2014-04-29T13:45:10-05:00 2013-09-30 EISNERAMPER LLP 750 THIRD AVENUE NEW YORK NY 100172703 990 2012-10-01 800478843 Child Mind Institute Inc % DAVID RIVERA DIR OF FINANCE CHIL 2123083118 445 Park Avenue Suite 2ND FL New York NY 10022 david rivera 2123083118 2014-04-29 true JULIE FLOCH 2129498700 2012 2015-11-30 17:44:51Z DR HAROLD KOPLEWICZ MD 445 PARK AVENUE NEW YORK NY 10022 13066937 false X www.childmind.org X 2009 NY WE ARE DEDICATED TO TRANSFORMING MENTAL HEALTH CARE FOR CHILDREN EVERYWHERE. 30 30 58 45 0 9573350 12689311 0 0 14795 15808 14859 25279 9603004 12730398 368066 794884 0 0 3739872 4440845 76046 66500 1551933 3065507 3736209 7249491 9038438 2353513 3691960 13612923 16714595 1858244 1947032 11754679 14767563 X THE CHILD MIND INSTITUTE IS DEDICATED TO TRANSFORMING MENTAL HEALTH CARE FOR CHILDREN EVERYWHERE. OUR ORGANIZATION IS COMMITTED TO FINDING MORE EFFECTIVE TREATMENTS FOR CHILDHOOD PSYCHIATRIC AND LEARNING DISORDERS, BUILDING THE SCIENCE OF HEALTHY BRAIN DEVELOPMENT, AND EMPOWERING CHILDREN AND THEIR FAMILIES WITH HELP, HOPE, AND ANSWERS. false false 1469246 PUBLIC EDUCATION: THE CHILD MIND INSTITUTE HAS A PUBLIC EDUCATION MISSION TO PROVIDE AUTHORITATIVE, SCIENCE-BASED INFORMATION AND RESOURCES ABOUT CHILDREN'S MENTAL HEALTH TO PARENTS, EDUCATORS AND OTHER MENTAL HEALTH PROFESSIONALS. CHILDMIND.ORG - THE CHILD MIND INSTITUTE'S WEB SITE CONTAINS A WEALTH OF INFORMATION, NEWS, ADVICE AND STRATEGIES FOR PARENTS, EDUCATORS, AND OTHER PROFESSIONALS DEALING WITH PSYCHIATRIC AND LEARNING DISORDERS IN CHILDREN AND ADOLESCENTS. AN INTERACTIVE SYMPTOM CHECKER AND MENTAL HEALTH GUIDE OFFER THE LATEST THINKING ON COMMON DISORDERS, FROM SYMPTOMS TO TREATMENTS. MENTAL HEALTH EXPERTS FROM INSTITUTIONS AROUND THE COUNTRY OFFER INFORMATION AND INSIGHT ON THEIR SPECIALTIES IN DOZENS OF EDUCATIONAL VIDEOS. FEATURE ARTICLES ADDED AT LEAST WEEKLY DISCUSS ISSUES OF INTEREST TO PARENTS, WHETHER OR NOT THEY HAVE A CHILD WITH A PSYCHIATRIC OR LEARNING DISORDER. THE BRAINSTORM BLOG, OFFERS SUMMARIES OF NEWS, LINKS TO ARTICLES OF INTEREST ELSEWHERE, AND COMMENTARY ON ISSUES RELATED TO CHILDREN'S MENTAL HEALTH. CHILDMIND.ORG HAS PARTNERED WITH DOZENS OF OTHER SITES AND BLOGS TO SHARE CONTENT AND ENLARGE THE FOOTPRINT OF THE ARTICLES AND RESOURCES WE HAVE CREATED, AND A ROBUST SOCIAL MEDIA CAMPAIGN USES FACEBOOK AND TWITTER TO SPREAD THE WORD. SPEAK UP FOR KIDS! - Speak Up for Kids is the Child Mind Institute's national public education campaign held each May to battle the barriers that can prevent kids and families from seeking life-changing treatment. By promoting awareness and engaging a broad coalition of partners, the campaign sparks the kind of national attention that children's mental health truly deserves. Speak Up for Kids features events, influential speakers, more than 100 partner organizations, resources for parents and families, synchronized digital activities, and multi-platform media engagement. ADAM JEFFREY KATZ MEMORIAL LECTURE - DESIGNED TO RAISE AWARENESS AND EDUCATE THE PUBLIC ABOUT childhood psychiatric and learning disorders, THE KATZ FAMILY LAUNCHED THIS ANNUAL LECTURE IN 2003 AS A LIVING MEMORIAL TO ADAM KATZ, WHO STRUGGLED WITH ADHD and dyslexia. THE TWO-PART PROGRAM IS HELD EVERY MAY, DURING NATIONAL MENTAL HEALTH Awareness MONTH, AND FEATURES A LEADING EXPERT IN THE FIELD, followed by A CANDID CONVERSATION WITH A prominent GUEST ABOUT LIVING WITH A MENTAL HEALTH DISORDER. PAST honorees HAVE INCLUDED ACTOR ORLANDO BLOOM, ACTRESS AND PRODUCER TRUDIE STYLER, PRODUCER BRIAN GRAZER, and Grammy-winning artist Naomi Judd. This year, the event was webcast to thousands as part of the Child Mind Institute's Speak Up for Kids public awareness campaign. ON THE SHOULDER OF GIANTS - EACH YEAR THE CHILD MIND INSTITUTE SCIENTIFIC RESEARCH COUNCIL SELECTS A SCIENTIST TO RECEIVE THE DISTINGUISHED SCIENTIST AWARD FOR HIS OR HER LIFETIME OF RESEARCH AND CONTRIBUTIONS TO THE FIELDS OF CHILD