROVIDES STUDENTS WITH EXPERIENCE WORKING IN THE NY PRACTICE'S OUTPATIENT CLINICAL PRACTICE, LEARNING ABOUT EVIDENCE-BASED TREATMENTS FOR ADHD AND BEHAVIOR DISORDERS, ANXIETY DISORDERS, MOOD DISORDERS, LEARNING AND DEVELOPMENT, AND OTHER PSYCHIATRIC DISORDERS. DURING THE INTERNSHIP, INTERNS SHADOW THE NY PRACTICE'S LICENSED THERAPISTS AND CLINICIANS AND BOARD-CERTIFIED PSYCHIATRISTS, CONDUCT AND OTHERWISE PARTICIPATE IN RESEARCH PROJECTS, ATTEND EDUCATIONAL LECTURES, WORKSHOPS AND SEMINARS CONDUCTED BY THE NY PRACTICE, AND OTHERWISE SUPPORT THE NY PRACTICE AND ITS STAFF.SOCIAL WORK TRAINING PROGRAM: THE NY PRACTICE PROVIDES SUPERVISION AND TRAINING FOR LICENSED MASTERS SOCIAL WORKERS (LMSW) TO BECOME LICENSED CLINICAL SOCIAL WORKERS (LCSW). SOCIAL WORKERS IN THE PROGRAM ARE SUPERVISED BY THE NY PRACTICE LICENSED THERAPISTS AND CLINICIANS AND BOARD-CERTIFIED PSYCHIATRISTS, AND THEY PARTICIPATE IN A VARIETY OF LEARNING EXPERIENCES, INCLUDING ATTENDING MULTIDISCIPLINARY CASE CONFERENCES, PARTICIPATING IN CLINICAL MEETINGS WITH PATIENTS, SUPPORTING GROUP TREATMENT AND OTHER CLINICAL PROGRAMS, ATTENDING LECTURES AND OTHER EDUCATIONAL PROGRAMMING PROVIDED BY THE NY PRACTICE, GIVING EDUCATIONAL PRESENTATIONS AT SCHOOLS AND OTHER COMMUNITY-BASED ORGANIZATIONS, AUTHORING OR CO-AUTHORING EDUCATIONAL PAPERS, ARTICLES, AND GUIDES, AND OTHERWISE TRAINING UNDER THE NY PRACTICE'S LICENSED THERAPISTS AND CLINICIANS AND BOARD-CERTIFIED PSYCHIATRISTS. SOCIAL WORKERS IN THE PROGRAM FULFILL THE REQUIRED CLINICAL HOURS AND RECEIVE THE SUPERVISION NEEDED FOR LICENSURE. ALL SOCIAL WORKERS ARE PAID A SALARY AND FULL BENEFITS DURING THE PROGRAM.VISITING PROFESSOR LECTURE SERIES: THE NY PRACTICE INVITES LEADERS IN THE FIELD OF CHILD AND ADOLESCENT MENTAL HEALTH TO TALK ABOUT THE LATEST RESEARCH AND TREATMENT PROTOCOLS. ALL EVENTS ARE OPEN TO THE PUBLIC AND CONTINUING MEDICAL EDUCATION (CME) CREDITS FOR PSYCHIATRISTS AND CONTINUING EDUCATION (CE) CREDITS FOR PSYCHOLOGISTS ARE AVAILABLE TO REGISTERED COURSE PARTICIPANTS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $353,906 | ExpenseAmt |
| Revenue | $466,570 | RevenueAmt |
| Desc | TRAINING PROGRAMSTHE NY PRACTICE CONTRIBUTES CLINICAL EXPERTISE THAT INFORMS THE CHILD AND ADOLESCENT MENTAL HEALTH INITIATIVE, A PROGRAM TO HELP ENHANCE CHILD AND ADOLESCENT MENTAL HEALTH CARE CAPACITY AND STRENGTHEN THE INFRASTRUCTURE FOR THE PREVENTION, ASSESSMENT, AND TREATMENT OF MENTAL HEALTH STRUGGLES FACED BY CHILDREN AND ADOLESCENTS IN GREECE. THIS IS A NATIONWIDE "TRAIN-THE-TRAINER" PROGRAM THAT WILL BE SUPPLEMENTED BY FREE RESOURCES FOR HEALTHCARE PROFESSIONALS AND THE GENERAL PUBLIC. THE NY PRACTICE DEVELOPED AND DELIVERED A 4-WEEK CLINICIAN TRAINING PROGRAM FOR FORT HEALTH, AN INSURANCE-BASED TELEHEALTH PROVIDER OF MENTAL HEALTHCARE SERVICES FOR CHILDREN IN WHICH CMI IS INVESTED. THIS PROGRAM PROVIDED GOLD-STANDARD TRAINING IN EVIDENCE-BASED METHODS OF CLINICAL CARE TO FORT HEALTH'S APPROXIMATELY 20 SUPERVISORS AND CLINICIANS. THE NY PRACTICE ALSO PROVIDES ONGOING CONSULTATION TO FORT HEALTH. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $353,906 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $466,570 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $22,346,255 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 189 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 1 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARYANA GELLER CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2123083118 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 215 EAST 50TH STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10022 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HAROLD KOPLEWICZ MD | ||||||||||
| CEO, MEDICAL DIRECTOR, PSY | 20.00 | 40.00 | Yes (X) | Yes (X) | $1,325,532 | $1,009,138 | $55,006 | |||