MENTAL HEALTH AND DEVELOPMENTAL NEUROSCIENCE. AT THE ON THE SHOULDERS OF GIANTS SYMPOSIUM, THE AWARDEE IS A FEATURED SPEAKER, ALONG WITH TWO GENERATIONS OF HIS OR HER PROTEGES. THIS PRESENTATION GIVES THE RESEARCH COMMUNITY, AND PARTICULARLY YOUNGER SCIENTISTS, A VIEW INTO THE TRANSFORMATIONAL POWER OF DEDICATION AND COLLABORATION IN SCIENCE. CHILD MIND INSTITUTE STUDENT ART PROJECT - Each year, THE CHILD MIND INSTITUTE INVITES four local PUBLIC AND INDEPENDENT SCHOOLS TO PARTICIPATE in OUR GALLERY PROGRAM DEDICATED TO DISPLAYING WORKS OF ART CREATED BY STUDENT ARTISTS. CRITICAL TO CHILD DEVELOPMENT AND ACADEMIC SUCCESS, art PROMOTEs SELF-ESTEEM AND PROVIDE OPPORTUNITIES FOR SELF-EXPRESSION. Works from the Student Art Project are PROMINENTLY exhibited AT THE CHILD MIND INSTITUTE HEADQUARTERS and LAUNCHED WITH AN OPENING RECEPTION FOR THE STUDENT ARTISTS, THEIR FAMILIES, AND THE ENTIRE SCHOOL COMMUNITY. A VIRTUAL GALLERY IS ALSO AVAILABLE ON CHILDMIND.ORG. PARENT AND EDUCATOR WORKSHOPS ON CLINICAL TOPICS - THE PARENT AND EDUCATOR WORKSHOPS COVER A RANGE OF ISSUES AFFECTING CHILDREN, INCLUDING SELECTIVE MUTISM (SM), ATTENTION-DEFICIT HYPERACTIVITY DISORDER (ADHD), OBSESSIVE-COMPULSIVE DISORDER (OCD), AND OTHERS. THESE EDUCATIONAL WORKSHOPS PROVIDE AN OPPORTUNITY FOR PARENTS, TEACHERS, AND OTHER CARING PROFESSIONALS TO GAIN NEW KNOWLEDGE, INSIGHTS AND SKILLS TO IMPROVE THEIR ABILITY TO PARENT AND NURTURE KIDS WITH THESE DISORDERS AND HELP THEM THRIVE. SESSIONS ARE HELD AT THE CHILD MIND INSTITUTE ABOUT ONE PER WEEK DURING THE SCHOOL YEAR AND ARE ALSO AVAILABLE ONLINE. 2334489 213249 SCIENCE AND INNOVATION: The Child Mind Institute (CMI) has a science and innovation mission that underscores the transformative power of collaborative research in the field of child mental health. The Center for the Developing Brain (CDB) at the CMI is dedicated to accelerating the pace of scientific advancement for child mental health through the conduct and promotion of high impact research focused on the developing brain and mental illness. The CDB actively works to innovate models of the neural underpinnings of mental illness, as well as the methodologies employed by investigators to examine them. Additionally, the CDB spearheads a large-scale "open science" initiative that serves to demonstrate the feasibility and value of open data-sharing in the brain imaging community. Known as the "International Neuroimaging Data-sharing Initiative (INDI)", this effort has proven to be a game-changer, giving researchers who once struggled to obtain a few dozen datasets for their work, access to thousands of datasets from clinical and nonclinical populations. CHILD MIND INSTITUTE ENDEAVOR SCIENTIST PROGRAM - THE ENDEAVOR SCIENTIST PROGRAM IS A PIONEERING EFFORT LAUNCHED BY THE CHILD MIND INSTITUTE TO SUPPORT THE DEVELOPMENT OF TALENTED, MULTIDISCIPLINARY SCIENTISTS IN RESEARCH POSITIONS AT ACADEMIC AND MEDICAL INSTITUTIONS AROUND THE GLOBE. RECRUITED FROM VARIOUS FIELDS SUCH AS COMPUTER SCIENCE, ENGINEERING, MATHEMATICS, AND STATISTICS; THESE SCIENTISTS WILL COLLABORATE ON RESEARCH THAT PURSUES A DEEPER UNDERSTANDING OF HUMAN BRAIN DEVELOPMENT. BRINGING DIVERSE THINKERS TOGETHER WILL BRING US CLOSER TO DEVELOPING BETTER INTERVENTIONS, AND EVENTUALLY PREVENTATIVE MEASURES, FOR PSYCHIATRIC AND LEARNING DISORDERS IN CHILDREN AND ADOLESCENTS. HEALTHY BRAIN NETWORK - The Health Brain Network is the Child Mind Institute's unprecedented initiative to collect and share data from developing children with the best research minds all over the world. The initiative will be launched with imaging and other data from 10,000 young people in the New York metropolitan area. By sharing the information with the global scientific community, we will capture the attention of interdisciplinary researchers, who may never before have studied this type of data, putting child psychiatry at the forefront of scientific inquiry and discovery. Ultimately research from the Healthy Brain Network will lead to improved diagnosis and treatment of childhood mental illness. SCIENTIFIC RESEARCH COUNCIL - COMPRISED OF 13 OF THE NATION'S TOP CHILD MENTAL HEALTH SCIENTISTS FROM 10 OF THE LEADING ACADEMIC INSTITUTIONS, THE SCIENTIFIC RESEARCH COUNCIL BRINGS TOGETHER BASIC SCIENTISTS AND RESEARCH CLINICIANS TO CREATE A GLOBAL INCUBATOR FOR COLLABORATIVE RESEARCH IN CHILD MENTAL HEALTH. FUNCTIONING AS A MULTI-INSTITUTIONAL SCIENTIFIC THINK-TANK, THE COUNCIL INCLUDES DISTINGUISHED SCIENTISTS IN THE FIELD OF CHILD AND ADOLESCENT PSYCHIATRY, PSYCHOLOGY, NEUROSCIENCE, AND NEUROLOGY, AND EXPERTS IN ANXIETY AND MOOD DISORDERS, ATTENTION-DEFICIT HYPERACTIVITY DISORDER, AUTISM SPECTRUM DISORDERS, AND EATING DISORDERS. Stress and Resilience program (new Program)- In 2013, the Child Mind Institute's Stress and Resilience Program provided trauma response services to more than 100 New York City public elementary, intermediate and high schools, as well as children's mental health clinics, serving thousands of students in the NYC neighborhoods. Our services focused on providing psychoeducational workshops, school-based trauma interventions, and consultation to communities affected by Superstorm Sandy, as well as NYC public schools. The overall purpose of the Stress and Resilience Program is to promote healthy child development and resilience, and prevent serious, trauma-related psychological difficulties among children and adolescents. Our goals are to: 1) increase awareness of children's mental health issues, specifically risks related to traumatic events, 2) reduce exposure to stressful/traumatic events, 3) decrease stigma and other barriers to care, 4) facilitate early detection of problematic reactions to stressful/traumatic events, and 5) provide effective treatments to children and families in need. The Stress and Resilience program has particular experience working with military families, particularly those who have difficulties related to trauma exposure or readjustment to life at home and exposure to military stress. The Child Mind Institute supports our troops and their families by addressing the unique needs of U.S. military children, and by lending a hand to military parents as they navigate their life of service and parenthood. We help military parents in two ways: 1) by connecting military kids and their families to important resources that address issues specific to their own readjustment, and 2) by helping military members and spouses to thrive in their roles as parents, and by giving kids in need treatments that will benefit them. 1637830 581635 ACCESS TO CLINICAL CARE: THE CHILD MIND INSTITUTE AIMS TO PROVIDE RESOURCES TO CHILDREN, TEENS, AND FAMILIES TO IMPROVE ACCESS TO THE CLINICAL CARE THEY NEED TO LIVE HEALTHY, FULFILLING LIVES. FINANCIAL AID PROGRAM - THE CHILD MIND INSTITUTE LAUNCHED ITS FINANCIAL AID PROGRAM IN AN EFFORT TO HELP CHILDREN AND FAMILIES RECEIVE CARE AND TREATMENT, REGARDLESS OF ECONOMIC STANDING, BY CLINICIANS AT THE CHILD MIND MEDICAL PRACTICE, A MEDICAL PRACTICE FORMED TO SUPPORT THE CLINICAL MISSION OF THE CHILD MIND INSTITUTE. MODELED AFTER GUIDELINES SIMILAR TO THOSE ADOPTED BY DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) PROGRAMS, THE FINANCIAL AID PROGRAM OFFERS ELIGIBLE FAMILIES A FEE DISCOUNT BETWEEN 30% AND 70% OF THE COST OF SERVICES. IT IS DESIGNED IN A WAY THAT ALLOWS PATIENTS FROM LOW-INCOME FAMILIES TO QUALIFY, WHILE ALSO ACCOMMODATING FAMILIES WITH HIGHER THAN AVERAGE INCOME, WHO HAVE OTHER FINANCIAL STRAINS, SUCH AS CHILDREN IN COLLEGE OR OTHER MEDICAL BILLS. SINCE 2011, the Child Mind Institute HAS RAISED A CUMULATIVE TOTAL OF $911,800 FOR FINANCIAL AID. THE CHILD MIND MEDICAL PRACTICE CLINICIANS MATCH THE DONATED SERVICES ON A DOLLAR-FOR-DOLLAR BASIS. THIS ENABLED THE PRACTICE TO OFFER FINANCIAL AID WORTH $1,823,600. THIS PAST YEAR ALONE, THE CLINICIANS PROVIDED CLINICAL CARE WORTH APPROXIMATELY $582,000 IN FINANCIAL AID. 5441565 true true false true false false false false false false true false false true true true true false false false false false false true true false false true true true false false false false false false false true true false false false false false false false false true 51 0 true 58 true false false false false false true true false false false false X 30 30 true false false false false false false true true false false true true true true true true true true false AL AZ CA CT DC GA IL ME MD MA MI MN NH NJ NY NC OH OR PA RI SC VA WI X DAVID RIVERA DIR OF FINANCE 2123083118 445 PARK AVENUE 2ND FLOOR NEW YORK NY 10022 X BROOKE GARBER NEIDICH 6.0 X X 0 0 0 DEBRA PERELMAN 6.0 X X 0 0 0 ELIZABETH FASCITELLI 1.0 X X 0 0 0 ANNE WELSH MCNULTY 1.0 X X 0 0 0 ARTHUR ALTSCHUL JR 1.0 X 0 0 0 RANDOLPH COWEN 1.0 X 0 0 0 MARK DOWLEY 1.0 X 0 0 0 MEGAN DOWLEY 1.0 X 0 0 0 MICHAEL FASCITELLI 1.0 X 0 0 0 GIDEON GIL 1.0 X 0 0 0 PHYLLIS GREEN 1.0 X 0 0 0 MARGARET GRIEVE 6.0 X 0 0 0 GEORGE HALL 1.0 X 0 0 0 CRAIG HATKOFF 1.0 X 0 0 0 JOSEPH HEALEY 1.0 X 0 0 0 Ellen Katz 1.0 X 0 0 0 HOWARD KATZ 1.0 X 0 0 0 PREETHI KRISHNA 1.0 X 0 0 0 CHRISTINE MACK 1.0 X 0 0 0 RICHARD MACK 1.0 X 0 0 0 STEVEN MARCUS 1.0 X 0 0 0 JULIE MINSKOFF 1.0 X 0 0 0 MARCIA MISHAAN 1.0 X 0 0 0 RICHARD MISHAAN 1.0 X 0 0 0 VALERIE MNUCHIN 1.0 X 0 0 0 DANIEL NEIDICH 1.0 X 0 0 0 AMY PHELAN 1.0 X 0 0 0 JOHN PHELAN 1.0 X 0 0 0 JANE ROSENTHAL 1.0 X 0 0 0 JORDAN SCHAPS 1.0 X 0 0 0 LINDA SCHAPS 1.0 X 0 0 0 RAM SUNDARAM 1.0 X 0 0 0 CLAUDE WASSERSTEIN 1.0 X 0 0 0 DR HAROLD KOPLEWICZ 40.0 X 679214 0 268984 SHERINE KHALIL 40.0 X 276343 0 20746 ELIZABETH PLANET 40.0 X 56383 0 1311 DAVID RIVERA 40.0 X 72965 0 2094 DAWN THOMSEN 40.0 X 127609 0 17163 ILEAN HELLAND 40.0 X 108071 0 17706 MICHAEL MILHAM 40.0 X 195133 0 23164 1515718 0 351168 5 false true false 42ND STREET LESSEE 110 EAST 42ND STREET NEW YORK NY 10017 EVENT VENUE 267886 COMMUNITY COUNSELING SERVICE CO L PB BOX 27462 NEW YORK NY 100877462 FUNDRAISING 439750 EPSTEIN BECKER GREEN PC 250 PARK AVENUE NEW YORK NY 101771211 LEGAL SERVICES 142870 MADISON TECHNOLOGY 575 LEXINGTON AVENUE 4TH FLOOR NEW YORK NY 10022 OUTSOURCED IT 105367 4 5830996 6858315 268664 12689311 0 15049 15049 0 0 0 0 0 69411 68652 759 759 759 267887 5830996 267887 0 0 0 MISCELLANEOUS REVENUE 900099 25279 25279 25279 12730398 41087 213249 213249 581635 581635 0 0 1175832 423212 413527 339093 0 2355875 1816793 384298 154784 208589 86948 103555 18086 472418 196921 234535 40962 228131 95094 113257 19780 0 75182 75182 111504 111504 0 66500 66500 0 888734 240595 150032 498107 43312 38887 500 3925 50766 26284 10958 13524 186348 142050 19504 24794 0 324581 187397 79943 57241 167517 76090 47516 43911 0 6475 3722 570 2183 0 0 603879 436741 103741 63397 51011 13882 33046 4083 SUB-CONTRACTORS 473296 471546 1750 MARKETING CONSULTANTS 190928 103482 21957 65489 COMPUTERS & EQUIPMENT 177710 101904 55103 20703 PAYROLL PROCESSING FEES 111104 85661 18110 7333 273862 99472 66352 108038 9038438 5441565 2044940 1551933 X 777697 105790 5871763 7189945 2821575 4349179 0 26729 0 0 0 0 0 0 0 0 214562 346960 3559015 1413114 2701228 2145901 327901 858079 0 0 0 0 0 0 898197 1692012 13612923 16714595 1015269 527126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 842975 1419906 1858244 1947032 X 8574646 7863450 3180033 6904113 0 0 11754679 14767563 13612923 16714595 3691960 107647 -786723 X X false true X true false X 8570923 8975012 9573350 12689311 39808596 0 0 8570923 8975012 9573350 12689311 39808596 5845283 33963313 2513 11131 14795 15049 43488 0 16971 14859 25279 57109 39909193 X 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 36692 false false 36692 false false PART II-B, LINE 1, LOBBYING ACTIVITIES: Advocating for funding to support services for Superstorm Sandy recovery programs. Advocating for expansion of law providing access to mental health care services to veterans only to include their family