| MARY CORCORAN | ||||||||||
| EXECUTIVE DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $425,469 | $41,146 | ||||
| AMIE CLANCY | ||||||||||
| CHIEF ADMINISTRATIVE OFFICER | 1.00 | 40.00 | Yes (X) | $0 | $289,717 | $33,295 | ||||
| MARYANA GELLER | ||||||||||
| CHIEF FINANCIAL OFFICER | 1.00 | 40.00 | Yes (X) | $0 | $233,376 | $42,522 | ||||
| KATHLEYA CHOTIROS | ||||||||||
| SECRETARY, GC (AS OF 4/17/23) | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | ||||
| MATTHEW CRUGER PHD | ||||||||||
| CLINICAL DIRECTOR | 40.00 | 0.00 | $440,567 | $0 | $18,919 | Yes (X) | ||||
| ROY BOORADY MD | ||||||||||
| PSYCHIATRIST | 65.00 | 0.00 | $1,404,231 | $0 | $22,501 | Yes (X) | ||||
| NATALIE WEDER MD | ||||||||||
| PSYCHIATRIST | 55.00 | 0.00 | $924,946 | $0 | $13,519 | Yes (X) | ||||
| PAUL MITRANI MD PHD | ||||||||||
| MEDICAL DIRECTOR, PSYCHIATRIST | 55.00 | 0.00 | $889,490 | $0 | $29,639 | Yes (X) | ||||
| ALI SARPER TASKIRAN MD | ||||||||||
| PSYCHIATRIST | 42.00 | 4.00 | $707,268 | $58,333 | $0 | Yes (X) | ||||
| PAMELYNN ESPERANZA MD | ||||||||||
| PYSCHIATRIST | 60.00 | 0.00 | $709,497 | $0 | $41,775 | Yes (X) | ||||
| BRETT DAKIN | ||||||||||
| SECRETARY, GC (THRU 9/2/22) | 1.00 | 40.00 | $0 | $234,612 | $24,692 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,401,531 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,250,645 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $323,014 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 48 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AXISPOINT TECHNOLOGY SOLUTIONS GROUP IN | |||||
| ONE PENN PLAZA | NEW YORK | NY | 10119 | IT SUPPORT AND CONSULTING SERVICES | $297,377 |
| STONE ALLIANCE GROUP LLC | |||||
| 6102 GARDENIA COURT | ALEXANDRIA | VA | 22310 | SEARCH AND RECRUITING SERVICES | $144,017 |
| FRIED FRANK HARRIS SHRIVER & JACOBSON | |||||
| ONE NEW YORK PLAZA | NEW YORK | NY | 10004 | LEGAL SERVICES | $121,672 |
| BDO USA LLP | |||||
| 5300 PATTERSON AVE SE STE 100 | GRAND RAPIDS | MI | 49512 | EMR IMPLEMENTATION CONSULTING | $111,907 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $3,871,830 | RelatedOrganizationsAmt |
| Total Contributions | $3,871,830 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621300 | $23,503,052 | $23,503,052 |
| GRANT SUBCONTRACT | 621300 | $4,105,401 | $4,105,401 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $27,608,453 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ADMINISTRATIVE SERVICES | 900099 | $816,301 | $816,301 |
| OTHER REVENUE | 900099 | $6,903 | $6,903 |
| LOSS ON LEASE EXIT ACTIVITY | 900099 | -$305,000 | -$305,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $518,204 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,998,487 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,126,657 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,388,371 | TotalAmt |
| Program Services | $1,177,612 | ProgramServicesAmt |
| Management And General | $210,759 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,813,194 | TotalAmt |
| Program Services | $15,957,288 | ProgramServicesAmt |
| Management And General | $2,855,906 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $507,538 | TotalAmt |
| Program Services | $452,665 | ProgramServicesAmt |
| Management And General | $54,873 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,465,918 | TotalAmt |
| Program Services | $1,251,384 | ProgramServicesAmt |
| Management And General | $214,534 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,178,010 | TotalAmt |
| Program Services | $955,180 | ProgramServicesAmt |
| Management And General | $222,830 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,263 | TotalAmt |
| Program Services | $4,978 | ProgramServicesAmt |