members. Advising members of the House Energy and Commerce Committee and staff of the House and Senate Labor, HHS and Education Appropriations Subcommittees on approaches to improving and expanding mental health services for children. Raising awareness of children's mental health issues by promoting Speak Up for Kids with the DEPARTMENT OF HEALTH AND HUMAN SERVICES. Direct lobbying- $36,692 1765525 317055 1448470 1009452 434197 575255 784038 661862 122176 2145901 PRACTICE FOR FINANCIAL AID 53871 PRACTICE FOR SHARED SERVICES 1638141 1692012 0 DEFERRED RENT LIABILITY 974087 DEFERRED COMPENSATION LIABILITY 445819 1419906 X 13043208 107647 205163 312810 12730398 12730398 9243601 205163 205163 9038438 9038438 PART X, LINE 2 THE TEXT OF THE FOOTNOTE TO CMI'S AUDITED FINANCIAL STATEMENTS THAT REPORTS CMI'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC TOPIC 740) IS AS FOLLOWS: CMI is subject to the provisions of the Financial Accounting Standards Board's (the "FASB") Accounting Standards Codification ("ASC") Topic 740-10-05 relating to accounting and reporting for uncertainty in income taxes. Because of CMI's general tax-exempt status, ASC Topic 740-10-05 has not had, and is not anticipated to have, a material impact on CMI's financial statements. X X X X X X X true EVENT ASSOCIATES 162 WEST 56TH ST NEW YORK NY 10019 FUNDRAISING FOR GALA false 6098883 54000 6044883 EVENT ASSOCIATES 162 WEST 56TH ST NEW YORK NY 10019 OTHER FUNDRAISING false 2139475 12500 2126975 8238358 66500 8171858 AL CA CT DC GA IL LA ME MD MA MN NH NY NC OR PA VA WI GALA EVENT 6098883 5830996 267887 267887 0 6098883 5830996 267887 267887 267887 SCHEDULE G, PART I, LINE 2B COLUMN (V) The amount paid to the professional fundraising company, event associates, represents fees paid for the planning of CMI's December 2012 annual benefit dinner and for other fundraising activities. The total amount paid to event associates for the planning of the December 2012 ANNUAL DINNER WAS $65,231, WHICH INCLUDED $54,000 IN CONTRACT FEES AND $11,231 IN REIMBURSABLE EXPENSES. CMI PAID $13,193 FOR OTHER FUNDRAISING ACTIVITES, $12,500 in fees and $693 of reimbursable expenses in FISCAL YEAR 2013. CMI PAID $32,000 in the previous FISCAL YEAR as a deposit for the December 2012 annual dinner. In December 2012, CMI contracted with Event associates for the December 2013 event, and a $43,000 deposit towards that contract was paid in fiscal year 2013. true RESEARCH FOUNDATION FOR MENTAL HYGIENE 150 BROADWAY SUITE 301 MENANDS NY 12204 141410842 501(C)(3) 213249 SEE PART IV 1 SEE PART IV 273 581636 SCHEDULE I, PART I, LINE 2 THE GRANT WAS MADE FOLLOWING A WRITTEN GRANT AGREEMENT STIPULATING THE PURPOSES OF THE GRANT AND REQUIRING REGULAR REPORTING ON THE USE OF THE GRANT FUNDS. CMI RECEIVES EXPENSE REPORTS ON A QUARTERLY BASIS FROM GRANTEE TO ENSURE THAT THE GRANT FUNDS ARE USED FOR THE INTENDED PURPOSES BASED ON THE APPROVED GRANT APPLICATION AND BUDGET. SCHEDULE I, PART II, LINE 1A THE CHILD MIND INSTITUTE AWARDED A ONE YEAR GRANT, RENEWABLE FOR THREE YEARS, TO THE RESEARCH FOUNDATION FOR MENTAL HYGIENE (RFMH) FOR THE PROJECT, "DISCOVERY SCIENCE OF HUMAN BRAIN FUNCTION ACROSS THE LIFESPAN: PROTOCOL ENHANCEMENT" TO FURTHER THE WORK DONE BY DR. MICHAEL MILHAM, DIRECTOR OF THE CENTER FOR THE DEVELOPING BRAIN AT CMI. THE GRANT WAS AWARDED TO DR. MILHAM IN HIS OTHER CAPACITY AS A PRINCIPAL INVESTIGATOR AT RFMH TO CONTINUE AND EXPAND THE SCOPE OF HIS ORIGINATING RESEARCH STUDY AT THE NATHAN S. KLINE INSTITUTE FOR PSYCHIATRIC RESEARCH (NKI), AND TO FOSTER COLLABORATION BETWEEN NKI AND CMI. SCHEDULE I, PART III, LINE 1A THE CHILD MIND INSTITUTE PROVIDES A FINANCIAL AID PROGRAM THAT OFFERS ELIGIBLE FAMILIES A FEE DISCOUNT FOR DIAGNOSTIC EVALUATIONS AND ONGOING TREATMENT FOR CHILDREN WITH MENTAL HEALTH DISORDERS. THE PROGRAM IS DESIGNED TO ALLOW PATIENTS FROM LOW-INCOME FAMILIES TO QUALIFY, WHILE ALSO ACCOMODATING FAMILIES WITH HIGHER THAN AVERAGE INCOME, WHO HAVE OTHER FINANCIAL STRAINS, SUCH AS CHILDREN IN COLLEGE OR OTHER MEDICAL BILLS. IN FY 2013 A TOTAL OF 273 PATIENTS RECEIVED $581,636 IN FINANCIAL AID FOR CUSTOMIZED CARE SERVICES PROVIDED BY THE CHILD MIND MEDICAL PRACTICE PLLC. THE CLINICIANS ALSO MATCH THE FINANCIAL AID DOLLAR FOR DOLLAR BY DONATING THEIR SERVICES, MAKING THE TOTAL CONTRIBUTION $1,163,272 OF SUPPORT TOWARDS CLINICAL SERVICES. X X X X X false true false false false false false false false DR HAROLD KOPLEWICZ 499214 0 180000 0 0 124000 144984 948198 0 0 SHERINE KHALIL 276343 0 0 0 10000 10746 297089 0 MICHAEL MILHAM 195133 0 0 0 9730 13434 218297 0 PART I, LINE 4B THE AMOUNT SHOWN IN SCHEDULE J, PART II, LINE 1, COLUMN (C) REPRESENTS AN ACCRUAL TOWARDS A NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR THE PRESIDENT OF CHILD MIND INSTITUTE UNDER INTERNAL REVENUE CODE SECTION 457(F). THIS PLAN IS DESIGNED TO SERVE AS A RETENTION INCENTIVE. AMOUNTS WILL BE PAID OUT UNDER THIS PLAN ONLY IF THE PRESIDENT CONTINUES TO BE EMPLOYED AT THE CHILD MIND INSTITUTE AS OF CERTAIN DATES IN FUTURE YEARS. CHILD MIND MEDICAL PRACTICE PLLC SEE PART V 1692012 SEE PART V false SCHEDULE L PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS (A) NAME OF ENTITY: CHILD MIND MEDICAL PRACTICE, PLLC (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DR. HAROLD KOPLEWICZ, THE PRESIDENT OF THE CHILD MIND INSTITUTE ("CMI"), IS A MEMBER OF THE CHILD MIND MEDICAL PRACTICE, PLLC ("PRACTICE"} WITH A 99% OWNERSHIP INTEREST. CMI FACILITATED THE CREATION OF THE PRACTICE TO PROVIDE CLINICAL CARE AND TREATMENT DIRECTLY TO CHILDREN AND ADOLESCENTS; AND IN CONNECTION WITH CMI'S RESEARCH IN BRAIN DEVELOPMENT, WHICH UNDER APPLICABLE LAW, CMI COULD NOT DIRECTLY PROVIDE. SUCH CLINICAL CARE AND TREATMENT IS CRITICAL TO THE FULFILLMENT OF CMI'S MISSION TO TRANSFORM MENTAL HEALTH CARE FOR CHILDREN EVERYWHERE BY FINDING MORE EFFECTIVE TREATMENTS FOR CHILDHOOD PSYCHIATRIC AND LEARNING DISORDERS, BUILDING THE SCIENCE OF HEALTHY BRAIN DEVELOPMENT, AND EMPOWERING CHILDREN AND THEIR FAMILIES WITH HELP, HOPE AND ANSWERS. (C) DESCRIPTION OF TRANSACTIONS: (1) BACKGROUND OVERVIEW. UNDER APPLICABLE 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 NOT-FOR-PROFIT CORPORATION, IS NOT LEGALLY PERMITTED TO HOLD AN OWNERSHIP INTEREST IN THE PRACTICE. IN FURTHERANCE OF FULFILLING CMI'S MISSION, PROTECTING ITS ASSETS TO THE EXTENT USED TO SUPPORT RELATED CLINICAL AND RESEARCH ACTIVITIES CONDUCTED BY THE PRACTICE, AND COMPLYING WITH THE FOREGOING OWNERSHIP REQUIREMENT, DR. KOPLEWICZ, THE PRESIDENT OF CMI AND A LICENSED PHYSICIAN, BECAME THE CONTROLLING MEMBER OF THE PRACTICE. HOWEVER, THE MEMBERSHIP INTERESTS IN THE PRACTICE (I.E., DR. KOPLEWICZ'S 99% MEMBERSHIP INTEREST AND OF THE OTHER MEMBER, DR. RONALD STEINGARD'S 1% MEMBERSHIP INTEREST) HAVE BEEN STRUCTURED SO THAT NEITHER CAN RECEIVE, OR OTHERWISE REALIZE, ANY ECONOMIC BENEFIT FROM HOLDING THESE MEMBERSHIP INTERESTS OR FROM THE SALE OR OTHER DISPOSITION OF SUCH MEMBERSHIP INTERESTS. BOTH MEMBERS OF THE PRACTICE HAVE ENTERED INTO A BUY/SELL AGREEMENT WITH THE PRACTICE PURSUANT TO WHICH THEY HAVE AGREED NOT TO SELL THEIR INTERESTS TO ANY PARTY OTHER THAN THE PRACTICE, WHICH MAY RE-PURCHASE THEIR MEMBERSHIP INTERESTS FROM THEM FOR AN AMOUNT NOT TO EXCEED THE NOMINAL AMOUNT THAT SUCH MEMBERS PAID IN CONNECTION WITH THE ACQUISITION OF THEIR MEMBERSHIP INTERESTS. FURTHER, THE PRACTICE'S ARTICLES OF ORGANIZATION PROVIDE THAT THE PRACTICE IS TO BE OPERATED SOLELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES IN FURTHERANCE AND SUPPORT OF CMI'S CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES TO THE EXTENT NOT INCONSISTENT WITH RELEVANT NEW YORK LAW AND NONE OF ITS ASSETS, NET EARNINGS, INCOME OR PROFIT MAY BE DISTRIBUTED TO ANY MEMBER, MANAGER, OFFICER OR EMPLOYEE OF THE PRACTICE OR OTHER PRIVATE PERSON. THE PRACTICE'S ARTICLES OF ORGANIZATION PROVIDE THAT IF THE 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. IN