| Management And General | $372,285 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,422 | TotalAmt |
| Management And General | $107,422 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,808,859 | TotalAmt |
| Program Services | $302,360 | ProgramServicesAmt |
| Management And General | $2,506,499 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,583 | TotalAmt |
| Program Services | $7,220 | ProgramServicesAmt |
| Management And General | $14,363 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,340 | TotalAmt |
| Program Services | $60,996 | ProgramServicesAmt |
| Management And General | $68,344 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $852,264 | TotalAmt |
| Program Services | $498,387 | ProgramServicesAmt |
| Management And General | $353,877 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,239,572 | TotalAmt |
| Program Services | $747,081 | ProgramServicesAmt |
| Management And General | $492,491 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,915 | TotalAmt |
| Program Services | $41,366 | ProgramServicesAmt |
| Management And General | $43,549 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,159 | TotalAmt |
| Program Services | $44,224 | ProgramServicesAmt |
| Management And General | $18,935 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,905 | TotalAmt |
| Management And General | $5,905 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,122 | TotalAmt |
| Program Services | $26,565 | ProgramServicesAmt |
| Management And General | $108,557 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BANK AND CREDIT CARD FE | $645,297 | $640,448 | $4,849 |
| SUPPLIES | $125,847 | $125,847 | |
| EXCISE TAXES | $102,375 | $102,375 | |
| STAFF DEVELOPMENT | $51,859 | $24,622 | $27,237 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,232 | TotalAmt |
| Program Services | $28,032 | ProgramServicesAmt |
| Management And General | $15,200 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,147,045 | TotalAmt |
| Program Services | $22,346,255 | ProgramServicesAmt |
| Management And General | $7,800,790 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $552,446 | BOYAmt |
| EOY | $568,199 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $384,149 | BOYAmt |
| EOY | $848,748 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,986 | BOYAmt |
| EOY | $653,613 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,067,561 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $180,018 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,514 | BOYAmt |
| EOY | $1,887,543 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $548,447 | BOYAmt |
| EOY | $2,298,221 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,598,542 | BOYAmt |
| EOY | $6,256,324 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,334,456 | BOYAmt |
| EOY | $3,224,472 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,381 | BOYAmt |
| EOY | $369,382 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,728,763 | BOYAmt |
| EOY | $2,622,568 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,301,600 | BOYAmt |
| EOY | $6,216,422 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,703,058 | BOYAmt |
| EOY | $39,902 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,703,058 | BOYAmt |
| EOY | $39,902 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,598,542 | BOYAmt |
| EOY | $6,256,324 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,851,442 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$108,482 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $3,871,830 | CurrentTaxYearAmt |
| Total | $3,871,830 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,819,692 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,324,192 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,608,453 | CurrentTaxYearAmt |
| Total | $53,752,337 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,819,692 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,324,192 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,480,283 | CurrentTaxYearAmt |
| Total | $57,624,167 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $57,624,167 | PublicSupportTotal509Amt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $177,465 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,082,098 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $518,204 | CurrentTaxYearAmt |
| Total | $1,777,767 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,997,157 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,406,290 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,998,487 | CurrentTaxYearAmt |
| Total | $59,401,934 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | ADMINISTRATIVE SERVICES - 2020 AMOUNT: $ 157,573. 2021 AMOUNT: $ 926,005. 2022 AMOUNT: $ 816,301. OTHER REVENUE - 2020 AMOUNT: $ 19,892. 2021 AMOUNT: $ 44,236. 2022 AMOUNT: $ 6,903. GAIN/LOSS ON LEASE EXIT ACTIVITY - 2021 AMOUNT: $ 111,857. 2022 AMOUNT: $ -305,000. |
| PART III SECTION B LINE 14 | CHILD MIND MEDICAL PRACTICE, PLLC RECEIVED A FAVORABLE DETERMINATION LETTER FOR TAX EXEMPT STATUS UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE IN MARCH 2022, EFFECTIVE JULY 31, 2021. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $205,005 | OtherCostOrOtherBasisAmt |
| Depreciation | $180,018 | DepreciationAmt |
| Book Value | $24,987 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,862,556 | OtherCostOrOtherBasisAmt |
| Book Value | $1,862,556 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,887,543 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM AFFILIATED ORGANIZATIONS | Desc |
| Book Value | $2,298,221 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,298,221 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATED ORGANIZATION | Desc |
| Amt | $2,622,568 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,622,568 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $31,998,487 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $31,998,487 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $31,998,487 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $30,255,527 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $108,482 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $108,482 | ExpensesNotReportedAmt |
| Expenses Subtotal | $30,147,045 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $30,147,045 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | CHILD MIND MEDICAL PRACTICE, PLLC (THE "NEW YORK PRACTICE") IS SUBJECT TO THE PROVISIONS OF THE FASB ASC TOPIC 740, INCOME TAXES, AS IT RELATES TO ACCOUNTING AND REPORTING FOR UNCERTAINTY IN INCOME TAXES. BECAUSE OF THE NEW YORK PRACTICE'S GENERAL TAX-EXEMPT STATUS, ASC TOPIC 740 HAS NOT HAD, AND IS NOT ANTICIPATED TO HAVE, A MATERIAL IMPACT ON THE NEW YORK PRACTICE'S FINANCIAL STATEMENTS. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT EXPENSES 108,482. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HAROLD KOPLEWICZ MD | ||||||||||||||
| CEO, MEDICAL DIRECTOR, PSY | $658,865 | $571,737 | $666,667 | $333,333 | $0 | $104,068 | $0 | $10,000 | $0 | $45,006 | $1,325,532 | $1,064,144 | $0 | $0 |
| ROY BOORADY MD | ||||||||||||||
| PSYCHIATRIST | $1,404,231 | $0 | $0 | $0 | $0 | $0 | $10,000 | $0 | $12,501 | $0 | $1,426,732 | $0 | $0 | $0 |
| NATALIE WEDER MD | ||||||||||||||
| PSYCHIATRIST | $924,946 | $0 | $0 | $0 | $0 | $0 | $10,000 | $0 | $3,519 | $0 | $938,465 | $0 | $0 | $0 |
| PAUL MITRANI MD PHD | ||||||||||||||
| MEDICAL DIRECTOR, PSYCHIATRIST | $888,186 | $0 | $0 | $0 | $1,304 | $0 | $10,000 | $0 | $19,639 | $0 | $919,129 | $0 | $0 | $0 |