SPITE OF THIS, THE PRACTICE DOES NOT FALL UNDER THE DEFINITION OF A "RELATED ORGANIZATION" TO CMI UNDER THE FORM 990 INSTRUCTIONS. (2)RESTRICTED GRANT AGREEMENT BETWEEN CMI AND THE PRACTICE. TO FACILITATE THE FORMATION OF THE PRACTICE AND THE CONDUCT BY THE PRACTICE OF RESEARCH PROGRAMS AND SERVICES THAT FURTHER CMI'S CHARITABLE, SCIENTIFIC AND EDUCATIONAL MISSION, CMI ENTERED INTO A RESTRICTED GRANT AGREEMENT WITH THE PRACTICE PURSUANT TO WHICH CMI AGREED TO MAKE SPECIAL PURPOSE RESTRICTED GRANTS TO THE PRACTICE UP TO THE AGGREGATE AMOUNT OF $1,750,000 TO SUPPORT THE CONDUCT OF SUCH RESEARCH. THE RESTRICTED GRANT AGREEMENT PROVIDES, AMONG OTHER THINGS, THAT (A) THE PRACTICE IS REQUIRED TO OPERATE IN A MANNER THAT IS, AND LIMITS ITS ACTIVITIES TO THOSE THAT ARE CONSISTENT WITH AND FURTHER THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL MISSION OF CMI, (B) THE GRANT MUST BE USED BY THE PRACTICE EXCLUSIVELY IN CONNECTION WITH THE CONDUCT OF ACTIVITIES THAT FURTHER AND SUPPORT CMI'S CHARITABLE, SCIENTIFIC AND EDUCATIONAL MISSIONS, AND (C) THE PRACTICE MUST OBSERVE VARIOUS REPORTING, BUDGETARY AND OTHER FINANCIAL REQUIREMENTS AND ITS AUDITORS MUST BE ACCEPTABLE TO CMI. IF THE PRACTICE FAILS TO OBSERVE THE REQUIREMENTS OF THE RESTRICTED GRANT AGREEMENT, THE AGREEMENT MAY BE TERMINATED, UNSPENT FUNDS MUST BE RETURNED TO CMI AND DAMAGES MAY BE DUE. TO DATE, THE PRACTICE HAS RECEIVED GRANTS IN THE AGGREGATE AMOUNT OF $690,000, ALL OF WHICH WERE MADE BY CMI TO THE PRACTICE PRIOR TO FY2012. CMI'S FINANCE COMMITTEE MONITORS GRANTS MADE TO THE PRACTICE. (3) ADMINISTRATIVE SERVICES AGREEMENT. PURSUANT TO AN ADMINISTRATIVE SERVICES AGREEMENT BETWEEN CMI AND THE PRACTICE, CMI PROVIDES CERTAIN ADMINISTRATIVE SERVICES TO THE PRACTICE FOR WHICH THE PRACTICE COMPENSATES CMI. CONSISTENT WITH CMI'S INTERNAL POLICIES AND PROCEDURES, THE FEE PAID BY THE PRACTICE TO CMI IS BASED ON THE FAIR MARKET VALUES OF THE PROVIDED SERVICES DETERMINED UNDER AN ARM'S LENGTH PROCESS BASED ON GUIDANCE BY EXTERNAL INDEPENDENT ADVISORS. THE PRACTICE'S PAYMENT OBLIGATION TO CMI FOR SERVICES PROVIDED UNDER THE ADMINISTRATIVE SERVICES AGREEMENT IS CURRENTLY REFLECTED AS A RECEIVABLE ON CMI'S FINANCIAL STATEMENTS IN THE AMOUNT OF $1,638,141, AS REFLECTED IN PART X OF THIS FORM 990. DURING FISCAL-YEAR 2013, CMI INCURRED $958,992 OF COSTS ASSOCIATED WITH PROVIDING ADMINISTRATIVE SERVICES TO PRACTICE, OF WHICH $100,000 HAS BEEN REIMBURSED IN FISCAL-YEAR 2013. (4) LICENSE AGREEMENT. PURSUANT TO A LICENSE AGREEMENT BETWEEN CMI AND THE PRACTICE, CMI GRANTED A ROYALTY-FREE LICENSE OF CERTAIN OF ITS TRADEMARKS AND DOMAIN NAMES TO THE PRACTICE SUBJECT TO CERTAIN TERMS AND CONDITIONS, INCLUDING THE TERMINATION OF THE LICENSE AGREEMENT IN THE EVENT OF THE PRACTICE'S BREACH OF THE TERMS AND CONDITIONS OF THE RESTRICTED GRANT AGREEMENT. (5)SUB-CONTRACTING. CMI HAS RECEIVED CONTRIBUTIONS AND GRANTS THAT REQUIRE SERVICES THAT IT IS UNABLE TO PROVIDE. IN THESE INSTANCES, CMI SUB-CONTRACTS WITH VARIOUS AGENCIES, INCLUDING THE PRACTICE, TO PERFORM THESE SERVICES. CMI DISCLOSES TO ITS DONORS AND GRANTORS THAT THOSE FUNDS RECEIVED WILL BE SUB-CONTRACTED TO SATISFY THE DONOR'S AND GRANTOR'S REQUESTS. DURING FISCAL-YEAR 2013, SUB-CONTRACTED AMOUNTS PAID TO THE PRACTICE IN PERFORMANCE OF THESE REQUESTS AMOUNTED TO $258,325. X 5 268664 fmv false false false CMI MISSION AND PROGRAM SERVICES FORM 990, PART I, LINE 1 OUR ORGANIZATION IS COMMITTED TO FINDING MORE EFFECTIVE TREATMENTS FOR CHILDHOOD PSYCHIATRIC AND LEARNING DISORDERS, BUILDING THE SCIENCE OF HEALTHY BRAIN DEVELOPMENT, AND EMPOWERING CHILDREN AND THEIR FAMILIES WITH HELP, HOPE AND ANSWERS. FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES CLINICAL CARE: IN JULY 2010, THE CHILD MIND MEDICAL PRACTICE, PLLC ("PRACTICE") AND THE CHILD MIND INSTITUTE, INC. ("CMI") ENTERED INTO A RESTRICTED GRANT AGREEMENT WHEREBY CMI WOULD MAKE ONE OR MORE INITIAL GRANTS NOT TO EXCEED $750,000 