| ALI SARPER TASKIRAN MD | ||||||||||||||
| PSYCHIATRIST | $707,268 | $58,333 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $707,268 | $58,333 | $0 | $0 |
| PAMELYNN ESPERANZA MD | ||||||||||||||
| PYSCHIATRIST | $709,497 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $41,775 | $0 | $751,272 | $0 | $0 | $0 |
| MARY CORCORAN | ||||||||||||||
| EXECUTIVE DIRECTOR | $0 | $425,216 | $0 | $0 | $0 | $253 | $0 | $10,000 | $0 | $31,146 | $0 | $466,615 | $0 | $0 |
| MATTHEW CRUGER PHD | ||||||||||||||
| CLINICAL DIRECTOR | $440,567 | $0 | $0 | $0 | $0 | $0 | $10,000 | $0 | $8,919 | $0 | $459,486 | $0 | $0 | $0 |
| AMIE CLANCY | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $0 | $289,717 | $0 | $0 | $0 | $0 | $0 | $10,000 | $0 | $23,295 | $0 | $323,012 | $0 | $0 |
| MARYANA GELLER | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $233,376 | $0 | $0 | $0 | $0 | $0 | $10,000 | $0 | $32,522 | $0 | $275,898 | $0 | $0 |
| BRETT DAKIN | ||||||||||||||
| SECRETARY, GC (THRU 9/2/22) | $0 | $233,027 | $0 | $0 | $0 | $1,585 | $0 | $10,000 | $0 | $14,692 | $0 | $259,304 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE NEW YORK PRACTICE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION REVIEW POLICY, WHICH IT FOLLOWS WHEN APPROVING THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER. THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS REVIEWED EVERY TWO TO THREE YEARS BY AN INDEPENDENT CONSULTANT, QUALIFIED TO REVIEW SIMILAR POSITIONS IN COMPARABLE NON-PROFIT ORGANIZATIONS. THE NEW YORK PRACTICE HAS ALSO ENGAGED A COMPENSATION CONSULTANT TO ASSESS THE REASONABLENESS OF THE COMPENSATION PROVIDED TO THE NEW YORK PRACTICE'S HIGHEST PAID EMPLOYEES, INCLUDING PSYCHIATRISTS. |
| PART I, LINE 7 | CERTAIN CLINICIANS PROVIDING SERVICES TO PATIENTS OF THE NY PRACTICE ARE ELIGIBLE TO RECEIVE VARIABLE PAY OR INCENTIVES. PAYMENT OF SUCH REWARDS IS CONDITIONED ON THE ACHIEVEMENT OF FINANCIAL TARGETS RELATING TO COLLECTIONS FOR SERVICES. THE AMOUNTS PAID REPRESENT ONLY A LIMITED PORTION OF THE TOTAL COLLECTED; THE REMAINDER ENSURES THAT THE NY PRACTICE ACHIEVES A LEVEL OF REVENUE THAT WILL SUPPORT ITS OPERATIONS AND INVEST IN ENHANCING ITS OPERATIONS AND MEASURING PATIENT OUTCOMES. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|
| CHILD MIND MEDICAL PRACTICE PC | ||
| SEE PART V | SEE PART V | 0 |
| HAROLD KOPLEWICZ MD | ||
| SEE PART V | SEE PART V | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | FormAndLineReferenceDesc |
| Explanation | (A) INTERESTED PERSON: HAROLD KOPLEWICZ, MD(B) ENTITIES: CHILD MIND MEDICAL PRACTICE, PC (THE "CA PRACTICE")(C) RELATIONSHIP: HAROLD KOPLEWICZ, MD , THE SOLE MEMBER OF CHILD MIND MEDICAL PRACTICE, PLLC (THE "NY PRACTICE"), IS ALSO THE SOLE SHAREHOLDER OF THE CA PRACTICE. THE CA PRACTICE WAS FORMED TO PROVIDE CLINICAL CARE AND TREATMENT TO CHILDREN AND ADOLESCENTS AND TO PERFORM CERTAIN ACTIVITIES RELATED TO CMI'S MISSION, WHICH UNDER APPLICABLE STATE LAW CMI IS NOT PERMITTED TO PERFORM AND WHICH ARE CRITICAL TO CMI'S MISSION TO TRANSFORM THE LIVES OF CHILDREN AND FAMILIES STRUGGLING WITH MENTAL HEALTH AND LEARNING DISORDERS.(D) TRANSACTIONS:(1) SERVICES AGREEMENT. PURSUANT TO A MUTUAL SERVICES AGREEMENT BETWEEN THE NY PRACTICE AND THE CA PRACTICE, THE NY PRACTICE PROVIDES CERTAIN SERVICES TO THE CA PRACTICE FOR WHICH THE CA PRACTICE COMPENSATES THE NY PRACTICE. CONSISTENT WITH THE NY PRACTICE'S INTERNAL POLICIES AND PROCEDURES, THIS COMPENSATION IS BASED ON THE ACTUAL COST OF PROVIDING THE SERVICES. THE CA PRACTICE'S PAYMENT OBLIGATIONS TO THE NY PRACTICE FOR SERVICES PROVIDED UNDER THIS SERVICE AGREEMENT IS CURRENTLY REFLECTED AS A RECEIVABLE ON THE NY PRACTICE'S FINANCIAL STATEMENTS IN THE AMOUNT OF $147,512 AS INCLUDED IN PART X OF THIS FORM 990.(2) BOARD OVERSIGHT OF RELATIONSHIP AND TRANSACTIONS:AS NOTED ABOVE, DR. KOPLEWICZ IS THE SOLE MEMBER OF THE NY PRACTICE AND THE SOLE SHAREHOLDER OF THE CA PRACTICE. ACCORDINGLY, THE TRANSACTIONS AMONG THE NY PRACTICE AND THE CA PRACTICE, INCLUDING THE AGREEMENT DESCRIBED ABOVE, WERE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OF CMI. FURTHERMORE, THE AUDIT & FINANCE COMMITTEE OF THE BOARD OF DIRECTORS OF CMI OVERSEES THE ONGOING RELATIONSHIP AMONG CMI, THE NY PRACTICE AND THE CA PRACTICE IN ACCORDANCE WITH CMI'S CONFLICT OF INTEREST AND DISCLOSURE POLICY. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1 | CHILD MIND MEDICAL PRACTICE, PLLC (THE "NY PRACTICE") IS A PHYSICIAN PRACTICE ENTITY AFFILIATED WITH CHILD MIND INSTITUTE, INC. ("CMI"), A SECTION 501(C)(3) ORGANIZATION. BOTH THE NY PRACTICE AND CMI ARE LOCATED IN NEW YORK, NEW YORK. CMI'S CHARITABLE PURPOSE IS TO (I) PROVIDE PHYSICIANS, EDUCATORS, MENTAL HEALTH PROFESSIONALS, AND PARENTS WITH THE PROGRAMS, TOOLS, AND KNOWLEDGE NEEDED TO PROMOTE THE MENTAL HEALTH OF THE CHILDREN AND ADOLESCENTS THAT THEY SERVE, AND (II) CONDUCT AND SUPPORT RESEARCH PROGRAMS THAT ADVANCE THE SCIENTIFIC KNOWLEDGE, PREVENTION, AND TREATMENT OF CRITICAL MENTAL HEALTH PROBLEMS FACING CHILDREN AND ADOLESCENTS. A FUNDAMENTAL COMPONENT OF CMI'S CHARITABLE PURPOSES IS TO PROVIDE CHILDREN, ADOLESCENTS, AND THEIR FAMILIES WITH ACCESS TO CLINICAL SERVICES AND TO CONDUCT RESEARCH IN FURTHERANCE OF ADVANCING BRAIN SCIENCE, PRIMARILY AIMED AT DEVELOPING INNOVATIVE EFFECTIVE EVIDENCE-BASED TREATMENTS AND EXPERT DIAGNOSIS TO IMPROVE THE MENTAL HEALTH OF CHILDREN AND ADOLESCENTS. IN SUPPORT OF CMI'S CHARITABLE PURPOSES, THE NY PRACTICE EMPLOYS LICENSED THERAPISTS AND CLINICIANS AND BOARD CERTIFIED PSYCHIATRISTS AND (I) PROVIDES CLINICAL SERVICES TO CHILDREN AND ADOLESCENTS WITH PSYCHIATRIC, PSYCHOLOGICAL, LEARNING, EMOTIONAL, AND BEHAVIORAL (COLLECTIVELY, "MENTAL HEALTH") CONDITIONS AND DISORDERS AND THEIR FAMILIES, (II) CONDUCTS EDUCATIONAL PROGRAMMING TO EDUCATE THE PUBLIC, INCLUDING TEACHERS, HEALTHCARE PROVIDERS, AND OTHERS, ABOUT MENTAL HEALTH CONDITIONS AND DISORDERS, (III) CONDUCTS MEDICAL AND SCIENTIFIC RESEARCH RELATING TO MENTAL HEALTH CONDITIONS AND DISORDERS AND FREELY SHARES THE RESULTS WITH THE GLOBAL SCIENTIFIC AND MEDICAL COMMUNITY, AND (IV) OTHERWISE SUPPORTS CMI'S CHARITABLE PURPOSES, INCLUDING THROUGH MEDIA APPEARANCES AND OTHER PUBLIC OUTREACH. |
| FORM 990, PART VI, SECTION A, LINE 2 | ALL OFFICERS ARE ALSO EMPLOYEES OF CHILD MIND INSTITUTE, INC. ("CMI"). |
| FORM 990, PART VI, SECTION A, LINE 6 | DR. HAROLD KOPLEWICZ IS THE SOLE MEMBER OF CHILD MIND MEDICAL PRACTICE, PLLC. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE NY PRACTICE DOES NOT HAVE A BOARD OF DIRECTORS OR ANY COMMITTEES. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE NY PRACTICE'S FORM 990 IS PREPARED BY AN OUTSIDE TAX PREPARER BASED ON INFORMATION PROVIDED BY THE ORGANIZATION'S FINANCE STAFF. THE DRAFT FORM 990 IS THEN REVIEWED BY THE NY PRACTICE'S GENERAL COUNSEL AND OUTSIDE COUNSEL. PRIOR TO FILING THE FORM 990 WITH THE IRS, A COPY IS SHARED WITH THE SOLE MEMBER AND ALL MEMBERS OF CMI'S BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE NEW YORK PRACTICE'S CONFLICT OF INTEREST AND DISCLOSURE POLICY REQUIRES MEMBERS AND OFFICERS TO DISCLOSE POTENTIAL AND ACTUAL CONFLICTS AND TO RECUSE THEMSELVES FROM DELIBERATIONS AND VOTES ON MATTERS THAT INVOLVE A CONFLICT. THE NEW YORK PRACTICE OBTAINS A SIGNED CONFLICT OF INTEREST DISCLOSURE FORM FROM EACH MEMBER, OFFICER, AND KEY EMPLOYEE ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE NY PRACTICE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION REVIEW POLICY, WHICH CMI'S BOARD OF DIRECTORS FOLLOWS WHEN APPROVING THE COMPENSATION AND BENEFITS OF