IN AGGREGATE (SUBSEQUENTLY INCREASED BY CMI BOARD TO $1,750,000 IN AGGREGATE), TO THE PRACTICE IN ORDER TO ENABLE THE PRACTICE TO COVER ITS START UP COSTS AND BEGIN TREATING PATIENTS. DURING THE YEAR ENDED SEPTEMBER 30, 2013, NO AMOUNTS WERE PAID AS GRANTS. AGGREGATE GRANTS PAID TO DATE ARE $690,000. CMI'S FINANCE COMMITTEE MONITORS GRANTS MADE TO THE PRACTICE. SEE SCHEDULE L FOR ADDITIONAL INFORMATION REGARDING THE PRACTICE. FAMILY RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 PHYLLIS GREEN AND RANDOLPH COWEN ARE HUSBAND AND WIFE MEGAN AND MARK DOWLEY ARE HUSBAND AND WIFE ELIZABETH AND MICHAEL FASCITELLI ARE HUSBAND AND WIFE DEBRA G. PERELMAN AND GIDEON M. GIL ARE HUSBAND AND WIFE AMY AND JOHN PHELAN ARE HUSBAND AND WIFE JANE ROSENTHAL AND CRAIG HATKOFF ARE HUSBAND AND WIFE ELLEN AND HOWARD KATZ ARE HUSBAND AND WIFE CHRISTINE AND RICHARD MACK ARE HUSBAND AND WIFE BROOKE GARBER NEIDICH AND DANIEL NEIDICH ARE HUSBAND AND WIFE JORDAN SCHAPS IS THE SON OF LINDA SCHAPS PREETHI KRISHNA AND RAM SUNDARAM ARE HUSBAND AND WIFE FORM 990 FORM 990, PART VI, SECTION B, LINE 11 CMI'S FORM 990 IS PREPARED BY ITS INDEPENDENT ACCOUNTING FIRM, WITH THE ASSISTANCE OF CMI STAFF. THE DRAFT FORM 990 IS THEN REVIEWED BY CMI'S Executive Vice President/COO AND BY EXTERNAL INDEPENDENT LEGAL COUNSEL. THE DRAFT FORM 990 IS REVIEWED IN DETAIL BY THE FINANCE COMMITTEE OF CMI'S BOARD OF DIRECTORS, WHICH WAS DELEGATED THIS RESPONSIBILITY BY THE FULL BOARD OF DIRECTORS. THE FINANCE COMMITTEE REVIEWS THE FORM 990 AND DISCUSSES THE CONTENTS THEREOF AT A MEETING WITH CMI'S INDEPENDENT AUDITORS. THE DRAFT FORM 990 IS THEN PRESENTED AND DISCUSSED BY THE CHAIR OF THE FINANCE COMMITTEE AT THE ANNUAL MEETING OF THE FULL BOARD. PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE, A COPY OF THE FINAL VERSION OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE ENTIRE BOARD FOR REVIEW AND COMMENT. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C CMI'S CONFLICT OF INTEREST POLICY REQUIRES DIRECTORS HAVING A POTENTIAL CONFLICT TO REPORT TO THE BOARD AND RECUSE THEMSELVES FROM A DISCUSSION AND A VOTE ON A CONFLICTED MATTER. CMI OBTAINS A SIGNED CONFLICT OF INTEREST DISCLOSURE FORM FROM EACH OF THE BOARD MEMBERS AND MANAGEMENT ON AN ANNUAL BASIS. COMPENSATION POLICY FORM 990, PART VI, SECTION B, LINE 15 ALL EXECUTIVE LEVEL COMPENSATION IS REVIEWED BY AN OUTSIDE INDEPENDENT CONSULTANT, QUALIFIED TO REVIEW sIMILAR POSITIONS IN SIMILAR NON-PROFIT HEALTHCARE ENTITIES. THE REVIEW INCLUDES EACH INDIVIDUAL'S CV, YEARS OF EXPERIENCE, JOB DESCRIPTION AND GOALS FOR CURRENT POSITION, COMPARISON TO THE MARKET, AND SPECIAL CONSIDERATIONS SUCH AS RELOCATION, PAST PERFORMANCES AND ACCOMPLISHMENTS, AND NICHE EXPERTISE / KNOWLEDGE OF REQUIRED AREAS. NON-INTERESTED MEMBERS OF THE COMPENSATION COMMITTEE OF THE CMI BOARD OF DIRECTORS REVIEW THE COMPENSATION CONSULTANT'S REPORT AND MAKE A DETERMINATION ABOUT COMPENSATION BASED ON ALL RELEVANT FACTORS. THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY IN THE MINUTES AND RETAINED IN CHILD MIND INSTITUTE RECORDS. AVAILABILITY OF ORGANIZATIONAL DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE FORM 990 IS AVAILABLE UPON REQUEST. CMI PUBLISHES A SUMMARY OF ITS AUDITED FINANCIAL STATEMENTS IN THE ANNUAL REPORT WHICH IS AVAILABLE ON ITS WEBSITE. REPORTABLE COMPENSATION FORM 990, PART VII, SECTION A, COLUMN D COMPENSATION OF THE PRESIDENT AND OTHER KEY EXECUTIVES IS SUBJECT TO THE CHILD MIND INSTITUTE'S WRITTEN COMPENSATION POLICY WHICH INCLUDES REVIEW BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION, BY THE BOARD'S COMPENSATION COMMITTEE. PRIOR PERIOD ADJUSTMENTS FORM 990, PART X, LINES 25 AND 33 RESTATEMENT OF NET ASSETS: UNRESTRICTED NET ASSETS AT THE BEGINNING OF THE YEAR HAVE BEEN DECREASED BY $786,723 TO REFLECT INCREASES IN THE FOLLOWING LIABILITY BALANCES: DUE TO CHILD MIND MEDICAL PRACTICE - SUB-CONTRACTED SERVICES: $200,411 DEFERRED RENT LIABILITY: $586,312