THE CEO. THE CEO'S COMPENSATION IS REVIEWED EVERY TWO TO THREE YEARS BY AN INDEPENDENT CONSULTANT, QUALIFIED TO REVIEW SIMILAR POSITIONS IN COMPARABLE NON-PROFIT ORGANIZATIONS. EACH YEAR, THE COMPENSATION COMMITTEE OF CMI'S BOARD OF DIRECTORS, WHICH IS COMPOSED OF NON-INTERESTED MEMBERS, REVIEWS THE INDEPENDENT CONSULTANT'S REPORT, INCLUDING APPROPRIATE COMPARABILITY DATA, AND MAKES A DETERMINATION ABOUT THE CEO'S ANNUAL COMPENSATION BASED ON ALL RELEVANT FACTORS, ENSURING THAT THE COMPENSATION IS REASONABLE. THE COMMITTEE REVIEWS THE CEO'S TOTAL COMPENSATION, WHICH INCLUDES BOTH CURRENT COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY IN THE COMMITTEE'S MINUTES AND RETAINED IN THE ORGANIZATION'S RECORDS. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABILITY OF ORGANIZATIONAL DOCUMENTS: THE NY PRACTICE'S FORMS 990, AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST AND DISCLOSURE POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART V, LINE 15 AND PART VII LINE 1 | THE COMPENSATION NOTED ON PART VII TO PSYCHIATRISTS IS PAID FOR THE PERFORMANCE OF MEDICAL SERVICES BY LICENSED MEDICAL PROFESSIONALS AND IS NOT SUBJECT TO SECTION 4960 TAX ON PAYMENT OF MORE THAN $1,000,000 IN REMUNERATION OR EXCESS PARACHUTE PAYMENTS IN ACCORDANCE WITH SECTIONS 4960(C) (3) (B) AND (C) (5) (C) (III). |
| FORM 990, PART XI, LINE 9: | BAD DEBT EXPENSE -108,482. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILD MIND INSTITUTE INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 215 EAST 50TH STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10022 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800478843 | EIN |
| Primary Activities | CHILDREN'S MENTAL HEALTH | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE R PART V TRANSACTIONS: | FormAndLineReferenceDesc |
| Explanation | (1) FORMATION. UNDER APPLICABLE STATE LAW, ONLY PERSONS WHO ARE LICENSED TO PRACTICE MEDICINE MAY HOLD AN OWNERSHIP INTEREST IN AN ENTITY FORMED TO PROVIDE CLINICAL CARE AND TREATMENT. CMI, AS A NEW YORK NOT-FOR-PROFIT CORPORATION, IS THEREFORE NOT PERMITTED TO HOLD AN OWNERSHIP INTEREST IN THE CHILD MIND MEDICAL PRACTICE, PLLC (THE "NY PRACTICE"). IN FURTHERANCE OF CMI'S MISSION, TO PROTECT CMI'S INTERESTS, TO SUPPORT CLINICAL AND RESEARCH ACTIVITIES CONDUCTED BY THE PRACTICE, AND TO COMPLY WITH THE FOREGOING OWNERSHIP REQUIREMENT, DR. KOPLEWICZ, A PHYSICIAN LICENSED IN NEW YORK AND CALIFORNIA, IS THE SOLE MEMBER OF THE NY PRACTICE. (2) THE MEMBERSHIP INTERESTS IN THE NY PRACTICE HAVE BEEN STRUCTURED SO THAT NO MEMBER CAN RECEIVE, OR OTHERWISE REALIZE, ANY ECONOMIC BENEFIT FROM HOLDING THESE MEMBERSHIP INTERESTS OR FROM THE SALE OR OTHER DISPOSITION THEREOF. THE MEMBER HAS ENTERED INTO A BUY-SELL AGREEMENT WITH THE NY PRACTICE PURSUANT TO WHICH HE HAS AGREED NOT TO SELL HIS INTERESTS TO ANY PARTY OTHER THAN THE NY PRACTICE, WHICH MAY RE-PURCHASE HIS INTERESTS FOR AN AMOUNT NOT TO EXCEED THE NOMINAL AMOUNT THAT THE MEMBER PAID TO ACQUIRE THEM. FURTHER, THE NY PRACTICE'S ARTICLES OF ORGANIZATION PROVIDE THAT THE NY PRACTICE IS TO BE OPERATED SOLELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES IN FURTHERANCE AND SUPPORT OF CMI'S MISSION TO THE EXTENT NOT INCONSISTENT WITH RELEVANT NEW YORK LAW. NONE OF THE NY PRACTICE'S ASSETS, NET EARNINGS, INCOME OR PROFIT MAY BE DISTRIBUTED TO ANY MEMBER, MANAGER, OFFICER OR EMPLOYEE OF THE NY PRACTICE OR OTHER PRIVATE PERSON, AND IF THE NY PRACTICE IS EVER DISSOLVED, ITS ASSETS AND PROPERTY MUST BE DISTRIBUTED TO A CHARITABLE ORGANIZATION QUALIFYING FOR EXEMPTION FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CMI, THE NY PRACTICE, AND ITS MEMBER HAVE ALSO ENTERED INTO AN AFFILIATION AGREEMENT PROVIDING THAT THE MEMBER HOLDS HIS INTERESTS IN THE NY PRACTICE SOLELY FOR THE BENEFIT OF CMI AND CMI HAS THE RIGHT, IN ITS SOLE DISCRETION, TO FORCE THE TRANSFER OF A MEMBER'S INTERESTS IN THE NY PRACTICE TO ANOTHER LICENSED PHYSICIAN. (3) RESTRICTED GRANT AGREEMENT. TO FACILITATE THE FORMATION OF THE NY PRACTICE AND THE CONDUCT BY THE PRACTICE OF CLINICAL AND RESEARCH ACTIVITIES THAT FURTHER CMI'S MISSION, CMI ENTERED INTO A RESTRICTED GRANT AGREEMENT WITH THE NY PRACTICE PURSUANT TO WHICH CMI AGREED TO MAKE SPECIAL PURPOSE RESTRICTED GRANTS UP TO THE AGGREGATE AMOUNT OF $2,440,000. THE AGREEMENT WAS AMENDED TO ALLOW FOR FURTHER GRANTS FOR EXPENSES RELATED TO THE RELOCATION OF CMMP'S NY HEADQUARTERS (APPROX. $5M) AND CERTAIN INFRASTRUCTURE UPGRADES ($752,000). THE RESTRICTED GRANT AGREEMENT PROVIDES, AMONG OTHER THINGS, THAT: (X) THE NY PRACTICE IS REQUIRED TO OPERATE IN A MANNER THAT IS, AND LIMITS ITS ACTIVITIES TO THOSE THAT ARE, CONSISTENT WITH AND FURTHER THE MISSION OF CMI; (Y) THE GRANTS MUST BE USED BY THE NY PRACTICE EXCLUSIVELY IN CONNECTION WITH THE CONDUCT OF ACTIVITIES THAT FURTHER AND SUPPORT CMI'S MISSION; AND (Z) THE NY PRACTICE MUST OBSERVE VARIOUS REPORTING, BUDGETARY AND OTHER FINANCIAL REQUIREMENTS AND ENGAGE AUDITORS ACCEPTABLE TO CMI. IF THE NY PRACTICE FAILS TO OBSERVE THE REQUIREMENTS OF THE RESTRICTED GRANT AGREEMENT, THE AGREEMENT MAY BE TERMINATED, IN WHICH CASE UNSPENT FUNDS MUST BE RETURNED TO CMI AND DAMAGES MAY BE DUE. (4) SERVICES AGREEMENT. PURSUANT TO AN ADMINISTRATIVE SERVICES AGREEMENT BETWEEN CMI AND THE NY PRACTICE, CMI PROVIDES CERTAIN SERVICES TO THE NY PRACTICE. THE AGREEMENT PROVIDES FOR COMPENSATION BY THE NY PRACTICE FOR SUCH SERVICES, WHICH AMOUNTS MAY BE OFFSET BY CERTAIN SERVICES PROVIDED BY THE NY PRACTICE TO CMI. IN ADDITION, THE AGREEMENT SETS FORTH THAT THE TWO PARTIES WILL SHARE THE COST OF OFFICE SPACE RENT AND EXPENSES RELATED TO THE RELOCATION OF THEIR SHARED NY HEADQUARTERS. CONSISTENT WITH INTERNAL POLICIES AND PROCEDURES, THE PARTIES COMPENSATE EACH OTHER BASED ON ACTUAL EXPENSES INCURRED. THE PRACTICE'S PAYMENT OBLIGATIONS TO CMI FOR SERVICES PROVIDED UNDER THIS AGREEMENT IS CURRENTLY REFLECTED AS A PAYABLE ON THE NY PRACTICE'S FINANCIAL STATEMENTS IN THE AMOUNT OF $2,622,568, AS REFLECTED IN PART X OF THIS FORM 990. (5) LICENSE AGREEMENT. PURSUANT TO A LICENSE AGREEMENT BETWEEN CMI AND THE NY PRACTICE, CMI GRANTED A ROYALTY-FREE LICENSE TO USE CERTAIN OF ITS TRADEMARKS AND DOMAIN NAMES TO THE NY PRACTICE SUBJECT TO CERTAIN TERMS AND CONDITIONS, INCLUDING CMI'S RIGHT TO TERMINATE THE LICENSE AGREEMENT IN THE EVENT OF THE BREACH OF THE TERMS AND CONDITIONS OF THE RESTRICTED GRANT AGREEMENT. (6) GRANT SERVICES AGREEMENT. PURSUANT TO A GRANT SERVICES AGREEMENT BETWEEN CMI AND THE NY PRACTICE, CMI ENGAGES THE NY PRACTICE TO PROVIDE CERTAIN SERVICES REQUIRED BY CONTRIBUTIONS OR GRANTS THAT CMI HAS RECEIVED AND WHICH CMI IS UNABLE TO PROVIDE. CMI DISCLOSES TO ITS DONORS AND GRANTORS THAT SERVICES WILL BE SUB-CONTRACTED TO THE NY PRACTICES TO SATISTY THE REQUIREMENTS OF THE DONATION OR GRANT. DURING FY 2023, AMOUNTS PAID BY THE NY PRACTICE PURSUANT TO THE GRANT SERVICES AGREEMENT IN PERFORMANCE OF THESE REQUIREMENTS AMOUNTED TO $4,105,401, INCLUDED UNDER GRANT SUBCONTRACT REVENUE IN PART VIII OF THIS FORM 990. (7) BOARD OVERSIGHT OF RELATIONSHIP AND TRANSACTIONS: AS NOTED ABOVE, DR. KOPLEWICZ IS THE PRESIDENT OF CMI AND THE SOLE MEMBER OF THE NY PRACTICE. ACCORDINGLY, THE TRANSACTIONS BETWEEN CMI AND THE NY PRACTICE, INCLUDING THE AGREEMENTS DESCRIBED ABOVE, WERE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OF CMI. FURTHERMORE, THE AUDIT & FINANCE COMMITTEE OF THE BOARD OF DIRECTORS OF CMI OVERSEES THE ONGOING RELATIONSHIP BETWEEN CMI AND THE NY PRACTICE IN ACCORDANCE WITH CMI'S CONFLICT OF INTEREST AND DISCLOSURE POLICY. | ExplanationTxt |